Long term psychotherapy training in residency: influences on therapy and training

The authors discuss the changing role of psychotherapy training and the impact of rotations on long term psychotherapy in psychiatric residency. A conceptual model for a long term psychotherapy program for residents is presented, and a case example illustrates the influence of changes in setting, supervisors and in the resident-therapist's way of thinking have on the process of psychotherapy. The educational value of long term patient contact and the opportunity to use apparent obstacles in residency training as catalysts for growth and the opportunity to learn about psychotherapy are emphasized.