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Related Experiment Video

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Evaluating Tests of Cognition using a Computerized Touch-Sensitive Tablet, Eye Tracking, and Functional Magnetic Resonance Imaging
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Medical countertransference and the trainee: identifying a training gap.

Xavier Jiménez1, Gregory Thorkelson

  • 1JIMÉNEZ and THORKELSON: Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA. jimenezxf@upmc.edu

Journal of Psychiatric Practice
|March 16, 2012
PubMed
Summary

Psychiatry trainees frequently need to address countertransference but receive minimal training. This highlights a significant gap in consultation-liaison (CL) psychiatry education, necessitating formal guidelines for effective patient care.

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Area of Science:

  • Consultation-Liaison Psychiatry
  • Psychiatric Training
  • Countertransference Management

Background:

  • Consultation-liaison (CL) psychiatrists are expected to manage interpersonal dynamics.
  • Existing training principles for countertransference in CL psychiatry are limited.
  • This suggests a potential deficit in formal training for CL residents.

Purpose of the Study:

  • To assess psychiatry trainees' practices and opinions on countertransference management.
  • To identify discrepancies between perceived utility and actual training in countertransference.
  • To evaluate the need for enhanced didactics in CL psychiatry residency.

Main Methods:

  • An internet-based, 20-item Likert scale questionnaire was distributed.
  • Participants included psychiatry residents from ACGME-accredited programs.
  • Survey focused on countertransference management and training experiences during CL rotations.

Main Results:

  • 80% of respondents frequently encountered the need to address countertransference with medical teams.
  • Less than 25% regularly addressed these issues, citing clinical benefit but also fear of relationship damage.
  • 95% found didactic training beneficial, yet 60% reported minimal or no relevant training.

Conclusions:

  • A significant gap exists between CL psychiatry trainees' perceived need for countertransference management and their formal training.
  • Discrepancies highlight the need for structured training and formal guidelines.
  • Addressing these aptitudes is crucial for effective CL psychiatry practice and patient care.