All The Different Domains

In each of these three main categories of Competencies (Core, Specific & Specialist), there are several different ‘domains’. These domains have to be considered within the general framework of views about the basic nature of humankind; interactions between human society and its environment; the nature of that society; and the key concepts of the arts and sciences that are relevant to the development of professional psychotherapeutic practice; and that are relevant to any method of practice.

All these domains indicate areas in which a European psychotherapist is competent:

  1. Domain 1: Professional, Autonomous & Accountable Practice:
    • §1.1: Establish a professional practice
      • Work either independently and/or as a member of a professional team
      • Work according to accepted professional standards
      • Record information appropriately
      • Liaise and work collaboratively with other professionals
      • Recognise difficulties in others
      • Monitor and evaluate their caseload
      • Maintain their fitness to practice
    • §1.2: Provide an appropriate environment
      • Provide a safe working environment
      • Provide a therapeutic environment
      • Make clear arrangements
    • §1.3: Engage in Quality Assurance
      • Routinely evaluate practice
      • Review practice
    • §1.4: Maintain Professional Development
      • Maintain appropriate Continuing Professional Development (CPD)
      • Practice professional qualities
      • Reflect on self and professional work
      • Incorporate research knowledge & findings
    • §1.5: Maintain Personal Development
      • Develop the personal qualities that make a good professional psychotherapist
      • Engage in appropriate self-development
    • To view the actual competencies within this domain, click here.
  2. Domain 2: The Psychotherapeutic Relationship
    • §2.1: Establish a Therapeutic Relationship
      • Communicate clearly
      • Define the psychotherapist's role and the client's role
      • Agree responsibilities
      • Identify and start working towards mutually agreed and achievable aims or goals
      • Express empathy and understanding about the client’s issues
    • §2.2: Manage & Maintain a Therapeutic Relationship
      • Maintain the Therapeutic Relationship
      • Appraise the Therapeutic Relationship
      • Recognise difficulties
      • Communicate appropriately
      • Manage the process of change
      • Manage any difficulties
      • Manage out of session contact
      • Manage breaks & holidays
      • Establish self-awareness in relationship
    • §2.3: Conclude a Therapeutic Relationship
      • Recognise an approaching conclusion
      • Manage sudden endings
      • Record the outcome
    • To view the actual competencies within this domain, click here.

  3. Domain 3: Exploration, (Assessment, Diagnosis & Conceptualization)
    • §3.1: Make an Assessment
      • Make use of assessment tools
      • Conduct an assessment interview
      • Conduct a risk assessment
    • §3.2: Diagnosis
      • Recognise any possible mental health / illness issue
      • Respond to mental health / illness needs
    • §3.3: Conceptualisation
      • Make use of assessment tools
      • Conceptualize the patient/client’s needs
      • Make decisions based on assessment
      • Conclude the Assessment
    • To view the actual competencies within this domain, click here.

  4. Domain 4: ‘Contracting’ (Developing Goals, Plans & Strategies)
    • §4.1: ‘Contract’ with a Patient/Client
      • Formulate the main issues
      • Identify appropriate and achievable goals, plans & strategies
      • Discuss the patient/client’s motivation
      • Decide upon the amount or extent of the psychotherapy
      • Make a ‘contract’
      • Moderate the contract
      • Give opportunities for referral on
    • §4.2: Plan the psychotherapy
      • Make use of evidence of effective practice
      • Draw on psychotherapeutic theory
      • Decide on the psychotherapeutic approach or strategy
      • Moderate the plan or strategy
    • To view the actual competencies within this domain, click here.

  5. Domain 5: Various Techniques & Interventions
    • §5.1: Utilise ‘Standard’ Techniques & Interventions
      • Establish a functional ‘Working Alliance’
      • Identify which techniques and/or interventions are appropriate
      • Identify which modes of interaction are appropriate
      • Monitor and manage the process of change
      • Manage any difficulties
    • §5.2: Manage the Emotional Content of the Sessions
      • Facilitate the processing of emotions
      • Handle extreme emotions
    • §5.3: Utilise ‘Other’ Techniques & Interventions
      • Use research-based techniques and interventions
      • Ensure proper training & supervision in these
    • To view the actual competencies within this domain, click here.

  6. Domain 6: Management of Change, Crisis & Trauma Work
    • §6.1: Manage change
      • Awareness of difficult moments
      • Management of change process
    • §6.2: Undertake work with people in crisis
      • Awareness of crisis intervention
      • Working with people in crisis
    • §6.3: Work with trauma
      • Awareness of trauma work
      • Working with people in trauma
    • To view the actual competencies within this domain, click here.

  7. Domain 7: Completion & Evaluation
    • §7.1: Work towards a completion of the psychotherapy
      • Prepare for completion of the psychotherapy
      • Explore feelings about endings
      • Identify any possible risks or difficulties
    • §7.2: Manage the conclusion of the psychotherapy
      • Manage the conclusion
      • Review the process
      • Indentify issues, thought and feelings
    • §7.3: Record and evaluate the course of the psychotherapy
      • Record the process
      • Evaluate the psychotherapy
    • To view the actual competencies within this domain, click here.
  8. Domain 8: Collaboration with Other Professionals
    • §8.1: Function as a professional
      • Behave professionally
    • §8.2: Collaborate with other professionals
      • Become familiar with the work of other professionals
      • Develop and sustain good working relationships with other professionals
      • Communicate effectively with other professionals
    • §8.3: Function as a team member
      • Be part of a functioning team
      • React to team members / colleagues’ misbehaviour appropriately
    • To view the actual competencies within this domain, click here.
  9. Domain 9: Use of Supervision, (Peer) Intervision and Critical Evaluation
    • 9.1: Undertake Routine Evaluation of Practice
      • Arrange appropriate supervision
      • Engage in supervision
      • Adapting the supervision
      • Engage in practice audit
    • To view the actual competencies within this domain, click here.
  10. Domain 10: Ethics & Cultural Sensitivities [6]
    • §10.1: Work within an ethical framework
      • Knowledge of professional and ethical guidelines and codes of practice
      • Applying professional and ethical guidelines
      • Working with ethical difficulties
    • §10.2: Work with social & cultural differences
      • Awareness of cultural and social differences
      • Apply knowledge of cultural and social differences
      • Work with social and cultural difficulties
    • §10.3: Social, cultural and political context of psychotherapy
      • Awareness of the social, cultural and political context of psychotherapy
      • Awareness of current trends in psychotherapy
    • To view the actual competencies within this domain, click here.

  11. Domain 11: Management & Administration
    • §11.1:Handle a professional practice
      • Manage a full working case load
      • Undertake regular self-management
      • Maintain appropriate support systems
    • §11.2: Manage a self-employed or small business
      • Maintain good business practice, administration and accounting systems
      • Apply approriate regulations
      • Ensure appropriate advertising
    • §11.3: Manage and administer employees in a small business
      • Awareness of employment law and regulations
      • Manage & administer employees properly
    • To view the actual competencies within this domain, click here.

  12. Domain 12: Research
    • §12.1: Be aware of psychotherapy research
      • Awareness of psychotherapy research
      • Make use of psychotherapy research
    • §12.2: Engage in appropriate research
      • Take part in appropriate research
      • Plan appropriate research
      • Conduct psychotherapy research
    • To view the actual competencies within this domain, click here.

  13. Domain 13: Prevention & Education
    • §13.1: Prevention and education with clients
      • Awareness of repetitive patterns in patient/clients' history
      • Education of patients/clients to avoid relapse
      • Help to promote change in patient/client and their family & social environment
    • §13.2: Prevention and education with others
      • Awareness of aetiology of mental health problems
      • Promote psycho-social education
      • Actively engage in projects designed to reduce or prevent mental health problems
    • To view the actual competencies within this domain, click here.

Working Group on Professional Competencies: committee@psychotherapy-competency.eu