Competence in Psychotherapy: The Role of E-Learning
Competence in Psychotherapy: The Role of E-Learning
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DOI：
10.1007/s40596-015-0443-5
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发表时间：
2017-02-01
影响因子：
2.5
通讯作者：
McAleer, Sean
中科院分区：
文献类型：
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作者：
Hickey, Catherine;McAleer, Sean
心理治疗在过去的几十年里有了很大的发展。许多精心构建的荟萃分析已经证明了对许多不同精神疾病患者的积极影响[1，2]。心理治疗教育也在发展。加拿大皇家内科和外科医师学院[3]和研究生医学教育认证理事会[4]都增加了循证心理治疗的培训要求。还强调使用录音带和录像带，并重新重视基于能力的教育和评估。在此之前，一些人对精神病住院医师项目中心理治疗的“地位”丧失表示担忧[5]。但在过去的十年里，北美培训项目重新关注心理治疗教育的重要性。加拿大精神病学住院医师项目现在必须毕业在几种心理治疗模式中具有不同程度能力的住院医师[3]。虽然略有不同，但美国研究生医学教育认证理事会[4]也提出了严格的期望。美国居民必须精通心理动力学，支持和认知行为疗法。他们必须接触夫妻，家庭和团体治疗，还必须能够将心理治疗与药物治疗相结合。能力"里程碑"现在已经制定，居民必须证明渐进的，但明确的，ac-
Psychotherapy has evolved considerably over the last several decades. Numerous well-constructed meta-analyses have demonstrated positive effects for many patients across a wide variety of different psychiatric disorders [1, 2]. Psychotherapy education has also evolved. Both the Royal College of Physicians and Surgeons of Canada [3] and the Accreditation Council for Graduate Medical Education [4] have increased training requirements in evidence-based psychotherapies. The use of audiotapes and videotapes has also been stressed, and there is a renewed focus on competency-based education and assessment. Previously, some had expressed concern about the loss of “status” of psychotherapy in psychiatric residency programs [5]. But the last decade has seen a renewed focus on the importance of psychotherapy education in North American training programs.Canadian psychiatry residency programs must now graduate residents with varying degrees of competence in several modalities of psychotherapy [3]. While slightly different, rigorous expectations have also been outlined by the Accreditation Council for Graduate Medical Education [4] in the USA. American residents must be proficient in psychodynamic, supportive, and cognitive behavioral therapies. They must have exposure to couples, families, and group therapies and must also be able to integrate psychotherapy with pharmacotherapy. Competency “milestones” have now been developed, and residents must demonstrate the gradual, but defined, ac-