RESUMO
BACKGROUND: Measurement of cognitive behavioural therapy (CBT) competency is often resource intensive. A popular emerging alternative to independent observers' ratings is using other perspectives for rating competency. AIMS: This pilot study compared ratings of CBT competency from four perspectives - patient, therapist, supervisor and independent observer using the Cognitive Therapy Scale (CTS). METHOD: Patients (n = 12, 75% female, mean age 30.5 years) and therapists (n = 5, female, mean age 26.6 years) completed the CTS after therapy sessions, and clinical supervisor and independent observers rated recordings of the same session. RESULTS: Analyses of variance revealed that therapist average CTS competency ratings were not different from supervisor ratings, and supervisor ratings were not different from independent observer ratings; however, therapist ratings were higher than independent observer ratings and patient ratings were higher than all other raters. CONCLUSIONS: Raters differed in competency ratings. Implications for potential use and adaptation of CBT competency measurement methods to enhance training and implementation are discussed.
Assuntos
Competência Clínica/estatística & dados numéricos , Terapia Cognitivo-Comportamental/normas , Observação , Satisfação do Paciente , Psicoterapia/normas , Autorrelato , Análise e Desempenho de Tarefas , Adulto , Competência Clínica/normas , Terapia Cognitivo-Comportamental/educação , Feminino , Humanos , Masculino , Projetos Piloto , Psicoterapia/educação , Psicoterapia/métodosRESUMO
Men's drive for muscularity refers to the degree to which men wish to increase their muscularity. Men who are more extreme in their drive for muscularity face dangerous consequences, such as increased levels of eating pathology and use of performance-enhancing substances. The aim of this study was to predict men's drive for muscularity, and to test whether hypothesized predictive factors vary across age groups. Participants were 226 men ages 18-67. It was hypothesized that body dissatisfaction would predict men's drive for muscularity. More substantively, however, it was hypothesized that having a strong tendency to compare oneself with others would exacerbate the relationship between men's body dissatisfaction and their drive for muscularity. Results of a hierarchical multiple regression analysis supported these hypotheses. Furthermore, this exacerbating effect was present regardless of men's age. Implications for assessment, clinical practice, research, and prevention efforts are discussed.
