PsychotherapyPub Date : 2025-03-01Epub Date: 2025-01-13DOI: 10.1037/pst0000559
Ayla J Goktan, Hannah K Heitz, Fei Bi Chan, Stephanie Chin, Millicent Cahoon, Jody Zhong
{"title":"Let's talk about class: A peer-to-peer social class workshop for psychotherapy trainees.","authors":"Ayla J Goktan, Hannah K Heitz, Fei Bi Chan, Stephanie Chin, Millicent Cahoon, Jody Zhong","doi":"10.1037/pst0000559","DOIUrl":"10.1037/pst0000559","url":null,"abstract":"<p><p>There is a growing consensus that effective psychotherapists and counselors require antioppressive, social-justice-oriented, culturally and structurally responsive training (e.g., Neville et al., 2021; Singh, 2020; Vera & Speight, 2003). The field has a long way to go to answer this call (Wilcox et al., 2024), including with social class topics (Liu, 2012) and peer-to-peer initiatives (Stigmar, 2016). Thus, the current qualitative study examined five student facilitators' perspectives on a counseling psychology graduate program's antioppressive peer-to-peer social class workshop (SCW). The SCW was originally grounded in the Social Class Worldview Model-Revised (Liu, 2012) and the multicultural orientation (MCO) framework (Davis et al., 2018) and later incorporated ideas from liberation psychology (Comas-Díaz & Torres Rivera, 2020) and decolonial pedagogies (Goodman et al., 2015). To illuminate the factors that affect student facilitators' SCW experiences, and how this work can inform culturally and structurally responsive psychotherapy training more broadly, we collected student facilitators' collaborative autoethnographic reflections. Using reflexive thematic analysis, we constructed two core themes: (a) nurturing growth: ingredients and orientations and (b) navigating barriers: oppressive structures manifest at multiple levels. Even as student facilitators acknowledged ways that they and the SCW fell short, they remained optimistic about growth both achieved and hoped for. We discuss limitations and implications for the promotion of peer-to-peer and/or social class initiatives in psychotherapy training. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"63-74"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972108","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}
PsychotherapyPub Date : 2025-03-01Epub Date: 2024-07-18DOI: 10.1037/pst0000537
Trisha L Raque, Hannah B Meisels
{"title":"Structurally informed psychodynamic theory case conceptualization: Expanding the conceptualization map.","authors":"Trisha L Raque, Hannah B Meisels","doi":"10.1037/pst0000537","DOIUrl":"10.1037/pst0000537","url":null,"abstract":"<p><p>There is a rich history of psychological movements that call upon the field to collaborate with clients to both acknowledge and resist oppression, as well as an increasing emphasis in professional guidelines on conceptualizing clients with attention to the role of the social and physical environment, to contemporary experience with power, privilege, and oppression, and to institutional barriers and related disparities. These calls indicate the need for psychological case conceptualization to move beyond preconceived assessments of which aspects of clients' identities are salient to them, to engage with clients' sociocultural identities as situated within systems of power and oppression, and to engage in advocacy to improve clients' socioenvironmental contexts and to challenge structural oppression. In this article, we attend to the foundational contributions of Black psychology, intersectionality, liberation psychology, Indigenous healing, and radical healing for using case conceptualization to guide structurally responsive and impactful treatment and advocacy. We then present a case example drawn from a composite of clinical encounters that captures client distress interwoven with structural forces such as addiction stigma, intersecting classism and sexism, White privilege, and caregiver leave policies. To demonstrate how to integrate structural forces with theory, we present how this case would be conceptualized utilizing psychodynamic frameworks infused with attention to the ways in which structural forces shape and perpetuate the client's distress. To move from naming to integrating structural competency in case conceptualization, psychotherapy training must address how structural forces shape how client distress develops and is maintained and necessitates advocacy outside of the session. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"90-97"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634333","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}
PsychotherapyPub Date : 2025-03-01Epub Date: 2024-08-05DOI: 10.1037/pst0000540
Eddie S K Chong, Han Chen, Harold Chui, Sarah Luk
{"title":"Perceived cultural humility in supervision group and trainees' cultural responsiveness self-efficacy.","authors":"Eddie S K Chong, Han Chen, Harold Chui, Sarah Luk","doi":"10.1037/pst0000540","DOIUrl":"10.1037/pst0000540","url":null,"abstract":"<p><p>Trainees often express anxieties when working with clients from different sociocultural backgrounds. Group supervision can provide a space to address such concerns, including managing culturally related countertransference and understanding sociocultural factors in issues faced by clients. This process requires critical consciousness and discussion of trainees' and clients' cultural identities. This study built on research highlighting the positive role of cultural humility in individual supervision and group therapy to examine cultural humility in group supervision and its contribution to trainees' self-efficacy in adapting therapy and managing relationship conflicts with a range of clients (i.e., cultural responsiveness self-efficacy), via sociocultural awareness and minimal cultural concealment about themselves and their clients. Ninety-one master's level counseling trainees in Hong Kong from 18 supervision groups in two training programs completed measures of cultural humility, cultural concealment, sociocultural awareness, and cultural responsiveness self-efficacy. Multilevel modeling indicated that, at the within-trainee level, higher group cultural humility was associated with higher sociocultural awareness and lower cultural concealment about themselves and their clients. Greater sociocultural awareness, but not cultural concealment, was, in turn, linked to higher cultural responsiveness self-efficacy. At the between-trainee level, higher group cultural humility correlated with lower trainee cultural concealment, but not sociocultural awareness, which was associated with cultural responsiveness self-efficacy, although no mediation was observed. This study underscores the value of cultural humility in the context of group supervision. Implications for multicultural group supervision are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"44-54"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890042","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}
PsychotherapyPub Date : 2025-03-01Epub Date: 2024-11-07DOI: 10.1037/pst0000549
Minsun Lee, Brittany Beasley, Andrea Salazar-Nuñez, Suzanne Zilber
{"title":"Toward a liberatory counseling and psychotherapy theories pedagogy and curriculum.","authors":"Minsun Lee, Brittany Beasley, Andrea Salazar-Nuñez, Suzanne Zilber","doi":"10.1037/pst0000549","DOIUrl":"10.1037/pst0000549","url":null,"abstract":"<p><p>Psychotherapy theories have long been criticized for their White western cultural assumptions (Katz, 1985; Sue et al., 2024). With the growing call to decolonize psychology (e.g., Singh, 2020), we re-envisioned a psychotherapy theories curriculum from a liberation psychology framework (Martín-Baró, 1994). This framework contextualizes and historicizes people's lived experiences and highlights the ways in which oppressed communities have survived and resisted. A liberatory pedagogy for teaching psychotherapy theories involves critical consciousness (concientización; Freire, 1970), which allows students and instructors to bring a critical lens as they learn and discuss theories of counseling and psychotherapy; reflexivity, to locate themselves within the colonial, White supremacist and capitalist structures in which the classroom is situated; and somatic and affective engagement to decenter colonial rationality. The bookend approach (Wright et al., 2022) can be used to interrogate psychotherapy theories (a) as an overarching strategy for the entire course and (b) as a teaching strategy within each week's lesson on a specific theory. It is our hope that students will be equipped to re-envision psychotherapy and healing as located in our collective liberation from oppressive structures. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"75-81"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606146","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}
PsychotherapyPub Date : 2025-03-01DOI: 10.1037/pst0000552
Elliot A Tebbe, Em Matsuno, Joonwoo Lee, Sergio Domínguez, Stephanie L Budge
{"title":"Implementation and evaluation of the gender resilience, resistance, empowerment, and affirmation training (GREAT) pilot program.","authors":"Elliot A Tebbe, Em Matsuno, Joonwoo Lee, Sergio Domínguez, Stephanie L Budge","doi":"10.1037/pst0000552","DOIUrl":"https://doi.org/10.1037/pst0000552","url":null,"abstract":"<p><p>This article reports program evaluation findings of the effectiveness of a pilot training program integrating key principles from the psychological framework for radical healing (French et al., 2020) and models aimed at decreasing internalized stigma (Israel et al., 2021). Our main goal of the training program was to increase psychotherapists' knowledge and skills related to competent and affirming practice with two-spirit, transgender, and nonbinary clients who are Black, Brown, and people of color adults. Pre- and posttraining qualitative and quantitative data were collected from 82 psychotherapist attendees to assess the acceptability of the training for learning goals and to provide preliminary evidence of training effectiveness for the training's learning objectives. Descriptive content analysis of qualitative data was used to assess the degree to which the training addressed psychotherapists' goals and increased knowledge and skills. Regression analyses of quantitative data found significant increases in psychotherapists' self-reported knowledge of key concepts and frameworks and confidence to apply new learning to psychotherapy practice. Program evaluation results largely support the acceptability and effectiveness of this training for increasing self-rated competency for psychotherapy practice with two-spirit transgender, and nonbinary Black, Brown, and people of color adult clients. Implications are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"62 1","pages":"32-43"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650067","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}
PsychotherapyPub Date : 2025-03-01DOI: 10.1037/pst0000548
Sarah L Kopelovich, Rachel M Brian, Mike Tanana, Roisín Slevin, Brian Pace, Shannon K Stewart, Victoria Shepard, Dror Ben-Zeev, Scott A Baldwin, Christina S Soma, Sarah Stanco, Zac Imel
{"title":"Development and validation of a cognitive behavioral therapy for psychosis online training with automated feedback.","authors":"Sarah L Kopelovich, Rachel M Brian, Mike Tanana, Roisín Slevin, Brian Pace, Shannon K Stewart, Victoria Shepard, Dror Ben-Zeev, Scott A Baldwin, Christina S Soma, Sarah Stanco, Zac Imel","doi":"10.1037/pst0000548","DOIUrl":"10.1037/pst0000548","url":null,"abstract":"<p><p>The accessibility of training and fidelity assessment is critical to implementing and sustaining empirically supported psychotherapies like cognitive behavioral therapy for psychosis (CBTp). We describe the development of an online CBTp training tool that incorporates behavioral rehearsal tasks to enable deliberate practice of cognitive and behavioral techniques for psychosis. The development process consisted of designing content, inclusive of didactics, client profiles, and learner prompts; constructing standardized performance tasks and metrics; collecting responses to learner prompts; establishing intraclass correlation (ICC) of responses among trained raters; and training a transformer-based machine learning (ML) model to meet or surpass human ICC. Authenticity ratings of each simulated client surpassed benchmarks. CBTp trainers (<i>n</i> = 12), clinicians (<i>n</i> = 78), and nonclinicians (<i>n</i> = 119) generated 3,958 unique verbal responses to 28 unique prompts (7 skills × 4 simulated clients), of which the coding team rated 1,961. Human ICC across all skills was high (mean ICC = 0.77). On average, there was a high correlation between ML and human ratings of fidelity (<i>r<sub>s</sub></i> = .74). Similarly, the average percentage of human agreement was high at 96% (range = 87%-102%), where values greater than 100 indicate that the ML model agreed with a human rater more than two human raters agreed with each other. Results suggest that it is possible to reliably measure discrete CBTp skills in response to simulated client vignettes while capturing expected variation in skill utilization across participants. These findings pave the way for a standardized, asynchronous training that incorporates automated feedback on learners' rehearsal of CBTp skills. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"62 1","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PsychotherapyPub Date : 2025-03-01DOI: 10.1037/pst0000574
{"title":"Correction to \"Defining and assessing adverse events and harmful effects in psychotherapy study protocols: A systematic review\" by Klatte et al. (2022).","authors":"","doi":"10.1037/pst0000574","DOIUrl":"https://doi.org/10.1037/pst0000574","url":null,"abstract":"<p><p>Reports an error in \"Defining and assessing adverse events and harmful effects in psychotherapy study protocols: A systematic review\" by Rahel Klatte, Bernhard Strauss, Christoph Flückiger, Francesca Färber and Jenny Rosendahl (<i>Psychotherapy</i>, 2023[Mar], Vol 60[1], 130-148). Psychotherapy Study Protocols: A Systematic Review\" by Klatte et al. (2022) In the article \"Defining and Assessing Adverse Events and Harmful Effects in Psychotherapy Study Protocols: A Systematic Review\" by Rahel Klatte, Bernhard Strauss, Christoph Flückiger, Francesca Färber, and Jenny Rosendahl (Psychotherapy, 2022, Vol. 60, No. 1, pp. 130-148, https://doi.org/10 .1037/pst0000359), author contributions were corrected in the author note: Rahel Klatte served as support for methodology and project administration, and served as lead for data curation, formal analysis, and investigation, original draft, and writing, review, and editing. Bernhard Strauss served as lead for resources, contributed equally to conceptualization, funding acquisition and supervision, and served as support for methodology, validation, and writing, review, and editing. Christoph Flückiger contributed equally to supervision and served as support for methodology, validation, original draft, and writing, review, and editing. Francesca Färber served as support for data curation and writing, review, and editing. Jenny Rosendahl served as lead for methodology and project administration, contributed equally to conceptualization, funding acquisition, and supervision, and served as support for data curation, formal analysis, and investigation. (The following abstract of the original article appeared in record 2022-23289-001.) The assessment of safety data has become a standard across many clinical interventions. The aim of this systematic review is to investigate the extent to which harm is addressed within psychotherapy study protocols. The review includes study protocols of randomized controlled trials published between 2004 and 2017 investigating the effects of psychotherapy in adult patients with affective disorders, phobia, anxiety, obsessive-compulsive disorder, posttraumatic stress disorder, and/or personality disorders. We conducted a systematic search in the CENTRAL, Medline, PsycINFO, and Web of Science databases as well as in relevant journals. In total, 115 study protocols were included, examining 168 psychotherapy and 85 control conditions. These protocols differed considerably in the way they conceptualized harm: 77 explicitly addressed harm, 62 considered serious adverse events, and 39 considered adverse events. Although serious adverse events were defined somewhat consistently, adverse events were not. Our results imply that clinical researchers do not apply standardized approaches with regard to harm concepts, assessment, and management. To gather data on frequencies of harmful effects, we argue a higher degree of standardization would be useful. Feasible recommendations are provided","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"62 1","pages":"74"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650058","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}
PsychotherapyPub Date : 2025-03-01Epub Date: 2025-01-27DOI: 10.1037/pst0000550
Sarah L Kopelovich, Roisín Slevin, Rachel M Brian, Victoria Shepard, Scott A Baldwin, Dror Ben-Zeev, Mike Tanana, Zac Imel
{"title":"Preliminary investigation of an artificial intelligence-based cognitive behavioral therapy training tool.","authors":"Sarah L Kopelovich, Roisín Slevin, Rachel M Brian, Victoria Shepard, Scott A Baldwin, Dror Ben-Zeev, Mike Tanana, Zac Imel","doi":"10.1037/pst0000550","DOIUrl":"10.1037/pst0000550","url":null,"abstract":"<p><p>We developed an asynchronous online cognitive behavioral therapy (CBT) training tool that provides artificial intelligence- (AI-) enabled feedback to learners across eight CBT skills. We sought to evaluate the technical reliability and to ascertain how practitioners would use the tool to inform product iteration and future deployment. We conducted a single-arm 2-week field trial among behavioral health practitioners who treat outpatients with psychosis. Practitioners (<i>N</i> = 21) were invited to use the AI-enabled CBT training tool over a 2-week (15 days, inclusive) period. To enable naturalistic observation, no adjustments were made to their workloads nor were prescriptions on use provided. We conducted daily assessments and collected backend analytics for all users. At end point, we assessed acceptability, appropriateness, feasibility of implementation, perceived usability, satisfaction, and perceived impact of training. We observed four types of technical issues: broken links, intermittent issues receiving AI-enabled feedback, video replay errors, and an HTML error. Participants averaged 6.57 logins over the 2 weeks, with more than half engaging daily. Most participants (44.7%) engaged for < 30-min increments. Usability scores exceeded industry standard and satisfaction scores indicated good promotion of the tool. All participants endorsed high feasibility, acceptability, and appropriateness. Twelve participants (57%) used the AI-enabled feedback feature; those who did tended to report improved satisfaction, feasibility, and perceived impact of the training. The training tool was used by practitioners in a routine care setting, met or exceeded conventional implementation benchmarks, and may support skill improvement; however, data suggest that practitioners may need support or accountability to fully leverage the training tool. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"12-21"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PsychotherapyPub Date : 2025-02-27DOI: 10.1037/pst0000566
Flavio Iovoli, Juan Martín Gómez Penedo, Wolfgang Lutz, Julian A Rubel
{"title":"Temporal associations between interpersonal problems and therapeutic alliance in cognitive behavioral therapy.","authors":"Flavio Iovoli, Juan Martín Gómez Penedo, Wolfgang Lutz, Julian A Rubel","doi":"10.1037/pst0000566","DOIUrl":"https://doi.org/10.1037/pst0000566","url":null,"abstract":"<p><p>Interpersonal problems have been identified as a potential risk factor for a weaker therapeutic alliance during psychotherapy, yet their temporal relationship and underlying dynamics remain unclear. To address this, the present study explores these associations during the first 20 sessions of cognitive behavioral therapy. The data from 2,123 patients undergoing treatment in an outpatient clinic were analyzed. Interpersonal problems were assessed every fifth session with the 12-item version of the Inventory of Interpersonal Problems-12, while therapeutic alliance was measured after every session with the Session Rating Scale. Temporal associations were modeled using both a random-intercept cross-lagged panel model and an autoregressive latent trajectory model with structured residuals, as they allow the differentiation of within- and between-patient components. The random-intercept cross-lagged panel model produced more reliable and interpretable estimates. At the within-patient level, contemporaneous associations were significant, indicating that higher-than-usual interpersonal problems within a session were associated with lower-than-usual experienced therapeutic alliance at the same time point (β = -.067 to -.074, <i>p</i> = .005). Over time, higher-than-usual interpersonal problems negatively influenced therapeutic alliance at the next assessment (β = -.052 to -.063, <i>p</i> = .032), while higher-than-usual therapeutic alliance predicted reductions in interpersonal problems five sessions later (β = -.051 to -.083, <i>p</i> = .002). These findings suggest a reciprocal dynamic between interpersonal problems and therapeutic alliance, where improvements in one construct are associated with beneficial changes in the other over time, highlighting the importance of addressing interpersonal difficulties to strengthen the therapeutic alliance. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524053","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}
PsychotherapyPub Date : 2025-02-03DOI: 10.1037/pst0000561
Katie Aafjes-van Doorn, Marcelo Cicconet, Jordan Bate, Jeffrey F Cohn, Marc Aafjes
{"title":"Development of an artificial intelligence-based measure of therapists' skills: A multimodal proof of concept.","authors":"Katie Aafjes-van Doorn, Marcelo Cicconet, Jordan Bate, Jeffrey F Cohn, Marc Aafjes","doi":"10.1037/pst0000561","DOIUrl":"https://doi.org/10.1037/pst0000561","url":null,"abstract":"<p><p>The facilitative interpersonal skills (FIS) task is a performance-based task designed to assess clinicians' capacity for facilitating a collaborative relationship. Performance on FIS is a robust clinician-level predictor of treatment outcomes. However, the FIS task has limited scalability because human rating of FIS requires specialized training and is time-intensive. We aimed to catalyze a \"big needle jump\" by developing an artificial intelligence- (AI-) based automated FIS measurement that captures all behavioral audiovisual markers available to human FIS raters. A total of 956 response clips were collected from 78 mental health clinicians. Three human raters rated the eight FIS subscales and reached sufficient interrater reliability (intraclass correlation based on three raters [ICC3k] for overall FIS = 0.85). We extracted text-, audio-, and video-based features and applied multimodal modeling (multilayer perceptron with a single hidden layer) to predict overall FIS and eight FIS subscales rated along a 1-5 scale continuum. We conducted 10-fold cross-validation analyses. For overall FIS, we reached moderate size relationships with the human-based ratings (Spearman's ρ = .50). Performance for subscales was variable (Spearman's ρ from .30 to .61). Inclusion of audio and video modalities improved the accuracy of the model, especially for the Emotional Expression and Verbal Fluency subscales. All three modalities contributed to the prediction performance, with text-based features contributing relatively most. Our multimodal model performed better than previously published unimodal models on the overall FIS and some FIS subscales. If confirmed in external validation studies, this AI-based FIS measurement may be used for the development of feedback tools for more targeted training, supervision, and deliberate practice. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080739","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}