The influence of deliberate practice on skill performance in therapeutic practice: A systematic review of early studies.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-01-31 DOI:10.1080/10503307.2024.2308159

Karina Nurse, Melissa O'Shea, Mathew Ling, Nathan Castle, Jade Sheen

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Abstract

Objective: Deliberate practice (DP) is recommended as a new approach to facilitate the acquisition of discrete therapeutic skills, however, its implementation and effectiveness in psychotherapy remains unclear.

Method: A systematic search on DP for therapeutic skills among psychotherapy trainees and psychotherapists yielded eleven studies for inclusion. Nine were randomized controlled studies (RCTs), including seven unique RCTs, and two were within-group studies.

Results: Risk of bias was assessed as "high" for one RCT, "some concerns" for the remaining RCTs, and "serious" for within-group studies. All RCTs found the DP group performed better than the control group. All studies involved efforts to improve performance based on learning objectives and iterative practice but varied in the source of expert guidance and feedback. The included studies provide limited insight into best practice for delivering DP.

Conclusion: The results highlight the paucity of research in this field; however they offer insight into current applications of DP and provide preliminary empirical support DP for as a model for promoting the development of discrete therapeutic skills. Given the rapid dissemination of DP publications and manuals in psychotherapy, future research is strongly encouraged.

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刻意练习对治疗实践中技能表现的影响：早期研究的系统回顾。

目的刻意练习（DP）作为一种新方法被推荐用于促进离散治疗技能的习得，但其在心理治疗中的实施和效果仍不明确：方法：对心理治疗受训者和心理治疗师的治疗技能 "刻意练习 "进行了系统检索，共纳入 11 项研究。其中九项为随机对照研究（RCT），包括七项独特的 RCT，两项为组内研究：一项随机对照研究的偏倚风险被评估为 "高"，其余随机对照研究的偏倚风险被评估为 "有一些问题"，组内研究的偏倚风险被评估为 "严重"。所有研究都发现，DP 组的表现优于对照组。所有研究都涉及根据学习目标和迭代实践来提高绩效，但专家指导和反馈的来源各不相同。所纳入的研究对实施发展伙伴关系的最佳实践提供了有限的见解：研究结果凸显了这一领域研究的匮乏，但它们提供了对目前DP应用的深入了解，并为DP作为促进离散治疗技能发展的一种模式提供了初步的经验支持。鉴于DP出版物和手册在心理治疗中的迅速传播，我们强烈鼓励未来的研究。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.