The role of deliberate practice in the development of highly effective psychotherapists.

摘要: Little empirical research exists about highly effective psychotherapists, and none the factors that mediate acquisition maintenance of superior performance skills (e.g., Ericsson, 1996, 2006; Krampe, & Tesch-Romer, 1993). In full sample, a 3-level multilevel modeling (Level 1: clients; Level 2: therapists; 3: organization types) practitioner outcomes was used to examine contribution therapist treatment effectiveness. Consistent with prior research, in sample (n = 69 n 4,580 clients) it found effects explained 5.1% variance outcome, after adjusting for initial severity. Therapist gender, caseload, age were not be significant predictors. subsample therapists, relationship between outcome demographic variables, professional development activities, work practices analyzed 17 1,632 clients). characteristics years experience, age, profession, highest qualification, degree theoretical integration) did significantly predict client-reported outcomes. literature on expertise expert performance, amount time spent targeted at improving therapeutic predictor client Further, therapists indicated requiring more effort reviewing therapy recordings alone than rest cohort. Caveats implications clinical practice, continuing development, training are discussed.