caa a22 4500 445344164 CHVBK 20180317142823.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s00406-011-0257-8 doi (NATIONALLICENCE)springer-10.1007/s00406-011-0257-8 Psychotherapy in psychiatry: the current situation and future directions in Germany [Elektronische Daten] [Knut Schnell, Sabine Herpertz] The aim of this article is to review how psychotherapy is dispensed to patients in psychiatric treatment and to render the future perspectives of psychotherapy in psychiatric outpatient and inpatient care in Germany. We demonstrate that—according to the currently available data about healthcare providers, allocation of financial resources and curricular regulations—the presently used definition of the term "psychotherapy” is ambiguous. One major problem for the application of psychotherapy in psychiatry is obviously constituted by the dominance of the major guideline therapies ("Richtlinienverfahren”) within psychiatric services. Here, guideline therapies do not meet the needs of a significant proportion of acutely, severely and/or chronically ill psychiatric patients and restrain the application of scientifically approved, disorder-oriented and context compliant interventions in psychiatric practice. As a future perspective, we suggest that the training of psychiatrists should impart profound interpersonal skills and provide the competence to offer psychotherapy within a multimodal, modular, and flexible treatment plan on the background of the self-conception of psychiatry as a medical discipline. Moreover, future concepts of psychiatric psychotherapy should promote an evidence-based selection and application of scientifically approved, disorder-oriented, and integrative treatment methods, which are available in growing number. Springer-Verlag, 2011 Psychotherapy nationallicence Psychiatry nationallicence Evidence-based medicine nationallicence Integrated psychotherapy nationallicence Public health system nationallicence Richtlinienverfahren nationallicence Schnell Knut Department of General Psychiatry, University Hospital Heidelberg, Voßstr. 2, 69115, Heidelberg, Germany aut Herpertz Sabine Department of General Psychiatry, University Hospital Heidelberg, Voßstr. 2, 69115, Heidelberg, Germany aut European Archives of Psychiatry and Clinical Neuroscience Springer-Verlag 261(2011-11-01), 129-134 0940-1334 261<129 2011 261 406 https://doi.org/10.1007/s00406-011-0257-8 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00406-011-0257-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Schnell Knut Department of General Psychiatry, University Hospital Heidelberg, Voßstr. 2, 69115, Heidelberg, Germany aut NATIONALLICENCE 700 1- Herpertz Sabine Department of General Psychiatry, University Hospital Heidelberg, Voßstr. 2, 69115, Heidelberg, Germany aut NATIONALLICENCE 773 0- European Archives of Psychiatry and Clinical Neuroscience Springer-Verlag 261(2011-11-01), 129-134 0940-1334 261<129 2011 261 406 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer