Cognitive therapy competence scale for social phobia
Therapist competence has typically been measured by two trained independent assessors who score two separate sessional videotapes using a 0 to 6 scale “with ratings of 0 indicating poor therapist performance and ratings of 6 indicating excellent competence.” Competence scores have predicted outcome‚ particularly the six starred items. Note that highly trained/supervised‚ successful therapists only averaged a score of 2.9.
please use the 0 to 6 scale on the right – the numbers indicate therapist competence |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
|
1 |
agenda setting |
|||||||
2 |
dealing with objections‚ questions‚ problems |
|||||||
3 |
clarity of communication |
|||||||
4 |
pacing and efficient use of time* |
|||||||
5 |
interpersonal effectiveness* |
|||||||
6 |
resource orientation (see below)* |
|||||||
7 |
reviewing social phobia questionnaires and other measures |
|||||||
8 |
reviewing previously set homework |
|||||||
9 |
use of feedback and summaries |
|||||||
10 |
guided discovery |
|||||||
11 |
focus on social phobia related cog-nitions‚ imagery‚ etc (see below)* |
|||||||
12 |
rationale |
|||||||
13 |
selection of appropriate strategies for change (see below)* |
|||||||
14 |
appropriate implementation of techniques for change (see below)* |
|||||||
15 |
integration of discussion and experiential techniques |
|||||||
16 |
homework setting |
6. resource orientation: ”enable the patient to be aware of (their) positive characteristics and skills and focus on how these can be used to reach self-set goals in therapy.” 11. ”Focus on social-phobia-related cognitions‚ self-focused attention‚ safety behaviors‚ and biased imagery.” 13. ”selection of appropriate strategies for change in social-phobia-related cognition and maintaining factors (including selection of behavioral experiments and other experiential exercises). 14. ”Appropriate implementation of techniques for change in social-phobia-related cognition and maintaining factors (including selection of behavioral experiments and other experimental exercises).
average rating overall = average rating for 6 starred items =
von Consbruch‚ K. et al. (2012). “Assessing therapeutic competence in cognitive therapy for social phobia: Psychometric properties of the cognitive therapy competence scale for social phobia (CTCS-SP).” Behav Cog Psychother 40: 149-161
Ginzburg‚ D. et al. (2012). “Treatment specific competence predicts outcome in cognitive therapy …” BRAT 50: 747-752
Here is the Cognitive Therapy Competence Scale (CTCS-SP) (PDF file and Word doc): a useful way to assess one’s own practice.