Yale University School of Medicine, 333 Cedar St, New Haven, CT, 06510, USA.
Acad Psychiatry. 1990 Sep;14(3):129-36. doi: 10.1007/BF03341284.
The author, while in psychiatric residency training (PGY-3), presented an individual psychotherapy patient to two clinical supervisors, who acted formally as consultants, over a six-month course of treatment. There were fundamental differences of opinion between the supervisors concerning the psychotherapy. In addition, during a case conference, another senior psychiatrist acting as discussant offered a third and generally divergent view of the patient's psychopathology and treatment. The results emphasize the extent to which residents may receive inconsistent and contradictory advice from their clinical supervisors and raise important questions concerning the proper role and practice of psychotherapy supervision in residency training.
作者在精神科住院医师培训（PGY-3）期间，在六个月的治疗过程中向两位临床督导提交了一位个体心理治疗患者，他们正式担任顾问。督导对心理治疗存在根本的意见分歧。此外，在一次病例会议上，另一位资深精神科医生作为讨论者提供了患者精神病理学和治疗的第三种观点，通常是不同的。结果强调了住院医师可能从他们的临床督导那里获得不一致和矛盾的建议的程度，并提出了关于住院医师培训中心理治疗督导的适当角色和实践的重要问题。
