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.