Journal article
Authors list: Leichsenring, Falk; Abbass, Allan; Beutel, Manfred; Guendel, Harald; Heuft, Gereon; Hoffmann, Sven Olaf; Kaechele, Horst; Kruse, Johannes; Rueger, Ulrich; Rudolf, Gerd; Spitzer, Carsten; Salzer, Simone; Luyten, Patrick; Wampold, Bruce; Steinert, Christiane
Publication year: 2019
Pages: 321-340
Journal: Zeitschrift für psychosomatische Medizin und Psychotherapie : Organ der Deutschen Gesellschaft für Psychosomatische Medizin und Ärztliche Psychotherapie (DGPM)
Volume number: 65
Issue number: 4
ISSN: 1438-3608
eISSN: 2196-8349
Open access status: Hybrid
DOI Link: https://doi.org/10.13109/zptm.2019.65.4.oa1
Publisher: Vandenhoeck & Ruprecht
Background: In Germany, the official psychotherapy guidelines are oriented towards the model of distinct psychotherapeutic approaches. Within the German health care system this also applies to the training in psychotherapy. Some critics, however, are presently pleading in favour of abolishing the model of distinct psychotherapeutic approaches, which also implies to abolish the concept of the so called "Richtlinienverfahren" in Germany - approaches of psychotherapy which proved to be efficacious and whose costs are reimbursed by the insurance companies. Objective: The arguments put forward such as the heterogeneity of the approaches as well as the proposed alternatives, for example, an "integrative" model of both mental disorders and psychotherapeutic treatment are critically discussed. Results: Both the arguments and proposed alternatives are found to be not convincing, neither from a scientific nor from a psychotherapeutic perspective. From a scientific perspective, there is no evidence for efficacy of a "general" or "integrative" model of psychotherapy - which is in contrast to the Richtlinienverfahren for which evidence for efficacy exists. From a psychotherapeutic perspective psychotherapy cannot be taught, learnt and applied by use of tools or modules without a theoretical orientation. Conclusions: The concept of distinct psychotherapeutic approaches proves to be an in dispensable principal for orientation in psychotherapy, for both therapists and patients.
Abstract:
Citation Styles
Harvard Citation style: Leichsenring, F., Abbass, A., Beutel, M., Guendel, H., Heuft, G., Hoffmann, S., et al. (2019) Why the concept of distinct psychotherapeutic approaches is indispensable - and why the tool box concept of psychotherapy cannot work, Zeitschrift für psychosomatische Medizin und Psychotherapie : Organ der Deutschen Gesellschaft für Psychosomatische Medizin und Ärztliche Psychotherapie (DGPM), 65(4), pp. 321-340. https://doi.org/10.13109/zptm.2019.65.4.oa1
APA Citation style: Leichsenring, F., Abbass, A., Beutel, M., Guendel, H., Heuft, G., Hoffmann, S., Kaechele, H., Kruse, J., Rueger, U., Rudolf, G., Spitzer, C., Salzer, S., Luyten, P., Wampold, B., & Steinert, C. (2019). Why the concept of distinct psychotherapeutic approaches is indispensable - and why the tool box concept of psychotherapy cannot work. Zeitschrift für psychosomatische Medizin und Psychotherapie : Organ der Deutschen Gesellschaft für Psychosomatische Medizin und Ärztliche Psychotherapie (DGPM). 65(4), 321-340. https://doi.org/10.13109/zptm.2019.65.4.oa1
Keywords
COGNITIVE-BEHAVIORAL THERAPY; CONTROLLED-TRIAL; DYNAMIC PSYCHOTHERAPY; MAJOR DEPRESSION; MODULES; PSYCHODYNAMIC THERAPY; Psychotherapeutic Approaches; Social anxiety disorder; Training in Psychotherapy; TRUTH; UNIFIED PROTOCOL