Schulenorientierte versus Störungsorientierte Psychotherapien in der Psychiatrie

The development of early psychotherapy was deeply rooted in the dominant psychotherapeutic schools of psychoanalysis, psychodynamic psychotherapy and behavior therapy. As a consequence the political procedures of deciding which form of psychotherapy should be reembursed or not was limited to these psychotherapeutic schools. Over the last decades in clinical psychotherapeutic research and praxis there has been a strong tendency towards disorder tailored psychotherapies. In these disorder focused approaches common psychopathological and pathogenetic phenomena of different disorders are identified as the focus of psychotherapeutic strategies, which are employing methods from different psychotherapeutic schools. In this paper the authors describe this recent trend in psychotherapy and point to the need to adjust the medical political process of psychotherapy relevant decision making to this development.