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Background <p>For a&#xa0;long time the psychotherapeutic treatment of people with psychoses was considered contraindicated. Meanwhile, numerous studies have demonstrated the efficacy of psychotherapeutic interventions for psychotic disorders. Nonetheless, there are still significant gaps in care.</p> Objective <p>This article aims to provide a&#xa0;comprehensible and easily accessible introduction to the complex field of psychotherapy for psychoses.</p> Material and methods <p>The article is based on a narrative review of current publications regarding transtheoretical fundamentals as well as the specific perspectives from various therapeutic schools (cognitive-behavioral therapy, (CBT), psychodynamic and systemic therapy) regarding the psychotherapy of people with psychosis.</p> Results <p>Psychotherapy for people with psychosis does not fundamentally differ from psychotherapy in people with other mental disorders; however, in cases of pronounced acute psychotic symptoms, specific modifications in treatment techniques are required. The development of a&#xa0;trusting therapeutic relationship and an empathic stance play a&#xa0;particularly important role. Contrary to earlier assumptions, the active engagement with delusions and hallucinations is now regarded as essential. The use of CBT has the strongest evidence base; systemic family interventions have shown effectiveness, particularly in relapse prevention. Further research is needed with respect to psychodynamic psychotherapy.</p> Discussion <p>Psychotherapy is an indispensable component of the treatment of psychotic disorders. To improve care, better integration into training curricula, destigmatization and targeted continuing education for psychotherapists are necessary.</p>

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Psychosenpsychotherapie

  • 期刊论文

  • 发表日期：

    2025年9月30日

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  • Moritz Bruno Petzold

摘要

Background

For a long time the psychotherapeutic treatment of people with psychoses was considered contraindicated. Meanwhile, numerous studies have demonstrated the efficacy of psychotherapeutic interventions for psychotic disorders. Nonetheless, there are still significant gaps in care.

Objective

This article aims to provide a comprehensible and easily accessible introduction to the complex field of psychotherapy for psychoses.

Material and methods

The article is based on a narrative review of current publications regarding transtheoretical fundamentals as well as the specific perspectives from various therapeutic schools (cognitive-behavioral therapy, (CBT), psychodynamic and systemic therapy) regarding the psychotherapy of people with psychosis.

Results

Psychotherapy for people with psychosis does not fundamentally differ from psychotherapy in people with other mental disorders; however, in cases of pronounced acute psychotic symptoms, specific modifications in treatment techniques are required. The development of a trusting therapeutic relationship and an empathic stance play a particularly important role. Contrary to earlier assumptions, the active engagement with delusions and hallucinations is now regarded as essential. The use of CBT has the strongest evidence base; systemic family interventions have shown effectiveness, particularly in relapse prevention. Further research is needed with respect to psychodynamic psychotherapy.

Discussion

Psychotherapy is an indispensable component of the treatment of psychotic disorders. To improve care, better integration into training curricula, destigmatization and targeted continuing education for psychotherapists are necessary.