Teaching consultation-liaison psychotherapy: assessment of adaptation to medical and surgical illness

Acad Psychiatry. 2007 Sep-Oct;31(5):367-74. doi: 10.1176/appi.ap.31.5.367.

Abstract

Objective: Little has been written about teaching consultation-liaison inpatient psychotherapy to residents or other trainees.

Method: Resident interviews at completion of consultation-liaison training identified learning needs. In response, the authors created a seminar series and modified it reiteratively eight times.

Results: In this approach, the primary task of consultation-liaison psychotherapy assessment is to determine the success of a patient's adaptation to hospitalization, and to identify obstacles to adaptation. Selected determinants of adaptation are reviewed and organized as individual factors and intrahospital and extrahospital environmental factors. This provides a viable means of organizing and integrating disparate bodies of knowledge for the student.

Conclusions: The teaching model awaits empirical validation as a tool that enhances teaching and patient care outcomes.

MeSH terms

  • Adaptation, Psychological*
  • Curriculum
  • Defense Mechanisms
  • Hospitalization*
  • Humans
  • Internship and Residency*
  • Life Change Events
  • Object Attachment
  • Ontario
  • Patient Care Team*
  • Personality Assessment
  • Physician's Role
  • Psychiatry / education*
  • Psychotherapy / education*
  • Referral and Consultation*
  • Sick Role*
  • Social Environment
  • Surgery Department, Hospital*