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Interpersonal dynamics in psychotherapeutic practice: innovative training framework for better outcomes

Published online by Cambridge University Press:  17 December 2025

David Reiss Open the ORCID record for David Reiss [Opens in a new window]
David Reiss*
Affiliation:
A consultant forensic psychiatrist at the Three Bridges Medium Secure Unit, West London NHS Trust, London, UK. He is also a senior clinical lecturer at Imperial College London and a training programme director at NHS England.
*
Correspondence David Reiss. Email: davidreiss@nhs.net
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Summary

This brief article outlines a training programme, implemented during day-to-day practice, to teach psychodynamic skills to resident doctors in a variety of specialties and at all levels of training. By identifying and exploring the interpersonal dynamics between individual patients and staff, psychiatry residents learn skills such as psychodynamic assessment and formulation, intervention planning and risk reduction.

Keywords

Psychotherapyforensic psychiatryliaison psychiatrytrauma and stressor-related disordersin-patient treatment

Information

Type
Refreshment
Information
BJPsych Advances , First View , pp. 1 - 2
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Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists

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References

Dale, O, Kirtchuk, G, Reiss, D (2011) Valuing the splits and preventing violence. In Containment in the Community: Supportive Frameworks for Thinking about Antisocial Behaviour and Mental Health (eds Rubitel, A, Reiss, D): 217–36. Karnac.Google Scholar
Darnley, B, Reiss, D, Kirtchuk, G (2012) Boundary violations in medium security. In Professional and Therapeutic Boundaries in Forensic Mental Health Practice (eds Aiyegbusi, A, Kelly, G): 158–70. Jessica Kingsley.Google Scholar
Kirtchuk, G, Gordon, J, McAlister, M, et al (2013) Interpersonal Dynamics Consultation – A Manual for Clinicians. Department of Forensic Education & Department of Forensic Psychotherapy, West London Mental Health NHS Trust.Google Scholar
Kirtchuk, G, Reiss, D, Alla, L (2017) Interpersonal dynamics in forensic psychiatry. In Forensic Psychiatry: Fundamentals and Clinical Practice (eds Puri, B, Treasaden, I): 757–64. Hodder.Google Scholar
Li, C, Hillen, T, Reiss, D, et al (2019) The interpersonal dynamics consultation in physical health settings: a model for reflective practice. BJPsych Advances, 25: 122–30.10.1192/bja.2018.71CrossRefGoogle Scholar
Reiss, D, Kirtchuk, G (2009) Interpersonal dynamics and multidisciplinary teamwork. Advances in Psychiatric Treatment, 15, 62–469.10.1192/apt.bp.107.004796CrossRefGoogle Scholar
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