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Acad Psychiatry 30:379-384, October 2006
doi: 10.1176/appi.ap.30.5.379
© 2006 Academic Psychiatry
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Overcoming Barriers in Working With Families

Alison M. Heru, M.D. and Laura Drury, M.S.W., L.I.C.S.W.

Received December 29, 2004; revised January 23, 2006; accepted February 1, 2006. Dr. Heru and Ms. Drury are affiliated with the Department of Psychiatry, Butler Hospital, Providence, Rhode Island. Address correspondence to Dr. Heru, Department of Psychiatry, Butler Hospital, 345 Blackstone Boulevard, Providence, RI 02906; aheru{at}butler.org (E-mail). Copyright © 2006 Academic Psychiatry.

OBJECTIVE: The Accreditation Council for Graduate Medical Education and the Residency Review Committee for psychiatry outline the expected competencies for residents. These competencies include working with families. This article describes barriers that residents face when working with families, and offers ways to overcome these barriers. METHOD: In 23 years of combined experience teaching family therapy to psychiatry residents, the authors have identified typical barriers that residents face when beginning to work with families. RESULTS: Six clinical vignettes, with the resident’s concerns, the supervisor’s intervention and the resident’s response, illustrate these barriers. CONCLUSIONS: In order for residents to become skilled in working with families, barriers should be made explicit and ways of overcoming these barriers should be discussed clearly with residents.




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E. M. Berman, A. Heru, H. Grunebaum, J. Rolland, J. Sargent, M. Wamboldt, S. McDaniel, and Group for the Advancement of Psychiatry Committee
Family-Oriented Patient Care through the Residency Training Cycle
Acad Psychiatry, April 1, 2008; 32(2): 111 - 118.
[Abstract] [Full Text] [PDF]




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