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Training in psychotherapy is essential for today's psychiatrist. The University of Connecticut approach to teaching psychotherapy is to provide both didactic and experiential education through seminars, practice, and supervision. We take a step-wise approach beginning in the first year of psychiatric residency that residents build upon from one year to the next.
In brief, PGY-I residents are trained in empathic listening and therapeutic interviewing. Highlights of this experience include reading the book, Psychiatric Interviewing, 2nd ed. written by Shawn Shea, M.D., during a one-month, service-free rotation known as the JDH Special. As part of the rotation, the resident conducts an observed interview twice weekly with a faculty member.
The emphasis on being therapeutic in PGY-I sets the stage for conducting various forms of psychotherapy. PGY-II residents begin with developing competency in the use of supportive psychotherapy. In PGY-III and IV, the resident continues to build psychotherapy skills. The PGY-III resident learns to conduct family therapy and group therapy. Additional competencies are gained in the practice of psychodynamic psychotherapy, cognitive-behavioral therapy, the combined treatment of medications and psychotherapy, and a form of brief psychotherapy.
The following summarizes the year by year, UConn experience in psychotherapy:
Psychotherapy curriculum highlights:
First year
- Therapeutic interviewing skills training
- Introduction to group psychotherapy
- 9-month course, "Interviewing, Listening, Being Psychotherapeutic"
- Recommended reading: Psychiatric Interviewing, 2nd ed. , by Shawn Shea
Second year
- Patient and Supervisors assigned
- Demonstration of competency in Supportive Psychotherapy
- 10-month course, "Psychotherapy Seminar" (discussion of the multiple models of psychotherapy)
- 12-month course, "Psychotherapy Practicum"
- Recommended reading: Beginning Psychotherapy, by W.R. Goldstein; and Psychodynamic Psychiatry in Clinical Practice, by Glenn O. Gabbard
Third year
- Psychotherapy supervisors in the following modalities:
- Psychodynamic psychotherapy supervisor
- CBT supervisor
- Family therapy supervisor
- Group psychotherapy
- Demonstration of competencies in psychodynamic psychotherapy, CBT, combined use of medication and psychotherapy
- 2-month course, "Group Psychotherapy"
- 2-month course, "Family Therapy"
- 9-month seminar, "Psychosocial Interventions"
- 12-month seminar, "Brief Dynamic Therapy & Supervision"
- Recommended readings: Psychodynamic Psychiatry in Clinical Practice, by Glenn O. Gabbard; and The Theory and Practice of Group Psychotherapy, by Irvin D. Yalom
Fourth year
- Demonstrated competence in brief psychotherapy
- Continued development of psychotherapy skills through practice and supervision
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