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Therapeutische Faktoren und ihre Mobilisierung – der Beitrag der Psychotherapieforschung

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Sexualtherapie

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Zusammenfassung

Die Erfahrung, die mit dafür ausschlaggebend war, uns bei der Entwicklung der neuen Sexualtherapie intensiver mit der Psychotherapieforschung auseinanderzusetzen, werden viele Therapeuten kennen: Nach einer vom Therapeuten als gut, aber nicht exzeptionell eingeschätzten Sitzung kommt der Patient wieder und berichtet, dass der Therapeut in der letzten Stunde etwas gesagt habe, das extrem viel ausgelöst und „wie ein Durchbruch“ gewirkt habe. Seitdem sei vieles anders geworden und seine Probleme hätten sich grundlegend verbessert. Der Therapeut ist zwar erfreut, aber gleichzeitig auch irritiert, weil er sich an das, was für den Patienten diese enorme Bedeutung hatte, kaum erinnern kann. Nach längerem Nachdenken ist er sich sicher, dass er die Aussage, so wie sie vom Patienten wiedergegeben wurde, nicht gemacht hat, fragt sich darüber hinaus aber sogar, ob er überhaupt sinngemäß etwas vergleichbaren Inhalts gesagt hat. Die Irritation wird schließlich noch dadurch erhöht, dass die Interventionen, Erklärungen und emotionalen Interaktionen, die aus Sicht des Therapeuten in der letzten Sitzung besonders gut und wichtig waren, offensichtlich beim Patienten gar nicht „angekommen“ oder spurlos verpufft sind.

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  1. Leiter des Arbeitsbereichs Klinische Psychologie und Sexualmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland

    Uwe Hartmann

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  1. Zentrum für Seelische Gesundheit Arbeitsbereich Klinische Psychologie und Sexualmedizin, Medizinische Hochschule Hannover (MHH), Hannover, Germany

    Uwe Hartmann

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Hartmann, U. (2018). Therapeutische Faktoren und ihre Mobilisierung – der Beitrag der Psychotherapieforschung. In: Hartmann, U. (eds) Sexualtherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54415-0_5

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