A systematic review of 414 terminated cases on a semiprivate psychotherapy service revealed that 16.7% of patients never began therapy despite being accepted after an extensive and lengthy screening process. This is lower than in previous studies. Except for ethnicity, comparison between the refusers and acceptors of 42 variables failed to replicate the correlations found in previous studies. In our sample, psychotherapy refusers were characterized by (1) having less family psychiatric history, (2) being more likely to elaborate their problems, (3) having less alcohol abuse history, (4) being less likely to be offered long-term individual therapy, and (5) having waited less time for their screening appointment. Such variables as age, gender, diagnosis, severity, income, and education were all nonsignificant. Although we offer some hypotheses for our significant correlations, we suspect that the interaction with the screener is more important than patient variables in determining acceptance of psychotherapy.
Examinations are an integral part of resident and program evaluation, but they are considered particularly stressful on residents. The department of psychiatry of the University of Texas Health Science Center at San Antonio administered the Psychiatry Resident-in-Training Examination (PRTTE) every other year to minimize stress and anxiety among residents. When questioned about their satisfaction with the PRTTE and its administration, the residents reported high levels of satisfaction and a desire to take the examination yearly. Dissatisfaction was limited to the physical environment in which the exam was administered.
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