Alfonso César A, Olarte Silvia W
AAPDP.
J Am Acad Psychoanal Dyn Psychiatry. 2011 Spring;39(1):7-26. doi: 10.1521/jaap.2011.39.1.7.
The authors examine the practice characteristics of dynamic psychiatrists, including the combined use of medication and psychotherapy, and adherence by self-report to psychodynamic, supportive, and cognitive behavioral therapy theoretical principles and techniques.
Survey of 555 members of the American Academy of Psychoanalysis and Dynamic Psychiatry conducted in 2009.
24.1% response rate; 75% of respondents were between 61 and 80 years old, 61% had over 30 years of experience; 89% have a private practice but work on an average of 1.6 settings; 39% teach. Most respondents treat patients with complex comorbidities; 92.6% prescribe psychotropic medication. The preferred mode of practice is individual psychotherapy and the preferred frequency once a week; 94.5% of sessions are 45-60 minutes. Using Plakun's Y-model framework, psychoanalysts and dynamic psychiatrist subgroups equally support all core psychotherapy and psychodynamic features, with lesser emphasis but substantial endorsement of cognitive-behavioral psychotherapy features.
Dynamic psychiatrists are committed to see most patients once a week for 45-60 minute sessions and use a variety of conceptual frameworks to guide their treatment plans. They endorse supportive and psychodynamic practice elements more than cognitive-behavioral principles.
作者研究了动力取向精神科医生的执业特点，包括药物治疗与心理治疗的联合使用，以及通过自我报告对精神动力、支持性和认知行为治疗理论原则及技术的遵循情况。
2009年对美国精神分析与动力取向精神病学学会的555名成员进行调查。
回复率为24.1%；75%的受访者年龄在61至80岁之间，61%有超过30年的经验；89%有私人执业，但平均在1.6个场所工作；39%从事教学工作。大多数受访者治疗患有复杂合并症的患者；92.6%开具精神药物。首选的执业方式是个体心理治疗，首选频率为每周一次；94.5%的疗程为45至60分钟。使用普拉昆的Y模型框架，精神分析师和动力取向精神科医生亚组同样支持所有核心心理治疗和精神动力特征，对认知行为治疗特征的强调较少但有大量认可。
动力取向精神科医生致力于每周为大多数患者提供一次45至60分钟的治疗，并使用各种概念框架来指导他们的治疗计划。他们更认可支持性和精神动力性的执业要素，而非认知行为原则。
