ABSTRACT

Psychoanalytic communities, international and domestic, are concerned about the colonization of psychiatry by biological subspecialties and the consequent marginalization of psychoanalysis and psychoanalytic psychotherapy (PAP). Three major obstacles reported by the PGY-4 residents were educator/supervisor shortage, limited time allocation for PAP training, and unfavorable medical care environment. Findings support that PAP training at the Seoul National University Hospital Department of Psychiatry needs significant improvement. It is far from meeting each resident’s expectation to obtain quality PAP training and become a psychiatrist with competence in psychotherapy. Training emphasis on PAP does not rule out the training on psychopharmacological interventions. With all the external and internal obstacles to the quality PAP training for residents, it is highly likely that they develop confusion, frustration, and disappointment, resulting in a lack of confidence. PGY-2 residents mentioned educator/supervisor shortage and limited time allocation for PAP training.