加强对常见治疗因素的评估-斯里兰卡(ENACT-SL)评估在斯里兰卡确定治疗师能力的咨询中的常见因素

N.H.L. Abeysinghe, B. Kohrt, A. Galappatti
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引用次数: 0

摘要

咨询和心理治疗在心理保健中起着至关重要的作用。现代精神保健领域包括许多咨询方式。每种模式都包含特定的知识和技能。这种多样性使得客观评估治疗师跨咨询模式的能力具有挑战性。“共同因素”理论声称,随着每种模式的特定优势和技术,咨询中的共同因素对于成功的咨询师-来访者关系至关重要。在高收入国家,精神卫生保健领域开发了许多工具,根据与特定社会文化环境有关的共同因素来评估咨询技能。因此,这些工具的有用性仅限于开发工具的社会文化背景。目前的研究评估了斯里兰卡常见治疗因素增强评估(ENACT-SL)评定量表,68名新手和有经验的咨询师使用两种版本的量表来评估10分钟的预先录制的咨询会议。采用类内相关系数(Intraclass Correlation Coefficients, ICC)评估量表的信度。内部可靠性的ICC高于0.75,表示“良好”的内部可靠性,而内部可重复性的ICC对两组来说都很差。研究结果有助于根据咨询技能的“五个领域”制定新版的《国家咨询技能标准》,用于斯里兰卡的咨询师培训和评估。关键词:咨询;常见的因素;ENACT-SL;therapist-assessment;治疗师的能力
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The Evaluation of ENhancing Assessment of Common Therapeutic factors – Sri Lanka (ENACT-SL) to Assess Common Factors in Counselling in Determining Therapist Competence in Sri Lanka
Counselling and psychotherapy play an essential part in mental health care. The modern field of mental health care includes many counselling modalities. Each modality consists of specific knowledge and skills. This diversity makes objective evaluation of a therapist's competence across counselling modalities challenging. The "common factors" theory claims that along with each modality's specific strengths and techniques, common factors in counselling are essential for successful counsellor–client relationships. In high-income countries, the mental health care field has developed many tools to evaluate counselling skills based on the common factors relevant to specific socio-cultural settings. Hence, the usefulness of these tools is limited to the socio-cultural backgrounds where the tools were developed. The current study evaluated the ENhancing Assessment of Common Therapeutic factors – Sri Lanka (ENACT-SL) rating scale with the participation of 68 novice and experienced counsellors who used two versions of the scale to evaluate 10- minute pre-recorded counselling sessions. The scale's reliability was assessed using Intraclass Correlation Coefficients (ICC). The ICC for interrater reliability was above 0.75, denoting ‘good’ inter-rater reliability, while the ICC for intrarater repeatability was poor for both groups. The research findings contributed in developing a new version of ENACT-SL based on 'five domains' of counselling skills to be used in counsellor training and assessment in Sri Lanka. Keywords: Counselling; common factors; ENACT-SL; therapist-assessment; therapist competence
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