Scholten Saskia, Velten Julia, Kintscher Maja, Pataki Anita, Margraf Jürgen
Klinische Psychologie und Psychotherapie, Ruhr-Universität Bochum.
Psychother Psychosom Med Psychol. 2018 Sep;68(9-10):423-427. doi: 10.1055/a-0597-5073. Epub 2018 Oct 4.
Unprofessional psychotherapy damages its otherwise good standing. For that reason, a public discussion about malpractice and unethical psychotherapist behavior is oftentimes missing even though addressing the topic openly could illustrate its rarity and promote a professional handling of psychotherapeutic misconduct. In the presented study, qualitative content analysis was conducted to analyze malpractice claims that were sent to the Psychotherapeutic Chamber of North Rhine-Westphalia (Germany) in 2011 and 2012. All letters were anonymized and the processing of the claims was completed. In total, 149 relevant malpractice claims and 124 statements about consequences of malpractice behaviors were identified. Most malpractice claims were related to the category "violation of therapeutic basic variables" (40.3%), followed by "violation of general conditions" (16.8%) and "financial abuse" (12.1%). In consequence, 28.2% of the patients described a "deterioration of their symptoms". These results shed light on the variation of existing malpractice claims and their consequences for patients indicating the need for awareness-raising actions for therapists and patients.
不专业的心理治疗会损害其原本良好的声誉。因此，尽管公开讨论这个话题可以说明其罕见性，并促进对心理治疗不当行为的专业处理，但关于医疗事故和不道德心理治疗师行为的公开讨论往往缺失。在本研究中，进行了定性内容分析，以分析2011年和2012年发送给北莱茵-威斯特法伦州（德国）心理治疗协会的医疗事故索赔。所有信件均已匿名，索赔处理工作已经完成。总共识别出149项相关的医疗事故索赔以及124份关于医疗事故行为后果的陈述。大多数医疗事故索赔与“违反治疗基本变量”类别相关（40.3%），其次是“违反一般条件”（16.8%）和“财务滥用”（12.1%）。结果，28.2%的患者描述了“症状恶化”。这些结果揭示了现有医疗事故索赔的差异及其对患者的后果，表明需要对治疗师和患者采取提高意识的行动。
