Harbin H T
Am J Psychiatry. 1980 Dec;137(12):1595-8. doi: 10.1176/ajp.137.12.1595.
The author describes a comprehensive four-year educational program for training psychiatric residents in marital and family therapy. Residents receive an average of 70 hours of didactic instruction and 175 hours of one-on-one supervision in family therapy; they conduct approximately 500 hours of family and marital therapy with 75--85 outpatient and inpatient families. The author identifies faculty and resident resistance to an additional theoretical model and the major involvement of nonphysician faculty but stresses that residents now have the opportunity to truly understand and implement a biopsychosocial model and that psychiatrists must increase their experience in specialized therapeutic modalities to remain clinical leaders.
作者描述了一个为期四年的综合教育项目，用于培训精神科住院医师进行婚姻和家庭治疗。住院医师平均接受70小时的理论教学和175小时的家庭治疗一对一督导；他们为75至85个门诊和住院家庭进行约500小时的家庭和婚姻治疗。作者指出了教员和住院医师对另一种理论模型的抵触以及非医师教员的主要参与，但强调住院医师现在有机会真正理解并实施生物心理社会模型，并且精神科医生必须增加他们在专业治疗模式方面的经验以保持临床领先地位。
