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An internet survey of psychiatrists who have a particular interest in cognitive behavioural therapy: what is the place for the cognitive behavioural model in their role as a psychiatrist?

Published online by Cambridge University Press:  03 March 2015

Ali Isa Alfaraj ,
Graeme Whitfield  and
Michael Townend
Ali Isa Alfaraj
Affiliation:
Bradford District NHS Care Trust, Lynfield Mount Hospital, Bradford, West Yorkshire, UK
Graeme Whitfield*
Affiliation:
Leicestershire Partnership NHS Trust, Gwendolen House, Leicester, UK
Michael Townend
Affiliation:
University of Derby, Derby, UK
*
*Author for correspondence: Dr G. Whitfield, Gwendolen House, Gwendolen Road, Leicester, LE5 4QF, UK (email: graeme.whitfield@leicspart.nhs.uk).
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Abstract

A survey of psychiatrists with a special interest in CBT was conducted by email correspondence to answer two main questions: ‘What are the uses and the usefulness of the cognitive behavioural model within the day-to-day practice of psychiatrists?’ and ‘What are the most important roles of the consultant medical psychotherapist who has specialized in CBT?’ Despite the constraints of a low response rate the results still reflected the views of 46 psychiatrists who were particularly experienced in the area of CBT. They reported that the cognitive behavioural model was useful in general psychiatric settings, in particular in the engagement of patients, improving client's insight, adherence to medications, and for trainee supervision. The responders reaffirmed previously held views about the role of the consultant medical psychotherapist (CBT), in particular the roles of the assessment and management of complex cases, of taking responsibility for patients with a combination of medical and psychological issues and of teaching CBT to psychiatrists and other mental health professionals. The challenges of translating CBT competencies into generic non-CBT psychiatric settings are discussed, with the important potential role of the medical psychotherapist in this respect. The key skill of formulating cases in secondary care is emphasized.

Keywords

Cognitive behavioural therapy (CBT)formulationmedication compliancepostgraduate education
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 8 , 2015 , e3
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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References

Recommended follow-up reading

Moorhead, S, Lloyd, A, Holmes, J (2011). What should psychiatric trainees in years 1–3 gain from CBT training? Implications from a Royal College Divisional Workshop. Cognitive Behaviour Therapist 4, 78–87.Google Scholar
Royal College of Psychiatrists (2006). Role of the consultant psychiatrist in psychotherapy: Council report CR139 (http://www.rcpsych.ac.uk/usefulresources/publications/collegereports/cr/cr139.aspx).Google Scholar

References

Abbas, M, Walton, R, Johnston, A, Chikoore, M (2012). Evaluation of teaching an integrated case formulation approach on the quality of case formulations: randomised controlled trial. The Psychiatrist 36, 140–145.CrossRefGoogle Scholar
Ashworth, P, Williams, C, Blackburn, IM (1999). What becomes of cognitive behavioural therapy trainees? A survey of trainees’ opinions and current practice after postgraduate cognitive therapy training. Behavioural and Cognitive Psychotherapy 27, 267–277.CrossRefGoogle Scholar
Bateman, AW (2007). Psychotherapy in psychiatry: integration and assimilation. International Review of Psychiatry 19, 1–4.CrossRefGoogle ScholarPubMed
Delaney, KR, Handrup, CT (2011). Psychiatric mental health nursing's psychotherapy role: are we letting it slip away? Archives of Psychiatric Nursing 25, 303–305.Google Scholar
Department of Health (2012). IAPT 3 year report – the first million patients (http://www.iapt.nhs.uk/silo/files/iapt-3-year-report.pdf).Google Scholar
Docherty, JP, Marder, SR, van Kammen, DP, Siris, SG (1977). Psychotherapy and pharmacotherapy: conceptual issues. American Journal of Psychiatry 134, 529–533.Google Scholar
Forsyth, A (2008). Implementing cognitive behaviour therapy skills in adult acute inpatient settings. Mental Health Practice 11, 24–27.Google Scholar
General Medical Council (2012). Small specialities thematic review: quality assurance report for medical psychotherapy (http://www.gmc-uk.org/static/documents/content/Medical_Psychotherapy_report_FINAL.pdf).Google Scholar
Harris, G (2011). Talk doesn't pay so psychiatry turns to drugs. New York Times (http://www.nytimes.com/2011/03/06/health/policy/06doctors.html?pagewanted=all&r=0).Google Scholar
Hull, AM, Swan, J (2003). A survey of psychiatrists completing a cognitive behavioural psychotherapy diploma course. Behavioural and Cognitive Psychotherapy 31, 467–471.CrossRefGoogle Scholar
Johnston, J (2013). The UK Psychotherapy Training Survey. Royal College of Psychiatrists (https://www.rcpsych.ac.uk/pdf/RCPsych%20UK%20Medical%20Psychotherapy%20Report%20Summary%20March%202013%20final%20draft.pdf).Google Scholar
Johnston, J (2014). Thinking cradle to grave: developing psychotherapeutic psychiatry, 10th draft. Royal College of Psychiatrists (http://www.rcpsych.ac.uk/pdf/Thinking%20Cradle%20to%20Grave%20Developing%20Psychotherapeutic%20Psychiatry%20Draft%20X.pdf).Google Scholar
Martinez, R, Horne, R (2007). Setting up and evaluating a cognitive-behavioural therapy training programme for psychiatric trainees. Psychiatric Bulletin 31, 431–434.Google Scholar
Pies, RW (2011). Psychotherapy is alive and talking in psychiatry. Psychiatric Times 28, 9–10.Google Scholar
Royal Australia and New Zealand College of Psychiatrists (2012). Psychotherapy written case (https://www.ranzcp.org/Pre-Fellowship/2012-Fellowship-Program/Assessment-overview/Psychotherapy-Written-Case.aspx).Google Scholar
Royal College of Psychiatrists (2012). A competency based curriculum for specialist core training in psychiatry (http://www.rcpsych.ac.uk/pdf/CORE_CURRICULUM_2010_Mar_2012_update.pdf). Accessed 28 June 2013.Google Scholar
Thirunavukarasu, M (2012). Newsletter for the BIPA (British Indian Psychiatric Association), September 2012, p. 12.Google Scholar
Weissman, MW, Verdell, H, Gameroff, MJ, Bledsoe, SE, Betts, K, Mufson, L, Fitterling, H, Wickramaratne, P (2006). National survey of psychotherapy training in psychiatry, psychology and social work. Archives of General Psychiatry 63, 925–934.CrossRefGoogle ScholarPubMed
Whitfield, G, Connolly, M, Davidson, A, Williams, C (2006). Use of cognitive-behavioural therapy skills among trained psychiatrists.Psychiatric Bulletin 30, 58–60.Google Scholar
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