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Utilizing measure-based feedback in control-mastery theory: A clinical error.

John Snyder1, Katie Aafjes-van Doorn2

  • 1San Francisco Psychotherapy Research Group.

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Clinical errors in therapy can be identified early using patient feedback measures. This allows for timely intervention, improving treatment outcomes and preventing patient dropout.

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Area of Science:

  • Psychotherapy research
  • Clinical psychology
  • Mental health treatment

Background:

  • Clinical errors and ruptures are common in psychotherapy.
  • Therapist unawareness of errors can lead to poor outcomes and patient dropout.
  • Systematic patient feedback is crucial for identifying and addressing these issues.

Observation:

  • The study presents a case of clinical error during a 2-year psychotherapy treatment.
  • Measure-based feedback, including the Patient's Experience of Attunement and Responsiveness scale (PEAR) and Outcome Questionnaire 45.2 (OQ-45.2), was used.
  • The clinical error was identified through this feedback mechanism.

Findings:

  • Patient feedback measures effectively identified a clinical error that might have otherwise gone unnoticed.
  • The identified error was analyzed and addressed using control-mastery theory.
  • An alternative therapeutic response was also proposed and explained within the same theoretical framework.

Implications:

  • Regular use of patient feedback tools can enhance clinical practice by identifying errors.
  • This approach aids in monitoring patient progress and therapeutic alliance.
  • Integrating feedback measures supports more effective and responsive psychotherapy.
  • Control-mastery theory provides a framework for understanding and addressing ruptures.