Developing Metacompetence in Low Intensity Cognitive‐Behavioural Therapy (CBT) Interventions

Evaluating a Self‐Practice/Self‐Reflection Programme for Experienced Low Intensity CBT Practitioners

Bibliographic Data

ID11509565
AuthorsRichard Thwaites (0000-0002-6104-7027, Cumbria Partnership NHS Foundation Trust, University of Sydney, corresponding author), Laura Cairns (Cumbria Partnership NHS Foundation Trust, University of Sydney), James Bennett–Levy (0000-0003-0998-116X, The University of Sydney), Laura Johnston (0000-0002-7356-7222, Cumbria Partnership NHS Foundation Trust, University of Sydney), Ria Lowrie (Cumbria Partnership NHS Foundation Trust, University of Sydney), Andrea J Robinson (0000-0003-3859-1312), Andrea Robinson (Cumbria Partnership NHS Foundation Trust, University of Sydney), Melanie Turner (0000-0002-5009-8793, Cumbria Partnership NHS Foundation Trust, University of Sydney), Beverly Haarhoff (Massey University), Helen Perry (The University of Sydney)
Year2015
Volume50
Issue5
Pages311-321
Publication date2015-09-08
Open AccessYes
TypeARTICLE
VenueAustralian Psychologist (JOURNAL)
Journal identifiersISSN: 0005-0067 • E-ISSN: 1742-9544
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1111/ap.12151
OpenAlexW2169383057
LanguageEN
Citations received4
References cited12

Self‐practice/self‐reflection (SP/SR) is a targeted training and professional development strategy in which clinicians practice cognitive‐behavioural therapy (CBT) techniques and processes on themselves and then working through a structured process of self‐reflection. Previous studies with CBT trainees and experienced mental health practitioners have found that SP/SR or experiencing CBT “from the inside out” has been perceived by participants as increasing competency in a number of important areas and increasing therapist flexibility and artistry. Low intensity (LI) practitioners are identified as a relatively new addition to mental health service delivery in the UK. These workers are differentiated from traditional mental health practitioners by a shorter training period, the delivery of a circumscribed number of CBT interventions, and a very high weekly patient load. This study, the first of its kind, reports outcomes from an SP/SR programme undertaken by seven experienced LI CBT practitioners. Participants used the following measures to track their experience of the programme: time spent on programme, personal‐ and therapy‐related belief rating, goals attained, and perceived skill rated for average and most difficult patients. Results showed a positive change in work‐related skill and behaviour change, particularly when working with the more difficult patients. The findings are consistent with those found in other groups of therapists (e.g., trainee CBT therapists and highly experienced CBT therapists), suggesting that SP/SR may be a valuable addition to LI intensity training and professional development. These findings are discussed in the context of the particular needs of LI practitioners

Cognition · Context (archaeology · Flexibility (engineering · Mental health · Psychiatry · Psychological intervention · Psychotherapist · Clinical Psychology · Counseling, Therapy, and Family Dynamics · Educational and Psychological Assessments · Medicine · Psychology · Psychotherapy Techniques and Applications

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