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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Medical Education

Background:

  • Mental health professionals face treatment challenges with patients exhibiting complex difficulties.
  • Clinicians may experience negative emotions like frustration and 'feeling stuck' when patient progress is perceived as lacking.
  • Understanding the phenomenon of 'feeling stuck' is crucial for improving clinician well-being and patient care.

Purpose of the Study:

  • To explore the phenomenon of 'feeling stuck' among Non-Consultant Career Doctors (NCDDs) in psychiatry.
  • To identify the causes, experiences, and responses associated with feeling stuck in psychiatric practice.
  • To inform the development of targeted training for psychiatrists to manage challenging clinical interactions.

Main Methods:

  • A 15-item anonymous questionnaire was administered to 30 NCDDs across three psychiatric hospitals.
  • The survey data were analyzed using thematic analysis with open coding by two researchers.
  • Themes were finalized through collective discourse to ensure reliability and validity.

Main Results:

  • Three central themes emerged: 'causes of feeling stuck,' 'the experience of feeling stuck,' and 'responses to feeling stuck.'
  • Patient and system factors were more readily identified as causes than doctor-related factors, such as countertransference.
  • Participants focused more on seeking solutions than on understanding the underlying dynamics of feeling stuck.

Conclusions:

  • NCDDs in psychiatry can recognize clinical situations where they feel 'stuck.'
  • Despite existing supervision and reflective practices, there is a desire for additional training in managing these difficult interactions.
  • Further training focused on 'stuck' interactions can enhance NCDDs' understanding of themselves and their patients, improving clinical management.