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Psychotherapeut

, Volume 56, Issue 3, pp 265–277 | Cite as

Die Wirksamkeit psychodynamischer Psychotherapie

  • Jonathan ShedlerEmail author
Psychotherapie aktuell
  • 9 Downloads

Zusammenfassung

Empirische Daten belegen die Wirksamkeit psychodynamischer Psychotherapie. Effektgrößen für psychodynamische Psychotherapie sind so groß wie die für andere Therapien berichteten Effektgrößen, für die aktiv als „empirisch gestützt“ und „evidenzbasiert“ geworben worden ist. Außerdem erzielen Patienten, die eine psychodynamische Therapie machen, einen andauernden therapeutischen Gewinn und scheinen sich nach Behandlungsende weiterhin zu bessern. Schließlich sind nichtpsychodynamische Therapien vielleicht zum Teil wirksam, weil sachkundigere Therapeuten Techniken anwenden, die für die psychodynamische Theorie und Praxis seit Langem von zentraler Bedeutung sind. Die Auffassung, psychodynamische Ansätze seien nicht ausreichend empirisch gestützt, stimmt nicht mit den zur Verfügung stehenden wissenschaftlichen Daten überein und reflektiert vielleicht eine selektive Verbreitung von Forschungsergebnissen.

Schlüsselwörter

Psychotherapie Outcome Psychotherapieverfahren Psychoanalyse Psychodynamische Psychotherapie Metaanalyse 

The efficacy of psychodynamic psychotherapy

Abstract

Empirical evidence supports the efficacy of psychodynamic therapy. Effect sizes for psychodynamic psychotherapy are as large as those reported for other therapies which have been actively promoted as “empirically supported” and “evidence based.” Additionally, patients who receive psychodynamic therapy maintain therapeutic gains and appear to continue to improve after treatment ends. Finally, non-psychodynamic therapies may be effective in part because the more skilled practitioners utilize techniques which have long been central to psychodynamic theory and practice. The perception that psychodynamic approaches lack empirical support does not accord with available scientific evidence and may reflect selective dissemination of research findings.

Keywords

Psychotherapy Outcome Psychotherapy process Psychoanalysis Psychodynamic psychotherapy Meta-analysis 

Notes

Danksagung

Der Autor dankt Mark Hilsenroth für seinen beträchtlichen Beitrag zu dieser Veröffentlichung, Marc Diener für einige der hier berichteten Informationen und Robert Feinstein, Glen Gabbard, Michael Karson, Kenneth Levy, Nancy McWilliams, George Stricker und Robert Wallerstein für ihre Kommentare zu früheren Entwürfen.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Departement of Psychiatry, Denver School of MedicineUniversity of ColoradoAuroraUSA

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