Clinical supervision in cognitive behavior therapy improves therapists’ competence: a single-case experimental pilot study

ABSTRACT

Clinical supervision is a cornerstone in psychotherapists’ training but there are few empirical evaluations on the effects of supervision on therapists’ competencies. The aim of this study was therefore to evaluate the effects of standardized supervision on rater-assessed competency in Cognitive Behavior Therapy (CBT). Six therapists with basic training in CBT were provided with protocol-based clinical supervision in CBT in a single-case experimental multiple baseline design. The supervision focused on specific CBT competencies and used experiential learning methods such as role-play. Each therapist recorded weekly treatment sessions during phases without and with supervision. The therapists’ CBT competence was assessed by third-party raters using the Revised Cognitive Therapy Scale (CTS-R). Statistical analyses showed that the therapists’ CTS-R scores increased significantly during the phase with supervision with a mean item increase of M = 0.71 (range = 0.50–1.0) on the supervision focus areas. This is one of the first empirical studies that can confirm that supervision affect CBT competencies. The results also suggest that supervision can be manualized and that supervisees have a positive perception of more active training methods. Further studies are needed to replicate the results and to find ways to improve the impact of supervision.     

Parents’ observed responses to children’s emotional distress: Relations with social competence in preschool

Although affective interactions in the family are important for development, home observational data are sparse. We replicated and extended one such study, Roberts & Strayer (1987, Developmental Psychology, 23, 415). Interactions in 33 two-parent families (mean child age = 4.8 years; 48% girls) were observed for four evenings, from suppertime until the child settled for the night. Parents completed the Child Rearing Practices Q-sort. Peer interactions and friendship networks in preschool were observed over four days. Teachers and observers completed the Preschool Behavior Q-Sort. Based on Q-rated peer competence and aggression, three expected groups of children were identified, one of them high on both aggression and peer competence. Although socially active and accepted by peers, they were, compared with other children, less cooperative with adults, less prosocial with peers, more impulsive, less achievement oriented, less purposive, and less happy (mean η² = .52). Parenting, especially observed impatience, threats, and use of force when children were emotionally distressed, showed important differences across groups.     

What if your partner…? A situated decision-making approach to romantic competence in young adulthood

Individuals are likely to vary in their abilities to enact appropriate relationship behavior. With the aim of quantifying such differences, young adult participants were asked to rate the likelihood that they would respond to simulated relationship challenges in different ways and such responses were transformed into a Romantic Competence-Behavioral Tendency (RC-BT) metric through the use of several innovations. Three studies (total N = 496) then showed that higher RC-BT scores were predictive of prosocial feelings for the partner in combination with lesser aggression. Further, both participants and their partners were more satisfied and committed to their relationships with higher RC individuals. The findings provide support for a new way of thinking about romantic competence that builds on situated decision-making processes.     

The honest mirror: Morality as a moderator of spontaneous behavioral mimicry

Two studies examined whether morality-related information has a greater impact than sociability- or competence-related information upon the spontaneous mimicry of an interaction partner. Participants were video recorded during an interaction with a confederate previously presented as moral versus lacking morality, or sociable versus lacking sociability (Study 1), or competent versus lacking competence (Study 2). Two coders rated the extent to which participants imitated the gestures of the confederate, participants’ postural openness, and the general smoothness of the interaction. When the confederate lacked moral qualities, mimicry and postural openness were lower, and the interaction was less smooth than when the confederate was highly moral, unsociable, or incompetent. Moreover, our findings showed that global impression is the key mediating mechanism driving such an effect. Indeed, knowing that another person behaved immorally resulted in a negative impression, which in turn hindered behavioral mimicry.