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Abstract

第122巻第11号

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What Psychotherapy Training Gave Us
Toshiyuki WATANABE1,2
1 Watanabe Clinic
2 Takasaki Nishiguchi Psychotherapy Training Room
Psychiatria et Neurologia Japonica 122: 845-852, 2020

 The significance of structured psychiatric training was discussed based on the author's experience of training in dynamic psychotherapy in the 1980s, when there was a growing interest in psychotherapy, and a roundtable discussion with three current psychiatrists (one in their 50s and two in their 60s) who were trained at the same time.
 Encounters with psychiatrists in student practice and residency training are important not only for learning psychotherapy theories and skills, but also because they affect the later life of the young psychiatrist. In those days, the core of the author's training was "transference" and "introspection".
 Four implications of structured psychotherapy training were clarified in the roundtable discussion. The first was "structural recognition". The therapeutic structure theory (Keigo Okonogi) and educational structure theory (Tetsuya Iwasaki) for understanding the place of psychotherapy and therapeutic relationship were useful not only in psychotherapy, but also in current ward management, hospital administration, and training and education. The second was "introspection". The introspective attitude of 'thinking about myself' is maintained today through attending psychotherapy and supervision. The third was "the significance of team medicine". The team medical experience as a young physiatrist makes one aware of the nurses, social workers, and psychologists as peers, and makes one feel that they are in the same boat. This was connected to the attitude of talking to each other. The fourth was "psychiatrists as humans". Due to the structured training environment, we were not limited to an apprenticeship system. We were able to encounter "psychiatrists as humans" freely. The personality, such as "sensitivity", "objectivity","flexibility", and "empathy", is prepared through psychotherapy (Wolberg, L. R.).
 <Author's abstract>

Keywords:therapeutic structure, educational structure of psychotherapy, structuring, supervision, psychiatrists as humans>
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