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Revista chilena de neuro-psiquiatría

versión On-line ISSN 0717-9227

Resumen

DE LA PARRA, Guillermo; VALDES, Claudia  y  ISLA, Rogelio. Training Inexperienced Therapists in an Outpatient Clinic with a Dynamic Psychotherapy Manual: Final Results. Rev. chil. neuro-psiquiatr. [online]. 2001, vol.39, n.2, pp.121-131. ISSN 0717-9227.  http://dx.doi.org/10.4067/S0717-92272001000200004.

With the aim of improving the quality of secondary care in psychotherapy at the outpatient clinic of the Instituto Psiquiátrico J. Horwitz B., inexperienced therapists underwent training with the Strupp and Binder's Dynamic Psychotherapy Manual. Eight therapists went through: 1) one year of general "pretraining", 2) eight theoretical seminars using the Manual and videotapes of therapy with experienced therapists, 3) supervision groups (with material and videos) and 4) therapy monitored by an external observer who was an inexperienced therapist him/herself. The Vanderbilt Negative Indicators Scale and the Therapeutic Strategy Scale were used to evaluate the learning process; the scales themselves were also used as a learning tool. Only 1/3 of the 27 assessed patients finished the 20-25 intended psychotherapy sessions. The patients' characteristics and progress, as well as the therapists' characteristics, the supervision and the learning process, were all assessed using the Howard Orlinsky scales and the Guba and Lincoln Qualitative Evaluation. The results showed statistically significant improvement in the nine patients who finished therapy. The Vanderbilt scales, as evaluated by independent analysts, showed that the inexperienced therapists did not use the specific strategies developed in the manual, and the supervision scales did not show that the therapists had learned to work with basic psychodynamic tools. Nevertheless, the overall results of the supervision scales showed statistically significant improvement in the learning process (t=2.9 p<0.05 pre post training; t=4.7 p<0.01 pre and during the process). The analysis of the results shows that the Manual (and the training program) acted as a catalyst for psychotherapy training, especially in the interactive aspects of psychotherapy

Palabras clave : psychotherapy research; outcome research; psychotherapy manual; psychotherapy training.

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