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Sally Mitchison is a group analyst and a consultant psychiatrist in psychotherapy (Upper Poplars, Cherry Knowle Hospital, Ryhope, Sunderland SR2 0NB, UK. Email: sally.mitchison{at}stw.nhs.uk). She is responsible for the psychotherapy service in Sunderland. She previously worked in the same locality in a special responsibility consultant post, split between psychotherapy and general adult psychiatry.
The Royal College of Psychiatrists requirements for psychotherapy training and the role of the local psychotherapy tutor are summarised. Practical issues concerning the provision of this training are discussed, taking into account the anxieties that trainees experience. Suggestions are made about conducting case discussion groups, providing case supervision in small groups, locating short cases and arranging group and systemic therapy experience.
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