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In the second year, residents continue
to expand and refine their knowledge and experience of inpatient psychiatric
treatment on the inpatient, emergency, and chemical dependency services.
They may also have their first experience with consultation and
liaison psychiatry on medical wards.
Clinical
rotations foster an appreciation of the need for integrated psychiatric
services, ranging from inpatient treatment facilities to outpatient
care in the community.
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Second year residents also begin to follow
long-term psychotherapy cases, a process which facilitates their understanding
of the changes that can occur over time in the context of the therapeutic
relationship. All residents are assigned two faculty members for individual
psychotherapy supervision throughout the second through fourth years
of training.
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COURSES AND
SEMINARS
Neuropsychological
Disorders (4 weeks):
This course focuses on neuropsychological
assessment and the psychological manifestations of dementia,
localized brain lesions, and traumatic brain injuries.
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Psychological Testing
(2 months):
General principles of testing and the
indications and limitations of specific psychological tests
are discussed. At the end of the course, the residents sit
in on the blind examination of several of their own patients
by the instructor who gives an analysis of the test results.
The resident who works with each patient then presents the
degree of fit between these psychological findings and the
other sources of data.
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Cultural Diversity in
Psychiatry (6 weeks):
This seminar provides descriptive
information concerning American culture and subcultures. African-American
culture is the primary focus in the study of subgroup cultural differences.
Parallels between African-American and other subgroup cultures are
discussed.
Introduction to Psychotherapy
(2 months):
This is an introduction to five
general psychosocial models each accounting for why individuals
act and think the way they do, and each theory's general recommendations
on how to assess and modify such behavior and thought patterns.
The theories included are psychoanalysis, existential/humanistic,
behavioral, family systems and cognitive approaches. Upon completion
each resident should have a basic understanding of these different
models and some therapeutic interventions associated with each model.
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Introduction
to Psychodynamics (4 months):
A study of the principles of psychoanalytic
theory and its application to psychotherapy, the course
includes an historical survey of major theorists and
therapists with emphasis on the importance of the
therapist-patient relationship and its influence on the
course of therapy.
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Psychosomatic Medicine
(2 months):
The literature on such topics as
psychological aspects of epilepsy, respiratory disturbances,
chronic pain, endocrine and eating disorders, and
psychoimmunology is reviewed and discussed.
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Growth and Development (4
months):
A comprehensive study of the major theories
of change and an examination of growth and development, the
course concentrates on the prenatal period through
adolescence, but also includes a consideration of adulthood,
parenthood and old age. A series of readings and films are
employed to illustrate the evolution of personality and
psychological, biological and moral development of the
child.
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Statistics
and Research (2 months):
Residents learn
how to analyze data and interpret statistical analyses in psychiatric
research. Each participant masters the course concepts by
actually entering data and performing statistical analyses on a
computer consisting of a data base that will measure anxiety,
depression and leisure habits of patients seen in the clinic over a 5
year period.
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