Evidence map›Paper›PMID 42634073›Full record

ArticleBMC psychology2026

Pathways to professional training: a multinational study of psychotherapy trainees.

Ulrike Willutzki, David E Orlinsky, Armin Hartmann, Michael Helge Rønnestad, Thomas Schröder, Jan Pirke, Erkki Heinonen

Abstract read
In one paragraph

Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ulrike WillutzkiDepartment of Psychology and Psychotherapy, Witten/Herdecke University, Witten, Germany. ulrike.willutzki@uni-wh.de.ORCID https://orcid.org/0000-0002-0149-4554
David E OrlinskyUniversity of Chicago, Chicago, USA.
Armin HartmannUniversity of Freiburg, Freiburg, Germany.
Michael Helge RønnestadUniversity of Oslo, Oslo, Norway.
Thomas SchröderUniversity of Nottingham, Nottingham, UK.
Jan PirkeDepartment of Psychology and Psychotherapy, Witten/Herdecke University, Witten, Germany.
Erkki HeinonenUniversity of Oslo, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhen aspiring psychotherapists start their training they enter it with particular educational and occupational backgrounds as well as childhood family experiences. Facets of these can be regarded as patterns of pathways to psychotherapy training potentially relevant for professional development. Based on a large-scale international trainee data base and comprising a wide range of variables we analysed whether different pathway patterns could be differentiated.

methodsPathway patterns were identified through cluster analysis using information from the Trainee Background Information Form of approximately 1300 trainees' data collected in 14 countries by the SPRISTAD Collaborative Research Network.

resultsFour pathway patterns could be differentiated defined by trainees' educational and occupational backgrounds: Novice Psych Students; Advanced Psych Trainees; Ancillary Clinical Professionals; and Unconventional Novice Candidates. Cluster analysis also led to differentiating three pathway patterns to psychotherapy training defined by trainees' childhood family experiences: Nurturing Families; Challenging Families; and Adversity-marked Families. Educational-occupational and childhood family pathways were generally unrelated, but each was associated with differential theoretical emphases of the training programs that trainees had selected. A comparison of pathway patterns across trainees in the five nations with most respondents showed many significant differences, especially with regard to educational-occupational pathways.

conclusionsEmpirically, psychotherapy trainees entering training are not a homogeneous group but differ substantially concerning their educational/professional and family background pathway patterns to psychotherapy. The impact of these differences on training and professional development should be further explored.

Indexed as

PsychotherapistsPsychotherapyFemaleHumansProfessional developmentPsychotherapistPsychotherapyPsychotherapy trainingSupervisionWounded healer

Identifiers

PMID42634073
PMCPMC13501768

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