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[认识你自己;为实习精神科医生提供的个人心理治疗]

[Know thyself; personal psychotherapy for the psychiatrist in training].

作者信息

Draijer N

出版信息

Tijdschr Psychiatr. 2019;61(3):164-169.

Abstract

For the Dutch psychiatrist in training 50 sessions of personal psychotherapy are required. The Netherlands are unique in this measure. Currently there is no discussion about this requirement.
AIM: To describe different aspects and arguments of supporters and opponents of the requirement of a personal psychotherapy.
METHOD: Review of the research literature and personal observations.
RESULTS: In the past there has been discussion regarding this requirement. Arguments to support the requirement of a personal psychotherapy as a good base to learn psychotherapy are: 1. the resident experiences what it means to be dependent in a clinical relationship; 2. the resident learns the essential competencies (empathy, reflective functioning, etc.); 3. personal therapy contributes to the deepening of feeling; and 4. personal therapy is a measure against stress and burn-out. Opponents of the requirement of a personal psychotherapy point at the lack of evidence demonstrating its effectiveness on the treatment results of the resident.
CONCLUSION: Personal psychotherapy is often viewed as an 'island' within the training programme, a private spot where everything can be discussed, but which also forms a logical conclusion between supervision and mentoring.

摘要

对于荷兰接受培训的精神科医生而言,需要进行50次个人心理治疗。荷兰在这一举措上独具特色。目前对于这一要求没有相关讨论。

目的

描述支持和反对个人心理治疗要求的不同方面及论据。

方法

查阅研究文献并结合个人观察。

结果

过去曾有过关于这一要求的讨论。支持将个人心理治疗要求作为学习心理治疗良好基础的论据有:1.住院医生体验在临床关系中依赖他人意味着什么;2.住院医生学习基本能力(同理心、反思功能等);3.个人治疗有助于深化情感;4.个人治疗是应对压力和职业倦怠的一种措施。反对个人心理治疗要求的人指出,缺乏证据表明其对住院医生的治疗效果有成效。

结论

个人心理治疗在培训项目中常被视为一个“孤岛”,一个可以讨论一切的私密场所,但它也是督导和指导之间的合理环节。

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