Can Psychotherapy Trainees Distinguish Standardized Patients From Real Patients?

Pub Date : 2020-07-01 DOI:10.1026/1616-3443/a000594
D. S. Ay-Bryson, Florian Weck, P. Heinze, T. Lang, F. Kühne
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引用次数: 5

Abstract

Abstract. Background: Under the new psychotherapy law in Germany, standardized patients (SPs) are to become a standard component in psychotherapy training, even though little is known about their authenticity. Objective: The present pilot study explored whether, following an exhaustive two-day SP training, psychotherapy trainees can distinguish SPs from real patients. Methods: Twenty-eight psychotherapy trainees ( M = 28.54 years of age, SD = 3.19) participated as blind raters. They evaluated six video-recorded therapy segments of trained SPs and real patients using the Authenticity of Patient Demonstrations Scale. Results: The authenticity scores of real patients and SPs did not differ ( p = .43). The descriptive results indicated that the highest score of authenticity was given to an SP. Further, the real patients did not differ significantly from the SPs concerning perceived impairment ( p = .33) and the likelihood of being a real patient ( p = .52). Conclusions: The current results suggest that psychotherapy trainees were unable to distinguish the SPs from real patients. We therefore strongly recommend incorporating training SPs before application. Limitations and future research directions are discussed.
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心理治疗学员能否区分标准化患者和真实患者?
摘要背景:根据德国新的心理治疗法,标准化患者将成为心理治疗培训的标准组成部分,尽管人们对其真实性知之甚少。目的:本试点研究探讨了在为期两天的详尽的SP培训后,心理治疗受训者是否能够区分SP和真实的患者。方法:28名心理治疗学员(M=28.54岁,SD=3.19)作为盲评者参与。他们使用患者演示真实性量表评估了训练过的SP和真实患者的六个视频记录的治疗片段。结果:真实患者和SP的真实性得分没有差异(p=.43)。描述性结果表明,SP的真实度得分最高。此外,真实患者在感知障碍(p=.33)和成为真实患者的可能性(p=.52)方面与SP没有显著差异。结论:目前的结果表明,心理治疗受训者无法区分SP和真实患者。因此,我们强烈建议在应用之前加入培训SP。讨论了研究的局限性和未来的研究方向。
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