Research over several decades has identified significant problems with the progression model—the traditional approach to assessment and advancement of psychoanalytic candidates—including candidates’ anxiety and uncertainty about the methods and fairness of their assessment, avoidance of conflictual issues with patients in order to keep cases, and reluctance to share their challenges with supervisors and advisors. In light of these findings, the Columbia Center for Psychoanalytic Training and Research restructured its psychoanalytic training programs. The progression committee, the progression advisor role, candidate application to advance through the program, and routine committee discussion of candidates were eliminated and replaced by confidential mentorship and a clear and predictable system of trainee advancement. Analytic competency—a requirement for graduation—is now determined solely from detailed written feedback regarding the candidate’s achievement of the Center’s learning objectives. The number of months of supervised analysis required for graduation has been reduced, as has the required length of the candidate’s longest case; in addition, three-times-weekly analyses are now accepted for credit. These changes are meant to increase the transparency, objectivity, and predictability of the training experience and reduce the pressure on clinical decision making and communication between trainees and faculty. An extensive evaluation of the impact of these innovations is currently under way.

中文翻译：

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超越进步：为哥伦比亚大学的候选人评估、晋升和咨询设计新的培训模式

几十年来的研究已经确定了进步模型（评估和提升精神分析候选人的传统方法）的重大问题，包括候选人对其评估方法和公平性的焦虑和不确定性，避免与患者发生冲突以保留病例，并且不愿意与主管和顾问分享他们的挑战。根据这些发现，哥伦比亚精神分析培训和研究中心重组了其精神分析培训计划。升学委员会、升学顾问角色、候选人申请推进计划以及委员会对候选人的例行讨论都被取消，取而代之的是保密的指导和清晰可预测的学员晋升系统。分析能力——毕业的一项要求——现在完全取决于关于候选人实现中心学习目标的详细书面反馈。毕业所需的监督分析月数已减少，候选人最长案件所需的长度也已减少；此外，现在接受每周 3 次分析的信用。这些变化旨在提高培训体验的透明度、客观性和可预测性，并减少临床决策和受训人员与教职员工之间的沟通压力。目前正在对这些创新的影响进行广泛的评估。毕业所需的监督分析月数已减少，候选人最长案件所需的长度也已减少；此外，现在接受每周 3 次分析的信用。这些变化旨在提高培训体验的透明度、客观性和可预测性，并减少临床决策和受训人员与教职员工之间的沟通压力。目前正在对这些创新的影响进行广泛的评估。毕业所需的监督分析月数已减少，候选人最长案件所需的长度也已减少；此外，现在接受每周 3 次分析的信用。这些变化旨在提高培训体验的透明度、客观性和可预测性，并减少临床决策和受训人员与教职员工之间的沟通压力。目前正在对这些创新的影响进行广泛的评估。和培训经验的可预测性，减少临床决策和学员与教职员工之间的沟通压力。目前正在对这些创新的影响进行广泛的评估。和培训经验的可预测性，减少临床决策和学员与教职员工之间的沟通压力。目前正在对这些创新的影响进行广泛的评估。