jpremill
1feea40684
- Re-architect VoiceSession into full-bleed studio cockpit with overlay slide-over companion drawer - Eliminate width squishing defect on LiveInsightPanel and add native dark/light theme support - Integrate authentic Google Gemini 3.8 Flash TTS with Fenrir persona and fallback audio pipeline - Implement comprehensive Playwright E2E visual regression suite across Desktop, iPad, and iPhone (21 tests, 45 snapshots) - Migrate core application to Svelte 5 runes (, , ) with reactive stores - Maintain .NET 8 Azure Functions serverless endpoints and clean build hygiene
57 lines
2.7 KiB
Markdown
57 lines
2.7 KiB
Markdown
---
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name: cbt-clinical-evaluation
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description: >-
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Provides clinical supervision protocols, real-time distortion detection rules,
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psychometric scoring rubrics, and post-session diagnostic report formatting.
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---
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# CBT Clinical Evaluation & Supervision Skill
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Use this skill when refining the clinical analysis supervisor model prompts, tuning distortion detection thresholds, or formatting final session case reports.
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---
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## 1. Real-Time Turn-by-Turn Supervision Protocol
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During a roleplay session, every completed user turn is evaluated out-of-band by an asynchronous clinical supervisor prompt.
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### 1.1 Clinical Schema
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```typescript
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export interface AnalysisResult {
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analysis: {
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distortions: string[]; // Detected distortions (e.g. "Mind Reading", "Catastrophizing")
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isAdaptive: boolean; // True if the response demonstrates cognitive restructuring
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evidence: string; // Direct quote or behavioral evidence from user's response
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};
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rating: {
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score: number; // 1-10 clinical effectiveness score
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reason: string; // Clinical justification for the score
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};
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suggestions: {
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alternativeThought: string; // Rational reframe of the user's statement
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behavioralStep: string; // Actionable communication or behavioral adjustment
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};
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}
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```
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---
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## 2. Clinical Evaluation Rubric (1-10 Scoring Scale)
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| Score Range | Clinical Category | Behavioral & Cognitive Characteristics |
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|:---|:---|:---|
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| **1 - 3** | **Maladaptive / Reactive** | User falls into cognitive distortions without awareness; demonstrates passive-aggressive, defensive, or submissive behavior; abdicates personal boundaries. |
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| **4 - 6** | **Emerging Awareness / Partial Restructuring** | User attempts to challenge distortions or state boundaries, but tone remains emotionally reactive, apologetic, or hesitant. |
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| **7 - 8** | **Adaptive / Effective Restructuring** | Clear cognitive restructuring; assertive, non-blaming boundary setting; validates other person's emotions while holding firm limits. |
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| **9 - 10** | **Mastery / Radical Flexibility** | Demonstrates emotional regulation under high friction; employs sophisticated techniques (e.g., DEAR MAN, Gray Rock, Radical Acceptance); de-escalates without concession. |
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---
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## 3. Post-Session Comprehensive Case Report
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At the end of a session, a final summary prompt generates a macro assessment:
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1. **Primary Cognitive Distortions Identified**: Frequency and contexts of observed distortions.
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2. **Techniques Successfully Applied**: Count and effectiveness of behavioral tools used.
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3. **Core Cognitive Shifts**: Evolution of the user's responses across the dialogue arc.
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4. **Targeted Clinical Homework**: 1-2 practical real-world exercises to reinforce learning.
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