Academic Psychiatry

doi: 10.1007/BF03399746pmid: N/A

Hunt, D.

doi: 10.1007/BF03399747pmid: N/A

An incentive plan which encouraged increased productivity and an increased awareness of the importance of fee collection both for ongoing therapy and departmental revenues, was introduced into a psychiatric outpatient clinic staffed by residents. The overall performance and attitudes about fee collections were compared to the year prior to the introduction of the incentive plan. An increase in the number of patient-hours seen by residents was observed. There was no evidence of abuse of the incentive system nor change in patient’s attitudes based on survey questionnaires. The author suggests that using incentive systems to improve performance are preferable to regulatory systems and that this is an important method of financing residency training. It appears that an incentive program alone does not increase a resident’s tendency to explore with his supervisors his own difficulties surrounding patient fees. The author suggests a mechanism that might further facilitate this end.

Fuller, William; Roberts, Cecilia; Gulledge, A.; Soule, Douglas

doi: 10.1007/BF03399748pmid: N/A

Readily identifiable psychosocial problems exist which affect 50 to 75 percent of all hospitalized patients. The primary physician must learn to deal with these problems, frequently trial and error, “common sense,” or “role-modeling.” A training program at the University of South Dakota School of Medicine entitled LIAISON PSYCHIATRY was designed to help medical students recognize and handle these common problems.

Lindy, Jacob; Hall, John

doi: 10.1007/BF03399749pmid: N/A

The authors describe the evolution of a program of primary care experience for residents in the new first year of psychiatry training. They identify the doctor-patient relationship and with it the field of two-person biology as the integrating concept for the year. They describe an innovative educational instrument to achieve this end: a faculty preceptor group containing equally the perspective of liaison psychiatry and dynamic psychotherapy. Some early data on the outcome of the program are offered.

Greene, Les; Geller, Jesse

doi: 10.1007/BF03399750pmid: N/A

The present study was designed to investigate empirically responses of therapists to the process of terminating dyadic psychotherapy and to examine some personality correlates of these responses. A questionnaire was constructed to tap both managerial and affective responses to termination; this inventory, along with a measure of personal boundary management, was completed by 71 therapists-in-training and 34 experienced clinicians. Findings, supporting hypothesized interactions, indicated that characteristic ways of regulating personal boundaries significantly affected responses to termination only for the group of student therapists. More specifically, the data revealed that personal needs for intimacy and social isolation influenced the ways in which these therapists-in-training handled psychotherapy endings. Implications for psychotherapy supervision, in terms of the sociopsychological concept of role, were discussed.

Buckley, Joanne; Berner, Eta

doi: 10.1007/BF03399751pmid: N/A

Along with prevailing national trends toward enlightened consumerism there has been a growing emphasis on prevention, in addition to crisis intervention, within the health care system. These trends signal changes in consumer expectations for service as well as in the character of the experiences encountered by those working in the health care field. The purpose of this study was to assess the needs of different groups of professional consumers of child psychiatric consultations, to present consumer reactions to child psychiatrists as consultants, and to discuss the implications of the results for the training of child psychiatrists. The data suggest that in addition to providing therapy and diagnositc evaluations, requisite child psychiatrist services include those related to communication and feedback to consultees, involvement with parents, and in some cases, inservice training.

Roberts, Jean; Steinfink, Dan

doi: 10.1007/BF03399752pmid: N/A

A description is presented of a monthly short story seminar offered as an elective part of a psychiatry residency curriculum. The seminar’s discussions of famous works of fiction give residents, at all levels of training, an informal, nonstressful atmosphere in which to test and develop their growing skills of psychological perception. In addition they are introduced to classic literature as a great source of wisdom about human nature and as a source of aesthetic pleasure.

Munford, Paul; Alevizos, Peter; Reardon, Diane; Miller, W.; Callahan, Edward; Liberman, Robert; Guilani, Bijan

doi: 10.1007/BF03399753pmid: N/A

This paper describes a behaviorally oriented approach to training in behavior therapy. Instead of either lectures or individual case supervision, the seminar combined group and individual training that employed behavioral techniques as the main instructional modalities. The seminar was divided into four modules which covered operant and respondent conditioning principles, assertive training, behavior therapy with adult outpatient problems, and systematic parent training. The trainees’ evaluation of the practicum and their treatment results were positive.

Melchiode, Gerald

doi: 10.1007/BF03399754pmid: N/A

Dissatisfaction with traditional methods of teaching the topic of suicide to medical students led to the design of an innovative approach, the suicide call. A simulated “patient” places a call to the classroom. Students are chosen to interact with the “patient” via the telephone. Utilizing the telephone adds such a sense of immediacy to the situation that students have difficulty denying their feelings about suicide. Thus, the psychodynamics of suicide can be demonstrated so clearly that there is little resistance on the part of the students.

Rubinton, Phyllis; Sacks, Michael; Frosch, William

doi: 10.1007/BF03399755pmid: N/A

The sensible use of a library is basic to scholarly clinical psychiatry as well as to research. This paper, through an annotated bibliography and specific examples, attempts to guide the reader to the useful sources and their utilization.