Haliburn Joan, Stevenson Janine, Gerull Friederike
Westmead Hospital, Parramatta, NSW, Australia.
Australas Psychiatry. 2009 Feb;17(1):25-8. doi: 10.1080/10398560802357246.
The aim of this paper is to describe the development, delivery and experience of a university psychotherapy training program for psychiatry trainees in a public psychiatric hospital, demonstrating that patients with severe borderline personality disorder can be treated successfully with psychodynamic psychotherapy and stressing the need for structured psychodynamic psychotherapy training in psychiatry.
Two of the authors (JH and JS) were part of the first group of eight trainees supervised by Professor Russell Meares and several other experienced psychiatrists.
Ninety trainees have successfully completed the course. Two hundred and forty patients have been treated by trainees in this program to date; 49 patients have dropped out.
The training program provided a sound psychodynamic base and an improved capacity to relate with our patients, not only in the program but also in our routine work as psychiatrists. An important public health issue and community need was addressed, which also proved to make sound economic sense as the number of patients who were treated might not have otherwise received long-term psychotherapy. An integrated process model of psychoanalytic psychotherapy--the conversational model--has evolved and continues to be offered as a 3-year part-time clinically oriented course leading to a Masters in Medicine, Psychotherapy at the University of Sydney. Several outcome studies and papers have been published and workshops have been presented both in Australia and overseas. The patients improved considerably--their self harming behaviour stopped within 6 months and they were no longer clinically depressed at the end of 1 year.
本文旨在描述一所公立精神病医院为精神科住院医师开展的大学心理治疗培训项目的发展、实施情况及经验，证明重度边缘型人格障碍患者可通过心理动力疗法成功治愈，并强调精神科结构化心理动力疗法培训的必要性。
两位作者（JH和JS）是由拉塞尔·米尔斯教授及其他几位经验丰富的精神科医生督导的首批八名学员中的成员。
90名学员已成功完成该课程。截至目前，该项目中的学员已治疗了240名患者；49名患者退出。
该培训项目提供了坚实的心理动力基础，并提升了我们与患者建立联系的能力，不仅在项目中如此，在我们作为精神科医生的日常工作中也是如此。解决了一个重要的公共卫生问题和社区需求，而且事实证明这在经济上也很合理，因为否则许多接受治疗的患者可能无法获得长期心理治疗。一种综合的精神分析心理治疗过程模型——对话模型——已经形成，并继续作为悉尼大学为期三年的非全日制临床导向课程提供，该课程可获得医学硕士（心理治疗方向）学位。已经发表了多项结果研究和论文，并在澳大利亚和海外举办了研讨会。患者有了显著改善——他们的自伤行为在6个月内停止，到1年末不再有临床抑郁症状。
