Deutsche Gesellschaft für Psychoanalyse, 
                                                      Psychotherapie, Psychosomatik und  
                                                      Tiefenpsychologie e.V. 
                                   German Society for Psychoanalysis, 
                                                       Psychotherapy, 
                                                       Psychosomatics and Depth Psychology
                   
                   
                   
                   
                   
                   
                   
                  in conjunction with the: 
                   
                  Deutsche Gesellschaft für Analytische Psychologie (DGAP)  
                  German Society for Analytic Psychology 
                   
                  Deutsche Gesellschaft für Individualpsychologie (DGIP)  
                  German Society for Individual Psychology 
                   
                  Deutsche Gesellschaft für Psychotherapeutische Medizin (DGPM)  
                  German Society for Psychotherapeutic Medicine 
                   
                  Deutsche Psychoanalytische Gesellschaft (DPG)  
                  German Psychoanalytic Society 
                   
                  Deutsche Psychoanalytische Vereinigung (DPV)  
                  German Psychoanalytic Association 
                   
                  Vereinigung Analytischer Kinder- und Jugendlichenpsychotherapeuten (VAKJP) 
                  Association of Analytic Child and Adolescent Psychotherapists
                                                                
                                                 
                           Psychoanalytic Therapy 
                                                 
                   
                            Edited by Stephan Hau and Marianne Leuzinger-Bohleber 
                   
                    With contributions by G. Bruns, A. Gerlach, S. Hau, P.L. Janssen, H. 
                  Kächele, F. Leichsenring, M. Leuzinger-Bohleber, W. Mertens, G. Rudolf, 
                           A.-M. Schlösser, A. Springer, U. Stuhr, E. Windaus 
                                                 
                                                 
                              Hamburger Sparkasse, Konto-Nr: 1282 / 121 019, BLZ 200 505 50 
                                                                                          2
             A.Gerlach: Psychoanalytic Therapy – Professional and Scientific-political 
             Implications of the “Position Paper on Psychoanalytic Therapy”               4 
              
             Position paper on psychoanalytic therapy 
             Preface (M. Leuzinger-Bohleber, G. Bruns)                                   13   
                 Theory-of-science perspective                                           14 
                 Sociology-of-science perspective                                        16 
             1.  Name of the technique                                                   24 
             2.  Definition / short description of the technique                         24 
             3.  Techniques and forms of application                                     24 
             4.  Detailed description of the forms of application of psychoanalytic therapy 
                 (W. Mertens)                                                            26 
              4.1 Analytic individual therapy                                            26 
              4.2 Analytic group therapy                                                 27 
              4.3 Psychodynamic/depth psychology-based individual therapy                27 
              4.4 Psychodynamic/depth psychology-based group therapy                     28 
              4.5 Analytic couples and family therapy                                    29 
              4.6 Inpatient psychodynamic therapy (P.L. Janssen)                         29 
              4.7 Analytic and psychodynamic/depth psychology-based child and adolescent 
                  therapy (individual/group)                                             30 
             5.  Determining diagnosis and indication (G. Rudolf)                        32 
                 The partially structured interview                                      32 
                 Diagnostic classification                                               34 
                 Determining indications                                                 35 
             6.  State of  theory development (W. Mertens)                               38 
                 Metapsychology and interdisciplinary discourse                          39 
                 Psychoanalytic disciplines                                              40 
             7.  Proving the efficacy of psychoanalytic therapy                          48 
              7.0 Clinical case studies (U. Stuhr)                                       48 
              7.1 Studies on the efficacy of psychoanalytic therapy in adults  
                  (F. Leichsenring)                                                      59 
              7.2 Studies on the efficacy of psychoanalytic therapy in children and adolescents  
                 (E. Windaus)                                                            69 
              7.3 Proofs of the efficacy of long-term psychoanalytic therapy under naturalistic 
                                                                                                 3
                   conditions (Leichsenring)                                                    77 
               7.4 Descriptive process research (H. Kächele)                                    88 
               7.5 Experimental and basic science studies in the field of psychoanalysis (S. Hau)
                                                                                                95 
              8. Clinical relevance (A. Gerlach, P.L. Janssen)                                102 
              9. Training (G. Bruns, P.L. Janssen)                                            106 
              10. Quality control (A. Springer, A.-M. Schlösser)                              109 
               
              Literature  114 
               
              11. Appendix  135 
                      Overview  of  studies  and  follow-up studies in psychoanalytic child and 
                   adolescent  psychotherapy 
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
                                                                  4
         Alf Gerlach 
          
         Psychoanalytic Therapy – Professional and Scientific-Political Implications of 
         the “Position Paper on Psychoanalytic Therapy” 
          
         This position paper, developed by the DGPT in association with the DGAP, DGIP, 
         DGPM, DPG, DPV and VAKJP,1 came into being in response to public demand in 
         Germany for a new presentation of the current state of knowledge on the efficacy of 
         psychoanalytic therapy.  In this respect its publication in 2004 falls in the context of 
         the recent changes in social and health-care policy by which old decisions are being 
         reconsidered and their legitimacy reexamined while new legal provisions, such as the 
         psychotherapist law in force since 1.1.1998, are transforming the discourse on 
         health-care and science policy.  Psychoanalytic therapy in particular, whose 
         unarguable successes in patient treatment made it the first psychotherapeutic 
         method to be integrated into the statutory health care system in Germany, must now 
         examine and explain itself in the altered political and social landscape. 
         At the same time, the position paper represents a statement of common 
         understanding among psychoanalytic therapists and researchers regarding their 
         methods and the theory of personality, disease and treatment upon which these are 
         based.  In this respect it also serves for internal clarification and discussion among 
         specialists.  It gives an overview of the present state of research on the efficacy of 
         the various applications of psychoanalytic therapy and is intended as a contribution 
         towards answering the question as to which problems now deserve special attention 
         and which type of research is best suited to meet present challenges. 
         In Germany the therapeutic applications of the psychoanalytic method have been 
         integrated since 1967 into the statutory health care system (GKV) under the names 
         “analytic psychotherapy” and “depth psychology-based psychotherapy.”  In German-
         speaking regions the term “depth psychology-based psychotherapy” is used to refer 
         to an application of the psychoanalytic method entailing “a concentration of the 
         therapeutic process by a limitation of the treatment goal, a primarily conflict-centered 
         approach and a restriction of regressive processes” (Psychotherapy Guidelines 
                                                          
         1 Deutsche Gesellschaft für Psychoanalyse, Psychotherapie, Psychosomatik und Tiefenpsychologie (DGPT); Deutsche 
         Gesellschaft für Analytische Psychologie (DGAP); Deutsche Gesellschaft für Individualpsychologie (DGIP); Deutsche 
         Gesellschaft für Psychosomatische Medizin und Psychotherapie (DGPM); Deutsche Psychoanalytische Gesellschaft (DPG); 
         Deutsche Psychoanalytische Vereinigung (DPV); Vereinigung Analytischer Kinder- und Jugendlichen-Psychotherapeuten 
         (VAKJP)