학술논문

The Resistance Vignette Task: Validating a rapid measure of therapist skill at managing resistance.
Document Type
Academic Journal
Author
Di Bartolomeo AA; Department of Psychology, York University, Toronto, Ontario, Canada.; Westra HA; Department of Psychology, York University, Toronto, Ontario, Canada.; Javdan S; Department of Psychology, York University, Toronto, Ontario, Canada.; Olson DA; Department of Psychology, York University, Toronto, Ontario, Canada.
Source
Publisher: Wiley Country of Publication: United States NLM ID: 0217132 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-4679 (Electronic) Linking ISSN: 00219762 NLM ISO Abbreviation: J Clin Psychol Subsets: MEDLINE
Subject
Language
English
Abstract
Background: Therapist appropriate responsivity to client ambivalence and resistance is considered an important interpersonal skill to avoid disengagement and ensure a continued collaborative, productive process. The present study examined the predictive validity of the newly developed Resistance Vignette Task (RVT), a 10-item rapidly administered measure of therapist ability to appropriately respond to various presentations of client resistance.
Methods: Following a resistance management workshop, the concurrent and prospective predictive capacity of RVT scores were examined through test interviews with ambivalent simulators and volunteers.
Results: Prospectively, in test interviews with ambivalent interviewees, higher RVT scores immediately postworkshop were associated with significantly greater responsivity (appropriate responsivity and fewer responsivity errors) at 4-month follow-up. RVT scores at the 4-month follow-up point were also concurrently associated with significantly greater therapist responsivity and lower levels of interviewee resistance.
Conclusions: These findings provide further validation for the RVT as a measure of therapist responsivity in vivo, in actual interviews by predicting and being concurrently associated with therapist performance in response to client resistance. Thus, the RVT holds promise in advancing therapist training, as well as research on resistance as it represents an efficient measure of this key therapist skill.
(© 2022 Wiley Periodicals LLC.)