correlates of therapist drift in psychological practice Flashcards

1
Q

therapist drift =

A

the tendency for therapists to move away from the delivery of the evidence-based practices they are trained in, even when resourced to implement them (dit is dus niet goed)

dus van doe-therapie naar praat-therapie

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2
Q

therapist characteristics =

A

either innate characteristics (emotional reactivity) or acquired ones (education, theoretical orientation, attitudes to research)

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3
Q

correlates of therapist drift=

A
  1. therapist knowledge
  2. attitudes towards research
  3. therapist anxiety
  4. clinical experience
  5. therapist age
  6. theoretical orientation
  7. critical thinking
  8. personality traits
  9. cultural competency
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4
Q

therapist knowledge

A

therapists generally have low awareness of empirically supported treatments, and ignore developments in favor of the treatments they may have been trained in

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4
Q

therapist anxety

A

relationship between anxiety and the delivery of ESTs, especially behavioural ones.
also a relationship between negative beliefs about exposure and use of est.

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5
Q

clinical experience

A

there is a negative relationship between length of clinical practice and attitudes towards research & use of est

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6
Q

therapist age

A

contradictory evidence, but they are correlated

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7
Q

theoretical orientation

A

als iemand is gespecialiseerd in cognitive behavioural therapy bijvoorbeeld, dan meer open voor ests (dan iemand die eclecticism practiced)

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8
Q

critical thinking

A

higher critical thinking is more use of ests

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9
Q

personality traits

A

openness to experience negatively associated to therapists drift, while self-efficacy and therapeutic optimism predicted adherence.

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10
Q

cultural competency

A

ethnic similarity between therapists and patients is positively associated with adherence to ests

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11
Q

hoe kunnen we therapeuten meer adherence aan ests geven

A
  • monitor their adherence
  • screenings on the basis of personality
  • forcing aherence post-training through regular monitoring of their performance
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