jpremill
1feea40684
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2.7 KiB
2.7 KiB
name, description
| name | description |
|---|---|
| cbt-clinical-evaluation | Provides clinical supervision protocols, real-time distortion detection rules, psychometric scoring rubrics, and post-session diagnostic report formatting. |
CBT Clinical Evaluation & Supervision Skill
Use this skill when refining the clinical analysis supervisor model prompts, tuning distortion detection thresholds, or formatting final session case reports.
1. Real-Time Turn-by-Turn Supervision Protocol
During a roleplay session, every completed user turn is evaluated out-of-band by an asynchronous clinical supervisor prompt.
1.1 Clinical Schema
export interface AnalysisResult {
analysis: {
distortions: string[]; // Detected distortions (e.g. "Mind Reading", "Catastrophizing")
isAdaptive: boolean; // True if the response demonstrates cognitive restructuring
evidence: string; // Direct quote or behavioral evidence from user's response
};
rating: {
score: number; // 1-10 clinical effectiveness score
reason: string; // Clinical justification for the score
};
suggestions: {
alternativeThought: string; // Rational reframe of the user's statement
behavioralStep: string; // Actionable communication or behavioral adjustment
};
}
2. Clinical Evaluation Rubric (1-10 Scoring Scale)
| Score Range | Clinical Category | Behavioral & Cognitive Characteristics |
|---|---|---|
| 1 - 3 | Maladaptive / Reactive | User falls into cognitive distortions without awareness; demonstrates passive-aggressive, defensive, or submissive behavior; abdicates personal boundaries. |
| 4 - 6 | Emerging Awareness / Partial Restructuring | User attempts to challenge distortions or state boundaries, but tone remains emotionally reactive, apologetic, or hesitant. |
| 7 - 8 | Adaptive / Effective Restructuring | Clear cognitive restructuring; assertive, non-blaming boundary setting; validates other person's emotions while holding firm limits. |
| 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. |
3. Post-Session Comprehensive Case Report
At the end of a session, a final summary prompt generates a macro assessment:
- Primary Cognitive Distortions Identified: Frequency and contexts of observed distortions.
- Techniques Successfully Applied: Count and effectiveness of behavioral tools used.
- Core Cognitive Shifts: Evolution of the user's responses across the dialogue arc.
- Targeted Clinical Homework: 1-2 practical real-world exercises to reinforce learning.