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Gesundheitswesen 2020; 82(02): 180-187
DOI: 10.1055/a-1033-7449
Übersichtsarbeit

Psychotherapie für taube Patienten durch hörende Psychotherapeuten mittels Gebärdensprachdolmetscher – ein Systematisches Literaturreview zu Forschungsbefunden und Empfehlungen

Interpreter-Aided Psychotherapy for Deaf and Hearing-Impaired Patients – a Systematic Review of Research and Recommendations for Psychotherapists with Normal Hearing and Sign Language Interpreters
Steffi Schmidt
1   Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg
,
Franka Metzner
1   Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg
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Zusammenfassung

In Deutschland haben taube Patienten Anspruch auf Gebärdensprachdolmetscher in der Psychotherapie. Datenbanksuchen ergaben weltweit 1184 Studien zum Thema, von denen 10 in ein systematisches Literaturreview eingeschlossen wurden. Untersucht wurden 1–85 taube Patienten (7–60 J.). Neun Studien zeigten Therapieerfolge. Identifiziert wurden Empfehlungen zu Wissen, Einstellungen, Fähigkeiten und Rahmenbedingungen für hörende Psychotherapeuten und Dolmetscher. Die Datenlage zur Psychotherapie mit Gebärdensprachdolmetscher ist trotz klinischer Relevanz gering und methodisch limitiert.

Abstract

In Germany, deaf patients undergoing psychotherapy have the right to have the costs of a sign language interpreter covered by the insurance since 2001. The effectiveness of interpreter-aided psychotherapy worldwide is disputed. A systematic literature review was conducted on sign language interpreter-aided psychotherapy. Six scientific databases were searched. Two independent raters conducted a 2-step rating process. Out of 1,184 identified publications, 10 studies in German and English language were included. These 10 studies examined between 1 and 85 deaf patients (7–60 years) in different psychotherapeutic settings (8 ambulatory, 4 family therapy). Nine studies reported therapy success. Relevant knowledge (e. g. about culture of deaf people), attitudes (e. g. openness), abilities (e. g. sign language) and general conditions (e. g. declaration for professional secrecy, light conditions) were recommended for psychotherapists with normal hearing and sign language interpreters. Empirical data on psychotherapy with sign language interpreters is low and methodologically limited. The present study can be considered as a starting point for further research.

Key words

deafness - psychotherapy - sign language interpreter - systematical review - psychotherapist with normal hearing


Publication History

Article published online:
06 December 2019

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