A Process for Development of a Psychodynamic Psychotherapy for Borderline Personality Disorder Learning Module for Psychiatry Residents.

Abstract

Introduction: Psychodynamic psychotherapy is an effective treatment for borderline personality disorder (BPD), but few specific curricula for psychiatric residents currently exist. The authors developed an online learning module to teach psychodynamic psychotherapy for BPD to psychiatry residents, based on the following educational methods: the ADDIE (analysis, design, development, implementation, evaluation) design process, the Morrison, Ross, and Kemp instructional design model, and the 4C/ID (four-components instructional design) model. Methods: Indonesian residents, psychiatrists, and psychotherapy teaching staff participated in a needs analysis to identify the competencies, subject content, and learning methods that the module should address, through focus group discussions and Delphi survey methodology. The module then underwent content validation. Results: The psychodynamic psychotherapy for BPD learning module was designed as a 12-session online training program. The module addresses three main subjects: phenomenology and pathogenesis of BPD, basic principles of psychodynamic psychotherapy, and the practice of psychodynamic psychotherapy with patients with BPD. It is taught through lectures, case discussions, video discussions, psychodynamic formulation learning assignments, and a review of residents' process notes of psychodynamic psychotherapy sessions. Discussion: Implementation of this module could enhance residents' competency to treat BPD with psychodynamic psychotherapy and fill the current gaps in the field of psychotherapy education, especially in areas of the world with limited access to expert faculty.