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Personal reformulation during the clinical associate psychologist apprenticeship: Exploratory mixed methods

Stephen Kellett1, Katie Brown2, Sheena K Au-Yeung2

  • 1Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, UK.

The British Journal of Clinical Psychology
|February 24, 2024
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Summary

Personal reformulation (PR) interventions improved confidence and communication skills for clinical associate psychologists (CAPs) during their apprenticeship. This brief, emotionally challenging approach fostered significant personal and professional development.

Keywords:
CAPCATpersonal reformulation

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Area of Science:

  • Psychology
  • Professional Training
  • Workforce Development

Background:

  • Clinical associate psychologists (CAPs) are a new cadre within the psychological workforce, trained via an apprenticeship.
  • Evaluating interventions for CAPs' personal and professional development is crucial for workforce integration.

Purpose of the Study:

  • To assess the effectiveness of personal reformulation (PR) for personal and professional development in CAPs undergoing apprenticeship training.
  • To explore CAPs' experiences with PR during their training.

Main Methods:

  • A mixed-methods study involving 18 CAPs.
  • Included longitudinal quantitative measures of reflective capacity and professional quality of life, alongside qualitative semi-structured interviews.
  • Personal reformulation involved a 2-hour session and a follow-up with a cognitive analytic psychotherapist, producing a sequential diagrammatic reformulation.

Main Results:

  • Quantitative analysis showed significant increases in general confidence, with 8/12 apprentices demonstrating reliable improvements in communication confidence.
  • Qualitative analysis revealed five key themes: gaining insight, wellbeing, the therapeutic space, the apprentice experience, and future progression.
  • The intervention was generally found to be emotionally challenging.

Conclusions:

  • Personal reformulation, despite being emotionally challenging, offers substantial insight and contributes to personal and professional development in a brief format.
  • Further controlled research and broader evaluations of PR in diverse professional contexts are recommended.