Originalbeiträge (Originals). Belastung(sgrenz)en für Psychotherapeut:innen nach der Reform.

IF 0.8 4区医学 Q4 PSYCHIATRY

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie Pub Date : 2024-09-01 DOI:10.13109/zptm.2024.70.3.283

Deborah Engesser, Susanne Singer, Pascal Kemmerer, Rainer Paul, Andrea Petermann-Meyer, Katrin Reuter, Lena Dotzauer

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引用次数: 0

Abstract

Loads and limits for outpatient psychotherapists after the reform Objectives: The reform of the psychotherapy directive in 2017 challenged psychotherapists by new obligations and processes. We investigated burdens psychotherapists experience due to the reform and differences concerning urban vs. rural region, half vs. full care license and psychotherapy method.

Methods: Of 128 psychotherapists approached, 41 (32 %) agreed to study participation. Semistructured interviews were examined via qualitative content analysis.

Results: 83 % (n = 34) expressed some kind of burden. Burdens in terms of time, pressure/ stress and having to decline patients were named most frequently. 54 % of the participants (n = 22) pointed out various limits to what they can accomplish, mostly related to shortened waiting times and treatment availability. Burdens were more common among psychotherapists with a half care license and behavioural therapy; there were no major differences between urban or rural residents.

Discussion: Burdens for psychotherapists may result from individual life situations and resources of treatment availability.

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原创稿件（Originals）。改革后心理治疗师的负担（限制）。

改革后门诊心理治疗师的负担和限制目标：2017 年的心理治疗指令改革为心理治疗师带来了新的义务和流程挑战。我们调查了心理治疗师因改革而承受的负担，以及城市与农村地区、半护理执照与全护理执照和心理治疗方法的差异：在接触的 128 名心理治疗师中，有 41 人（32%）同意参与研究。通过定性内容分析对半结构式访谈进行了研究：83 %（n = 34）的心理治疗师表示有某种负担。最常见的负担包括时间、压力和不得不拒绝病人。54%的参与者（n = 22）指出了他们所能完成工作的各种限制，其中大部分与缩短等待时间和提供治疗有关。拥有半护理执照的心理治疗师和行为治疗师的负担更重；城市居民和农村居民的负担没有明显差异：讨论：心理治疗师的负担可能来自个人的生活状况和治疗资源。

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来源期刊

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie 医学-精神病学

CiteScore

1.50

自引率

11.10%

发文量

审稿时长

>12 weeks

期刊介绍： This journal provides a systematic overview of the entire field of psychosomatic medicine. It is also the official organ of the German Society for Psychosomatic Medicine and Medical Psychotherapy (DGPM). It serves as a forum for discussions of the interdisciplinary experiences in the field of psychosomatics, the goal being the furtherance of scientific insights into the interactions between mental and physical factors in the development of disease. It also provides a way to deepen one´s knowledge of psychoanalysis and to explore new therapeutic directions.