Zusammenfassung
Unter den zur Zeit vorliegenden Kurzzeitpsychotherapieverfahren zur Behandlung einer Depression ist die IPT nach Klerman u. Mitarb. mit 16 - 20 Therapiesitzungen mittlerweile umfassend in der klinischen Praxis etabliert und in ihrer Wirksamkeit in einer Anzahl von Studien belegt. Die IPT begründet sich auf dem interpersonalen Ansatz der Psychiatrie, dem die Hypothese zugrunde liegt, dass sich psychiatrische Erkrankungen und hier Depressionen im interpersonellen Kontext entwickeln: Zwischenmenschliche Probleme können zum Ausbruch und zur Aufrechterhaltung einer depressiven Episode beitragen bzw. durch die Depression bewirkt werden. Durch die Verbesserung des interpersonellen Funktionsniveaus des depressiven Patienten innerhalb der IPT wird die Genesung aus der depressiven Phase und Lösung eines wichtigen aktuellen interpersonellen Problems gebahnt.
Abstract
Among the forms of short-term psychotherapies for the treatment of depression, IPT (16 - 20 sessions) by Klerman u. Mitarb. is meanwhile one of the most well known and clinically practiced approaches. IPT has also been carefully controlled in a variety of studies proving efficacy. Interpersonal psychotherapy is based on the ideas of the interpersonal school of psychiatry. The hypothesis is that psychiatric illnesses and here depression develop in an interpersonal context. Life problems may contribute to onset and potentially chronicity of (current) depression and vice versa. By enhancing interpersonal functioning of the depressed patient IPT initiates the reduction of depressive symptomatology and helps solving of current life problems as dual goal of therapy.
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Dr. med. T. Grüttert
Klinik für Psychiatrie und Psychotherapie Christian-Albrechts-Universität zu Kiel
Niemannsweg 147
24105 Kiel
Email: tgruettert@psychiatry.uni-kiel.de