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T-groups (training groups) in psychiatric residency programs: facts and possible implications

J S Gans1, J S Rutan, N Wilcox

  • 1Harvard Medical School, USA.

International Journal of Group Psychotherapy
|April 1, 1995
PubMed
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Psychiatric residency programs value T-groups, but negative attitudes and curriculum shifts impact their inclusion. The study recommends advocating for T-groups in psychiatric training.

Area of Science:

  • Psychiatry
  • Medical Education
  • Group Therapy

Background:

  • T-groups (Training Groups) were studied in US psychiatric residency programs in 1992.
  • Psychodynamic psychotherapy teaching has seen a recent deemphasis, potentially affecting T-groups.
  • Group therapy is predicted to become a primary treatment modality due to economic constraints.

Purpose of the Study:

  • To assess the status and perceived value of T-groups in psychiatric residency programs.
  • To identify reasons for the non-inclusion of T-groups in some programs.
  • To explore the challenges and benefits of T-groups in psychiatric training.

Main Methods:

  • A 32-item questionnaire was distributed to 297 psychiatric residency training directors.
  • A 34% response rate was achieved.

Related Experiment Videos

  • Results were analyzed to understand program offerings, attitudes, and challenges related to T-groups.

    • Main Results:

    • Programs offering T-groups demonstrate their value through dedicated time, leader quality, and alignment with program objectives.
    • 45% of non-offering programs cited negative attitudes towards T-groups as a reason for exclusion.
    • T-groups present unique educational and therapeutic features, creating contract tensions regarding confidentiality and attendance.

    Conclusions:

    • T-groups are valued where offered, but face challenges from negative perceptions and curriculum changes.
    • The inherent dual nature of T-groups (educational/therapeutic) requires careful management of their contracts.
    • Advocating for T-groups and their integration into psychiatric curricula is recommended for future training.