Elucidating the Elements of Clinical Case Consultation in Cognitive Processing Therapy. (July 2023)

• Record Type: Journal Article
• Authors: Landy, Meredith S. H.; Vezer, Esztella; Bance, Sheena; Loskot, Taylor; Ip, Jennifer; Zeifman, Ariella P.; Mutschler, Christina; Thomas, Fiona C.; McShane, Kelly; Monson, Candice M.; Stirman, Shannon Wiltsey
• Is Part Of: Counseling psychologist. Volume 51:Number 5(2023)
• Page Start: 626
• Page End: 654
• Publication Date: 2023-07
• Subjects: posttraumatic stress disorder -- Cognitive Processing Therapy -- clinical consultation -- realism -- thematic analysis; trouble de stress post-traumatique -- thérapie du processus cognitif -- consultation clinique -- réalisme -- analyse thématique; Counseling psychology -- Periodicals; 158.305
• DOI: 10.1177/00110000231166103
• Languages: English
• ISSNs: 0011-0000

Abstract

Research shows the value of consultation following training in Cognitive Processing Therapy (CPT), a frontline psychotherapy for posttraumatic stress disorder; however, the elements of successful CPT consultation are not delineated. This study's aim was to elucidate the elements of successful consultation in CPT. Participants ( N = 41) were mental health clinicians, including psychologists, social workers, nurses, and psychiatrists, and consultants ( N = 4), who provided clinical case consultation. The clinicians participated in group clinical case consultation for 6 months following their workshop participation. Thirty audio recorded consultation calls were analyzed using thematic analysis. Elements were identified and organized according to the following themes: Organization, Knowledge Consolidation, Case Conceptualization, Directive Instruction, Nondirective Instruction, and Provision of Feedback. Important next steps include: (a) developing a model positing how the elements of successful clinical case consultation in CPT fit together and (b) identifying its mechanisms.