Insights From Roleplays With Standardised Patients and Live Supervision for Psychotherapy and Counselling Training—A Qualitative Study

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research Pub Date : 2025-04-07 DOI:10.1002/capr.70018

Jule Räuchle, Franziska Kühne, Antonia Zacharias, Greta Große, Florian Weck, Ulrike Maaß

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引用次数: 0

Abstract

Background

Live supervision (i.e., providing corrective feedback during therapeutic sessions) as well as roleplays are effective methods used to improve therapeutic skills in counselling and psychotherapy training. Importantly, substantial learning occurs beyond objective skill improvement. For this reason, the aim of the present study was to investigate subjective learning outcomes from roleplays with standardised patients with or without additional live supervision.

Methods

Using a content-structuring qualitative approach, semi-structured interviews with 36 psychology students (91.9% female, M = 26.7 years old, 81.0% bachelor's degree) who had previously participated in a randomised-controlled study comparing two training groups (roleplay, n = 18 vs. roleplay + live supervision, n = 18) were analysed.

Results

The students in the present study reported having learned basic communication and alliance skills, as well as conceptual knowledge. Training groups did not differ substantially in their main learning outcomes, yet the live supervision group uniquely reported learnings regarding summarising, ensuring the patient's understanding, and balancing spontaneity and structuring. The students endorsed live supervision for university teaching, and almost half of them felt that the feedback had a greater impact on their learning outcomes than the roleplays themselves.

Conclusion

Overall, the study highlights that students generated extensive knowledge about basic therapeutic skills from roleplays that were still salient up to 2 weeks later. However, only live supervision helped to put the subjectively acquired knowledge into observable skill improvement, as a comparison with the results of the randomised controlled study shows. Regarding the effectiveness of roleplays alone, it is important to offer students the opportunity for self-reflection between roleplay sessions.

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从角色扮演与标准化患者和现场监督心理治疗和咨询培训的见解-定性研究

现场监督（即在治疗过程中提供纠正反馈）和角色扮演是在咨询和心理治疗培训中提高治疗技能的有效方法。重要的是，实质性的学习超越了客观技能的提高。出于这个原因，本研究的目的是调查标准化患者角色扮演的主观学习结果，有或没有额外的现场监督。方法采用内容结构化定性方法，对36名曾参加过角色扮演训练组（n = 18）和角色扮演+现场监督训练组（n = 18）的心理学专业学生进行半结构化访谈分析，其中女性91.9%,M = 26.7，本科81.0%。结果本研究的学生掌握了基本的沟通和联盟技能，并掌握了基本的概念知识。训练组在主要的学习成果上并没有很大的不同，但是现场监督组在总结、确保患者理解、平衡自发性和结构化方面的学习情况是独一无二的。学生们支持大学教学的现场监督，几乎一半的人认为反馈对他们的学习成果的影响比角色扮演本身更大。总的来说，该研究强调学生从角色扮演中获得了关于基本治疗技能的广泛知识，这些知识在两周后仍然很突出。然而，与随机对照研究的结果相比，只有现场监督有助于将主观获得的知识转化为可观察到的技能提高。就角色扮演的有效性而言，在角色扮演课程之间为学生提供自我反思的机会是很重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.