Do psychiatry residents identify as psychotherapists? A multisite survey
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.
- "Many participants in this study also perceive psychotherapy skills as being important for competent psychiatry practice. This is similar to US based research on psychiatry attitudes towards psychotherapy . The majority of respondents reported planning to incorporate their psychotherapy training into their future practice and plan to provide formal psychotherapy after residency. "
[Show abstract] [Hide abstract] 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.
- "Concerns have been expressed about the state of psychodynamic psychotherapy training in residency programs (Drell 2007; Mellman 2006 ), but it appears that residents are still interested in practicing psychotherapy . A recent study of over two hundred residents from fifteen U.S. residency programs showed that 82% viewed becoming a psychotherapist as integral to their psychiatric identity, and that 54% planned to provide formal psychotherapy to patients after graduation (Lanouette et al. 2011). Another study, of seventy-five residents from five programs, showed that the majority of residents value psychoanalytic concepts and plan to incorporate psychodynamic psychotherapy into their careers but have little faith in the level of their skills or the adequacy of their training (Katz and Kaplan 2010). "