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Related Experiment Videos

Psychiatry residency programs: trends in psychotherapy supervision.

P Rodenhauser1

  • 1Department of Psychiatry and Neurology, Tulane University School of Medicine, New Orleans, LA 70112-2699.

American Journal of Psychotherapy
|April 1, 1992
PubMed
Summary

Psychiatry residency training shows a shift towards psychobiologic influences, though psychodynamic approaches remain a secondary focus. Training includes diverse psychotherapy modalities, with brief psychodynamic therapy being most common.

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Area of Science:

  • Psychiatry
  • Medical Education
  • Psychotherapy Training

Background:

  • Psychiatric education faces challenges due to the increasing influence of psychobiologic theories over psychodynamic ones.
  • Psychodynamic psychiatry and psychotherapy training are evolving within residency programs.

Purpose of the Study:

  • To describe current teaching activities in psychodynamic psychiatry, particularly psychotherapy, within psychiatric residency training.
  • To assess the balance between psychobiologic and psychodynamic orientations in departmental focus.

Main Methods:

  • Analysis of selected data from the 1989 American Association of Directors of Psychiatric Residency Training annual survey.
  • Responses from 107 out of 215 surveyed residency programs (50% return rate).

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Main Results:

  • Psychobiologic orientations (48%) have surpassed psychodynamic orientations (40%) as primary departmental focus.
  • Psychodynamic orientation persists as a significant secondary emphasis in training.
  • Residents receive broad psychotherapy experience, with brief psychodynamic psychotherapy being predominant.
  • Limited use of video/audiotaping in supervision; faculty-led instruction focuses on case reviews.
  • Identified supervision challenges include faculty factors and program structure.

Conclusions:

  • Psychiatric residency training reflects a changing theoretical landscape, with psychobiologic approaches gaining prominence.
  • Despite the shift, psychodynamic psychotherapy training remains integral, though facing challenges in faculty support and methodology.
  • Future training may need to address faculty development and innovative supervision techniques to support diverse theoretical orientations.