Clarification-oriented psychotherapy

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The declaration oriented psychotherapy (also: goal-oriented psychotherapy) is a therapy direction on the basis of psychotherapy and cognitive behavioral therapy of the Bochum Psychology Professor Rainer Sachse was developed. She pays special attention to clarification and awareness, as well as changing so-called schemes .

Concept and way of working

For clarification-oriented psychotherapy, schemas are patterns which, in particular, people with chronic complaints (clients often referred to as “difficult” or “therapist killers”) automatically and unconsciously control to a high degree. On the one hand, these are difficult to see through, on the other hand, a trusting and productive relationship can only develop if the therapist perceives at least the strongest schemes and reacts to them correctly. The most important goal of therapy is therefore first to make the client aware of his previously unconscious and uncontrollable schemata. Only then does he have the opportunity to question self-evident habits, beliefs, desires, etc., to correct them and to allow new experiences to come into his own.

Severe dissatisfaction and the development of symptoms are explained in clarification-oriented psychotherapy as an alienation from one's own wishes, motives and goals. Getting to know them and finding possible conflicts with schemes is another important component of this therapy school.

The basis for the clarification of schemes and motives is the relationship with the therapist, which, like conversation psychotherapy, should be characterized by empathy, appreciation and authenticity. In contrast to non-directive counseling psychotherapy, in clarification-oriented psychotherapy the therapist makes a mental model of the client and applies targeted strategies to control the therapeutic relationship and to initiate clarification processes. Here it is more similar to cognitive behavioral therapy. Another characteristic of clarification-oriented psychotherapy is that the therapist adapts his approach to a high degree to the disorder (not the diagnosis!) And the resulting inner logic of the client's worldview.

indication

The developers of clarification-oriented psychotherapy assume that their methods primarily help clients with diffuse, elusive complaints, in whose history both classic depth psychological approaches and cognitive-behavioral interventions were unsuccessful. Clarification-oriented psychotherapy has u. a. specific therapeutic approaches, as well as disorder and therapy theoretical concepts for the treatment of personality disorders that are difficult to treat . Typical diagnoses are:

literature

  • Klaus Grawe : Psychological Therapy. Hogrefe Verlag, Göttingen 2000, ISBN 3-801-7-1369-5 .
  • Rainer Sachse : Clarification-oriented psychotherapy. Hogrefe Verlag, Göttingen 2002, ISBN 978-3-801-71643-1 .
  • Rainer Sachse: From conversation psychotherapy to clarification-oriented psychotherapy: criticism and further development of a therapy concept. Pabst Science Publishers, 2005, ISBN 3-89967-212-7 .
  • Rainer Sachse, P. Schlebusch (ed.): Perspektiven Klärungsorientierter Psychotherapie. Pabst Science Publishers, 2006, ISBN 3-89967-274-7 .
  • Rainer Sachse, J. Fasbender, J. Breil, M. Sachse (eds.): Perspectives of clarification-oriented psychotherapy. Part II, Pabst Science Publishers, 2011, ISBN 978-3-89967-672-3 .

Web links

Individual evidence

  1. ↑ Rainer Sachse: From conversation psychotherapy to clarification-oriented psychotherapy: criticism and further development of a therapy concept. Pabst Science Publishers, 2005, ISBN 3-89967-212-7 .