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一种针对精神病学住院医师的边缘型人格障碍学习模块的心理动力心理治疗开发流程。

A Process for Development of a Psychodynamic Psychotherapy for Borderline Personality Disorder Learning Module for Psychiatry Residents.

作者信息

Lukman Petrin Redayani, Wiguna Tjhin, Soemantri Diantha, Menaldi Sri Linuwih, Elvira Sylvia Detri, Sutanto Limas, Sapiie Tuti Wahmurti A, Kekalih Aria, Noviasari Reina Rahma, Rizki Hukma Shabiyya, Giyani Kharisma Zatalini

机构信息

Doctoral Program in Medical Sciences, Faculty of Medicine, Universitas Indonesia.

Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.

出版信息

Psychodyn Psychiatry. 2025 Mar;53(1):79-101. doi: 10.1521/pdps.2025.53.1.79.

Abstract

Psychodynamic psychotherapy is an effective treatment for borderline personality disorder (BPD), but few specific curricula for psychiatric residents currently exist. The authors developed an online learning module to teach psychodynamic psychotherapy for BPD to psychiatry residents, based on the following educational methods: the ADDIE (analysis, design, development, implementation, evaluation) design process, the Morrison, Ross, and Kemp instructional design model, and the 4C/ID (four-components instructional design) model. Indonesian residents, psychiatrists, and psychotherapy teaching staff participated in a needs analysis to identify the competencies, subject content, and learning methods that the module should address, through focus group discussions and Delphi survey methodology. The module then underwent content validation. The psychodynamic psychotherapy for BPD learning module was designed as a 12-session online training program. The module addresses three main subjects: phenomenology and pathogenesis of BPD, basic principles of psychodynamic psychotherapy, and the practice of psychodynamic psychotherapy with patients with BPD. It is taught through lectures, case discussions, video discussions, psychodynamic formulation learning assignments, and a review of residents' process notes of psychodynamic psychotherapy sessions. Implementation of this module could enhance residents' competency to treat BPD with psychodynamic psychotherapy and fill the current gaps in the field of psychotherapy education, especially in areas of the world with limited access to expert faculty.

摘要

心理动力心理治疗是治疗边缘型人格障碍(BPD)的一种有效方法,但目前针对精神科住院医师的具体课程很少。作者基于以下教育方法开发了一个在线学习模块,向精神科住院医师传授针对BPD的心理动力心理治疗:ADDIE(分析、设计、开发、实施、评估)设计过程、莫里森、罗斯和肯普教学设计模型以及4C/ID(四组件教学设计)模型。印度尼西亚的住院医师、精神科医生和心理治疗教学人员通过焦点小组讨论和德尔菲调查方法参与了一项需求分析,以确定该模块应涵盖的能力、主题内容和学习方法。该模块随后进行了内容验证。针对BPD的心理动力心理治疗学习模块被设计为一个为期12节的在线培训项目。该模块涉及三个主要主题:BPD的现象学和发病机制、心理动力心理治疗的基本原则以及对BPD患者进行心理动力心理治疗的实践。它通过讲座、病例讨论、视频讨论、心理动力制定学习作业以及对住院医师心理动力心理治疗 sessions 的过程记录进行回顾来进行教学。该模块的实施可以提高住院医师用心理动力心理治疗治疗BPD的能力,并填补当前心理治疗教育领域的空白,特别是在世界上获得专家师资机会有限的地区。

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