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Psychiatric Bulletin (2006) 30: 234. doi: 10.1192/pb.30.6.234-a
© 2006 The Royal College of Psychiatrists
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Psychiatric Bulletin (2006) 30: 234
© 2006 The Royal College of Psychiatrists

Correspondence

Brief psychotherapy by trainees under the new shift system

Olubukola Kolawole, Senior House Officer in Psychiatry

St Michael’s Hospital, Warwick CV34 5QW, e-mail: folayem{at}yahoo.com

Salman Mushtag, Senior House Officer in Psychiatry and Satyadev Nagari, Senior House Officer in Psychiatry

St Michael’s Hospital, Warwick

Mace et al (Psychiatric Bulletin, January 2006, 30, 7-10) showed that significant improvements can be achieved by inexperienced psychiatric trainees providing brief psychotherapy under supervision.

Over the past 18 months we have each held full-time psychotherapy posts at St Michael’s Hospital, Warwick and have provided brief (6-month) courses of psychotherapy to patients under supervision. This coincided with the introduction of the shift system at St Michael’s Hospital and we each had 2.5 weeks of night duties on a 1 in 11 shift rota system during each 6-month placement. In addition to 12.5 days of annual leave this represented a significant interruption to the continuity of psychotherapy.

Continuity of treatment is at the core of psychotherapy (McGauley & Humphrey, 2003). Hence the new shift system may have a negative impact on brief psychotherapy treatment by trainees in the UK. It is important that future studies investigate this further.

References

McGAULEY, G. & HUMPHREY, M. (2003) Contribution of forensic psychotherapy to the care of forensic patients. Advances in PsychiatricTreatment, 9, 117 -124.





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