Does a therapist's reflective ability predict the accuracy of their self-evaluation of competence in cognitive behavioural therapy?

● Does a therapist's reflective ability predict the accuracy of their self-evaluation of competence in cognitive behavioural therapy? ● Predictors of depression severity in a treatment-seeking sample. ● Qualitative analysis of US Department of veterans affairs mental health clinician perspectives on patient-centered care. Cognitive Processing Therapy. ● Effectiveness of online mindfulness-based interventions in improving mental health: A review and meta-analysis of randomised controlled trials. ● Morbid thoughts and suicidal ideation in iraq war veterans: the role of direct and indirect killing in combat. ● Predictors of Antidepressant Nonadherence Among Older Veterans With Depression. ● Altered default mode network (DMN) resting state functional connectivity following a mindfulness-based exposure therapy for posttraumatic stress disorder (PTSD) in combat Veterans of Afghanistan and Iraq. Accurately evaluating how competently one is performing can be a precursor to seeking training and supervision, therefore contributing to safe, effective practice. Little is known about what predicts accurate self-evaluation. Prior research findings are inconsistent, with overestimation of self-rated competence in some studies and underestimation in others. We aimed to explore the relationship between therapists' reflective ability and the level of agreement between self-rated competence and competence rated by an experienced CBT assessor. Thirteen trainees undertaking a postgraduate CBT diploma submitted a series of recordings accompanied by self-ratings using the Cognitive Therapy Scale – Revised (CTS-R) and related written reflective analyses. Independent assessors marked the written analyses using a standardized marking scheme and rated the therapy sessions using the CTS-R. Trainees tended to overestimate or underestimate their competence in comparison to the independent assessors. The level of agreement between the assessors' ratings and self-evaluation of competence tended to improve during training, while reflective ability did not. Reflective ability was significantly related to level of agreement between self-rated and assessor-rated competence. Trainees do not consistently demonstrate the bias for overestimating their competence previously found in qualified therapists. During training, the tendency of an individual to over-or underestimate their competence may not remain stable, but tends to become more consistent with ratings undertaken by an experienced CBT assessor. Trainees who were rated as more reflective, tended to agree more closely with independent assessors on evaluation of competence. Therefore, enhancing reflective ability may help therapists to more accurately self-evaluate their competence. Background/Objective: Depression is a common mental health disorder and an emerging public health concern. Few studies have investigated prevalence and predictors of depression severity in the Irish context. To investigate the relative …