correlates of therapist drift in psychological practice Flashcards
therapist drift =
the tendency for therapists to move away from the delivery of the evidence-based practices they are trained in, even when resourced to implement them (dit is dus niet goed)
dus van doe-therapie naar praat-therapie
therapist characteristics =
either innate characteristics (emotional reactivity) or acquired ones (education, theoretical orientation, attitudes to research)
correlates of therapist drift=
- therapist knowledge
- attitudes towards research
- therapist anxiety
- clinical experience
- therapist age
- theoretical orientation
- critical thinking
- personality traits
- cultural competency
therapist knowledge
therapists generally have low awareness of empirically supported treatments, and ignore developments in favor of the treatments they may have been trained in
therapist anxety
relationship between anxiety and the delivery of ESTs, especially behavioural ones.
also a relationship between negative beliefs about exposure and use of est.
clinical experience
there is a negative relationship between length of clinical practice and attitudes towards research & use of est
therapist age
contradictory evidence, but they are correlated
theoretical orientation
als iemand is gespecialiseerd in cognitive behavioural therapy bijvoorbeeld, dan meer open voor ests (dan iemand die eclecticism practiced)
critical thinking
higher critical thinking is more use of ests
personality traits
openness to experience negatively associated to therapists drift, while self-efficacy and therapeutic optimism predicted adherence.
cultural competency
ethnic similarity between therapists and patients is positively associated with adherence to ests
hoe kunnen we therapeuten meer adherence aan ests geven
- monitor their adherence
- screenings on the basis of personality
- forcing aherence post-training through regular monitoring of their performance
