From Theory to Practice: A Transtheoretical Treatment and Training Model (4TM).

Background: In this paper, we present the conceptual background and clinical implications of a research-based transtheoretical treatment and training model (4TM).

Method: The model implements findings from psychotherapy outcome, process, and feedback research into a clinical and training framework that is open to future research.

Results: The framework is based on interventions targeting patient processes on a behavioral, cognitive, emotional, motivational, interpersonal, and systemic/socio-cultural level.

Where it all begins: Predicting initial therapeutic skills before clinical training in cognitive behavior therapy.

To train novice students adequately, it is crucial to understand where they start and how they develop their skills. This study examined the impact of novice students' characteristics on their initial clinical micro-skills when treating simulated patients with cognitive behavior therapy. The sample consisted of 44 graduate psychology students treating seven simulated patients.