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Springer Psychotherapie in der Psychiatrie

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"Psychotherapie in der Psychiatrie" ist ein Thema, das he ute dringlicher denn je er fordert, aktuelle Entwicklungen der Psychotherapie darzustellen und ihren Stellen wert fUr die psychiatrische Behandlung sowie ihre Bedeutung fur den einzelnen psy chisch Kranken zu profen. Denn diese Fragen blieben in der Diskussion der letzten Jahre weitgehend ungekHirt. Die offentliche Diskussion des Themas Psychotherapie war eher von aHgemeinen fachlichen wie auch politischen FragesteHungen gekenn zeichnet. Arzte, Psychologen, Sozialarbeiter, Vertreter berufsstandischer Organisa tionen und von Therapieverbiinden, Krankenkassen, Politiker und nicht zuletzt auch Patienten waren und sind an dieser Diskussion beteiligt. Zu den im engeren Sinne fachlichen und wissenschaftlichen Hauptfragen gehort das Problem des Wirksamkeitsnachweises. Zum einen wurde in den letzten Jahr zehnten das Spektrum tradierter suggestiv-supportiver oder psychoanalytischer Psy chotherapien durch die Entwicklung neuer Psychotherapieverfahren erweitert und auch strukturell verandert. Damit steHte sich die Frage, welche Therapieform bei welchem Patienten und welch en psychiatrischen Krankheitsbildem die wirksamste und damit indizierte Behandlungsmethode ist. Zum anderen wurden in den letzten Jahren insbesondere im Bereich der Psychopharmakotherapie neue Methoden der Wirksamkeitsprtifung entwickelt, an deren Standards die Beurteilung auch psycho therapeutischer Verfahren nicht einfach vOriibergehen kann. Mit diesem Problem des Wirksamkeitsnachweises ist auch eines der derzeit wich tigsten gesundheitspolitischen Probleme eng verkntipft. Vor a11em von den Kosten tragem der Krankenversorgung wird eine Abgrenzung von kurativer Psychothera pie gegen andere professionelle zwischen- und mitmenschliche Hilfen gefordert.

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