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November 30, 2025BJPsych Bulletin2 citationsOpen Access

The contribution of transference-focused psychotherapy in general adult psychiatry training: improving trainees’ technical confidence and attitude towards people with personality disorders

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ASArianna SinisiMMMattia MarchiLPLuca Pingani

Key Points

  • Clinical confidence improved markedly in trainees, with a statistical significance of p < 0.001, transforming interactions with patients.
  • Qualitative analysis revealed high acceptability of TFP concepts and the need for more practical training components.
  • A mixed-methods design integrated pre- and post-training questionnaires alongside a focus group discussion, supporting robust evaluation.
  • Incorporating TFP in psychiatric education can reduce clinician frustration and enhance therapeutic engagement for complex personality disorder cases.

Abstract

Aims and method This study evaluated whether brief teaching sessions on transference-focused psychotherapy (TFP) could improve psychiatric trainees’ attitudes and clinical confidence in managing patients with personality disorders. A mixed-methods design was used, combining pre- and post-training validated questionnaires with a focus group discussion. Two 4-h workshops covered TFP theory and techniques, and case discussions. Results Twenty-six participants completed paired questionnaires. Statistically significant improvements were observed in overall attitudes (Attitudes to Personality Disorder Questionnaire total score, P = 0.022) and enthusiasm towards patients with personality disorders ( P = 0.003). Clinical confidence (Clinical Confidence with Personality Disorder Questionnaire) improved markedly ( P < 0.001). Qualitative analysis identified high acceptability, valuing TFP concepts and enhanced emotional awareness, although participants desired more practical components. Clinical implications Even brief TFP training can positively influence trainees’ attitudes and confidence in treating personality disorders. Incorporating TFP-informed training into psychiatric education may reduce clinician frustration and improve therapeutic engagement with this complex patient group.

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Cite This Study

Sinisi et al. (2025) studied this question.

synapsesocial.com/papers/692b94581d383f2b2a3790d2https://doi.org/10.1192/bjb.2025.10185
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