Clinical Case Consultation and Experiential Learning in Cognitive Behavioral Therapy Implementation: Brief Qualitative Investigation.

There has been an increased emphasis on the implementation of cognitive behavioral therapy (CBT) to community mental health (CMH) systems due to its broad efficacy. Previous research has highlighted the importance of ongoing consultation in this process. The current study clarifies the role and process of clinical case consultation in the implementation of CBT to CMH from the consultants' perspective. Trainers from two large-scale implementation initiatives (n = 27) were surveyed regarding their strategies used in the consultation process. Historically, researchers have focused on trainees who view relational variables as the most effective elements of consultation; however, in the current study, trainers perceived experiential learning as being the most effective consultation strategy for helping CMH clinicians learn CBT. Other aspects of consultation such as case conceptualization and practice sample review are discussed in terms of their relative perceived utility in raising CMH clinician's competency to treat comorbid patients.

The observation of essential clinical strategies during an individual session of dialectical behavior therapy.

Dialectical behavior therapy (DBT; Linehan, 1993) is a comprehensive and principle-based cognitive-behavioral intervention initially developed for the treatment of suicidal behavior and later expanded to the treatment of borderline personality disorder and additional psychiatric disorders associated with emotion dysregulation. As a comprehensive treatment, DBT consists of multiple modalities of intervention that include individual therapy, skills training, telephone consultation, team consultation, and the structuring of ancillary treatments. In the present article, we review three essential strategies expected to occur during an individual session of DBT. The three strategies reviewed include structuring the content of the session, core strategies of problem solving and validation, and dialectical strategies and worldview. Associated research data and clinical examples are provided for each strategy.

Guidelines for cognitive behavioral training within doctoral psychology programs in the United States: report of the Inter-organizational Task Force on Cognitive and Behavioral Psychology Doctoral Education.

The Association for Behavioral and Cognitive Therapies initiated an interorganizational task force to develop guidelines for integrated education and training in cognitive and behavioral psychology at the doctoral level in the United States. Fifteen task force members representing 16 professional associations participated in a year-long series of conferences, and developed a consensus on optimal doctoral education and training in cognitive and behavioral psychology. The recommendations assume solid foundational training that is typical within applied psychology areas such as clinical and counseling psychology programs located in the United States. This article details the background, assumptions, and resulting recommendations specific to doctoral education and training in cognitive and behavioral psychology, including competencies expected in the areas of ethics, research, and practice.