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Development of the CMAS – Conversational Model Adherence Scale

Development of the CMAS – Conversational Model Adherence Scale

Meares et al. (2012) outlined within the clinician’s manual for Conversational Model Therapy (CMT), the basis for a scale that would measure adherence to CMT within any given therapy session. Our aim was to further develop the Conversational Model Adherence Scale (CMAS) through multiple workshops with senior clinicians within the Westmead Psychotherapy Program and through consultations with Russell Meares, the co-founder of the Conversational Model. Measuring adherence to a given psychotherapeutic approach has numerous benefits, such as the verification of therapist expertise, ensuring therapy fidelity in the reporting of patient outcomes, and facilitating the training of new CMT psychotherapists by minimising the cognitive load within a complex skillset.

The final version of the CMAS was pilot tested with seven senior CMT clinicians, rating on three audio recorded therapy sessions, as volunteered by training psychotherapists within the Westmead Psychotherapy Program. Inter-rater reliability was calculated for each therapy recording, resulting in Intra-class Correlation Coefficients (ICC) of .894, .827, and .862. We tested the CMAS again to investigate whether additional training was required to reliably use the CMAS, by including novice training therapists as raters of a video recorded CMT session of Russell Meares.

Senior clinicians and trainee psychotherapists (N = 22) alike completed the first category of the CMAS (5 items, “Immediacy”), resulting in substantially reduced ICC scores of .014 comparing single measured items across multiple raters, and .065 comparing the consistency of different raters on average. Inter-rater reliability dropped considerably when we included both novice and expert CMT psychotherapists thus showing that either inter-rater agreement is substantially reduced when ratings were limited to the first category of the CMAS or that a certain level of training/experience is likely required for the valid judgement of CMT adherence in any given therapy session.

Speakers: Shaun Halovic
Areas of Interest / Categories: ANZAP 2016

ANZAP 2016

Society, Catholicism and the human person as complex systems and sub-systems

Complexity theory is recognised as the New Science that conceptualises the universe as a system of communicating systems. As such, everything in the universe is better understood by exploring the dynamic, nonlinear relationships between the parts that make up the whole. Psychoanalytic Complexity Theory provides a new, but familiar contribution to contemporary psychoanalytic theory and practice.

Depressive realism, angst and creativity - What can the work of Michel Houellebecq tell us about the art and science of psychotherapy?

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Society, Catholicism and the human person as complex systems and sub-systems

Complexity theory is recognised as the New Science that conceptualises the universe as a system of communicating systems. As such, everything in the universe is better understood by exploring the dynamic, nonlinear relationships between the parts that make up the whole. Psychoanalytic Complexity Theory provides a new, but familiar contribution to contemporary psychoanalytic theory and practice.

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Using the work of Goffman and other social psychologists, this presentation looks at the ways in which the identities of perpetrators of sexual abuse are constructed in a monolinear fashion creating `spoiled identities’. This is a social construction which the community actively participates in for necessary reasons but which after time affects levels of community healing and resilience through embedded and habitual processes of othering.

Trauma and Lateral dissociation: The spoken and the unspoken stories

Joseph Conrad, master of ships and master of affect: His gift to Robert Hobson and the Conversational Model

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