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Psikiyatri İhtisasında Psikoterapi Eğitiminin Yeri: Türkiye’den Bir Sunum

Year 2023, Volume: 8 Issue: 2, 251 - 259, 06.06.2023
https://doi.org/10.26453/otjhs.1278610

Abstract

Amaç: Bu çalışma, Türkiye'de psikiyatri asistanlığı eğitimi sırasında standartlar ve uygulamalar konusundaki bilgi eksikliğini ele alan bir anket aracılığıyla psikiyatri asistanlarının psikoterapi eğitim deneyimlerini araştırmayı amaçlamıştır.
Materyal ve Metot: Çalışma, Türkiye'deki psikiyatri asistanlarına özel WhatsApp ve e-posta grupları aracılığıyla gerçekleştirilmiştir.
Bulgular: Çalışmamızda psikiyatri asistanlarının %80,5'i asistanlığı süresince psikoterapi eğitimi alırken, özellikle dört yıl ve üzeri asistanlık yapanların %97'si teorik, %68'i süpervizyon eğitimi almıştır. Ayrıca, asistanların önemli bir kısmı (%90,3) mezun olduktan sonra psikoterapi eğitimi almayı planladığını ifade etmiştir. Eğitim alanların %63,7'si eğitim aldığı kurumdan, %89,0'ı ise diğer merkezlerden almıştır. Ayrıca psikoterapi eğitiminin %47,8'i kurum içi öğretim üyeleri tarafından verilmiştir. Asistanlar arasında en çok tercih edilen psikoterapi türü Bilişsel Davranışçı Terapi oldu. Psikoterapi eğitimine erişimde en yaygın olarak bildirilen engel, yüksek maliyetiydi.
Sonuç: Çalışma, Türkiye'deki psikiyatri asistanlarının çoğunun psikoterapi eğitimi aldığı sonucuna varmıştır. Psikiyatri asistanlığında psikoterapi eğitiminin arttırılması, engellerin aşılması ve süpervizyonun iyileştirilmesi ele alınması gereken kritik konulardır.

References

  • 1. Crocker EM, Brenner AM. Teaching Psychotherapy. Psychiatric Clinics of North America. 2021;44(2):207-216. doi:10.1016/j.psc.2020.12.004
  • 2. Bhugra D, Tasman A, Pathare S, et al. The WPA-Lancet Psychiatry Commission on the Future of Psychia-try. Lancet Psychiatry. 2017;4(10):775-818. doi:10.1016/S2215-0366(17)30333-4
  • 3. Frank A, Welton R, Crocker E. Psychotherapy Education in Psychiatry Residency Training. In: Graduate Medical Education in Psychiatry. 2022:191-214.
  • 4. Mayer S, van der Gaag RJ, Dom G, et al. European Psychiatric Association (EPA) guidance on post-graduate psychiatric training in Europe. Eur Psychiatry. 2014;29(2):101-106. doi:10.1016/j.eurpsy.2014.01.002
  • 5. Rim JI, Cabaniss DL, Topor D. Psychotherapy Tracks in US General Psychiatry Residency Programs: A Proxy for Trends in Psychotherapy Education? Acad Psychiatry. 2020;44(4):423-426. doi:10.1007/s40596-020-01245-6
  • 6. Brittlebank A, Hermans M, Bhugra D, et al. Training in psychiatry throughout Europe. Eur Arch Psychiatry Clin Neurosci.2016;266(2):155-164. doi:10.1007/s00406-016-0679-4
  • 7. Baessler F, Zafar A, Gargot T, Pinto da Costa M, Biskup EM, De Picker L, et al. Psychiatry training in 42 European countries: A comparative analysis. European Neuropsychopharmacology. 2021;46:68-82.
  • 8. World Health Organization. Atlas: Psychiatric education and training across the world. 2005.Geneva.
  • 9. TUKMOS. Ruh Sağlığı ve Hastalıkları Uzmanlık Eğitimi Çekirdek Müfredatı v.2.4.1 (2020) [Core Curricu-lum of Psychiatry Speciality Education]. https://tuk.saglik.gov.tr/Eklenti/41102/0/ruhsagligivehastaliklarimufredat-v241pdf.pdf. Accessed Septem-ber 13, 2021.
  • 10. Ertekin E, Ergun BM, Sungur MZ. Psikiyatristler ve psikiyatri asistanlarında bilişsel-davranışçı terapi hakkında mitler ve yanlış bilinenler. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi. 2015;16(1):60-64.
  • 11. Yazici AB, Yazici E, Ozakkas T. Integrative Approach to the Psychotheraphy Training During Psychiatry Education: Current Status and Notes to the future. TBPD. 2021;4(7):1-15.
  • 12. Kitts RL, Isberg RS, Lee PC, Sharma N, Goldman V, Hunt J. Child Psychotherapy Training in the United States: A National Survey of Child and Adolescent Psychiatry Fellowship Program Directors. Acad Psychia-try. 2019;43:23–27. doi:10.1007/s40596-018-0998-z
  • 13. Saeed SA, Johnson TL, Bagga M, Glass O. Training Residents in the Use of Telepsychiatry: Review of the Literature and a Proposed Elective. Psychiatr Q. 2017;88(2):271-283. doi:10.1007/s11126-016-9470-y
  • 14. Osborne LM, MacLean JV, Barzilay EM, Meltzer-Brody S, Miller L, Yang SN. Reproductive Psychiatry Residency Training: A Survey of Psychiatric Residency Program Directors. Acad Psychiatry. 2018;42(2):197-201. doi:10.1007/s40596-017-0672-x
  • 15. Eissazade N, Shalbafan M, Eftekhar Ardebili M, Pinto da Costa M. Psychotherapy training in Iran: A sur-vey of Iranian early career psychiatrists and psychiatric trainees. Asia‐Pacific Psychiatry. 2021;13(1):e12434.
  • 16. Torales J, González I. Perspectives on psychiatry education in Latin America. International Review of Psy-chiatry. 2020;32(2):122-127. doi:10.1080/09540261.2019.1655716
  • 17. Chaimowitz G, Weerasekera P, Ravitz P. Psychotherapy in Psychiatry. Can J Psychiatry. 2021;66(11):999-1004.
  • 18. Plakun EM, Villela RM. Psychotherapy in Psychiatry: Fighting Alternative Facts. J Psychiatr Pract. 2019;25(6):466-469. doi:10.1097/PRA.0000000000000422
  • 19. Robert J. Gregory, M.D. ,, David Mintz, M.D.,, Jessica Yakeley, F.R.C.Psych. Should Psychotherapy Be-come a Subspecialty of Psychiatry? American Journal of Psychotherapy. 2019;72(2):36-7.
  • 20. Pheister M, Cowley D, Sanders W, et al. Growing the Psychiatry Workforce Through Expansion or Creation of Residencies and Fellowships: the Results of a Survey by the AADPRT Workforce Task Force. Acad Psy-chiatry. 2022;46(4):421-427. doi:10.1007/s40596-021-01509-9
  • 21. Buckman J, Saunders R, Leibowitz J, Minton R. The barriers, benefits and training needs of clinicians deliv-ering psychological therapy via video. Behav Cogn Psychother. 2021;49(6):696-720. doi:10.1007/s40596-021-01509-9
  • 22. Rietmeijer CBT, Huisman D, Blankenstein AH, et al. Patterns of direct observation and their impact during residency: general practice supervisors’ views. Med Educ. 2018;52(9):981–991. doi:10.1111/medu.13631
  • 23. Ruble AE, Romanowicz M, Bhatt-Mackin, S, Topor D, Murray A. Teaching the Fundamentals of Remote Psychotherapy to Psychiatry Residents in the COVID-19 Pandemic. Acad Psychiatry. 2021;45:629–635. doi:10.1007/s40596-021-01484-1
  • 24. Mehrtens IK, Crapanzano K, Tynes LL. Current Risk Management Practices in Psychotherapy Supervision. The journal of the American Academy of Psychiatry and the Law. 2017;45(4):409-414.
  • 25. Frank HE, Becker-Haimes EM, Kendall PC. Therapist training in evidence-based interventions for mental health: A systematic review of training approaches and outcomes. Clin Psychol (New York). 2020;27(3):e12330. doi:10.1111/cpsp.12330
  • 26. Pagano J, Kyle BN, Johnson TL, Saeed SA. Training psychiatry residents in psychotherapy: The role of manualized treatments. Psychiatric Quarterly. 2017;88(2):285-294.
  • 27. Tavakoli S. The place of psychotherapy in contemporary psychiatry. Iran J Psychiatry Behav Sci. 2014;8(4):1-6.
  • 28. Grover S, Avasthi A, Jagiwala M. Clinical Practice Guidelines for Practice of Supportive Psychotherapy. Indian J Psychiatry. 2020;62(Suppl 2):173-182.
  • 29. Fefergrad M, Mulsant BH. Psychotherapy Training in a Competency-Based Medical Education Psychiatry Residency: A Proposal for a Practical and Socially Responsible Model. Can J Psychiatry. 2022;67(6):423-427.
  • 30. Marriott BR, Kliethermes MD, McMillen JC, Proctor EK, Hawley KM. Implementation of a Low-Cost, Mul-ti-component, Web-Based Training for Trauma-Focused Cognitive-Behavioral Therapy. Adm Policy Ment Health. 2023;50:392-399. doi:10.1007/s10488-022-01246-7

Psychotherapy Training in Psychiatry Residency: Insights from Türkiye

Year 2023, Volume: 8 Issue: 2, 251 - 259, 06.06.2023
https://doi.org/10.26453/otjhs.1278610

Abstract

Objective: This study aimed to investigate the psychotherapy training experiences of psychiatry residents through a questionnaire, addressing the knowledge gap on standards and practices during psychiatry residency training in Türkiye. .
Materials and Methods: The study was conducted via WhatsApp and e-mail groups specific to psychiatry residents in Türkiye.
Results: In our study, 80.5% of psychiatry residents received psychotherapy training during their residency, whereas, especially in those who have been in residence for four years or more, 97% received theoretical training, and 68% received supervision training. Moreover, a substantial portion (90.3%) of residents expressed plans to pursue psychotherapy training after graduation. Of those who received training, 63.7% obtained it from their educational institution, while 89.0% obtained it from other centres. Furthermore, 47.8% of the psychotherapy training was provided by in-house faculty members. Cognitive Behavioral Therapy was the most preferred type of psychotherapy among the residents. The most commonly reported barrier to accessing psychotherapy training was its high cost..
Conclusion: The study concluded that most psychiatry residents in Türkiye received psychotherapy training. Enhancing psychotherapy training in psychiatry residency, overcoming barriers, and improving supervision are critical issues to be addressed

References

  • 1. Crocker EM, Brenner AM. Teaching Psychotherapy. Psychiatric Clinics of North America. 2021;44(2):207-216. doi:10.1016/j.psc.2020.12.004
  • 2. Bhugra D, Tasman A, Pathare S, et al. The WPA-Lancet Psychiatry Commission on the Future of Psychia-try. Lancet Psychiatry. 2017;4(10):775-818. doi:10.1016/S2215-0366(17)30333-4
  • 3. Frank A, Welton R, Crocker E. Psychotherapy Education in Psychiatry Residency Training. In: Graduate Medical Education in Psychiatry. 2022:191-214.
  • 4. Mayer S, van der Gaag RJ, Dom G, et al. European Psychiatric Association (EPA) guidance on post-graduate psychiatric training in Europe. Eur Psychiatry. 2014;29(2):101-106. doi:10.1016/j.eurpsy.2014.01.002
  • 5. Rim JI, Cabaniss DL, Topor D. Psychotherapy Tracks in US General Psychiatry Residency Programs: A Proxy for Trends in Psychotherapy Education? Acad Psychiatry. 2020;44(4):423-426. doi:10.1007/s40596-020-01245-6
  • 6. Brittlebank A, Hermans M, Bhugra D, et al. Training in psychiatry throughout Europe. Eur Arch Psychiatry Clin Neurosci.2016;266(2):155-164. doi:10.1007/s00406-016-0679-4
  • 7. Baessler F, Zafar A, Gargot T, Pinto da Costa M, Biskup EM, De Picker L, et al. Psychiatry training in 42 European countries: A comparative analysis. European Neuropsychopharmacology. 2021;46:68-82.
  • 8. World Health Organization. Atlas: Psychiatric education and training across the world. 2005.Geneva.
  • 9. TUKMOS. Ruh Sağlığı ve Hastalıkları Uzmanlık Eğitimi Çekirdek Müfredatı v.2.4.1 (2020) [Core Curricu-lum of Psychiatry Speciality Education]. https://tuk.saglik.gov.tr/Eklenti/41102/0/ruhsagligivehastaliklarimufredat-v241pdf.pdf. Accessed Septem-ber 13, 2021.
  • 10. Ertekin E, Ergun BM, Sungur MZ. Psikiyatristler ve psikiyatri asistanlarında bilişsel-davranışçı terapi hakkında mitler ve yanlış bilinenler. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi. 2015;16(1):60-64.
  • 11. Yazici AB, Yazici E, Ozakkas T. Integrative Approach to the Psychotheraphy Training During Psychiatry Education: Current Status and Notes to the future. TBPD. 2021;4(7):1-15.
  • 12. Kitts RL, Isberg RS, Lee PC, Sharma N, Goldman V, Hunt J. Child Psychotherapy Training in the United States: A National Survey of Child and Adolescent Psychiatry Fellowship Program Directors. Acad Psychia-try. 2019;43:23–27. doi:10.1007/s40596-018-0998-z
  • 13. Saeed SA, Johnson TL, Bagga M, Glass O. Training Residents in the Use of Telepsychiatry: Review of the Literature and a Proposed Elective. Psychiatr Q. 2017;88(2):271-283. doi:10.1007/s11126-016-9470-y
  • 14. Osborne LM, MacLean JV, Barzilay EM, Meltzer-Brody S, Miller L, Yang SN. Reproductive Psychiatry Residency Training: A Survey of Psychiatric Residency Program Directors. Acad Psychiatry. 2018;42(2):197-201. doi:10.1007/s40596-017-0672-x
  • 15. Eissazade N, Shalbafan M, Eftekhar Ardebili M, Pinto da Costa M. Psychotherapy training in Iran: A sur-vey of Iranian early career psychiatrists and psychiatric trainees. Asia‐Pacific Psychiatry. 2021;13(1):e12434.
  • 16. Torales J, González I. Perspectives on psychiatry education in Latin America. International Review of Psy-chiatry. 2020;32(2):122-127. doi:10.1080/09540261.2019.1655716
  • 17. Chaimowitz G, Weerasekera P, Ravitz P. Psychotherapy in Psychiatry. Can J Psychiatry. 2021;66(11):999-1004.
  • 18. Plakun EM, Villela RM. Psychotherapy in Psychiatry: Fighting Alternative Facts. J Psychiatr Pract. 2019;25(6):466-469. doi:10.1097/PRA.0000000000000422
  • 19. Robert J. Gregory, M.D. ,, David Mintz, M.D.,, Jessica Yakeley, F.R.C.Psych. Should Psychotherapy Be-come a Subspecialty of Psychiatry? American Journal of Psychotherapy. 2019;72(2):36-7.
  • 20. Pheister M, Cowley D, Sanders W, et al. Growing the Psychiatry Workforce Through Expansion or Creation of Residencies and Fellowships: the Results of a Survey by the AADPRT Workforce Task Force. Acad Psy-chiatry. 2022;46(4):421-427. doi:10.1007/s40596-021-01509-9
  • 21. Buckman J, Saunders R, Leibowitz J, Minton R. The barriers, benefits and training needs of clinicians deliv-ering psychological therapy via video. Behav Cogn Psychother. 2021;49(6):696-720. doi:10.1007/s40596-021-01509-9
  • 22. Rietmeijer CBT, Huisman D, Blankenstein AH, et al. Patterns of direct observation and their impact during residency: general practice supervisors’ views. Med Educ. 2018;52(9):981–991. doi:10.1111/medu.13631
  • 23. Ruble AE, Romanowicz M, Bhatt-Mackin, S, Topor D, Murray A. Teaching the Fundamentals of Remote Psychotherapy to Psychiatry Residents in the COVID-19 Pandemic. Acad Psychiatry. 2021;45:629–635. doi:10.1007/s40596-021-01484-1
  • 24. Mehrtens IK, Crapanzano K, Tynes LL. Current Risk Management Practices in Psychotherapy Supervision. The journal of the American Academy of Psychiatry and the Law. 2017;45(4):409-414.
  • 25. Frank HE, Becker-Haimes EM, Kendall PC. Therapist training in evidence-based interventions for mental health: A systematic review of training approaches and outcomes. Clin Psychol (New York). 2020;27(3):e12330. doi:10.1111/cpsp.12330
  • 26. Pagano J, Kyle BN, Johnson TL, Saeed SA. Training psychiatry residents in psychotherapy: The role of manualized treatments. Psychiatric Quarterly. 2017;88(2):285-294.
  • 27. Tavakoli S. The place of psychotherapy in contemporary psychiatry. Iran J Psychiatry Behav Sci. 2014;8(4):1-6.
  • 28. Grover S, Avasthi A, Jagiwala M. Clinical Practice Guidelines for Practice of Supportive Psychotherapy. Indian J Psychiatry. 2020;62(Suppl 2):173-182.
  • 29. Fefergrad M, Mulsant BH. Psychotherapy Training in a Competency-Based Medical Education Psychiatry Residency: A Proposal for a Practical and Socially Responsible Model. Can J Psychiatry. 2022;67(6):423-427.
  • 30. Marriott BR, Kliethermes MD, McMillen JC, Proctor EK, Hawley KM. Implementation of a Low-Cost, Mul-ti-component, Web-Based Training for Trauma-Focused Cognitive-Behavioral Therapy. Adm Policy Ment Health. 2023;50:392-399. doi:10.1007/s10488-022-01246-7
There are 30 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research article
Authors

Esra Yazıcı 0000-0002-2575-7398

Ebru Türker Mercandağı 0000-0001-5433-7184

Yavuz Selim Oğur 0000-0002-5258-8913

Elif Merve Kurt Tunagür 0000-0002-7883-4190

Ahmet Bülent Yazıcı 0000-0001-5631-3100

Early Pub Date May 31, 2023
Publication Date June 6, 2023
Submission Date April 6, 2023
Acceptance Date May 1, 2023
Published in Issue Year 2023 Volume: 8 Issue: 2

Cite

AMA Yazıcı E, Türker Mercandağı E, Oğur YS, Kurt Tunagür EM, Yazıcı AB. Psychotherapy Training in Psychiatry Residency: Insights from Türkiye. OTJHS. June 2023;8(2):251-259. doi:10.26453/otjhs.1278610

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