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Manualorientierte psychodynamische Therapie: Methodische Einführung, Diskussion und Beispiele am Modell der Angststörungen
Ist Teil von
Forum der Psychoanalyse, 2014-12, Vol.30 (4), p.395
Ort / Verlag
Heidelberg: Springer Nature B.V
Erscheinungsjahr
2014
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
Therapy manuals have their origins in research. After it came to light that the variance in the practical application of a defined therapeutic procedure was surprisingly high, there was growing concern to form the basis of better comparability, at least for research purposes. In order to achieve this so-called manuals were constructed in which it was laid down what a practitioner does or what should be done when the therapy is to be applied which is meant to be applied. When it became clear that not all practitioners adhered even to that which was laid down in the manual, a further step became necessary: checking the treatment fidelity (adherence to the manual). In order to collate this, neutral observers assess from tape recordings (previously) or video tapes (presently) to what extent the therapy proceeds in accordance with the guidelines. Treatment fidelity can by definition be assessed most easily when the treatment rules are more precisely defined (manual precision). Therefore, treatment guidelines can have different grades of commitment and different degrees of precision with which they can be implemented within certain treatment situations. The concern of this article is to contribute to the transfer of results obtained in research to their practical implementation. For this purpose examples for the therapy of various anxiety disorders are presented. The so-called unified protocol for the transdiagnostic psychodynamic treatment of anxiety disorders (Leichsenring und Salzer, Psychotherapy 51:224-245, advance online public. 10.1037/a0033815, 2013) is presented for the first time in the German language. The remarkable feature of this manual is that the individual steps have been proven to be effective by empirical testing. All manuals presented in this article are based on the Principles of Psychoanalytic Psychotherapy established by Luborsky in 1984.[PUBLICATION ABSTRACT]