Four Psychotherapeutic Settings

  • Heinz BoekerEmail author


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.


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© 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

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