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Unerwünschte Effekte, Nebenwirkungen und Behandlungsfehler in der Psychotherapie
Abstract
There is ample proof for the efficacy of psychotherapy but no systematic research on unwanted effects. Cases of malpractice represent a special problem as they always result from a therapist's inadequate behaviour. Furthermore, it is especially difficult in psychotherapy to distinguish between negative life events, unavoidable and undesirable developments of the disease, side effects of psychotherapy and positive treatment effects. In psychotherapy unwanted effects (UEs) can occur in the context of diagnostic problems, selection of the wrong treatment focus, technically inadequate interventions, sensitization processes, or inadequate development of a therapeutic alliance. Examples and case vignettes will be presented for these types of UEs and conclusions will be drawn as to how UE management can be improved.
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Often it is difficult to distinguish between negative life events, undesirable developments of the disease, and side effects of psychotherapy.
“Often it is difficult to distinguish between negative life events, undesirable developments of the disease, and side effects of psychotherapy [48].”
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References 11 · Cited by 27
Metadata
- Authors
- Lieberei, B., & Linden, M.
- Affiliations
- Deutsche Rentenversicherung Bund (DE)
- Corresponding author
- Lieberei, Barbara
- ORCID
- Linden, Michael
- Venue
- Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen
- Publisher
- Elsevier BV
- Published
- 2008-01
- Volume
- 102
- Issue
- 9
- Pages
- 558-562
- ISSN
- 1865-9217 (ISSN-L)
- OpenAlex
- W1997589267
- Cited by
- 27
- References
- 11
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 5 · 2017: 1 · 2015: 1 · 2013: 2 · 2012: 5
- FWCI
- 1.11
- Type
- journal article
- Language
- de
- Open access
- closed
- Locations
- Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- adverse effects of psychotherapy, treatment errors, diagnostic errors, therapeutic focus, treatment options, therapeutic relationship, adverse effects management
- MeSH terms
- Germany, Humans, Malpractice, Psychotherapy
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