Abstract
Objective
The authors evaluated psychiatry resident participation in and description of personal psychotherapy, reasons for being in psychotherapy, and barriers to personal psychotherapy.
Methods
All 14 program directors for programs accredited by the Accreditation Council for Graduate Medical Education in Pennsylvania, New Jersey, and Delaware provided e-mail addresses for current categorical residents. The authors e-mailed a voluntary, anonymous, 10-min survey to residents through www.SurveyMonkey.com. The survey inquired about time spent in various aspects of training, value assigned to aspects of training, residents’ involvement in their own psychotherapy, reasons for being in or not being in therapy, and overall resident wellness.
Results
Of the 328 residents e-mailed, 133 (40.5 %) replied to the survey, of which 34 (26.5 %) were in personal psychotherapy. Most residents described their psychotherapy as psychodynamic, once weekly, and located in a private practice not affiliated with the resident’s academic center. Approximately half (49 %) were in treatment with a social worker (MSW, LCSW) or psychologist (PhD or PsyD). “Self-awareness and understanding” was the most commonly reported primary and contributing reason for being in psychotherapy. Close to half of the respondents (44.5 %) listed personal stress, substance dependence, mood, anxiety, or other psychiatric symptoms as the primary reason for seeking personal psychotherapy. The most common reasons for not entering psychotherapy were time and finances. Residents who were in personal psychotherapy valued personal psychotherapy as more important to training than residents who were not in personal psychotherapy. Half of all respondents reported that their program recommends psychotherapy.
Conclusion
Far fewer residents responding to the survey reported being in psychotherapy than residents from some previous surveys. A continuing discussion of whether and how to accommodate personal psychotherapy in the training and education of psychiatry residents by psychiatry educators is warranted.
References
Daly KA. Attitudes of US psychiatry residencies about personal psychotherapy for psychiatry residents. Acad Psychiatry. 1998;22(4):223–8.
Haak JL, Kaye D. Personal psychotherapy during residency training: a survey of psychiatric residents. Acad Psychiatry. 2009;33(4):323–6.
Katz DA, Kaplan M. Can psychiatry residents be attracted to analytic training? A survey of five residency programs. J Am Psychoanal Assoc. 2010;48:927–52.
Habl S, Mintz DL, Bailey A. The role of personal therapy in psychiatric residency training: a survey of psychiatry training directors. Acad Psychiatry. 2010;34(1):21–6.
Holt R, Luborsky L. Personality patterns of psychiatrists, Vol. I. New York: Basic Books; 1958.
Holt R, Luborsky L. Personality patterns of psychiatrists, Vol. II. New York: Basic Books; 1958.
Fogel P, Sneed JR, Roose SP. 2006 survey of psychiatric treatment among psychiatric residents in Manhattan: evidence of stigma. J Clin Psychiatry. 2006;67(10):1591–8.
Weintraub D, Dixon L, Kohlhepp E, Woolery J. Residents in personal psychotherapy: a longitudinal and cross-sectional perspective. Acad Psychiatry. 1999;23(1):14–9.
Mezzich JE, Cohen NL, Ruiperez MA, Banzato CE, Zapata-Vega MI. The Multicultural Quality of Life Index: presentation and validation. J Eval Clin Pract. 2011;17(2):357–64.
Sudak DM, Goldberg DA. Trends in psychotherapy training: a national survey of psychiatry residency training. Acad Psychiatry. 2012;36:369–73.
Stovel LA, Felstrom A. A survey of psychotherapy training in Canadian psychiatry residency programs. Acad Psychiatry. 2013;37:431–40.
Lanoutte NM, Calabrese C, Sciolla A, et al. Do psychiatry residents identify as psychotherapists? A multisite survey. Ann Clin Psychiatry. 2011;23(1):30–9.
Katz DA, Tuttle JP, Housman BT. Psychiatry residents and dynamic psychiatry: two narratives, a survey, and some ideas to enhance recruitment. J Am Acad Psychoanal Dyn Psychiatry. 2011;39(1):133–49.
Zisook S, McQuaid JR, Sciolla A, Bitner R, Mustata G, Haak J, et al. Psychiatric residents’ interest in psychotherapy and training stage: a multi-site survey. Am J Psychother. 2011;65:47–59.
Holzman LA, Searight HR, Hughes HM. Clinical psychology graduate students and personal psychotherapy: results of an exploratory survey. Prof Psychol Res Pr. 1996;27:98–101.
Association of American Medical Colleges: Student Loan Repayment. Available from https://www.aamc.org/advocacy/meded/79048/student_loan_repayment.html. Accessed 19 Mar 2014
Acknowledgments
We would like to thank the following program directors for providing resident e-mails: Roy Steinhouse, MD, Anthony Rostain,MD, Richard Summers,MD,Wei Du,MD, Kenneth Certa,MD, Kimberly Best, MD, Gary Swanson, MD, Michael Travis, MD, Imran Trimzi, MD, Consuelo Cagande, MD, Purabi Bharatiya, MD, Najeeb Hussain, MD, Bennett Silver, MD, Barbara Palmeri, MD, and Aftab Khan, MD.
Disclosures
On behalf of all authors, the corresponding author states that there is no conflict of interest and no financial relationships with commercial interests.
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Kovach, J.G., Dubin, W.R. & Combs, C.J. Use and Characterization of Personal Psychotherapy by Psychiatry Residents. Acad Psychiatry 39, 99–103 (2015). https://doi.org/10.1007/s40596-014-0219-3
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DOI: https://doi.org/10.1007/s40596-014-0219-3