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What can we expect from trainee therapists? A study of acquisition of competence in dynamic psychotherapy

Bibliographic Data

ID6129591
AuthorsBjørn Killingmo (University of Oslo), Sverre Varvin (0000-0003-1559-8335, University of Oslo, corresponding author), Hanne Strømme (University of Oslo)
Year2014
Volume37
Issue1
Pages24-35
Publication date2014-01-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Scandinavian Psychoanalytic Review (JOURNAL)
Journal identifiersISSN: 0106-2301 • E-ISSN: 1600-0803
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/01062301.2014.903029
OpenAlexW1996522599
LanguageEN
Citations received3
References cited19

This study focuses on training in dynamic psychotherapy. Sessions deriving from the final phase of psychodynamic therapies (N = 21) performed by clinical trainees in an intensive psychodynamic psychotherapy training programme lasting 2 years were analysed for their level of psychotherapeutic competence. Research questions were: (i) To what extent do the trainees reflect strategic thinking in their clinical work? (ii) What characterises therapeutic attitude and interventions of therapists who have or have not achieved the capacity of strategic thinking? Three dimensions were analysed: strategic competence, attitudinal competence and technical competence. The concept "strategic competence" was developed in this study. It refers to the ability of the therapist to continuously reflect on therapeutic aims and on means designed to achieve these aims. Results: 53% of the therapists did not show operative clinical competence in terms of strategic thinking. Strategic competence was present, wholly or partially, in 47%. Only 2 therapists demonstrated high-level strategic competence. Most therapists demonstrated a lack of capability for strategic thinking and a lack of technical competence. Patients' defence mechanisms and the therapists' helplessness and lack of competence counteracted progress in the therapies. The study demonstrates that it is difficult to acquire dynamic understanding of the therapeutic process and that the novice therapist will need a longer period of time to acquire operative competence

Competence (human resources) · Competence-based management · Management · Medical education · Psychiatry · Psychodynamic psychotherapy · Psychodynamics · Psychological intervention · Psychotherapist · Strategic planning · Academic and Historical Perspectives in Psychology · Educational and Psychological Assessments · Medicine · Psychology · Psychotherapy Techniques and Applications · Social Psychology

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Unique citing works3
Citations per year0,43
Citation span2019 - 2026 (8)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2

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