Psychotherapists' and Trainees' Experiences With Co-Therapy in a Training Setting: Roles, Benefits, Challenges, and Teamwork Strategies

Area of Science:

• Psychotherapy Training
• Clinical Psychology
• Therapeutic Alliances

Background:

• Co-therapy, involving two or more therapists working together, is increasingly recognized in psychotherapy training.
• Understanding the experiences of both therapists and trainees in co-therapy settings is crucial for optimizing training programs.

Purpose of the Study:

• To explore the experiences of therapists and trainees utilizing co-therapy within a university psychotherapy training service.
• To identify the benefits and challenges associated with co-therapy from the perspectives of both experienced therapists and trainees.

Main Methods:

• Semi-structured interviews were conducted with 18 therapists and 19 trainees at an outpatient psychotherapy service in Ecuador.
• Data from the interviews were analyzed using the framework analysis approach to identify key themes and experiences.

Main Results:

• Most participants lacked prior co-therapy experience; therapists focused on guidance and mutual learning.
• Trainees valued learning opportunities but noted administrative burdens. Co-therapy facilitated diverse perspectives and collaborative interventions.
• Challenges included communication issues and client intimidation; open communication and planning were emphasized.

Conclusions:

• Co-therapy is a feasible and beneficial approach for psychotherapy training and practice, enhancing outcomes through integrated perspectives.
• It offers trainees exposure to diverse approaches, relational dynamics, and continuous support.
• Training services should implement structured co-therapy programs, prioritizing communication, collaboration, and client comfort.