Psychiatry trainees' experiences of cognitive-behavioural therapy training in a UK deanery: A qualitative analysis

Carson, Amy Alice; Clark, Sarah Emily

doi:10.1192/pb.bp.115.051565

Cited by 3 publications

(3 citation statements)

References 15 publications

(19 reference statements)

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“…Also, severe mental illnesses are prevalent in the adult psychiatric setting. These kinds of patients may have complications that are too challenging for CBT beginners (Carson & Clark, 2017). The patients suitable to receive CBT, such as those with depression and anxiety, from CBT beginners seldom need hospitalization and/or community psychiatric service.…”

Section: )mentioning

confidence: 99%

Positive Experience and Challenges in Learning and Delivering Cognitive Behavioral Therapy Among Psychiatric Nurses of Hong Kong

Wong

Fong

Wang

et al. 2021

PSYCHOLOGIA -An International Journal of Psychological Sciences

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Most psychiatric nurses do not implement cognitive behavioral therapy (CBT) after training. We examined the experience of psychiatric nurses from Hong Kong (HK) in learning and implementing CBT in clinical practice and elucidated the reasons for discontinuing and continuing CBT using a qualitative interview and evaluation survey. We interviewed 13 Chinese psychiatric nurses trained in CBT and reviewed 35 evaluation forms from nurses not implementing CBT. The survey response rate was 100%. Among eligible participants, >70% were recruited from different psychiatric settings to minimize the bias. The overarching theme was the "challenges of psychiatric nurses in CBT learning and implementation and reasons to continue learning CBT without a clear role in CBT delivery." The main themes were challenges in learning and implementing CBT and positive CBT experience. The psychiatric nurses' role in HK needs a clear definition for delivering CBT.

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Section: )mentioning

confidence: 99%

Positive Experience and Challenges in Learning and Delivering Cognitive Behavioral Therapy Among Psychiatric Nurses of Hong Kong

Wong

Fong

Wang

et al. 2021

PSYCHOLOGIA -An International Journal of Psychological Sciences

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show abstract

“…The aim is not for all trainees to progress to medical psychotherapy specialism, but for psychiatrists to be psychotherapeutically informed. 16 Trainees' views on case-based discussion groups 17 and cognitive-behavioural therapy (CBT) 18 indicate that these are valued as part of their training development. Psychodynamic psychotherapy has been used for learning psychodynamic principles and for the long-case requirement.…”

Section: Introductionmentioning

confidence: 99%

“…Trainees’ views on case-based discussion groups 17 and cognitive–behavioural therapy (CBT) 18 indicate that these are valued as part of their training development. Psychodynamic psychotherapy has been used for learning psychodynamic principles and for the long-case requirement.…”

Section: Introductionmentioning

confidence: 99%

Transference-focused psychotherapy as an aid to learning psychodynamic psychotherapy: qualitative analysis of UK psychiatry trainees’ views

Bax

Nerantzis²,

Lee³

2020

BJPsych Bull

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Aims & method Learning psychotherapy can be difficult and stressful. We explore core trainees’ (n = 5) views on undertaking a psychodynamic psychotherapy training case using transference-focused psychotherapy (TFP), in an East London NHS Foundation Trust supervision group. We used framework analysis of focus group interviews to examine trainees’ concerns, their views about this experience and its impact on general psychiatric practice. Results Trainees described various concerns on starting: providing an effective intervention, insufficient experience and training-related pressures. However, they found that TFP addressed some of them and was helpful for learning psychodynamic psychotherapy. Difficulties around the countertransference remained at end-point. Trainees suggested that introductory teaching and learning through observation might be worthwhile. Clinical implications Trainees’ experience suggests that an evidence-based operationalised approach such as TFP can be integrated into the core psychiatry curriculum as a psychodynamic psychotherapy learning method. Trainees report benefits extending to other areas of their practice.

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Addressing Challenges for Psychotherapy Supervision in Global Mental Health: Experiential Learnings From Rural Nepal

Rimal,

Shrestha,

Khatri

et al. 2024

Preprint

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Background As the field of global mental health grows, many psychotherapy trainees will work across cultures in low-resource settings in high-income countries or in low- and middle-income countries. Faculty members and mentors may face several challenges in providing supervision for psychologists in low-resource settings. As such, there is a need to develop best practices for psychotherapy supervision in global mental health. Methods We describe the common challenges and potential strategies in psychotherapy supervision based on our research, clinical, and academic partnerships between academic institutions, a nonprofit organization, and the Nepali government. Results The strategies and considerations we have found helpful include focusing on therapies with strong behavioral and interpersonal (rather than emotional or cognitive) components and using locally validated therapies or standard manuals that have been endorsed by the WHO for low-resource settings. Other strategies include providing psychotherapy training for local psychiatrists who may be in supervisory roles and gaining competence in navigating different expectations of social structures and family dynamics. Conclusion Supervisors face many challenges while supporting trainees and early psychologists in global mental health settings. While ensuring local adaptation, key considerations can be developed into best practices to support psychiatrists, supervisors, and trainees based in low- and middle-income countries.

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Psychiatry trainees' experiences of cognitive-behavioural therapy training in a UK deanery: A qualitative analysis

Cited by 3 publications

References 15 publications

Positive Experience and Challenges in Learning and Delivering Cognitive Behavioral Therapy Among Psychiatric Nurses of Hong Kong

Positive Experience and Challenges in Learning and Delivering Cognitive Behavioral Therapy Among Psychiatric Nurses of Hong Kong

Transference-focused psychotherapy as an aid to learning psychodynamic psychotherapy: qualitative analysis of UK psychiatry trainees’ views

Addressing Challenges for Psychotherapy Supervision in Global Mental Health: Experiential Learnings From Rural Nepal

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