From: Brain & Mind, September 2010
who receive medical treatment due to mental disease, faces a problem: Few people can provide information on adverse effects and side effects. Uniform rules, as with drugs, does not yet exist. It is about one in ten patients after a bad psychotherapy than before.
"For risks and side effects read the package insert and ask your doctor or pharmacist!" These remarks Everybody knows that before a drug was prescribed. Even before surgery, patients are informed about the risks. Who goes to psychotherapy, but is usually not warned of possible consequences. Involves psychotherapy perhaps no risks?
"Quite the opposite," says Carsten Spitzer psychotherapy researchers. In psychology magazine Gehirn & Geist (issue 09/2010), he calls together with his colleague Rainer Richter and Bernd lion from the University Hospital Hamburg-Eppendorf, Harald Frey of the University of Greifswald Berger uniform rules for educating patients about the harmful effects of psychotherapy for the art establishment.
therapists often underestimate the number of failures. The various studies have shown in recent years. The fact that the desired results fail to occur sometimes or even deterioration, is occupied for decades. Why treatment fails in detail, however, is poorly understood. Even Sigmund Freud
observed in some of his patients "a worsening of the cure," and he only made them responsible for the worsening symptoms - such as the causes of their problems because they allegedly repressed. Since then, side effects of therapy is usually charged to the patient and not to errors of the therapist or the treatment concept returned. In a 2008 study found Spitzer and colleagues, however, are that neither patient characteristics such as age, gender or professional status or character of characteristics such as anxiety and shame with the course of therapy in context.
"We assume that problematic aspects of the therapist contribute significantly to the failure of psychotherapy," said Spitzer. Other studies back this up. In the mid-1990s, studies showed the American psychologist David Mohr of Northwestern University in Chicago, patients react strongly to the conscious or unconscious reactions of the therapist. Disappointment, anger, or simply boredom stress treatment.
Spitzer and colleagues recommend that patients, therefore, two things you should talk to their therapists directly to possible side effects of treatment and ensure that the chemistry is right. "The biggest risk factor is a problematic relationship with the therapist," says Spitzer. Who from the beginning, not a good line to get treated, looks for another better. Imagine the problems start later one should look for patient and therapist together for solutions.
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