Advertisement

Four Psychotherapeutic Settings

  • Heinz Boeker
Chapter

Abstract

Four different psychotherapeutic settings for the outpatient psychotherapy and the respective indication criteria are presented in this chapter.

The neuropsychodynamic approach supports the application of effective principles of psychotherapy and pharmacotherapy in the treatment of psychiatric disorders on the basis of a conceptualization which focuses on the circular relationship between different biological, neurobiological, psychological, and social dimensions of the disorders.

Therapeutic changes may be induced “top-down” as well as “bottom-up”. Consequently therapeutic strategies should be developed and modified which aim at reactivating the brain’s inherent plastic potency and inducing a reorganization of the neural networks which had developed on the basis of genetic dispositions or by means of epigenetic influences and which had been stabilized by means of their previous use.

Indication criteria, aspects of therapeutical techniques, and adequate therapeutical settings are described. Four settings with different frequencies of the sessions (low, medium, higher frequency, outpatient group psychotherapy), duration, and therapeutical focus may serve as an orientation for the outpatient psychotherapy. Their selection has always to be related to each single patient with regard to the symptomatology, the history of the disorder, the personality, the degree of psychological strain, and the motivation of the patient.

References

  1. Boeker H. Depression, manie und schizoaffektive psychosen: psychodynamische theorien, einzelfallorientierte forschung und psychotherapie. Gießen: Psychosozial-Verlag; 2000.Google Scholar
  2. Boeker H. Melancholie, depression und affektive störungen: zur entwicklung der psychoanalytischen depressionsmodelle und deren rezeption in der klinischen psychiatrie. In: Boeker H, editor. Psychoanalyse und psychiatrie: geschichte, krankheitsmodelle und therapiepraxis. Berlin: Springer; 2005. p. 115–57.Google Scholar
  3. Fonagy P, Target M. Attachment and reflective function. Their role in self-organization. Dev Psychopathol. 1997;9:679–700.CrossRefGoogle Scholar
  4. Hoffmann N, Schauenburg H, editors. Psychotherapie der depression. Stuttgart: Thieme; 2000.Google Scholar
  5. Mentzos S. Depression und manie: psychodynamik und psychotherapie affektiver störungen. Göttingen: Vandenhoeck & Ruprecht; 1995.Google Scholar
  6. Rudolf G. Psychotherapieforschung bezogen auf die psychotherapeutische Praxis. Psychother Forum. 1996;4:124–34.Google Scholar
  7. Spitzer N. Geist im netz: modelle für lernen, denken und handeln. Berlin: Spektrum, Akademischer Verlag; 2000.Google Scholar
  8. Stern D. The process of therapeutic change involving implicit knowledge: some implications of developmental observation for adult psychotherapy. Infant Ment Health J. 1998;19:300–8.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Psychiatry, Psychotherapy, and PsychosomaticsPsychiatric University Hospital Zurich, University of ZurichZurichSwitzerland

Personalised recommendations