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.

http://www.goodmedicine.org.uk/stressedtozest/2013/09/assessment-monitoring-questionnaires-cbt-treatment-social-anxiety-disorder

Related scales: