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Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
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Supervisión de la psicoterapia "no segura"

John C Markowitz1,2, Randon Welton3, Clio Franklin4

  • 1Division of Clinical Therapeutics, New York State Psychiatric Institute, New York.

American journal of psychotherapy
|September 4, 2025
PubMed
Resumen
Este resumen es generado por máquina.

Los residentes psiquiátricos pueden terminar la supervisión de la psicoterapia si lo perciben como psicológicamente inseguro, afectando el aprendizaje y la atención al paciente. Abordar las rupturas en la alianza de supervisión es crucial para la formación.

Palabras clave:
EducaciónGuardia de puertasSupervisión de la psicoterapiaResidencia en el paísAlianza de supervisión

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Área de la Ciencia:

  • La psiquiatría
  • Medicina psicológica
  • Educación médica

Sus antecedentes:

  • La supervisión de la psicoterapia es vital para el desarrollo del aprendiz psiquiátrico, la transferencia de conocimientos y la seguridad del paciente.
  • La supervisión suele ser una experiencia gratificante tanto para los supervisores como para los supervisados.
  • Las interrupciones de la alianza de supervisión pueden provocar sentimientos de inseguridad y obstaculizar el progreso del aprendiz.

Objetivo del estudio:

  • Examinar los casos en que los residentes psiquiátricos percibieron la supervisión de la psicoterapia como psicológicamente insegura.
  • Discutir la importancia de la seguridad psicológica y la alianza de supervisión en la formación de psicoterapia.
  • Para explorar estrategias para reparar las rupturas de la alianza y el papel de guardianes del supervisor.

Principales métodos:

  • Análisis de dos incidentes paralelos en los que los residentes pusieron fin a la supervisión.
  • Revisión de las exigencias inherentes a la psicoterapia y la supervisión.
  • Discusión de rupturas de alianzas y estrategias de reparación.

Principales resultados:

  • Dos residentes psiquiátricos terminaron abruptamente la supervisión, citando la inseguridad psicológica.
  • Las alianzas de supervisión interrumpidas pueden impedir el aprendizaje y afectar negativamente los resultados de los pacientes.
  • La capacidad de tolerar un afecto fuerte es esencial en la psicoterapia y la supervisión.

Conclusiones:

  • La seguridad psicológica es un requisito previo para una supervisión psicoterapéutica eficaz.
  • La identificación y reparación de las rupturas en la alianza de supervisión es fundamental para el desarrollo de los aprendices.
  • Los posibles cambios seculares pueden estar influyendo en la educación y la dinámica de supervisión de la residencia psiquiátrica.