Abstract
Background: The Residency Review Committee (RRC) for Psychiatry of the Accreditation Council on Graduate Medical Education (ACGME) now requires that all psychiatric residency programs demonstrate competency for all psychiatric residents in cognitive behavior therapy (CBT). Objective: To increase awareness about specific knowledge, skills, and attitudes necessary to perform competent CBT, optimal teaching methods available to insure competency, and valid assessment tools and resources available to training programs. Methods: Literature review and discussion of common features of successful training programs. Results and Conclusions: Training programs have resources and standardized methods of training, supervision, and assessment available to help residents meet the ACGME mandated competency requirements in CBT.
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References
Beck AT, Weishaar ME: Cognitive therapy, in Current Psychotherapies, 6th ed. Edited by Corsini RJ, Wedding D. Itasca, IL, Peacock, 2000, pp 241–272.
Clark DA, Beck AT, Alford, BA: Scientific Foundations of Cognitive Therapy and Therapy of Depression. New York, Wiley, 1999.
Butler AC, Beck JS: Cognitive therapy outcomes: a review of meta-analyses. The Journal of Norwegian Psychological Association 2000; 37: 1–9.
Liese BS, Alford BA: Recent advances in cognitive therapy supervision. Journal of Cognitive Psychotherapy: An International Quarterly 1998; 12: 91–94.
Liese BS, Beck JS: Cognitive therapy supervision, in Handbook of Psychotherapy Supervision. Edited by Watkins CE, New York, Wiley, 1997, pp 114–133.
Beck AT, Rush AJ, Shaw BF, et al: Cognitive Therapy of Depression. New York, Guilford, 1979.
Beck JS: Cognitive Therapy: Basics & Beyond. New York, Guilford, 1995.
Basco MR, Rush AJ: Cognitive-Behavioral Therapy for Bipolar Disorder. New York, Guilford, 1996.
Beck AT, Wright FD, Newman CF, et al: Cognitive Therapy of Substance Abuse. New York, Guilford, 1993.
Steketee GS: Treatment of Obsessive Compulsive Disorder. New York, Guilford, 1993.
Beck AT, Emery G, Greenberg RL: Anxiety Disorders and Phobias: A Cognitive Perspective. New York, Guilford, 1985.
Dattilio FM, Padesky CA: Cognitive Therapy with Couples. Sarasota, FL, Professional Resource Exchange, 1990.
Kingdon DG, Turkington D: Cognitive-Behavioral Therapy of Schizophrenia. Hillside, NJ, Lawrence Erlbaum Associates, 1994.
Wells A: Cognitive Therapy of Anxiety Disorders: A Practice Manual and Conceptual Guide, New York, Wiley, 1997.
Wright JH, Thase ME, Beck AT, et al: Cognitive Therapy with Inpatients: Developing a Cognitive Milieu, New York, Guilford, 1993.
Fairburn Christopher and G. Terence Wilson Binge Eating: Nature, Assessment and Treatment, New York, Guilford, 1993.
Meichenbaum D: A Clinical Handbook/Practical Therapist Manual for Assessing and Treating Adults with Post-traumatic Stress Disorder (PTSD). Waterloo, ON, Canada, Institute Press, 1994.
Barlow D: Anxiety and Its Disorders: The Nature and Treatment of Anxiety and Panic, New York, Guilford, 1988.
Sharpe M: Cognitive behavior therapy for chronic fatigue syndrome. Am J Psychiatry 1998; 155(10): 1461.
Beck JS, Bieling PJ: Cognitive Therapy: an introduction to theory and practice, in The Art and Science of Brief Psychotherapies: A Practitioner’s Guide. Edited by Dewan M, Greenberg R, Steenbarger B, Washington, DC, American Psychiatric Press (in press).
Milne DL, et al: Effectiveness of cognitive therapy training. J Behav Ther Exp Psychiatry 1999; 30: 81–92.
Whisman M: Mediators and moderators of change in cognitive therapy of depression. Psychol Bull 1993; 114: 248–265.
Shaw B, Dobson K: Competency judgments in the training and evaluation of psychotherapists. J Consult Clin Psychol 1988; 56: 666–672.
Williams RM, Moorey S, Cobb J: Training in Cognitive-Behavior Therapy: Pilot Evaluation of a Training Course Using the Cognitive Therapy Scale. Behavioural Psychotherapy 1991; 19: 373–376.
Shaw, BF, et al: Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression. J Consul Clin Psychol 1999; 67: 8837–8846.
Kavanaugh DJ: Issues in multidisciplinary training of cognitive-behavioural interventions. Behaviour Change: Journal of the Australian Behaviour Modification Association 1994; 11: 38–44.
Vallis TM, Shaw BF, McCabe SB: The relationship between therapist competency in cognitive therapy and general therapy skill. Journal of Cognitive Psychotherapy 1988; 2: 237–249.
Friedberg RD, Fidaleo RA: Training in patient staff in cognitive therapy. Journal of Cognitive Psychotherapy 1992; 6: 105–112.
Padesky, CA: Developing cognitive therapist competency: teaching and supervision models, in Frontiers of Cognitive Therapy. Edited by Salkovskis PM. New York, Guilford, 1996.
Norcross JC, Beutler LE: A Prescriptive Eclectic Approach to Psychotherapy Training. J Psychotherapy Integration 2000; Vol. 10, No. 3: 247–261.
Freiheit SR, Overholser JC: Training issues in cognitive behavioral psychotherapy. Journal of Behavior Therapy and Experimental Psychiatry 1997; 28: 79–86.
Bennett-Levy J: The value of self-practice of cognitive therapy techniques and self-reflection in the training of cognitive therapists. Behavioural and Cognitive Psychotherapy 2001; 29: 203–220.
Shaw B: Specification of the Training and Evaluation of Cognitive Therapists for Outcome Studies, in Psychotherapy Research: Where Are We and Where Should We Go? Edited by Williams J and Spitzer R, New York, Guilford, 1984.
Young JE, Beck AT: (1980) Cognitive Therapy Scale Rating Manual. Unpublished manuscript. University of Pennsylvania Center for Psychotherapy Research
Vallis TM, Shaw BF, Dobson KS: The Cognitive Therapy Scale: psychometric properties. J of Consulting and Clinical Psychology 1986; 54(3): 381–5.
Dobson KS, Shaw BF, Vallis TM: Reliability of a measure of the quality of cognitive therapy. Br J Clin Psychol 1985; 24(Pt4): 295–300.
Academy of Cognitive Therapy: (1998) Cognitive case formulation and rating scale. Available on Academy of Cognitive Therapy Web site (http://academyofct.org).
Wright JH, Wright AS, Salmon P, Beck AT, Kuykendall J, and Goldsmith LJ: (2002). Development and initial testing of a multimedia program for computer-assisted cognitive therapy. American J of Psychotherapy (in press)
Sudak D Wright JH, Bienenfeld D, Beck J: (2001). Cognitive therapy supervision checklist. Unpublished. Available from Donna Sudak, M.D. (Donna.Sudak@drexel.edu).
Wright JH, Salmon P, Wright AS, Beck AT, (1995). Cognitive therapy: A multimedia Learning Program. MindStreet: Louisville, KY.
Wright JH, Wright AS, Salmon P, Beck AT, Kuykendall J, Goldsmith J, Zickel MB. (2002) Development and initial testing of a multimedia program for computer-assisted cognitive therapy. American J. of Psychotherapy. (in press).
Stuart S, Wright JH, Thase ME, & Beck AT. Cognitive therapy with inpatients. Gen Hosp Psychiatry 1997; 19(1): 42–50.
Kingdon D, Turkington D: The use of cognitive behavior therapy with a normalizing rationale in schizophrenia. J Nerv Ment Dis 1991; 179: 207–211.
Drury V, Birchwood M, Cochrane R, et al: Cognitive therapy and recovery from acute psychosis: a controlled trial I; impact on psychotic symptoms. Br J Psychiatry 1996; 169: 593–601.
Sensky T, Turkington D, Kingdon D, et al: A randomized controlled trial of cognitive-behavioral therapy for persistent symptoms in schizophrenia resistant to medication. Arch Gen Psych 2000; 57(2): 165–172.
Sharpe L, Sensky T, Timberlake N, et al: A blind, randomized, controlled trial of cognitive-behavioural intervention for patients with recent onset rheumatoid arthritis: preventing psychological and physical morbidity. Pain 2001; 89: 275–283.
Shapiro D, Hui KK, Oakley ME, et al: Reduction in drug requirements for hypertension by means of a cognitive-behavioral intervention. AJH 1997; 10: 9–17.
Morley S, Eccleston C, Williams A: Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache. Pain 1999; 80: 1–13.
Beck JS. A cognitive approach to medication compliance. In Kay J (Ed.). Integrated Treatment of Psychiatric Disorders (Review of Psychiatry Series) Vol. 20, No. 2. Oldham JM, Riba MB, Series Eds. Washington DC. APPI Press, 2001.
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Disclosure Statement: Jesse H.Wright may receive royalties from the sale of the DVD-ROM computer program described in this article.
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Sudak, D.M., Beck, J.S. & Wright, J. Cognitive Behavioral Therapy: A Blueprint for Attaining and Assessing Psychiatry Resident Competency. Acad Psychiatry 27, 154–159 (2003). https://doi.org/10.1176/appi.ap.27.3.154
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DOI: https://doi.org/10.1176/appi.ap.27.3.154