Integrative Approach to the Psychotheraphy Training During Psychiatry Education: Current Status and Notes to the Future
Yıl 2021,
Cilt: 4 Sayı: 7, 1 - 15, 14.03.2021
Ahmet Bülent Yazıcı
,
Esra Yazıcı
,
Tahir Özakkaş
Öz
Psychotherapies are among the requirements of psychiatric training and interventional competencies of psychiatric practice. Compared to biological treatments, psychiatric residents receive less training in psychology and human behavioral sciences before their specialty training. However, in psychiatric residency training, psychotherapy training is as important and necessary as other biological treatments. Psychotherapy training programs in psychiatry residency training should be restructured taking this educational gap into account. In this article, the first, status of psychotherapy training in psychiatry in Turkey and other countries are discussed. In addition, the importance of the integrative approach in psychotherapies in achieving the deserved place of therapies and increasing the quality of psychotherapy training and that this concept should be included in the resident training curriculum where psychotherapy training begins, are highlighted.
Kaynakça
- Accreditation Council for Graduate Medical Education (ACGME).(2020).ACGME Program Requirements for Graduate Medical Education in Psychiatry. June 13, 2020). Retrieved 28.01.2021, from https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/400_Psychiatry_2020.pdf?ver=2020-06-19-123110-817
- Beutler, L. E., & Harwood, T. M. (2004). Virtual reality in psychotherapy training. J Clin Psychol, 60(3), 317-330. doi: 10.1002/jclp.10266
- Bilican, I., & Soygüt, G. (2015). Türkiye’de eğitim sürecinde olan ve deneyimli psikoterapistlerin mesleki gelişim süreçleri. Turk Psikiyatri Derg, 26, 249-260.
- Calabrese, C., Sciolla, A., Zisook, S., Bitner, R., Tuttle, J., & Dunn, L. B. (2010). Psychiatric residents' views of quality of psychotherapy training & psychotherapy competencies: a multisite survey. Acad Psychiatry, 34(1), 13-20. doi: 10.1176/appi.ap.34.1.13
- Carmel, A., & Shapiro, D. I. (2016). Development of an Evidence-Based Psychotherapy Seminar for Psychiatry Residency Training. Acad Psychiatry, 40(1), 188-189. doi: 10.1007/s40596-015-0455-1
- Consoli, & rés J., & Jester, Catherine M. (2005). A model for teaching psychotherapy theory through an integrative structure. Journal of Psychotherapy Integration, 15(4), 358-373. doi: 10.1037/1053-0479.15.4.358
- Cook, S. C., Schwartz, A. C., & Kaslow, N. J. (2017). Evidence-Based Psychotherapy: Advantages & Challenges. Neurotherapeutics, 14(3), 537-545. doi: 10.1007/s13311-017-0549-4
- Dereboy, Ç., Şenel, H., Şafak Öztürk, C., Şakiroğlu, M. & Eskin, M. (2017). Psychotherapy: Playing the Three Monkeys in Mental Health Service Provision? Noro psikiyatri arsivi, 54(4), 301-306. doi: 10.5152/npa.2017.13785
- Ertekin, E, Ergun, B. M. & Sungur, M.Z. (2015). Misconceptions & myhts about cognitive-behavioral therapy among psychiatrists & psychiatry residents/Psikiyatristler ve psikiyatri asistanlarinda bilissel-davranisci terapi hakkinda mitler ve yanlis bilinenler. Anadolu Psikiyatri Dergisi, 16(1), 60-65.
- European Union Of Medical Specialists(2017) Charter On Training Of Medical Specialists In The EU Training Requirements For The Speciality Of Psychiatry.). from https://www.uems.eu/__data/assets/pdf_file/0019/43561/ETR-Psychiatry-201703.pdf
- Evans, K.R., & Gilbert, M, C. (2005). An Introduction to Integrative Psychotherapy (1 st Ed). New York: Palgrave Macmillan.
- Gabbard, G. O. (2007). Psychotherapy in psychiatry. Int Rev Psychiatry, 19(1), 5-12. doi: 10.1080/09540260601080813
- Gilbert, P., & Kirby, J. N. (2019). Building an integrative science for psychotherapy for the 21st century: Preface & introduction. Psychol Psychother, 92(2), 151-163. doi: 10.1111/papt.12225
- Greben, D. H. (2004). Integrative dimensions of psychotherapy training. Can J Psychiatry, 49(4), 238-248. doi: 10.1177/070674370404900404
- Hollon, S.D., & Teachman, B.A. (2019). Advantages of developing clinical practice guidelines using international st& ards. Psychotherapy, 56(3), 340-346. doi: 10.1037/pst0000240
- Kozarić-Kovacić, D. (2008). Integrative psychotherapy. Psychiatr Danub, 20(3), 352-363.
- Mayer, S., van der Gaag, R. J., Dom, G., Wassermann, D., Gaebel, W., Falkai, P., Schüle, C., & European Psychiatric Association (2014). European Psychiatric Association (EPA) guidance on post-graduate psychiatric training in Europe. European psychiatry : the journal of the Association of European Psychiatrists, 29(2), 101–106.
https://doi.org/10.1016/j.eurpsy.2014.01.002
- Lotz-Rambaldi, W., Schäfer, I., ten Doesschate, R., & Hohagen, F. (2008). Specialist training in psychiatry in Europe–Results of the UEMS-survey. European Psychiatry, 23(3), 157-168.
- Medical Expertise Board Curriculum Creation & St& ard Setting System(TUKMOS).(2017). Ruh Sağlığı ve Hastalıkları Uzmanlık Eğitimi Çekirdek Müfredatı v.2.3 (2017) [Core Curriculum of Psychiatry Speciality Education].). from https://tuk.saglik.gov.tr/TR,53325/ruh-sagligi-ve-hastaliklari.html
- Medical Expertise Board Curriculum Creation & St& ard Setting System(TUKMOS).(2020). Ruh Sağlığı ve Hastalıkları Uzmanlık Eğitimi Çekirdek Müfredatı v.2.4 (2020) [Core Curriculum of Psychiatry Speciality Education].). from https://tuk.saglik.gov.tr/TR,50129/ruh-sagligi-ve-hastaliklari.html
- Newman, M.G., Castonguay, L.G., Borkovec, Thomas D., & Molnar, C. (2004). Integrative psychotherapy Generalized anxiety disorder: Advances in research & practice. (pp. 320-350). New York, NY, US: The Guilford Press.
- Norcross, J.C. (2005). A primer on psychotherapy integration. H& book of psychotherapy integration, 2, 3-23.
- Norcross, J. C., & Karpiak, C. P. (2012). Clinical Psychologists in the 2010s: 50 Years of the APA Division of Clinical Psychology. Clinical Psychology: Science & Practice, 19(1), 1-12. doi: https://doi.org/10.1111/j.1468-2850.2012.01269.x
- Norcross, J.C., Karpiak, C.P., & Lister, K.M. (2005). What's an integrationist? A study of self-identified integrative & (occasionally) eclectic psychologists. Journal of Clinical Psychology, 61(12), 1587-1594. doi: https://doi.org/10.1002/jclp.20203
- O'Donohue, W., Cummings, N., & Cummings, J. (2006). 1 - The Art & Science of Psychotherapy. In W. O'Donohue, N. A. Cummings & J. L. Cummings (Eds.), Clinical Strategies for Becoming a Master Psychotherapist (pp. 1-10). Burlington: Academic Press.
- Özakkaş, T.(2017). Bütüncül psikoterapi. İstanbul: Litera Yayınevi, 22-23
- Ozakkas, T., & Varol, N. (2009). Bütüncül (Ortak Faktörler, Entegratif, Eklektik ve Asimilatif) Psikoterapiler Holistic (Common Factors, Integrative, Eclectic & Assimilative) Psychotherapy. Turkiye Klinikleri J Psychiatry-Special Topics, 2(2), 26-34.
- Özakkaş, T., (2018). Psikoterapi tarihi ve bütüncül psikoterapi. Türkiye Bütüncül Psikoterapi Dergisi, 1(1), 1-24.
Pagano, J., Kyle, B.N., Johnson, T. L., & Saeed, S. A. (2017). Training Psychiatry Residents in Psychotherapy: The Role of Manualized Treatments. Psychiatr Q, 88(2), 285-294. doi: 10.1007/s11126-016-9476-5
- Pagano, J. Kyle, B.N., Johnson, T.L., & Saeed, Sy Atezaz. (2017). Training Psychiatry Residents in Psychotherapy: The Role of Manualized Treatments. Psychiatric Quarterly, 88(2), 285-294. doi: 10.1007/s11126-016-9476-5
- Paris, J. (2013). How the history of psychotherapy interferes with integration. Journal of Psychotherapy Integration, 23(2), 99-106. doi: 10.1037/a0031419
- Prochaska, J.O, & Norcross, J.C. (2018). Systems of psychotherapy: A transtheoretical analysis: Oxford University Press.
- Psikoterapi Enstitüsü.(2020). Bütüncül Psikoterapi Eğitimi İçeriği.). Retrieved 28.01.2021, from http://www.psikoterapi.com/egitimlerimiz/butuncul-psikoterapi-egitimi/
Seki, A. (2018). Türkiye’de kisa süreli dinamik psikoterapi eğitim programinin incelenmesi: bir durum çalişmasi. İstanbul Aydın Üniversitesi Sosyal Bilimler Enstitüsü.Yüksek Lisans Tezi
- Society for the Exploration of Psychotherapy Integration (SEPI).(2020). Teaching & Training Materials: Syllabi. from https://www.sepiweb.org/page/teach_train
- Thomason, T. C. (2010). The trend toward evidence-based practice & the future of psychotherapy. Am J Psychother, 64(1), 29-38. doi: 10.1176/appi.psychotherapy.2010.64.1.29
- Van Effenterre, A., Azoulay, M., Briffault, X., Dezetter, A., & Champion, F.(2015) [Initial training in psychotherapy for psychiatrists in France, a national qualitative study]. Sante Ment Que, 40(4), 201-215.
- Wachtel, P. L. (2010). Psychotherapy integration & integrative psychotherapy: Process or product? Journal of Psychotherapy Integration, 20(4), 406-416. doi: 10.1037/a0022032
- Weerasekera, P. (2013). The state of psychotherapy supervision: recommendations for future training. Int Rev Psychiatry, 25(3), 255-264. doi: 10.3109/09540261.2013.769431
- Yasar, A.B. , Gündoğmuş, İ., & Gündüz, A. (2019). Türkiyede Psikoterapi Uygulayan Psikoloji Ve Hekim Kökenli Ruh Sağlığı Profesyonellerin Eğitimlerinin Ekollere Göre Dağılımı ve Terapi Ekollerine Güven Düzeyleri Araştırması. Paper presented at the 23rd TPA, Annual Meeting & Clinical Education Symposium, Fethiye/Turkey.
- Yorulmaz, O., Sapmaz-Yurtsever, S., Gokdag, C., Kacar-Basaran, S., Gocek-Yorulmaz, E., Yalcin, M., . . . Gorgu-Akcay, N. S. (2018). The Future of Psychotherapy in Turkey: Predictions for the Next 10 Years. J Nerv Ment Dis, 206(5), 332-339. doi: 10.1097/nmd.0000000000000797
- Zisook, S., Balon, R., Björkstén, K. S, Everall, I., Dunn, L., Ganadjian, K., . . . Sidhartha, T. (2007). Psychiatry residency training around the world. Academic Psychiatry, 31(4), 309-325.
Psikiyatri Eğitiminde Psikoterapi Eğitimine Bütüncül Yaklaşım: Mevcut Durum ve Geleceğe Notlar
Yıl 2021,
Cilt: 4 Sayı: 7, 1 - 15, 14.03.2021
Ahmet Bülent Yazıcı
,
Esra Yazıcı
,
Tahir Özakkaş
Öz
Psikoterapiler, biyolojik tedaviler gibi psikiyatri pratiğinin girişimsel yetkinlikleri ve psikiyatri eğitiminin gereksinimleri arasında yer almaktadır. Psikiyatri asistanları, uzmanlık eğitimlerinden önce biyolojik tedavilerle kıyaslandığında psikoloji ve insan davranış bilimlerin alanında daha az eğitim alırlar. Bununla birlikte psikiyatri uzmanlık eğitiminde, psikoterapi eğitimi diğer biyolojik tedaviler kadar önemli ve gereklidir. Psikiyatri uzmanlık eğitiminde psikoterapi eğitim programları bu eğitimsel açığı dikkate alarak yeniden yapılanmalıdır. Bu makalede öncelikle Türkiye ve diğer ülkelerde psikiyatri eğitiminde psikoterapinin durumu tartışılmaktadır. Ayrıca terapilerin hak ettiği yere ulaşmada ve psikoterapi eğitimlerin kalitesinin artırılmasında psikoterapilerde bütüncül yaklaşımının önemi ve bu kavramın psikoterapi eğitiminin başladığı asistan eğitim müfredatına dahil edilmesi gerektiği vurgulanmaktadır.
Kaynakça
- Accreditation Council for Graduate Medical Education (ACGME).(2020).ACGME Program Requirements for Graduate Medical Education in Psychiatry. June 13, 2020). Retrieved 28.01.2021, from https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/400_Psychiatry_2020.pdf?ver=2020-06-19-123110-817
- Beutler, L. E., & Harwood, T. M. (2004). Virtual reality in psychotherapy training. J Clin Psychol, 60(3), 317-330. doi: 10.1002/jclp.10266
- Bilican, I., & Soygüt, G. (2015). Türkiye’de eğitim sürecinde olan ve deneyimli psikoterapistlerin mesleki gelişim süreçleri. Turk Psikiyatri Derg, 26, 249-260.
- Calabrese, C., Sciolla, A., Zisook, S., Bitner, R., Tuttle, J., & Dunn, L. B. (2010). Psychiatric residents' views of quality of psychotherapy training & psychotherapy competencies: a multisite survey. Acad Psychiatry, 34(1), 13-20. doi: 10.1176/appi.ap.34.1.13
- Carmel, A., & Shapiro, D. I. (2016). Development of an Evidence-Based Psychotherapy Seminar for Psychiatry Residency Training. Acad Psychiatry, 40(1), 188-189. doi: 10.1007/s40596-015-0455-1
- Consoli, & rés J., & Jester, Catherine M. (2005). A model for teaching psychotherapy theory through an integrative structure. Journal of Psychotherapy Integration, 15(4), 358-373. doi: 10.1037/1053-0479.15.4.358
- Cook, S. C., Schwartz, A. C., & Kaslow, N. J. (2017). Evidence-Based Psychotherapy: Advantages & Challenges. Neurotherapeutics, 14(3), 537-545. doi: 10.1007/s13311-017-0549-4
- Dereboy, Ç., Şenel, H., Şafak Öztürk, C., Şakiroğlu, M. & Eskin, M. (2017). Psychotherapy: Playing the Three Monkeys in Mental Health Service Provision? Noro psikiyatri arsivi, 54(4), 301-306. doi: 10.5152/npa.2017.13785
- Ertekin, E, Ergun, B. M. & Sungur, M.Z. (2015). Misconceptions & myhts about cognitive-behavioral therapy among psychiatrists & psychiatry residents/Psikiyatristler ve psikiyatri asistanlarinda bilissel-davranisci terapi hakkinda mitler ve yanlis bilinenler. Anadolu Psikiyatri Dergisi, 16(1), 60-65.
- European Union Of Medical Specialists(2017) Charter On Training Of Medical Specialists In The EU Training Requirements For The Speciality Of Psychiatry.). from https://www.uems.eu/__data/assets/pdf_file/0019/43561/ETR-Psychiatry-201703.pdf
- Evans, K.R., & Gilbert, M, C. (2005). An Introduction to Integrative Psychotherapy (1 st Ed). New York: Palgrave Macmillan.
- Gabbard, G. O. (2007). Psychotherapy in psychiatry. Int Rev Psychiatry, 19(1), 5-12. doi: 10.1080/09540260601080813
- Gilbert, P., & Kirby, J. N. (2019). Building an integrative science for psychotherapy for the 21st century: Preface & introduction. Psychol Psychother, 92(2), 151-163. doi: 10.1111/papt.12225
- Greben, D. H. (2004). Integrative dimensions of psychotherapy training. Can J Psychiatry, 49(4), 238-248. doi: 10.1177/070674370404900404
- Hollon, S.D., & Teachman, B.A. (2019). Advantages of developing clinical practice guidelines using international st& ards. Psychotherapy, 56(3), 340-346. doi: 10.1037/pst0000240
- Kozarić-Kovacić, D. (2008). Integrative psychotherapy. Psychiatr Danub, 20(3), 352-363.
- Mayer, S., van der Gaag, R. J., Dom, G., Wassermann, D., Gaebel, W., Falkai, P., Schüle, C., & European Psychiatric Association (2014). European Psychiatric Association (EPA) guidance on post-graduate psychiatric training in Europe. European psychiatry : the journal of the Association of European Psychiatrists, 29(2), 101–106.
https://doi.org/10.1016/j.eurpsy.2014.01.002
- Lotz-Rambaldi, W., Schäfer, I., ten Doesschate, R., & Hohagen, F. (2008). Specialist training in psychiatry in Europe–Results of the UEMS-survey. European Psychiatry, 23(3), 157-168.
- Medical Expertise Board Curriculum Creation & St& ard Setting System(TUKMOS).(2017). Ruh Sağlığı ve Hastalıkları Uzmanlık Eğitimi Çekirdek Müfredatı v.2.3 (2017) [Core Curriculum of Psychiatry Speciality Education].). from https://tuk.saglik.gov.tr/TR,53325/ruh-sagligi-ve-hastaliklari.html
- Medical Expertise Board Curriculum Creation & St& ard Setting System(TUKMOS).(2020). Ruh Sağlığı ve Hastalıkları Uzmanlık Eğitimi Çekirdek Müfredatı v.2.4 (2020) [Core Curriculum of Psychiatry Speciality Education].). from https://tuk.saglik.gov.tr/TR,50129/ruh-sagligi-ve-hastaliklari.html
- Newman, M.G., Castonguay, L.G., Borkovec, Thomas D., & Molnar, C. (2004). Integrative psychotherapy Generalized anxiety disorder: Advances in research & practice. (pp. 320-350). New York, NY, US: The Guilford Press.
- Norcross, J.C. (2005). A primer on psychotherapy integration. H& book of psychotherapy integration, 2, 3-23.
- Norcross, J. C., & Karpiak, C. P. (2012). Clinical Psychologists in the 2010s: 50 Years of the APA Division of Clinical Psychology. Clinical Psychology: Science & Practice, 19(1), 1-12. doi: https://doi.org/10.1111/j.1468-2850.2012.01269.x
- Norcross, J.C., Karpiak, C.P., & Lister, K.M. (2005). What's an integrationist? A study of self-identified integrative & (occasionally) eclectic psychologists. Journal of Clinical Psychology, 61(12), 1587-1594. doi: https://doi.org/10.1002/jclp.20203
- O'Donohue, W., Cummings, N., & Cummings, J. (2006). 1 - The Art & Science of Psychotherapy. In W. O'Donohue, N. A. Cummings & J. L. Cummings (Eds.), Clinical Strategies for Becoming a Master Psychotherapist (pp. 1-10). Burlington: Academic Press.
- Özakkaş, T.(2017). Bütüncül psikoterapi. İstanbul: Litera Yayınevi, 22-23
- Ozakkas, T., & Varol, N. (2009). Bütüncül (Ortak Faktörler, Entegratif, Eklektik ve Asimilatif) Psikoterapiler Holistic (Common Factors, Integrative, Eclectic & Assimilative) Psychotherapy. Turkiye Klinikleri J Psychiatry-Special Topics, 2(2), 26-34.
- Özakkaş, T., (2018). Psikoterapi tarihi ve bütüncül psikoterapi. Türkiye Bütüncül Psikoterapi Dergisi, 1(1), 1-24.
Pagano, J., Kyle, B.N., Johnson, T. L., & Saeed, S. A. (2017). Training Psychiatry Residents in Psychotherapy: The Role of Manualized Treatments. Psychiatr Q, 88(2), 285-294. doi: 10.1007/s11126-016-9476-5
- Pagano, J. Kyle, B.N., Johnson, T.L., & Saeed, Sy Atezaz. (2017). Training Psychiatry Residents in Psychotherapy: The Role of Manualized Treatments. Psychiatric Quarterly, 88(2), 285-294. doi: 10.1007/s11126-016-9476-5
- Paris, J. (2013). How the history of psychotherapy interferes with integration. Journal of Psychotherapy Integration, 23(2), 99-106. doi: 10.1037/a0031419
- Prochaska, J.O, & Norcross, J.C. (2018). Systems of psychotherapy: A transtheoretical analysis: Oxford University Press.
- Psikoterapi Enstitüsü.(2020). Bütüncül Psikoterapi Eğitimi İçeriği.). Retrieved 28.01.2021, from http://www.psikoterapi.com/egitimlerimiz/butuncul-psikoterapi-egitimi/
Seki, A. (2018). Türkiye’de kisa süreli dinamik psikoterapi eğitim programinin incelenmesi: bir durum çalişmasi. İstanbul Aydın Üniversitesi Sosyal Bilimler Enstitüsü.Yüksek Lisans Tezi
- Society for the Exploration of Psychotherapy Integration (SEPI).(2020). Teaching & Training Materials: Syllabi. from https://www.sepiweb.org/page/teach_train
- Thomason, T. C. (2010). The trend toward evidence-based practice & the future of psychotherapy. Am J Psychother, 64(1), 29-38. doi: 10.1176/appi.psychotherapy.2010.64.1.29
- Van Effenterre, A., Azoulay, M., Briffault, X., Dezetter, A., & Champion, F.(2015) [Initial training in psychotherapy for psychiatrists in France, a national qualitative study]. Sante Ment Que, 40(4), 201-215.
- Wachtel, P. L. (2010). Psychotherapy integration & integrative psychotherapy: Process or product? Journal of Psychotherapy Integration, 20(4), 406-416. doi: 10.1037/a0022032
- Weerasekera, P. (2013). The state of psychotherapy supervision: recommendations for future training. Int Rev Psychiatry, 25(3), 255-264. doi: 10.3109/09540261.2013.769431
- Yasar, A.B. , Gündoğmuş, İ., & Gündüz, A. (2019). Türkiyede Psikoterapi Uygulayan Psikoloji Ve Hekim Kökenli Ruh Sağlığı Profesyonellerin Eğitimlerinin Ekollere Göre Dağılımı ve Terapi Ekollerine Güven Düzeyleri Araştırması. Paper presented at the 23rd TPA, Annual Meeting & Clinical Education Symposium, Fethiye/Turkey.
- Yorulmaz, O., Sapmaz-Yurtsever, S., Gokdag, C., Kacar-Basaran, S., Gocek-Yorulmaz, E., Yalcin, M., . . . Gorgu-Akcay, N. S. (2018). The Future of Psychotherapy in Turkey: Predictions for the Next 10 Years. J Nerv Ment Dis, 206(5), 332-339. doi: 10.1097/nmd.0000000000000797
- Zisook, S., Balon, R., Björkstén, K. S, Everall, I., Dunn, L., Ganadjian, K., . . . Sidhartha, T. (2007). Psychiatry residency training around the world. Academic Psychiatry, 31(4), 309-325.