Do psychiatry residents identify as psychotherapists? A multisite survey.
ABSTRACT Psychiatric training was once synonymous with learning psychotherapy, but current psychiatric trainees face many options for integrating psychopharmacology and psychotherapy into their future practices, including providing primarily medication-focused visits. We examined psychiatry residents' attitudes towards learning psychotherapy, practicing psychotherapy in the future, and overall identification as psychotherapists.
We surveyed residents from 15 US residency programs during 2006-2007. The survey included 36 Likert-scaled items inquiring about residents' attitudes towards their psychotherapy training and supervision, their level of psychotherapy competence, the role of psychotherapy in their psychiatric identity, and their future practice plans. Four items asked about personal psychotherapy experience. Here we describe findings related to attitudes concerning being a psychotherapist and future practice plans.
Among 249 respondents, most (82%) viewed becoming a psychotherapist as integral to their psychiatric identity. Fifty-four percent planned to provide formal psychotherapy, whereas 62% anticipated psychopharmacology would be the foundation of treatment for most patients. Residents with personal psychotherapy experience and first-year postgraduate residents (PGY-1) were more likely to identify as psychotherapists, plan to pursue further psychotherapy training postresidency, and anticipate psychotherapy being central to their future practice.
Despite concerns about the diminishing role of psychotherapy in the practice of psychiatry and in psychiatrists' professional identity, most psychiatric residents view psychotherapy as integral to their professional identities and future practice plans.
- Academic medicine: journal of the Association of American Medical Colleges 11/2011; 86(11):1330; author reply 1331-2. DOI:10.1097/ACM.0b013e31822ffd51 · 3.47 Impact Factor
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ABSTRACT: To better focus efforts in recruiting psychoanalytic candidates, current candidates' demographics, practice patterns, and satisfaction with psychoanalytic training were investigated. An anonymous web-based survey was distributed by e-mail to all candidates subscribing to the affiliate member e-mail list in 2009-2010. Surveys were completed by 226 of 565 affiliate members, for a return rate of 40%. The majority of respondents were women 45 to 64 years of age, married, with a doctoral degree, in private practice, with an annual household income of over $100,000. Most candidates devoted 11 to 30 hours a week to training and had no analysts or candidates in their workplace. Almost half had considered training for more than four years before matriculation, with financial issues cited most frequently as delaying entry. Over 80% of respondents were satisfied with their training. The most frequently cited reasons for dissatisfaction were a negative institute atmosphere, concerns about teaching or the curriculum, and difficulty finding cases. Candidates in training for eight years or more accounted for almost 20% of the group and were more often dissatisfied with training. This study demonstrates that the majority of current candidates are satisfied with training but suggests that recruitment may become increasingly difficult unless factors related to time, cost, case finding, graduation requirements, and institute atmosphere can be addressed.Journal of the American Psychoanalytic Association 02/2012; 60(1):71-96. DOI:10.1177/0003065112437036 · 0.79 Impact Factor
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ABSTRACT: After the recent change in the French legislation (2010) regarding the regulation of the use of the title of “psychotherapist”, psychiatrists are allowed to use this title at the end of their residency. Two surveys were carried out, one among residents in psychiatry in 2010–2011, the other among academic teachers. This article summarizes the main results of these surveys, which have already been published, and will be put into perspective with the last international publications about psychotherapy training during psychiatric residency.Annales Médico-psychologiques revue psychiatrique 06/2013; 171(5):329–333. DOI:10.1016/j.amp.2013.04.001 · 0.15 Impact Factor