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The Role of Therapist Characteristics in Training Effects in Cognitive, Supportive-Expressive, and Drug Counseling Therapies for Cocaine Dependence

Received January 7, 2000; revised March 27, 1999; accepted April 11, 2000. From the National Institute on Drug Abuse Collaborative Cocaine Treatment Study; see acknowledgment at end of text. Address correspondence to Dr. Siqueland, 3535 Market Street, 6th Floor, Philadelphia, PA 19104-3309; e-mail: siquelal{at}landru.cpr.upenn.edu

The role of therapist characteristics in therapy training was examined for 62 therapists in a multisite psychotherapy outcome study that included cognitive therapy (CT), supportive-expressive (SE) psychodynamic therapy, and individual drug counseling (IDC) for cocaine-dependent patients. Demographic variables and experience and competence ratings prior to training were correlated with measures of change in competence during the training phase. Higher competence ratings before training were associated with greater change in competence for SE and higher average competence for IDC. More years of experience were associated with greater change in competence for CT therapists, but more hours of pre-training supervision in the CT treatment modality were associated with less change.

Key Words: Psychotherapy Training and Supervision • Therapist Characteristics • Cocaine