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Key process issues in cognitive behavioral analysis system of psychotherapy (CBASP): Translation of an evidence-based model into clinical practice and training

机译:心理治疗认知行为分析系统(CBASP)中的关键过程问题:将基于证据的模型转换为临床实践和培训

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摘要

Our "desired outcome" in writing this article was to present not only key process issues stemming from the Cognitive Behavioral Analysis System of Psychotherapy (CBASP; McCullough, 2000), but to highlight those therapy maneuvers that we, a "seasoned" clinician/supervisor and a clinical trainee, find most useful in delivering treatment and in conducting supervision. We strongly believe that it is only through the translation of evidence-based therapeutic models, such as CBASP, into effective training that a true integration of science and practice can be obtained. Thus, the congruence of trainer's and trainee's views on what constitute top process issues in therapy is important in evaluating the reliability of a therapy model; with this in mind, we focus on three process issues, as follows: (1) problems are anchored to the "here and now" and to specific situational outcomes; (2) patients are encouraged to identify the role they play in affecting their distressing outcomes and to take responsibility for "fixing" them; and (3) the therapist planfully engages in the process of change via disciplined personal involvement. Research and theory supporting these maneuvers are presented, in conjunction with clinical examples.
机译:我们在撰写本文时的“期望结果”不仅是要提出心理治疗认知行为分析系统(CBASP; McCullough,2000年)产生的关键过程问题,还要强调我们(经验丰富的)临床医生/主管的治疗策略。和临床实习生,在提供治疗和进行监督方面最有用。我们坚信只有通过将基于证据的治疗模型(例如CBASP)转化为有效的培训,才能真正实现科学与实践的融合。因此,在评估治疗模型的可靠性时,培训者和受训者对什么构成治疗中最重要的过程问题的观点的一致性非常重要。考虑到这一点,我们将重点放在以下三个过程问题上:(1)将问题固定在“现在和现在”以及特定的情况结果上; (2)鼓励患者确定他们在影响痛苦结果中所扮演的角色,并承担“解决”问题的责任; (3)治疗师通过有纪律的个人参与有计划地参与改变的过程。结合临床实例介绍了支持这些策略的研究和理论。

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