Norcross J
Dpt of Psychology, University of Scranton, Pennsyivania, USA.
Acta Psychiatr Belg. 1996 May-Aug;96(3-4):218-37.
Psychotherapy training is experiencing conflicting messages: escalating criticism of conventional training at a time of unprecedented success in training competent practitioners. This paradox sets the context for this overview of psychotherapy training. In the first part of the paper, I summarize eight lessons learned in the past two decades on improving training: demonstrate and illustrate psychotherapy; furnish ample and diverse experiences; coordinate the training process; impart technical and interpersonal skills; establish competence; account for individual differences; cultivate respect for empirical research; and evaluate training outcomes. These serve as both sobering lessons from past deficiencies and as continuing challenges for the future of psychotherapy training. In the second part of the paper, I briefly advance several models for training in psychotherapy integration, the mental health zeitgeist of the 1990's and beyond. The net result is not necessarily self-identified eclectic or integrative practitioners, but knowledgeable graduates who will approach patients with an open mind, an insatiable curiosity, and a relentless commitment to confront the complexities of human behavior.
在培养合格从业者取得空前成功的同时,对传统培训的批评却在不断升级。这一矛盾为本次心理治疗培训概述设定了背景。在本文的第一部分,我总结了过去二十年中在改进培训方面学到的八点经验:展示和阐释心理治疗;提供丰富多样的体验;协调培训过程;传授技术和人际交往技能;确立能力标准;考虑个体差异;培养对实证研究的尊重;以及评估培训效果。这些既是对过去不足的深刻教训,也是心理治疗培训未来持续面临的挑战。在本文的第二部分,我简要提出了几种心理治疗整合培训的模式,这是20世纪90年代及以后心理健康领域的时代精神。最终结果不一定是自我认定的折衷主义或整合主义从业者,而是知识渊博的毕业生,他们将以开放的心态、永不满足的好奇心和不懈的决心去面对患者,应对人类行为的复杂性。