Senf W, Kordy H, von Rad M, Bräutigam W
Psychother Psychosom. 1984;42(1-4):37-47. doi: 10.1159/000287822.
The problem of indication is a central one of psychotherapy research. Unfortunately up to now only few scientific results contribute to a therapist's decision in selecting patients for a specific therapeutic setting. Thus, indication and outcome research should be combined. A critical view on traditional research strategies demonstrates that psychotherapy research should replace the ideal of normative and general rules by the rational investigation of one's own therapeutic practice. From this point of view some results of the Heidelberg Follow-Up Project of 110 psychotherapies which were started on an inpatient and continued on an outpatient basis are presented. Based on the therapeutic changes of these 110 patients the question is investigated whether the decisions of the indications correspond with the therapeutic goals of the treatment models. Moreover, the question is discussed what kind of success a specific treatment model offers for 'problem patients'.
适应症问题是心理治疗研究的核心问题之一。不幸的是，到目前为止，只有少数科学成果有助于治疗师决定为特定治疗环境选择患者。因此，适应症研究和疗效研究应该结合起来。对传统研究策略的批判性审视表明，心理治疗研究应该通过对自身治疗实践的理性调查来取代规范和通用规则的理想。从这个角度出发，介绍了海德堡110例心理治疗随访项目的一些结果，这些治疗最初在住院患者中开展，之后转为门诊治疗。基于这110名患者的治疗变化，研究了适应症的决定是否与治疗模式的治疗目标相符。此外，还讨论了特定治疗模式为“问题患者”带来何种成功的问题。
