Zur Behandlung der Depression eignet sich die psychodynamische Psychotherapie in gleichem
Maße wie die kognitive Verhaltenstherapie. Erstere berücksichtigt in besonderem Maße
bestimmte Persönlichkeitsmuster der Patienten. Ziel der Therapie ist die Verbesserung
der sozialen Kompetenz und die Entlastung von neurotischer Selbstanforderung bzw.
-entwertung. Dabei ist die Balance wichtig zwischen Bindungswunsch und frei gewählter
Autonomie.
Psychodynamic psychotherapy has a long tradition in the treatment of depression. Its
effectiveness lies, according to previous studies on the same level as other bonafide
therapies. The review first presents the guideline recommendations for the therapy
od depression in Germany. Furthermore, classical and modern psychodynamic models of
depression are introduced. From these, general and specific therapeutic aspects are
derived. The presentation of the therapeutic approach begins with a section on how
to deal with acutely depressive patients. In this regard, contextual factors such
as medication and social support measures are described as well as how to deal with
suicidal tendencies. In addition, typical pitfalls in dealing with these patients
are described. In a further section, two particularly typical personality constellations
in depressive patients are addressed (avoiding versus ambivalent-preoccupied patterns).
These are derived from traditional models of depression as well as from clinical attachment
research. Finally, measures for relapse prophylaxis and possible maintenance therapy
strategies are presented.
Psychodynamische Modelle - Persönlichkeitstypologien - Selbstentwertung - Bindungsmuster
Psychodynamic - therapy - depression - attachement
