Psychiatric Bulletin (2006) 30: 7-10. doi: 10.1192/pb.30.1.7
© 2006 The Royal College of Psychiatrists
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit an eLetter
Right arrow View responses
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Mace, C.
Right arrow Articles by Embleton, J.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Mace, C.
Right arrow Articles by Embleton, J.
Psychiatric Bulletin (2006) 30: 7-10
© 2006 The Royal College of Psychiatrists

Beginning therapy: clinical outcomes in brief treatments by psychiatric trainees

Chris Mace, Consultant Psychotherapist

St Michael’s Hospital, Warwick CV34 5QW and University of Warwick, e-mail: C.Mace{at}warwick.ac.uk

Sally Beeken, Consultant Child and Adolescent Psychiatrist

Brompton House, Northallerton

Joan Embleton, Adult Psychotherapist

St Michael’s Hospital, Warwick

Declaration of interest

None.

AIMS AND METHOD

Psychotherapy provided by inexperienced psychiatric trainees was assessed through comparison of post-treatment outcomes with a brief psychodynamic therapy and a brief integrative psychotherapy. A retrospective case-control design was applied to all patients seen by nine senior house officers (SHOs) during 6-month placements who provided follow-up data. Matching linked each patient offered simple cognitive-analytic therapy to one who had received brief psychodynamic therapy from the same SHO. Post-treatment changes were analysed by treatment received and differences between trainees were explored.

RESULTS

Seventeen cases in each group met entry criteria. Patients receiving the integrative treatment had more severe pathology and outcomes were more variable when this model was used. Eight of the nine SHO therapists performed better with the psychodynamic intervention.

CLINICAL IMPLICATIONS

Significant clinical improvements can be achieved by inexperienced psychiatric trainees providing brief psychotherapy under supervision. Patient selection is undoubtedly important. Fundamental psychotherapy competencies need to be mastered before structured hybrid models are attempted.




This article has been cited by other articles:


Home page
 Psychiatr. Bull.Home page
S. Agarwal, Y. Singh, V. Palanisamy, R. Basker, and R. Van der Speck
Psychotherapy requirements as recommended by the College: awareness and achievement by senior house officers
Psychiatr. Bull., October 1, 2007; 31(10): 394 - 396.
[Abstract] [Full Text] [PDF]

Home page
 Adv. Psychiatr. Treat.Home page
S. Mitchison
Next year in Jerusalem: psychotherapy training for tomorrow's consultants
Advan. Psychiatr. Treat., July 1, 2007; 13(4): 276 - 283.
[Abstract] [Full Text] [PDF]

eLetters:

Read all eLetters

Provision of brief psychotherapy by psychiatric trainees under the new shift system.
Olubukola Kolawole, et al.
PB Online, 24 Feb 2006 [Full text]