Münchner Psychotherapiestudie

Huber, Dorothea; Klug, Günther

doi:10.1007/s00278-016-0139-7

Cited by 17 publications

(3 citation statements)

References 15 publications

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“…We draw from four psychodynamic therapies with (i) 184 sessions in a modified psychoanalytic long-term therapy, two times a week, face-to-face, conducted and videotaped by an experienced male psychoanalyst, involving a male patient in his 40 s with a borderline diagnosis (PA3), (ii) 28 sessions of a fully audiographed psychoanalytic short-term therapy from the 1980s with a male patient in his 30 s with an obsessive-compulsive diagnosis (PA1) that has been researched extensively (see overview in Dittmann, 2016), (iii) about 180 sessions in another modified psychoanalytic long-term therapy with a male therapist and female patient (PA2), and (iv) 80 sessions in a depth psychological therapy with a male therapist and a female patient (DP1). Both therapies (PA2 and DP1) were diagnosed as depressive, and the therapies were conducted in the context of the Munich psychotherapy study (Huber and Klug, 2016). Patients gave their consent to audio recording in advance as part of the psychotherapy study.…”

Section: Data and Methods Data And Participantsmentioning

confidence: 99%

Being right vs. getting it right: orientation to being recorded in psychotherapeutic interaction as disaffiliative vs. affiliative practice

Franzen,

Alder,

Dreyer

et al. 2023

Front. Psychol.

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IntroductionThe study focuses on the orientation to being recorded in therapy sessions, emphasizing that these practices adapt to specific circumstances and influence subsequent actions. The study suggests a way to deal with the insolubility of the “observer paradox”: to accept that observation has an impact on the observed, but that the recorder is not necessarily a negative determinant. Furthermore, the study builds on the idea that participants' orientations to the recorder can be seen as actions.MethodsThe data included in this study were collected from four psychodynamic therapies. A total of 472 sessions were searched for orientation to be recorded. Twenty-three passages were found and transcribed according to GAT2. Of the 23 transcripts, six excerpts have been analyzed as part of this article. The analysis of this study was done through Conversation Analysis.ResultsThe study explores how participants use the orientation to be recorded to initiate or alter actions within conversations, which can help achieve therapeutic goals, but can also hinder the emergence of a shared attentional space as the potential to disrupt the therapist-patient relationship. The study identifies both affiliative and disaffiliative practices, noting that managing orientation to be recorded in a retrospective design consistently leads to disruptive effects. Moreover, it highlights the difference between seeking epistemic authority (“being right”) and managing recording situations (“getting it right”) in therapeutic interactions as a means of initiating patients' self-exploration.DiscussionThe integration of recordings into therapeutic studies faces challenges, but it's important to acknowledge positive and negative effects. Participants' awareness of recording technologies prompts the need for a theory of observation in therapeutic interactions that allows therapists to visualize intuitive practices, incorporate active contributions, counteract interpretive filtering effects, facilitate expert exchange, ensure quality assurance, and enhance the comprehensibility of therapeutic processes. These aspects outline significant variables that provide a starting point for therapists using recordings in therapeutic interactions.

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Section: Data and Methods Data And Participantsmentioning

confidence: 99%

Being right vs. getting it right: orientation to being recorded in psychotherapeutic interaction as disaffiliative vs. affiliative practice

Franzen,

Alder,

Dreyer

et al. 2023

Front. Psychol.

View full text Add to dashboard Cite

show abstract

“…All treatments involve patients diagnosed with depression. Almost all of the patients were judged to have had a positive "outcome" by independent assessors in the Munich study; adherence to specific procedures was checked: cases labelled PA (or DP or CBT) did indeed relate to PA (or DP or CBT) [50]. Differences can be ascribed to the therapeutic procedures.…”

Section: Method: Conversation Analysismentioning

confidence: 99%

The Building of Empathy: Conceptual “Pillars” and Conversational Practices in Psychotherapy

Buchholz¹,

Bergmann²,

Alder³

et al. 2017

Empathy - An Evidence-Based Interdisciplinary Perspective

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Empathy can be considered a special type of cooperation between therapist and patient. This exploratory study compares psychoanalytical, depth-psychological and behavioural therapy, in each case using transcriptions of audio recordings of initial, mid-term and late sessions. For each school of therapy, five treatments are included, creating a database of 45 sessions. We describe the project and the method of conversation analysis using examples of these transcripts and hypothesise that while all three schools of therapy are faced with common fundamental problems concerning the realisation of empathy, one can observe empathy profiles specific to each school. Here, we introduce theoretical groundwork and the terminology of conversation analysis. The topic may be of particular interest to clinicians, since everyday problems are examined through the prism of microanalysis.

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“…Statutory health insurers cover up to 80 therapy sessions for behavioural therapy, up to 100 for depth psychology therapy, and up to 300 for analytical therapy [1]. The effectiveness of outpatient guideline therapy has been proven in several German studies [2–4] as well as internationally [5, 6].…”

Section: Introductionmentioning

confidence: 99%

Psychosomatic–psychotherapeutic treatment in an evening clinic: a qualitative examination of patients’ expectations and experiences

Brunner

Dinger

Komo-Lang

et al. 2019

Int J Ment Health Syst

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BackgroundOver a course of 10 weeks the psychosomatic–psychotherapeutic evening clinic at the University of Heidelberg offers an intensive and multimodal 3-h treatment program on three evenings a week. The clinic aims at accommodating patients who on the one hand do not fit the criteria of partial or full-time inpatient therapy, but on the other hand requires a more intensified therapy dose than the usual German outpatient settings can cater for. In the presented monocentric, qualitative study, we wanted to examine this treatment concept with regard to the patients’ specific concerns, expectations, and individual experiences. By contrasting differences in intensity of outpatient and inpatient treatment, we aimed to identify those characteristics of the evening clinic setting that were perceived as especially helpful.MethodEach of the 25 patients was interviewed twice, using semi-structured interviews. The interviews took place before (T0) and after (T1) the 10-week treatment interval. A qualitative content analysis of the transcribed interviews was performed using the software “MaxQDA”.ResultsWe identified a total of 1609 separate codes and grouped them into 33 topics and 5 overarching categories. Here, we found some aspects independent of the therapeutic setting, and others concerning the patients’ specific expectations and experiences resulting from the particularities of the evening clinic as an outpatient setting including certain inpatient characteristics. This included the possibility of patients continuing to work and being able to fulfil social obligations, i.e. childcare or caring for relatives, while at the same time undergoing intensive psychotherapeutic treatment.ConclusionsOur results show that the evening clinic concept is particularly suitable for patients with mental and psychosomatic disorders who require intensified multimodal therapy while continuing to meet their obligations in their private and working lives. However, in comparison to other therapeutic methods, this concept generated greater stress and time challenges. Patients should therefore have a reasonably good standard of functioning in everyday life and sufficient coping resources. This is especially important for patients who continue working in their jobs while undergoing treatment. So far, there is a lack of quantitative data which would be needed to evaluate the effectiveness of this novel setting.

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Münchner Psychotherapiestudie

Cited by 17 publications

References 15 publications

Being right vs. getting it right: orientation to being recorded in psychotherapeutic interaction as disaffiliative vs. affiliative practice

Being right vs. getting it right: orientation to being recorded in psychotherapeutic interaction as disaffiliative vs. affiliative practice

The Building of Empathy: Conceptual “Pillars” and Conversational Practices in Psychotherapy

Psychosomatic–psychotherapeutic treatment in an evening clinic: a qualitative examination of patients’ expectations and experiences

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