The role of deliberate practice in the development of highly effective psychotherapists

Little empirical research exists about highly effective psychotherapists, and none about the factors that mediate the acquisition and maintenance of superior performance skills (e.g., Ericsson, 1996, 2006; Ericsson, Krampe, & Tesch-Romer, 1993). In the full sample, a 3-level multilevel modeling...

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Main Authors: Chow, Daryl, Miller, S., Seidel, J., Kane, Robert, Thornton, Jennifer, Andrews, W.
Format: Journal Article
Published: American Psychological Association Inc. 2015
Online Access:http://hdl.handle.net/20.500.11937/41210
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author Chow, Daryl
Miller, S.
Seidel, J.
Kane, Robert
Thornton, Jennifer
Andrews, W.
author_facet Chow, Daryl
Miller, S.
Seidel, J.
Kane, Robert
Thornton, Jennifer
Andrews, W.
author_sort Chow, Daryl
building Curtin Institutional Repository
collection Online Access
description Little empirical research exists about highly effective psychotherapists, and none about the factors that mediate the acquisition and maintenance of superior performance skills (e.g., Ericsson, 1996, 2006; Ericsson, Krampe, & Tesch-Romer, 1993). In the full sample, a 3-level multilevel modeling (Level 1: clients; Level 2: therapists; Level 3: organization types) of practitioner outcomes was used to examine the contribution of the therapist to treatment effectiveness. Consistent with prior research, in the full sample (n=69 therapists; n=4,580 clients) it was found that therapist effects explained 5.1% of the variance in outcome, after adjusting for initial severity. Therapist gender, caseload, and age were not found to be significant predictors. In a subsample of therapists, the relationship between outcome and therapist demographic variables, professional development activities, and work practices was analyzed (n = 17 therapists, n = 1,632 clients). Therapist characteristics (e.g., years of experience, gender, age, profession, highest qualification, caseload, degree of theoretical integration) did not significantly predict client-reported outcomes. Consistent with the literature on expertise and expert performance, the amount of time spent targeted at improving therapeutic skills was a significant predictor of client outcomes. Further, highly effective therapists indicated requiring more effort in reviewing therapy recordings alone than did the rest of the cohort. Caveats and implications for clinical practice, continuing professional development, and training are discussed.
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spelling curtin-20.500.11937-412102017-09-13T14:12:15Z The role of deliberate practice in the development of highly effective psychotherapists Chow, Daryl Miller, S. Seidel, J. Kane, Robert Thornton, Jennifer Andrews, W. Little empirical research exists about highly effective psychotherapists, and none about the factors that mediate the acquisition and maintenance of superior performance skills (e.g., Ericsson, 1996, 2006; Ericsson, Krampe, & Tesch-Romer, 1993). In the full sample, a 3-level multilevel modeling (Level 1: clients; Level 2: therapists; Level 3: organization types) of practitioner outcomes was used to examine the contribution of the therapist to treatment effectiveness. Consistent with prior research, in the full sample (n=69 therapists; n=4,580 clients) it was found that therapist effects explained 5.1% of the variance in outcome, after adjusting for initial severity. Therapist gender, caseload, and age were not found to be significant predictors. In a subsample of therapists, the relationship between outcome and therapist demographic variables, professional development activities, and work practices was analyzed (n = 17 therapists, n = 1,632 clients). Therapist characteristics (e.g., years of experience, gender, age, profession, highest qualification, caseload, degree of theoretical integration) did not significantly predict client-reported outcomes. Consistent with the literature on expertise and expert performance, the amount of time spent targeted at improving therapeutic skills was a significant predictor of client outcomes. Further, highly effective therapists indicated requiring more effort in reviewing therapy recordings alone than did the rest of the cohort. Caveats and implications for clinical practice, continuing professional development, and training are discussed. 2015 Journal Article http://hdl.handle.net/20.500.11937/41210 10.1037/pst0000015 American Psychological Association Inc. restricted
spellingShingle Chow, Daryl
Miller, S.
Seidel, J.
Kane, Robert
Thornton, Jennifer
Andrews, W.
The role of deliberate practice in the development of highly effective psychotherapists
title The role of deliberate practice in the development of highly effective psychotherapists
title_full The role of deliberate practice in the development of highly effective psychotherapists
title_fullStr The role of deliberate practice in the development of highly effective psychotherapists
title_full_unstemmed The role of deliberate practice in the development of highly effective psychotherapists
title_short The role of deliberate practice in the development of highly effective psychotherapists
title_sort role of deliberate practice in the development of highly effective psychotherapists
url http://hdl.handle.net/20.500.11937/41210