No abstract

RESULTS: The great majority of clinicians rated themselves and their teams as being better clinicians than their peers, though not to as extreme a level as in the previous study. They also reported exceptionally positive therapy outcomes. In general, these self-assessment biases were associated with higher levels of emotional stability, conscientiousness, and openness, but not with all clinic variables (e.g., there was a link between additional accreditation and reported recovery rates, but no relationship with supervision or professional background).CONCLUSION: Different possible explanations for these self-assessment biases are outlined, including conscious and unconscious processes. Methods for enhancing accurate skill perception are discussed, including self-monitoring and supervision.

Background: Clinicians commonly fail to use cognitive-behavioural therapy (CBT)

Cognitive behavioural therapy (CBT) is the most efficacious and effective psychological intervention for treating anxiety disorders. Behavioural techniques, in particular exposure-based techniques, are fundamental to positive outcomes. However, research suggests that these techniques are either not used or are under-used when treating anxiety disorders. This study assesses therapists’ reported use of CBT techniques in the treatment of anxiety disorders, and explores which therapist variables influence technique use. A total of 173 CBT therapists completed measures on their demographics, routine therapy practices in treating anxiety disorders, and internal states (e.g. self-esteem). These data were analysed to see how often therapists employed particular techniques and the correlates of the use of those techniques. Behavioural techniques (e.g. exposure) were the least utilized set of core CBT skills, being used less often than non-CBT techniques. The under-utilization of these key techniques was associated with greater levels of increased inhibitory anxiety amongst therapists. Supervision and therapists’ self-esteem were both positively associated with the use of non-CBT techniques. While this study established what CBT therapists purport to use in routine practice with anxious populations, further research is needed to assess the association between adherence (or lack thereof) and client outcomes, and the factors that drive non-adherence.Key learning aimsAs a result of reading this paper, the reader should: (1)Learn about what psychotherapists report as occurring in routine care for individuals with anxiety and related disorders.(2)Know the potential therapist traits that influence the use of CBT techniques.(3)Gain knowledge to help explain to clients why previous therapy may not have been effective.(4)Develop a richer understanding of what factors may influence their own therapeutic practice.

Guillain-Barré syndrome is a demyelinating peripheral neuropathy with an incidence of between 0.8 and 1.9/100,000 people in Europe and North America (Willison et al., 2016) affecting all age groups, with males and older aged individuals more affected (Hughes & Cornblath, 2005). Heterogeneity of severity ranges from short-lived limb paraesthesia to complete paralysis requiring prolonged mechanical ventilation (van Koningsveld et al., 2007). Although generally viewed as restorative, around 20% of people with GBS remain disabled (Hughes & Cornblath, 2005). Between 3% and 7% die in de-

No abstract

No abstract

No abstract