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The role and meaning of eating disorder therapist experience level

机译:饮食失调治疗师经验水平的作用和意义

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Warren, Schafer, Crowley, and Olivardia's (2013, pp. 553-564) study reports that therapist experience level in the treatment of eating disorders (EDs) is predictive of burnout. What contributes to "experience level" beyond years of training, however, has not been well described. There may be unique factors to working with patients with EDs, particularly among early career clinicians, that influence the experience of treating this unique population. The purpose of this comment is to identify different aspects of therapist experience and how these factors may influence therapist burnout in the treatment of EDs. Specific ways to address challenging experiences early in training are also proposed. Three specific areas of therapist experience that may contribute to burnout were described: (1) tendencies to overprescribe interventions and problem-solve; (2) overidentification with patients; and (3) the influence of a previous ED history on the treatment process. Specific techniques in the supervision of early career clinicians, engagement in one's own psychotherapy, as well as anticipating intrapersonal challenges that this population is likely to inspire are important areas for intervention.
机译:Warren,Schafer,Crowley和Olivardia's(2013,pp.553-564)的研究报告说,进食障碍(ED)的治疗师经验水平可以预测倦怠。但是,对于经过多年培训后有助于“体验水平”的因素,尚未有充分的描述。与ED患者合作时可能会有独特的因素,尤其是在早期临床医生中,这会影响到治疗这一独特人群的经验。本评论的目的是确定治疗师经验的不同方面,以及这些因素如何影响治疗ED的治疗师倦怠。还提出了在培训早期解决挑战性经验的具体方法。描述了可能导致倦怠的治疗师经验的三个特定领域:(1)过度开处方和解决问题的趋势; (2)对患者的过度认同; (3)先前的ED史对治疗过程的影响。干预早期工作的重要领域是早期临床医生的监督,参加自己的心理治疗以及预期该人群可能会激发的人际挑战的特定技术。

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