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精神科醫師的團體心理治療訓練

Recent Training of Group Psychotherapy in Psychiatrists

摘要


目的:瞭解目前台灣精神科專科醫師接受團體心理治療之訓練概況及提出目前團體心理治療訓練課程之建議。 方法:採用問卷調查方式,針對全國所有精神科訓練醫院的培訓委員或訓練計劃負責人,以郵寄方式,全面施予精神科專科醫師訓練醫院團體心理治療訓練現況調查。再針對近三年取得精神科專科醫師執照者,以郵寄方式,全面施予精神科專科醫師團體心理治療訓練現況調查。 結果:共回收精神科訓練醫院問卷17份及新任精神科專科醫師問卷80份。在每年住院醫師人數上,有68.8%至75%的訓練醫院其人數為0-2人。在學習團體心理治療中的困難中,以缺乏團體心理治療訓練師資為最高佔59.0%,其次為機構主管對團體心理治療不支持佔20.5%和缺乏同儕一起學習團體心理治療佔19.2%。有14家訓練醫院認為心理劇是必修課程,但僅有3家提供心理劇訓練課程。有提供家族治療訓練課程的醫院有4家,只佔總訓練醫院數的25%。大於90%教學醫院願意加入由精神醫學會安排共訓計劃。 結論:目前團體心理治療訓練最大的問題為教學醫院住院醫師人數分散及師資不足,若要克服此兩項困難,建議由相關學會推動團體心理治療共訓計劃及落實督導制度。

並列摘要


Objectives: The aim of this study is to understand the psychiatrists' training for group psychotherapy and to provide some suggestions for improvement. Methods: The condition of the training program for group psychotherapy in training hospital reported by the leader of the program was collected through questionnaire. Besides, the reports of the psychiatrists getting board in recent 3 years were also collected. Results: Reported questionnaires from 17 training hospitals and questionnaires from 80 psychiatrists were collected in this study. The annular number of residents is 0 to 2 in 68.8% to 75% hospital. The difficulties in learning group psychotherapy were lacking of trainers (59.0%), poor support of the chief (20.5%) and few peers (19.2%). There were 14 teaching hospital taking psychodrama important, but just 3 of them provided this training. Only 4 training hospitals provided training programs for family therapy. Over 90% of the training hospitals agreed to joint the shared training program. Conclusions: The key problems for the training of group psychotherapy were few residents and lacking of teachers. If we want to overcome these problems, we should build up the systems for shared training and supervision of the group therapists.

被引用紀錄


王金永、盧惠芬、黃韻如(2024)。精神科社工人員臨床團體工作實務現況與能力研究中華心理衛生學刊37(1),19-51。https://doi.org/10.30074/FJMH.202403_37(1).0002

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