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Issues in Multidisciplinary Training of Cognitive-Behavioural Interventions

Published online by Cambridge University Press:  06 October 2014

David J. Kavanagh
David J. Kavanagh*
Affiliation:
University of Sydney
*
Psychology A16, University of Sydney, Sydney NSW 2006, Australia
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Abstract

Behaviour therapists have always been optimists, and interdisciplinary involvement is a strong tradition in the behaviour therapy movement. While this increases the potential application of behavioural methods, it poses a substantial challenge for behaviour therapy trainers. This paper contends that if brief workshop training is used as the primary method of disseminating behaviour therapy skills across professions, it will provide an inadequate preparation, especially for higher levels of behavioural practice. In some circumstances, brief training may lead to an overestimation of behavioural skills by the trainees. The issues are discussed in the context of current moves toward multiskilling within health services. The paper contends that there is no substitute for ongoing training and consultation by senior clinical psychologists who are expert in behaviour therapy.

Type
Research Article
Information
Behaviour Change , Volume 11 , Issue 1: Special Issue: Training in Cognitive and Behavioural Intervention , March 1994 , pp. 38 - 44
Copyright
Copyright © The Author(s) 1994

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References

REFERENCES

Andrews, G. (1991). The Tolkein Report: A description of a model mental health service. Sydney: NSW Department of Health.Google Scholar
Ayllon, T., & Azrin, N. (1968). The token economy: A motivational system for therapy and rehabilitation. New York: Appleton-Century-Crofts.Google Scholar
Backer, T.E., Liberman, R.P., & Kuehnel, T.G. (1986). Dissemination and adoption of innovative psychosocial interventions. Journal of Consulting and Clincial Psychology, 54, 111–118.Google Scholar
Bernstein, G.S. (1982). Training behaviour change agents: A conceptual review. Behaviour Therapy, 13, 1–23.Google Scholar
Binder, J.L. (1993). Is it time to improve psychotherapy training? Clinical Psychology Review, 13, 301–318.Google Scholar
Bootzin, R.R., & Ruggill, J.S. (1988). Training issues in behaviour therapy. Journal of Consulting and Clinical Psychology, 56, 703–709.Google Scholar
Chi, M.T.H., Glaser, R., & Farr, M.J. (1988). The nature of expertise. Hillsdale, NJ: Erlbaum.Google Scholar
Cunningham, C.E., Davis, J.R., Bremner, R., Dunn, K.W., & Rzasa, T. (1993). Coping modeling problem solving versus mastery modeling: Effects on adherence, in-session process, and skill acquisition in a residential parent-training program. Journal of Consulting and Clinical Psychology, 61, 871–877.Google Scholar
Dobson, K.S., & Shaw, B.F. (1988). The use of treatment manuals in cognitive theapy: Experience and issues. Journal of Consulting and Clinical Psychology, 56, 673–680.CrossRefGoogle Scholar
Durand, V.M., & Kishi, G. (1987). Reducing severe behaviour problems among persons with dual sensory impairments: An evaluation of a technical assistance model. Journal of Association for Persons with Severe Handicaps, 12, 2–10.Google Scholar
Fairweather, G.W., Sanders, D.H., & Tornatzky, L.G. (1974). Creating change in mental health organizations. Elmsford, New York: Pergamon.Google Scholar
Iwata, B.A., Wong, S.E., Riordan, M.M., Dorsey, M.F., & Lau, M.M. (1982). Assessment and training of clinical interviewing skills: Analogue analysis and replication. Journal of Applied Behaviour Analysis, 15, 191–204.CrossRefGoogle Scholar
Jeffrey, R.W., Danaher, B.G., Killen, J., Farquhar, J.W., & Kinnier, R. (1982). Self-administered programs for health behaviour change: Smoking cessation and weight reduction by mail. Addictive Behaviours, 7, 57–63.Google Scholar
Kavanagh, D.J., Piatkowska, O., Clark, D., Manicavasagar, V., O'Halloran, P., Tennant, C., & Rosen, A. (1994). Family management of schizophrenia: Community application of family intervention versus individual treatment. Unpublished manuscript, University of Sydney.Google Scholar
Kavanagh, D.J., Piatkowska, O., Clark, D., O'Halloran, P., Manicavasagar, V., Rosen, A., & Tennant, C. (1993). Application of cognitive-behavioural family intervention for schizophrenia in multidisciplinary teams: What can the matter be? Australian Psychologist, 28, 181–188.CrossRefGoogle Scholar
Kavanagh, D.J., Piatkowska, O., Manicavasagar, V., O'Halloran, P., & Clark, D. (1991). Living with schizophrenia: A cognitive-behavioural intervention for individuals and families. Unpublished manuscript, University of Sydney.Google Scholar
Marks, I.M., Connelly, J., Hallam, R.S., & Philpott, R. (1975). Nurse therapists in behavioural psychotherapy. British Medical Journal, 3, 144–148.Google Scholar
Miller, W.R., & Taylor, C.A. (1980). Relative effectiveness of bibliotherapy, individual and group self-control training in the treatment of problem drinkers. Addictive Behaviours, 5, 13–24.Google Scholar
Miltenberger, R.G., & Fuqua, R.W. (1985). Evaluation of a training manual for the acquisition of behavioural assessment interviewing skills. Journal of Applied Behavioural Analysis, 18, 323–328.CrossRefGoogle ScholarPubMed
Montegar, C.A., Reid, D.H., Madsen, C.H., & Ewell, M.D. (1977). Increasing institutional staff to resident interactions through in-service training and supervisor approval. Behaviour Therapy, 8, 533–540.Google Scholar
Moreland, J.R., Schwebel, A.I., Beck, S., & Wells, R. (1982). Parents as therapists: A review of the behavioural training literature 1975 to 1981. Behaviour Modification, 6, 250–276.Google Scholar
Muñoz, R.F., Glish, M., Soo-Hoo, T., & Robertson, J. (1982). The San Francisco Mood Survey Project: Preliminary work toward the prevention of depression. American Journal of Community Psychology, 10, 317–329.CrossRefGoogle ScholarPubMed
O'Dell, S. (1974). Training parents in behaviour modification. Psychological Bulletin, 81, 418–433.Google Scholar
Page, A.C. (1993). To whom should cognitive-behaviour strategies be taught? Australian Psychologist, 28, 51–54.Google Scholar
Patterson, G.R., Chamberlain, P., & Reid, J.B. (1982). A comparative evaluation of a parent training program. Behavior Therapy, 13, 638–650.CrossRefGoogle Scholar
Patterson, G.R., Reid, J.B., Jones, R.R., & Conger, R.E. (1975). Families with aggressive children. Eugene, OR: Castalia.Google Scholar
Paul, G.L., & Lentz, R.J. (1977). Psychosocial treatment of chronic mental patients: Milieu vs. social learning programs. Cambridge, Mass: Harvard University Press.Google Scholar
Piatkowska, O., Kavanagh, D.J., Manicavasagar, V., & O'Halloran, P. (1989). Prevention of relapse in schizophrenia: Family intervention manual. Unpublished manuscript, University of Sydney.Google Scholar
Pinkston, E.M., Reese, N.M., LeBlanc, J., & Baer, D.M. (1973). Independent control of a preschool child's aggression and peer interaction by contingent teacher attention. Journal of Applied Behavioural Analysis, 6, 115–124.CrossRefGoogle ScholarPubMed
Rogers, E. (1983). Diffusion of innovations. (3rd ed.). New York: Free Press.Google Scholar
Sanders, M.R., & James, J.E. (1982). Enhancing generalization and maintenance in systematic parent training: The role of self-management skills. Australian Psychologist, 17, 151–164.Google Scholar
Sepler, H.J., & Myers, S.L. (1978). The effectiveness of verbal instruction on teaching behaviour modification skills to nonprofessionals. Journal of Applied Behavioural Analysis, 11, 198.Google Scholar
Shaw, B.F., & Dobson, K.S. (1988). Competency judgments in the training and evaluation of psychotherapists. Journal of Consulting and Clinical Psychology, 56, 666–672.Google Scholar
Sitharthan, T., Kavanagh, D.J., & Sayer, G. (1994). Controlled drinking by correspondence: An evaluation of a new method of intervention for problem drinkers. Unpublished manuscript, University of Sydney.Google Scholar
Tharp, R.G., & Wetzel, R.J. (1969). Behaviour modification in the natural environment. New York: Academic Press.Google Scholar
Weekes, P. (1994). Impact of supervision and training on case management of serious mental disorder. Unpublished master's thesis, University of Sydney.Google Scholar
Wright, J., Mathieu, M., & McDonough, C. (1981). An evaluation of three approaches to the teaching of behavioural therapy. Journal of Clinical Psychology, 37, 326–335.Google Scholar