Psychotherapy最新文献

Live versus delayed supervision: A randomized controlled trial with psychology students.

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-03-31 DOI: 10.1037/pst0000572

Ulrike Maaß, Klara Eisert, Jasmin Ghalib, Franziska Kühne, Florian Weck

{"title":"Live versus delayed supervision: A randomized controlled trial with psychology students.","authors":"Ulrike Maaß, Klara Eisert, Jasmin Ghalib, Franziska Kühne, Florian Weck","doi":"10.1037/pst0000572","DOIUrl":"https://doi.org/10.1037/pst0000572","url":null,"abstract":"To test the hypotheses that supervision improves therapeutic skills and therapeutic alliance (Hypothesis 1) and that this effect is stronger for immediate rather than for delayed supervisory feedback (Hypothesis 2). Eighty psychology students (M = 24.29 years; 72.5% identified as female; 75.0% were studying for a bachelor's degree) conducted three consecutive sessions with a standardized patient in a simulated therapy. These students were randomly assigned to live supervision (LS) or delayed video-based supervision (DS). While the LS group received support from a supervisor during the second session, the DS group received such support after the second session. Several outcomes (students' skills, self-efficacy, fear of negative evaluation, therapeutic and supervisory alliances, and supervision quality) were assessed from different perspectives (i.e., independent raters, students, patients). From all perspectives, supervision significantly increased students' skills and self-efficacy, and the therapeutic alliance (d = 0.29-0.49, Hypothesis 1). Moreover, LS was not significantly superior to DS in any of the outcomes (Hypothesis 2). In addition, students subjectively perceived DS as more effective (d = 0.83, 95% confidence interval [0.37, 1.29]), but they identified the supervisory relationship as equally pleasant and the feedback as equally helpful in both conditions. Supervision positively influenced students' skills and self-efficacy, and the therapeutic alliance, and both LS and DS were viewed as high quality. Thus, live and delayed supervision formats have comparable effects. However, future research should further investigate the specific mechanisms through which they exert their positive influences. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A systematic review of deliberate practice in psychotherapy: Definitions, operationalization, and preliminary outcomes.

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-03-27 DOI: 10.1037/pst0000569

Gideon Diamond, Bartosz Wlodek, Stephen Arthey, Stephen Parker

{"title":"A systematic review of deliberate practice in psychotherapy: Definitions, operationalization, and preliminary outcomes.","authors":"Gideon Diamond, Bartosz Wlodek, Stephen Arthey, Stephen Parker","doi":"10.1037/pst0000569","DOIUrl":"https://doi.org/10.1037/pst0000569","url":null,"abstract":"Deliberate practice has been introduced to psychotherapy training to improve therapist performance. The emerging empirical evidence supporting the positive impacts of deliberate practice is complicated by confusion regarding how deliberate practice should be operationalized and applied in the psychotherapy context and wider debate about its role in developing expertise. This systematic literature review aimed to appraise and synthesize the preliminary evidence available regarding the role of deliberate practice in improving psychotherapy outcomes. We searched MEDLINE, EMBASE, APA PsycInfo, CINAHL, Web of Science, reference lists of articles, and other sources (last checked June 2023). Quantitative English language studies that examined deliberate practice interventions in psychotherapy contexts were included. Two authors independently extracted study data and assessed quality using the relevant Joanna Briggs Institute critical appraisal checklist. Randomized controlled trials were further appraised using the Cochrane risk of bias tool. Discrepancies were resolved through discussion with a third author (Stephen Arthey). Twenty studies were included. There was wide variability in how deliberate practice had been operationalized, and only three studies met the contemporary definition that experts in the field have clarified. Significant methodological limitations impacted the reliability of studies, and the evidence was too preliminary to support or refute its use. Further research is required to establish whether deliberate practice is an effective means of improving psychotherapy outcomes. This should include increased fidelity to contemporary operationalizations, more robust methodology, and more reliable measures of long-term client outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Queer in college? Sexual orientation disparities in therapist effectiveness in a national sample of university counseling center clients.

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-03-20 DOI: 10.1037/pst0000573

Joanna M Drinane, Rochelle C Cassells, Jeffrey A Hayes, JiSoo Park, Emma K Foster

{"title":"Queer in college? Sexual orientation disparities in therapist effectiveness in a national sample of university counseling center clients.","authors":"Joanna M Drinane, Rochelle C Cassells, Jeffrey A Hayes, JiSoo Park, Emma K Foster","doi":"10.1037/pst0000573","DOIUrl":"https://doi.org/10.1037/pst0000573","url":null,"abstract":"Over the past 2 decades, a growing body of research has revealed that therapists differ in how effective they are at facilitating change depending on their clients' social identities (see Imel et al., 2011, for example). Most studies examining the phenomenon of variability within therapists' caseloads are based on the study of client race/ethnicity. However, two were recently published that found that therapists varied in the association between their clients' sexual orientation and their therapy outcomes (Cabrera et al., 2023; Drinane et al., 2022). The present study sought to replicate and expand upon these findings in a national data set composed of 78,681 clients from university counseling centers who are part of the Center for Collegiate Mental Health. We employed multilevel modeling techniques to detect within-therapist disparities based on client sexual orientation on the following three outcomes: depression scores, an index of distress, and treatment dropout. The association between sexual orientation and all three outcome variables varied significantly across therapists. The presence of sexual orientation disparities within therapist caseloads in such a large and widespread sample is concerning and highlights a need for the analysis of other demographic variables and training that might mitigate this problem. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Faultlines do not always cause faults: Identity-based faultlines, therapeutic factors, and outcome in Chinese counseling groups.

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-03-20 DOI: 10.1037/pst0000567

Junjie Wu, Yue Chen, Yun Lu

{"title":"Faultlines do not always cause faults: Identity-based faultlines, therapeutic factors, and outcome in Chinese counseling groups.","authors":"Junjie Wu, Yue Chen, Yun Lu","doi":"10.1037/pst0000567","DOIUrl":"https://doi.org/10.1037/pst0000567","url":null,"abstract":"Subgroups in group therapy have long been considered an important concern. In this study, we examined how identity-based faultlines (i.e., the likelihood of splitting into subgroups based on member demographic information; Meyer & Glenz, 2013) would moderate the link between therapeutic factors and the reduction of psychological distress. Using data from 26 Chinese counseling groups comprising 141 group members (52.34% women, Mage = 22.41), we investigated the relations between identity-based faultlines (group level), early therapeutic factors (member level, measured at Session 2), and group members' psychological distress (member level). Results from the two-level linear regression model indicated that being in a group with higher identity-based faultlines did not directly predict members' symptom reduction. Furthermore, high faultline seemed to facilitate rather than impede group process, such that a member's perceived helpfulness of the group process (therapeutic factors) in early group more strongly predicted symptom reduction in high-faultline groups and that members with higher levels of pregroup psychological distress reported more symptom reduction in high-faultline groups. Our findings provided new evidence that identity-based faultlines could also have positive effects on group therapy. We discussed the implications of identity-based faultlines in the Chinese context. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A glance into the future of artificial intelligence-enhanced scalable personalized training: A response to Kopelovich, Brian, et al. (2025) and Kopelovich, Slevin, et al. (2025).

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-03-01 DOI: 10.1037/pst0000547

Sigal Zilcha-Mano

{"title":"A glance into the future of artificial intelligence-enhanced scalable personalized training: A response to Kopelovich, Brian, et al. (2025) and Kopelovich, Slevin, et al. (2025).","authors":"Sigal Zilcha-Mano","doi":"10.1037/pst0000547","DOIUrl":"https://doi.org/10.1037/pst0000547","url":null,"abstract":"The two articles by Kopelovich, Brian, et al. (2025) and Kopelovich, Slevin, et al. (2025) mark a new era in psychotherapy research and practice. The articles detail the development and validation of one of the first conversational artificial intelligence- (AI-) enhanced psychotherapy training tools, with profound implications for the future of clinical training. Following the new trail blazed by Kopelovich, Brian, et al. (2025) and Kopelovich, Slevin, et al. (2025), this commentary traces some of the most promising future directions for clinical training and research. In clinical training, trainees will be able to practice therapeutic skills and techniques with virtual clients before working with real ones. After mastering common therapeutic skills and treatment-specific techniques, they will begin treating real clients and receive detailed, immediate, and constructive AI-based feedback on their work to augment supervision sessions. Posttraining, clinicians can maintain and enhance their clinical expertise, acquire new skills, and incorporate the latest evidence-based knowledge into their practice through AI-based solutions. In research, it will be possible to explore the most effective techniques to be used by trainees and therapists at certain moments in a therapeutic session with individual patients, enabling the development of more precise and personalized therapeutic interventions. It will also be possible to explore the most effective trainee-specific supervision approaches to enhance a transformative experience and serve as a catalyst for the trainee's professional identity development within the supervisor-supervisee relationship, augmented by a systematic mapping of the trainee's strengths and areas for improvement. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"62 1","pages":"22-27"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Culturally and structurally responsive training in psychotherapy: Introduction to the special section.

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-03-01 DOI: 10.1037/pst0000565

Andrés E Pérez-Rojas, Melanie M Wilcox, Theodore T Bartholomew

引用次数: 0

Disrupting the status quo in psychology training: Centering structural competence in accreditation. 打破心理培训的现状：以认证中的结构能力为中心。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-03-01 Epub Date: 2024-12-02 DOI: 10.1037/pst0000557

Celeste M Malone, Amy L Reynolds, Laurie Lali McCubbin

{"title":"Disrupting the status quo in psychology training: Centering structural competence in accreditation.","authors":"Celeste M Malone, Amy L Reynolds, Laurie Lali McCubbin","doi":"10.1037/pst0000557","DOIUrl":"10.1037/pst0000557","url":null,"abstract":"To be responsive to the growing mental health inequities in our communities, we must move beyond incremental changes to our graduate training to bolder, more transformative changes. Such efforts must move beyond targeting our academic, internship, and postdoctoral programs and instead focus on critiquing our accreditation process. Without transformation of accreditation and other macrostructural dynamics in psychology, our training programs will continue to perpetuate the status quo and limit the ability of graduate trainees to adequately address mental health disparities. The purpose of this article is to call upon regulatory entities, such as the American Psychological Association Commission on Accreditation, to consider shifting training within applied doctoral programs from individual and cultural diversity competencies to a structural competency framework. Redefining this competency using structural perspectives will acknowledge the power, privilege, and oppression inherent within institutions, policies, and structures and better prepare psychology training programs to address the root causes of health inequities. Recommendations for change will be guided by the work of Metzl and Hansen (2014) on structural competencies and focus on the profession-wide and discipline-specific competencies required by the Commission on Accreditation. Barriers to change will also be examined, along with suggestions for resistance and reimagining of the accreditation process and our graduate training. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"105-111"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying and enhancing the necessary ingredients for cultural humility in supervisory relationships. 在监督关系中确定和加强文化谦逊的必要因素。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-03-01 Epub Date: 2024-07-29 DOI: 10.1037/pst0000538

Stephanie Winkeljohn Black, Melanie M Wilcox, Andrés E Pérez-Rojas, Lindsey West

{"title":"Identifying and enhancing the necessary ingredients for cultural humility in supervisory relationships.","authors":"Stephanie Winkeljohn Black, Melanie M Wilcox, Andrés E Pérez-Rojas, Lindsey West","doi":"10.1037/pst0000538","DOIUrl":"10.1037/pst0000538","url":null,"abstract":"Cultural humility is an oft-studied construct in psychotherapy and supervision and, as such, has multiple definitions and frameworks and is frequently contextualized as the organizing pillar of the multicultural orientation framework (MCO; alongside cultural comfort and cultural opportunities; Davis et al., 2018; Owen, 2013). Many definitions of cultural humility emphasize a high level of self-awareness, openness to feedback, empathy, and curiosity toward others' cultural experiences (Davis et al., 2018; Foronda et al., 2016; Hook et al., 2013; Zhang et al., 2022). Despite empirical evidence linking cultural humility processes, and MCO more generally, to indicators of successful psychotherapy and supervision (e.g., Davis et al., 2018; Wilcox, Drinane, et al., 2022), little guidance exists for how supervisors may assess and foster their supervisees' cultural humility. Drawing from the literature, we delineate what we see as effective pedagogy and assessment of the key ingredients of cultural humility and provide recommendations for how supervisors can use the supervisory relationship to cultivate in their supervisees each of the necessary ingredients. Given cultural humility's key role in the MCO framework, we discuss how the ingredients required for cultural humility lay the groundwork for cultural comfort and cultural opportunities. Supervision vignettes and additional resources for supervisors are included. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"55-62"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dismantling amatonormative biases and expanding queer-affirmative psychotherapy: The role of trainers. 消除非规范偏见，拓展酷儿平权心理治疗：培训师的角色。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-03-01 Epub Date: 2024-12-02 DOI: 10.1037/pst0000558

Saumya Singh

{"title":"Dismantling amatonormative biases and expanding queer-affirmative psychotherapy: The role of trainers.","authors":"Saumya Singh","doi":"10.1037/pst0000558","DOIUrl":"10.1037/pst0000558","url":null,"abstract":"The present article aims to provide a pathway for trainers to expand and transform queer-affirmative psychotherapy practice to be more inclusive of queer groups that are underdiscussed in research and misunderstood in therapy settings, namely, people who are asexual, aromantic, and polyamorist. The article begins by outlining findings from a small but growing body of literature focusing on people who identify as asexual, aromantic, and polyamorist, which suggests that these populations face unique challenges and forms of discrimination when navigating their relationships, identity, and community. At the same time, these groups also report negative experiences of psychotherapy, including ignorance, minimization, and lack of understanding empathy on part of therapists. Such gaps may be bridged through cultural and structural changes in the way in which queer-affirmative psychotherapy models are disseminated in training contexts. Building upon models of queer-affirmative psychotherapy, critical theory, and queer theory, the article proposes steps that trainers may take to encourage students to expand their queer-affirmative practice so that it is more inclusive of and responsive to the experiences of asexual, aromantic, and polyamorist populations. The steps involve (a) cultivating criticality among trainees, (b) holding space for \"not knowing,\" (c) providing diverse case examples, and (d) underlining advocacy as central and necessary to queer-affirmative practice. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"98-104"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Privilege in the room: Training future psychologists to work with power, privilege, and intersectionality within the therapeutic relationship. 房间里的特权：训练未来的心理学家在治疗关系中使用权力、特权和交叉性。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-03-01 Epub Date: 2025-01-13 DOI: 10.1037/pst0000563

A Jordan Wright, Jude Bergkamp, Norissa Williams, Barbara Garcia-Lavin, Amy L Reynolds

{"title":"Privilege in the room: Training future psychologists to work with power, privilege, and intersectionality within the therapeutic relationship.","authors":"A Jordan Wright, Jude Bergkamp, Norissa Williams, Barbara Garcia-Lavin, Amy L Reynolds","doi":"10.1037/pst0000563","DOIUrl":"10.1037/pst0000563","url":null,"abstract":"Between the racial reckoning of 2020 and wider spread policy development that is explicitly homophobic and transphobic, there have been consistent and resurgent calls for clinicians to address aspects of power and privilege in psychotherapy. This is especially important in a field that continues to be largely White, cisgender, and heterosexual (not to mention abled, socioeconomically privileged, and privileged in many other aspects of human diversity). However, too few models for how to accomplish this in actual practice are offered in the literature. Further, while there is little guidance for clinicians on how to address power, privilege, and intersectionality in the therapy room, there is even less direction for how to train those learning to be clinicians to do this from the start. The purpose of this article is to translate existing knowledge into a framework for supervisors to guide trainees' application in psychotherapy. The article provides an overview of social location, including an analytic framework, as well as a set of practical steps for supervisors and trainees. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"82-89"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0