Psychother Psychosom Med Psychol 2024; 74(12): 498-503
DOI: 10.1055/a-2415-5871
Aktuelle psychosomatische und psychotherapeutische Behandlungsansätze

Transtheoretisches Therapeuten Training erklärt am Beispiel des Allianz-Fokussierten Trainings

Explaining Transtheoretical Therapist Training using Alliance-Focused Training as an Example
Anna Babl
1   Klinische Psychologie, Universität Leiden, Leiden, Niederlande
› Author Affiliations

Zusammenfassung

Obwohl die meisten Psychotherapeuten einen integrativen und prozessorientierten Ansatz verfolgen, sind transtheoretische Ansätze in der Psychotherapieausbildung selten. Um angehende Therapeuten besser auf die Komplexität der Praxis vorzubereiten, bedarf es eines solchen Ansatzes. Ein vielversprechender Weg ist die Berücksichtigung von Änderungsprinzipien, die über verschiedene Therapieschulen hinweg gelten. Über das Änderungsprinzip der therapeutischen Allianz sind sich die Therapieschulen am meisten einig. Im Folgenden wird daher ein Allianz-Fokussiertes Training vorgestellt, bei dem Therapeuten lernen Brüche in der Allianz zu erkennen und mit Strategien zur Resolution darauf zu reagieren. Gegenwärtige Lehrmethoden wie Rollenspiele und Supervision haben ihre Grenzen, da sie nur posteriori und auf einen kleinen Teil der Fälle angewandt werden können. Ein zukunftsweisender Ansatz könnte daher ein online-Training sein, das Änderungsprinzipien wie die Allianz und Marker für Handlungsbedarf integriert, bewährte Methoden des gezielten Übens und Expertentrainings nutzt und das Potential der Technologie ausschöpft.

Abstract

Although most psychotherapists adopt an integrative and process-oriented approach, transtheoretical approaches to psychotherapy training are rare. To better prepare future therapists for the complexities of clinical practice, such an approach is needed. A promising way forward is to consider principles of change that cut across different schools of therapy. The principle of the therapeutic alliance is where different therapy schools agree most. Therefore, an alliance-focused training is presented below, where therapists learn to recognize ruptures in the therapeutic alliance and respond to them with resolution strategies. Current teaching methods like role-playing and supervision have their limitations, as they can only be applied post hoc and to a small number of cases. A new approach could be an online training that integrates principles of change, such as the alliance and markers for interventions, utilizes proven methods of deliberate practice and expert training, and makes use of the potential of technology.



Publication History

Received: 21 June 2024

Accepted: 13 September 2024

Article published online:
21 October 2024

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