Specialty-Related Psychotherapy in Primary Care
Hintergründe, Besonderheiten, Konzeption und Weiterbildunggerman translation / full article
Background, Specific Issues, Concepts and Professional Development
Summary: The so-called “specialty-related psychotherapy“ was introduced in 2007 by the German Medical Council as a new form of qualification in psychotherapy. It was located between basic somatic care and specialist psychotherapy. Along with psychosomatic basic care, “specialty-related psychotherapy“ opens the possibility to abolish the separation between somatic and psychological care. It provides space for a more integrated and comprehensive care, which has always been the goal of family medicine. So far, no concepts exist how to integrate “specialty-related psychotherapy” into primary care. In this paper, the context of family medicine is formulated as the basis of a relationship-oriented psychotherapy. Through further development of psychodynamic theory, the integrated activity of family doctors, with its orientation towards a doctor-patient relationship and the specific methodological approach will be positively reevaluated as an “enactment” in the sense of a hermeneutic understanding of cases. The required contents and a possible structure of a “specialty-related psychotherapy” in primary care will be presented. The consequences for a structured vocational training are discussed. The Medical Council’s reconceptualization of professional development in this field can serve as a milestone for the implementation of these ideas and forms of practice.