Effects of training in time-limited dynamic psychotherapy: mediators of therapists’ responses to training
Abstract
Sixteen therapists were enrolled in a year-long manualized training program as part of the Vanderbilt II study of time-limited dynamic psychotherapy (TLDP). The training program successfully changed therapists' interventions in line with prescriptions of the TLDP manual, but some unanticipated changes ran counter to the intent of the training, including increased negative interpersonal transactions as indicated by process measures such as the Structural Analysis of Social Behavior (SASB). We examined therapist variables, patient variables, and training variables that appeared to mediate therapist responses to the training program. Results indicate that patient difficulty may mediate certain aspects of therapists' responses to training. Therapists with self-reported hostile and controlling introjects showed the greatest technical adherence, which was intriguing because prior research has linked hostile therapist introject to greater frequency of countertherapeutic interpersonal process. Of special interest were differences in effects of training associated with individual training faculty. This finding, if generalizable, has important implications for manualized therapy research, especially multisite trials.
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The finding of unexpected negative effects of training is consistent with some counterintuitive findings reported in the psychology literature.
“The finding of unexpected negative effects of training is consistent with some of the counterintuitive findings reported in the psychology literature.”
Therapists who participated in a training programme showed unexpected deterioration in skills after training.
“Furthermore, therapists who participated in a training programme showed unexpected deterioration in skills after training.158”
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- Authors
- Henry, W. P., Schacht, T. E., Strupp, H. H., Butler, S. F., & Binder, J. L.
- Affiliations
- Vanderbilt University (US)
- ORCID
- Butler, Stephen F.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1993
- Volume
- 61
- Issue
- 3
- Pages
- 441-447
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2025754500
- Cited by
- 204
- References
- 11
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 6 · 2016: 3 · 2015: 9 · 2014: 7 · 2013: 5 · 2012: 12
- FWCI
- 10.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons - East Tennessee State University (East Tennessee State University) (submittedVersion)
- Funders
- National Institutes of Health (5r01mh020369-18)
- National Institute of Mental Health (MH-20369)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
- Keywords
- therapist training, manualized psychotherapy, Structural Analysis of Social Behavior, patient difficulties, multisite trials
- MeSH terms
- Adult, Mental Disorders, Clinical Competence, Education, Continuing, Female, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Personality Inventory, Professional-Patient Relations, Psychoanalytic Therapy, Psychotherapy, Brief
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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