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Do they practice what we teach? Follow-up evaluation of a Schema Therapy training programme

Published online by Cambridge University Press:  09 December 2014

Deborah Kingston
Affiliation:
Offender Healthcare, Nottinghamshire Healthcare Trust, HMP Lincoln, UK
Nima Moghaddam*
Affiliation:
University of Lincoln, Trent DClinPsy Programme, Bridge House, Brayford Pool, Lincoln, UK
Kerry Beckley
Affiliation:
Carholme Court (Clinical Forensic Psychology Service), St George's Hospital Site, Lincoln Partnership Foundation NHS Trust, Lincoln, UK
*
*Author for correspondence: Dr N. Moghaddam, Research Clinical Psychologist, University of Lincoln, Trent DClinPsy Programme, Bridge House, Brayford Pool, Lincoln, LN6 7TS, UK (email: [email protected]).

Abstract

This study evaluated a 3-day Schema Therapy (ST) training programme for trainee clinical psychologists. The training used an experiential model of learning, which was intended to encourage the transfer of knowledge and techniques from the learning environment into clinical practice. Using a mixed-methods approach, the training programme was evaluated in terms of: (1) self-reported changes in knowledge, confidence and willingness to use ST-informed techniques; (2) whether the training was integrated into clinical practice; and (3) the perceived barriers/facilitators to achieving practice integration. Participants – 17 of the 19 trainee clinical psychologists enrolled on the ST training programme – completed assessments immediately pre- and post-training. Participants were subsequently followed-up for reassessment 3 months after the training. Group- and individual-level analyses showed that most participants reported training-related gains in knowledge and confidence; these were largely sustained at follow-up, and were associated with post-training practice integration of ST concepts and techniques. Analysis of qualitative data identified factors moderating use of training in practice. Findings of the study have implications for future delivery and evaluation of training in cognitive-behavioural therapies.

Type
Education and Supervision
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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References

Recommended follow-up reading

Beidas, RS, Kendall, PC (2010). Training therapists in evidence-based practice: a critical review of studies from a systems-contextual perspective. Clinical Psychology: Science and Practice 17, 130.Google ScholarPubMed
Bennett-Levy, J (2006). Therapist skills: a cognitive model of their acquisition and refinement. Behavioural and Cognitive Psychotherapy 34, 5778.CrossRefGoogle Scholar
Herschell, AD, Kolko, DJ, Baumann, BL, Davis, AC (2010). The role of therapist training in the implementation of psychosocial treatments: a review and critique with recommendations. Clinical Psychology Review 30, 448466.CrossRefGoogle ScholarPubMed

References

Bamelis, L, Bloo, J, Bernstein, D, Arntz, A (2012). Effectiveness studies. In: The Wiley-Blackwell Handbook of Schema Therapy: Theory, Research and Practice (ed. van Vreeswijk, M., Broersen, J. and Nardort, M.), pp. 495510. Chichester: Wiley Blackwell & Sons.Google Scholar
Barkham, M, Mellor-Clark, J (2003). Bridging evidence-based practice and practice-based evidence: developing a rigorous and relevant knowledge for the psychological therapies. Clinical Psychology & Psychotherapy 10, 319327.CrossRefGoogle Scholar
Beidas, RS, Kendall, PC (2010). Training therapists in evidence-based practice: a critical review of studies from a systems-contextual perspective. Clinical Psychology: Science and Practice 17, 130.Google ScholarPubMed
Bennett-Levy, J (2006). Therapist skills: a cognitive model of their acquisition and refinement. Behavioural and Cognitive Psychotherapy 34, 5778.CrossRefGoogle Scholar
Bennett-Levy, J, McManus, F, Westling, BE, Fennell, M (2009). Acquiring and refining CBT skills and competencies: which training methods are perceived to be most effective? Behavioural and Cognitive Psychotherapy 37, 571583.CrossRefGoogle ScholarPubMed
Fanaian, M, Lewis, KL, Grenyer, BF (2013). Improving services for people with personality disorders: views of experienced clinicians. International Journal of Mental Health Nursing 22, 465471.CrossRefGoogle ScholarPubMed
Farrell, JM, Shaw, IA, Webber, MA (2009). A schema-focused approach to group psychotherapy for outpatients with borderline personality disorder: a randomized controlled trial. Journal of Behaviour Therapy and Experimental Psychiatry 40, 317328.CrossRefGoogle ScholarPubMed
Giesen-Bloo, J, van Dyck, R, Spinhoven, P, van Tilburg, W, Dirksen, C, van Asselt, T, Kremers, I, Nadort, M, Arntz, A. (2006). Outpatient psychotherapy for borderline personality disorder: randomized trial of schema-focused therapy vs. transference-focused psychotherapy. Archives of General Psychiatry 63, 649658.CrossRefGoogle ScholarPubMed
Graneheim, U, Lundman, B (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today 24, 105112.CrossRefGoogle ScholarPubMed
Herschell, AD, Kolko, DJ, Baumann, BL, Davis, AC (2010). The role of therapist training in the implementation of psychosocial treatments: a review and critique with recommendations. Clinical Psychology Review 30, 448466.CrossRefGoogle ScholarPubMed
Jacobson, NS, Truax, P (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology 59, 1219.CrossRefGoogle ScholarPubMed
James, IA (2001). Schema therapy: the next generation, but should it carry a health warning? Behavioural and Cognitive Psychotherapy 29, 401407.Google Scholar
Kolb, DA (1984). Experiential Learning: Experience as the Source of Learning and Development. Englewood Cliffs: Prentice-Hall.Google Scholar
NCCNSDO (2007). Learning the lessons: a multi-method evaluation of dedicated community-based services for people with personality disorder (http://www.netscc.ac.uk/hsdr/files/project/SDO_FR_08-1404-083_V01.pdf). National Co-ordinating Centre for NHS Service Delivery and Organisation R&D Accessed 1 June 2013.Google Scholar
NICE (2009). Borderline personality disorder: treatment and management (http://publications.nice.org.uk/borderline-personality-disorder-cg78). National Institute for Health and Clinical Excellence. Accessed 26 June 2013Google Scholar
Nordahl, HM, Nysaeter, TFPE (2005). Schema therapy for patients with borderline personality disorder: a single case series. Journal of Behavior Therapy and Experimental Psychiatry 36, 254264.CrossRefGoogle ScholarPubMed
Schön, DA (1983). The Reflective Practitioner: How Professionals Think in Action. New York: Basic Books.Google Scholar
Smith, MK (2010). David A. Kolb on experiential learning (http://infed.org/mobi/david-a-kolb-on-experiential-learning/). Accessed 1 June 2013.Google Scholar
Young, JE (1990). Cognitive Therapy for Personality Disorder: A Schema Focused Approach. Sarasota, FL: Professional Resource Exchange Inc.Google Scholar
Young, JE, Klosko, JS, Weishaar, ME (2003). Schema Therapy: A Practitioner's Guide. New York: Guilford Press.Google Scholar
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