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* Psychodynamic Therapy
Academic Psychiatry 23:88-94, June 1999
© 1999 Academic Psychiatry

Are Advanced Psychiatry Residents More Skillful Than Beginning Residents in the Conduct of Psychodynamic Psychotherapy?

Ronald F. Krasner, M.D., Sarah R. Shelby, A.B. and Kenneth I. Howard, Ph.D.

Dr. Krasner is Vice Chairman and Director of Psychiatric Education, Ms. Shelby is a Ph.D. student in clinical psychology, and Dr. Howard is Professor of Psychology; all are in the Department of Psychiatry and Behavioral Sciences, Northwestsern University Medical School, Chicago, Illinois. Address correspondence and reprint requests to Dr. Krasner, Department of Psychiatry and Behavioral Sciences, Northwestern University Medical School, 303 E. Superior St., Rm. 594, Chicago, IL 60611; e-mail: r-krasner{at}nwu.edu

The psychotherapy skills of psychiatry residents were assessed by using a structured-response supervisor inventory, the Supervisor Report (SR). Longitudinal data on the same resident across time showed a small but positive trend toward the acquisition of skill in doing psychodynamic psychotherapy. Mixed cross-sectional and longitudinal comparisons between ratings of the beginning residents and advanced residents demonstrated a significant, but small, increase in skill over the course of outpatient training. SR score changes also corroborated observational data on individual residents. While these findings suggest the utility of the SR in measuring changes in psychotherapy skill, the results must be considered in light of the relatively poor interrater reliability and only somewhat better test–retest reliability. (Academic Psychiatry 1999; 23:88–94)

Key Words: Psychotherapy • Residency Training • Supervisor Report







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