The effect of case conceptualization training on competence and its relationship to cognitive complexity

In order to prepare counselor-trainees to practice competently and maximize
client outcomes, counselor-trainees must develop a broader understanding and
explanation, called a case conceptualization, of their clients presenting problems,
personality, and systemic dynamics. There is a limited body of research that examines
the effects of training on the ability for counselors to develop an effective case
conceptualization. This is the first study to train counselors to develop competence in
formulating an integrative case conceptualization. This quasi-experimental study aimed
to determine whether an intervention had an effect on the 85 counselors in training that
participated in a 2-hour training. Data was analyzed using paired sample t-tests, an
independent t-test and correlation methods. Participants’ CCEF scores significantly
improved from the training (t = -25.970, df = 84, ES = 3.67, p < 0.001). Participants’
CFCCM scores significantly improved as well (t = -21.693, df = 84, ES = 2.78, p <
0.001). Participants’ scores also significantly improved with their perceptions about case conceptualization (t = -30.828, df =84, ES = 5.47 p < 0.001), for items 1-5. Item 6
resulted in values of (t = -13.295, df = 84, ES = 2.14, p < 0.001). The level of cognitive
complexity as measured by the CCQ did not have a significant effect on the quality of the counselors in training case conceptualizations. Compared to the CFCCM, the CCEF is a much shorter and easier instrument for evaluating a case conceptualization. Overall, results of this study provide support that counselors in training can improve their quality of case conceptualization skills in as little as 2 hours. This can aid in understanding and explaining their client’s situation better, which may significantly improve the treatment
process and client.