Psychotherapy training: A comparative qualitative study on motivational factors and personal background of psychodynamic and cognitive behavioural psychotherapy candidates.

Transcultural psychotherapy is an original therapeutic technique designed to respond to difficulties encountered in psychiatric treatment for migrants. Today, this psychotherapy is formalized and it is in use at numerous sites in France and internationally. An increasing number of professionals are seeking training in this method. We sought to explore the experiences of these trainees, at their entry in the group and during their training. This qualitative study used focus groups to interview trainees participating in a transcultural psychotherapy training group. The thematic analysis generated two domains of experience: the emotional and personal experience within the transcultural group, including the private feelings of the trainee-participants, their initial difficulties, and the changes in these feelings; and their perception of this specific type of care, that is, their perspectives on transcultural psychotherapy and its most original aspects. Based on the narratives of trainees in this program, we conclude that becoming a transcultural psychotherapist involves a process not only of cultural decentering but also of professional decentering. This decentering cannot be learned theoretically: it must be experienced, for a long enough time to become imbued with it and to allow oneself to modify one’s practices. After sufficient time in the group, the trainees succeed in extricating themselves, little by little, from their ethnocentric vision of psychotherapy, and come to tolerate and then integrate new ways of doing and thinking.

Download Full-text

Current psychotherapy training for psychiatry trainees in Northern Ireland

Irish Journal of Psychological Medicine ◽

10.1017/s0790966700000707 ◽

2009 ◽

Vol 26 (4) ◽

pp. 194-196

Author(s):

Owen McNeill ◽

Richard Ingram

Keyword(s):

Northern Ireland ◽

Biopsychosocial Model ◽

Psychotherapy Training ◽

Psychodynamic Therapy ◽

Model Of Care ◽

Psychological Therapies ◽

Cognitive Behavioural ◽

The Uk ◽

Case Supervision ◽

Current Experience

AbstractObjectives: To investigate psychotherapy training for psychiatry trainees in N.Ireland.Method: A detailed survey of both trainee's current experience and completion of Royal College requirements.Results: While trainees rated experience highly in terms of enjoyment and relevance to psychiatry, we found a large proportion (94%) were failing to meet requirements for psychotherapy training, despite awareness being high (91%). Both cognitive-behavioural and psychodynamic therapy were the predominant models of therapy trainees had experience in and although most supervision was rated highly, a number of trainees had irregular or no case supervision.Conclusions: At a time when it is becoming increasingly recognised that psychological therapies play a central role in the treatment of many psychiatric disorders, current training fails to provide a substantial experience. With such a high proportion of trainees not meeting the mandatory requirements and similar findings being replicated in other parts of the UK, serious consideration must be given to both the nature of the guidelines and the opportunities for psychotherapy training if future psychiatrists are going to be equipped to deliver a truly biopsychosocial model of care.

Download Full-text

Individual Face-to-Face Cognitive Behavioural Therapy in Multiple Sclerosis: A Qualitative Study

Journal of Clinical Psychology ◽

10.1002/jclp.22288 ◽

2016 ◽

Vol 72 (7) ◽

pp. 651-662 ◽

Cited By ~ 4

Author(s):

K. Gottberg ◽

C. Chruzander ◽

G. Backenroth ◽

S. Johansson ◽

G. Ahlström ◽

...

Keyword(s):

Multiple Sclerosis ◽

Qualitative Study ◽

Cognitive Behavioural Therapy ◽

Behavioural Therapy ◽

Face To Face ◽

Cognitive Behavioural

Download Full-text

‘Asking for help’: a qualitative interview study exploring the experiences of interpersonal counselling (IPC) compared to low-intensity cognitive behavioural therapy (CBT) for women with depression during pregnancy

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04247-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jenny Ingram ◽

Debbie Johnson ◽

Heather A. O’Mahen ◽

Roslyn Law ◽

Iryna Culpin ◽

...

Keyword(s):

Mental Health ◽

Qualitative Study ◽

Focus Groups ◽

Pregnant Women ◽

Perinatal Period ◽

Behavioural Therapy ◽

Psychological Wellbeing ◽

Low Intensity ◽

Cognitive Behavioural ◽

In Pregnancy

Abstract Background Treating depression early in pregnancy can improve health outcomes for women and their children. Current low-intensity psychological therapy for perinatal depression is a supported self-help approach informed by cognitive behavioural therapy (CBT) principles. Interpersonal counselling (IPC) may be a more appropriate low-intensity talking therapy for addressing the problems experienced by pregnant women with depression. A randomised feasibility trial (ADAGIO) has compared the acceptability of offering IPC for mild-moderate antenatal depression in routine NHS services compared to low-intensity CBT. This paper reports on a nested qualitative study which explored women’s views and expectations of therapy, experiences of receiving IPC, and Psychological Wellbeing Practitioners (PWPs - junior mental health workers) views of delivering the low-intensity therapy. Methods A qualitative study design using in-depth semi-structured interviews and focus groups. Thirty-two pregnant women received talking therapy within the ADAGIO trial; 19 contributed to the interview study from July 2019 to January 2020; 12 who had IPC and seven who had CBT. All six PWPs trained in IPC took part in a focus group or interview. Interviews and focus groups were recorded, transcribed, anonymised, and analysed using thematic methods. Results Pregnant women welcomed being asked about their mental health in pregnancy and having the chance to have support in accessing therapy. The IPC approach helped women to identify triggers for depression and explored relationships using strategies such as ‘promoting self-awareness through mood timelines’, ‘identifying their circles of support’, ‘developing communication skills and reciprocity in relationships’, and ‘asking for help’. PWPs compared how IPC differed from their prior experiences of delivering low-intensity CBT. They reported that IPC included a useful additional emotional component which was relevant to the perinatal period. Conclusions Identifying and treating depression in pregnancy is important for the future health of both mother and child. Low-intensity perinatal-specific talking therapies delivered by psychological wellbeing practitioners in routine NHS primary care services in England are acceptable to pregnant women with mild-moderate depression. The strategies used in IPC to manage depression, including identifying triggers for low mood, and communicating the need for help, may be particularly appropriate for the perinatal period. Trial registration ISRCTN 11513120. 02/05/2019.

Download Full-text