Kanter Bax Orestis, Nerantzis Georgios, Lee Tennyson
Deancross Personality Disorder Service, London, UK.
Centre for the Understanding of Personality Disorder, London, UK.
BJPsych Bull. 2022 Feb;46(1):57-63. doi: 10.1192/bjb.2020.129.
AIMS & METHOD: Learning psychotherapy can be difficult and stressful. We explore core trainees' (n = 5) views on undertaking a psychodynamic psychotherapy training case using transference-focused psychotherapy (TFP), in an East London NHS Foundation Trust supervision group. We used framework analysis of focus group interviews to examine trainees' concerns, their views about this experience and its impact on general psychiatric practice.
Trainees described various concerns on starting: providing an effective intervention, insufficient experience and training-related pressures. However, they found that TFP addressed some of them and was helpful for learning psychodynamic psychotherapy. Difficulties around the countertransference remained at end-point. Trainees suggested that introductory teaching and learning through observation might be worthwhile.
Trainees' experience suggests that an evidence-based operationalised approach such as TFP can be integrated into the core psychiatry curriculum as a psychodynamic psychotherapy learning method. Trainees report benefits extending to other areas of their practice.
学习心理治疗可能会困难且有压力。我们探讨了在东伦敦国民保健服务基金会信托监督小组中，核心学员（n = 5）对采用聚焦移情心理治疗（TFP）进行精神动力心理治疗培训案例的看法。我们运用焦点小组访谈的框架分析来审视学员的担忧、他们对这段经历的看法及其对一般精神科实践的影响。
学员们描述了开始时的各种担忧：提供有效的干预措施、经验不足以及与培训相关的压力。然而，他们发现TFP解决了其中一些问题，并且有助于学习精神动力心理治疗。在治疗结束时，反移情方面的困难依然存在。学员们建议通过观察进行入门教学可能是值得的。
学员的经验表明，像TFP这样基于证据的可操作方法可以作为一种精神动力心理治疗学习方法纳入核心精神病学课程。学员报告称其益处延伸到了他们实践的其他领域。
