@article{ProbstJakobKaufmannetal.2018, author = {Probst, Thomas and Jakob, Marion and Kaufmann, Yvonne Marie and M{\"u}ller-Neng, Julia M. B. and Bohus, Martin and Weck, Florian}, title = {Patients' and therapists' experiences of general change mechanisms during bug-in-the-eye and delayed video-based supervised cognitive-behavioral therapy}, series = {Journal of clinical psychology}, volume = {74}, journal = {Journal of clinical psychology}, number = {4}, publisher = {Wiley}, address = {Hoboken}, issn = {0021-9762}, doi = {10.1002/jclp.22519}, pages = {509 -- 522}, year = {2018}, abstract = {ObjectiveThis secondary analysis of a randomized controlled trial investigated whether bug-in-the-eye (BITE) supervision (live computer-based supervision during a psychotherapy session) affects the manner in which patients and therapists experience general change mechanisms (GCMs) during cognitive-behavioral therapy (CBT). MethodA total of 23 therapists were randomized either to the BITE condition or the control condition (delayed video-based [DVB] supervision). After each session, both patients (BITE: n=19; DVB: n=23) and therapists (BITE: n=11; DVB: n=12) completed the Helping Alliance Questionnaire (HAQ) and the Bernese Post Session Report (BPSR). The HAQ total score and the 3 secondary factors of the BPSR (interpersonal experiences, intrapersonal experiences, problem actuation) functioned as GCMs. Multilevel models were performed. ResultsFor patients, GCMs did not develop differently between BITE and DVB during CBT. Therapists rated the alliance as well as interpersonal and intrapersonal experiences not significantly different between BITE and DVB during CBT, but they perceived problem actuation to increase significantly more in BITE than in DVB (p<.05). ConclusionBITE supervision might be helpful in encouraging CBT therapists to apply interventions, which focus on the activation of relevant problems and related emotions.}, language = {en} } @article{KuehneLesserPetrietal.2018, author = {K{\"u}hne, Franziska and Lesser, Hannah and Petri, Franziska and Weck, Florian}, title = {Do mental health patients learn what their cognitive-behaviour therapists think they do?}, series = {International Journal of Qualitative Studies on Health and Well-being}, volume = {13}, journal = {International Journal of Qualitative Studies on Health and Well-being}, number = {1}, publisher = {Taylor \& Francis Group}, address = {London}, issn = {1748-2631}, doi = {10.1080/17482631.2018.1527598}, pages = {6}, year = {2018}, abstract = {Purpose: The acquisition of skills is essential to the conceptualization of cognitive-behavioural therapy. Yet, what experiences are encountered and what skills actually learned during therapy, and whether patients and therapists have concurrent views hereof, remains poorly understood. Method: An explorative pilot study with semi-structured, corresponding interview guides was conducted. Pilot data from our outpatient unit were transcribed and content-analyzed following current guidelines. Results: The responses of 18 participants (patients and their psychotherapists) were assigned to six main categories. Educational and cognitive aspects were mentioned most frequently and consistently by both groups. Having learned Behavioural alternatives attained the second highest agreement between perspectives. Conclusions: Patients and therapists valued CBT as an opportunity to learn new skills, which is an important prerequisite also for the maintenance of therapeutic change. We discuss limitations to generalizability but also theoretical and therapy implications.}, language = {en} }