Gesundheitssystem und psychotherapeutisches Selbst

Psychotherapy as a profession can be analysed from two different theoretical points of view: as far as social conditions are concerned the author profits on the one hand from a system-theoretical approach in treating the health-system as a social system; on the other hand and as far as the inner conditions of psychotherapeutic work are concerned, basic assumptions of psychoanalytic self-psychology may be helpful to demonstrate and understand the special character of psychotherapy as a “people-changing-profession”. This special status historically refers to medical treatment as a communicative practice. Actually the psychotherapeutic self seems to split itself up into many competing directions and thereby weakens its possible impact on the health-system.