TY - JOUR A1 - Hahn, Daniela A1 - Weck, Florian A1 - Witthöft, Michael A1 - Kühne, Franziska T1 - Assessment of counseling self-efficacy BT - validation of the German Counselor Activity self-efficacy scales-revised JF - Frontiers in psychology / Frontiers Research Foundation N2 - Background: Many authors regard counseling self-efficacy (CSE) as important in therapist development and training. The purpose of this study was to examine the factor structure, reliability, and validity of the German version of the Counselor Activity Self-Efficacy Scales-Revised (CASES-R). Method: The sample consisted of 670 German psychotherapy trainees, who completed an online survey. We examined the factor structure by applying exploratory and confirmatory factor analysis to the instrument as a whole. Results: A bifactor-exploratory structural equation modeling model with one general and five specific factors provided the best fit to the data. Omega hierarchical coefficients indicated optimal reliability for the general factor, acceptable reliability for the Action Skills-Revised (AS-R) factor, and insufficient estimates for the remaining factors. The CASES-R scales yielded significant correlations with related measures, but also with therapeutic orientations. Conclusion: We found support for the reliability and validity of the German CASES-R. However, the subdomains (except AS-R) should be interpreted with caution, and we do not recommend the CASES-R for comparisons between psychotherapeutic orientations. KW - counselor activity self-efficacy scales KW - counseling self-efficacy KW - psychotherapy training KW - assessment KW - factor structure KW - validation Y1 - 2021 U6 - https://doi.org/10.3389/fpsyg.2021.780088 SN - 1664-1078 VL - 12 PB - Frontiers Research Foundation CY - Lausanne ER - TY - JOUR A1 - Hahn, Daniela A1 - Weck, Florian A1 - Witthöft, Michael A1 - Maiwald, Lisa Marie A1 - Foral, Annika A1 - Kühne, Franziska T1 - Wie erleben Psychotherapeut_innen in Ausbildung ihre Selbsterfahrung? BT - eine qualitative Untersuchung BT - a qualitative analysis JF - Zeitschrift für Klinische Psychologie und Psychotherapie N2 - Background: Self-experiential work is a central component of psychotherapy training. However, research on this matter has not received a lot of attention. Objective: This study explores the conditions and effects of helpful self-experiential work. Method: We interviewed 14 psychotherapists in training using a semistructured interview guide and applied qualitative content analysis according to Mayring (2015). Results: Different characteristics were associated with helpful self-experiential work: characteristics of the instructor (e. g., implementation skills), organization, willingness of the trainees to learn, topics and methods applied, and a sustainable working atmosphere. Among the positive effects reported was the promotion of the trainees' interpersonal competencies. Furthermore, we found some side effects and negative impact (e. g.. exhaustion). Conclusions: We were able to extract conditions that can guide the execution of helpful self-experiential work and the effects of self-experiential work from the perspective of the trainees. N2 - Theoretischer Hintergrund: Selbsterfahrung ist zentraler Bestandteil der Psychotherapieausbildung. Gleichzeitig wurde Selbsterfahrung selten empirisch untersucht. Fragestellung: Ziel unserer Studie war es, Bedingungen und Effekte hilfreicher Selbsterfahrung zu explorieren. Methode: Vierzehn verhaltenstherapeutische Ausbildungskandidat_innen wurden anhand halbstrukturierter Leitfadeninterviews befragt. Die Auswertung erfolgte mittels qualitativer Inhaltsanalyse nach Mayring (2015). Ergebnisse: Verschiedene Bedingungen wurden mit hilfreich erlebter Selbsterfahrung in Zusammenhang gebracht: Merkmale der Selbsterfahrungsleitung (u. a. Durchführungskompetenz), der Organisation, der Teilnehmer_innen (Lernbereitschaft), die behandelten Themen und die eingesetzten Techniken, sowie eine tragfähige Arbeitsbeziehung. Berichtete positive Effekte waren u. a. die Förderung interpersoneller Kompetenzen. Zudem wurden Nebenwirkungen und negative Effekte formuliert (u. a. Erschöpfung). Schlussfolgerungen: Bedingungen zur Durchführung von als hilfreich erlebter Selbsterfahrung und Effekte von Selbsterfahrung wurden aus Sicht der Teilnehmer_innen extrahiert. T2 - How do psychotherapists in training experience their own self-experiential work? KW - personal practice KW - psychotherapy training KW - qualitative content analysis KW - Selbsterfahrung KW - Psychotherapeutische Ausbildung KW - Qualitative Inhaltsanalyse Y1 - 2022 U6 - https://doi.org/10.1026/1616-3443/a000626 SN - 1616-3443 SN - 2190-6297 VL - 50 IS - 2 SP - 78 EP - 89 PB - Hogrefe CY - Göttingen ER - TY - JOUR A1 - Heinze, Peter Eric A1 - Weck, Florian A1 - Hahn, Daniela A1 - Kühne, Franziska T1 - Differences in psychotherapy preferences between psychotherapy trainees and laypeople JF - Psychotherapy research : the official journal of the Society for Psychotherapy Research N2 - Objective: Despite increasing research on psychotherapy preferences, the preferences of psychotherapy trainees are largely unknown. Moreover, differences in preferences between trainees and their patients could (a) hinder symptom improvement and therapy success for patients and (b) represent significant obstacles in the early career and development of future therapists. Method: We compared the preferences of n = 466 psychotherapy trainees to those of n = 969 laypersons using the Cooper-Norcross Inventory of Preferences. Moreover, we compared preferences between trainees in cognitive-behavioural therapy (CBT) and psychodynamic trainees. Results: We found significant differences between both samples in 13 of 18 items, and three of four subscales. Psychotherapy trainees preferred less therapist directiveness (d = 0.58), more emotional intensity (d = 0.74), as well as more focused challenge (d = 0.35) than laypeople. CBT trainees preferred more therapist directiveness (d = 2.00), less emotional intensity (d = 0.51), more present orientation (d = 0.76) and more focused challenge (d = 0.33) than trainees in psychodynamic/psychoanalytic therapy. Conclusion: Overall, the results underline the importance of implementing preference assessment and discussion during psychotherapy training. Moreover, therapists of different orientations seem to cover a large range of preferences for patients, in order to choose the right fit. KW - psychotherapy process KW - psychotherapy training KW - activity preference; KW - C-NIP KW - assessment Y1 - 2022 U6 - https://doi.org/10.1080/10503307.2022.2098076 SN - 1050-3307 SN - 1468-4381 VL - 33 IS - 3 SP - 374 EP - 386 PB - Routledge, Taylor & Francis Group CY - Abingdon ER - TY - JOUR A1 - Weck, Florian A1 - Junga, Yvonne Marie A1 - Kliegl, Reinhold A1 - Hahn, Daniela A1 - Brucker, Katharina A1 - Witthöft, Michael T1 - Effects of competence feedback on therapist competence and patient outcome BT - a randomized controlled trial JF - Journal of consulting and clinical psychology N2 - Objective: Therapist competence is considered essential for the success of psychotherapy. Feedback is an intervention which has the potential to improve therapist competence. The present study investigated whether competence feedback leads to an improvement of therapist competence and patient outcome. Method: Sixty-seven master-level clinical trainees were randomly assigned to either a competence feedback group (CFG) or a control group (CG). Patients with a diagnosis of major depression (N = 114) were randomly assigned to CFG or CG. Treatment included 20 individual sessions of cognitive behavioral therapy (CBT). In CFG, therapists received, parallel to the treatment, five competence feedbacks, based on videotaped therapy sessions. Independent raters assessed therapist competence with the Cognitive Therapy Scale (CTS) and provided the competence feedback. Patient outcome was evaluated with the Beck Depression Inventory-II (BDI-II) and therapeutic alliance (Helping Alliance Questionnaire [HAQ]) from both therapist's (HAQ-T) and patient's (HAQ-P) perspective were evaluated after each of the 20 sessions. Results: (a) Therapist competence (CTS) increased significantly more for CFG than CG. (b) Depression (BDI-II) decreased significantly across sessions for both groups, but without evidence for a group-differential benefit for the CFG. (c) Therapeutic alliance (HAQ-T/P) increased significantly across sessions for both groups from both perspectives, but without group differences. (d) There is a positive effect of BDI-II on CTS at the beginning and a negative effect of CTS on BDI-II at the end of therapy. Conclusion: Competence feedback improves therapists' independently rated competence, but there is no evidence that competence feedback in CBT leads to better outcome. What is the public health significance of this article? This study suggests the substantial value of systematic competence feedback for improving therapist competence in the psychotherapy of depression. No significant effect of competence feedback on the reduction of reported depressive symptoms was found. KW - feedback KW - outcome KW - major depression KW - therapeutic alliance KW - therapeutic KW - competencies Y1 - 2021 U6 - https://doi.org/10.1037/ccp0000686 SN - 0022-006X SN - 1939-2117 VL - 89 IS - 11 SP - 885 EP - 897 PB - American Psychological Association CY - Washington ER -