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Whom psychotherapy will help – and who tend not to

How well a psychotherapeutic treatment? This depends not only on the disease, the treatment or the therapist. That also depends on the patient. To be more precise: of his personality.

scientists working with Meredith Bucher of the U.S. Purdue University have evaluated in a large Review of all the studies they could find on this topic. 99 the Work in total, in which the data of a total of 14'000 patients were. Their results the researchers published in the journal Clinical Psychology Review.

to classify The Big Five personality traits

the nature of the patient-oriented scientists to the so-called Big-Five personality traits. These are Neuroticism, agreeableness, Extraversion, conscientiousness, and openness to New ideas. Various diseases and forms of treatment they are not differentiated further.

observed As the researchers were treatments successful and the symptoms decreased the mentally Ill more, if patients had a lower Neuroticism value less anxious. Who is, conversely, emotionally stable, more likely to be willing to change himself and his behavior, in order to improve the own life-style, the authors conclude.

But also for the other personality characteristics, the researchers relationships saw with the therapy success. Who owns the facets of friendliness, Extraversion, and conscientiousness high forms, in the treatment with greater likelihood of is also a positive.

Alliance between therapist and Patient is important

The friendly a Patient is, the more likely he builds with the therapist, a so-called "Alliance". In the case of an intact Alliance both have a good connection to each other and are about the tasks and goals of psychotherapy agreed.

Past research has shown again and again that such an Alliance is important for the success of a treatment. Originally, the researchers had assumed that the extroversion strength of the Alliance, however, this is the connection you saw. However, a high extra versions, affecting the value of the therapy is nevertheless positive, because a strong extroverted patients seem to get faster help and contribute with your behaviour in the therapy are more likely to Succeed, because your emotions and thoughts are more willing to Express them.

The researchers found no strong connection between open-mindedness and the success of therapy.

For the conscientiousness, the researchers observed only a small influence. The rose, however, the larger the distances between the individual therapy was sessions. The let, according to the researchers, explained by the fact that more scrupulous patient to do their homework with greater care and less likely to have a meeting of Dicks. In the case of a daily therapy, this is perhaps not quite so bad, if the appointments take place approximately every two weeks, is the self-performance is all the more important.

Contrary to their assumption, the researchers, however, found no strong relationship between open-mindedness and the success of therapy. This could be due to the fact, speculate you now, that the openness has many different facets. On the one hand, the ability for introspection and Reflection of one's own behavior, which should have a positive effect on a treatment. The tendency to fantasize and Dream on the other hand, the correlations with Psychoticism, would have a negative effect.

From these findings, the researchers to Bucher a few tips for practicing therapists. "First, therapists may face difficulties when there is little compatible with the patients Alliance," they write. Here it is particularly important to set early on in the therapy, some focus on it, connect to it. In addition, it is particularly in the case of Substance dependence is helpful, the personality of the patient. Because, according to the researchers, "as the results show, can give conscientiousness and Neuroticism of the patients at the beginning of the treatment shows the ability of the patients to stay after the treatment abstinent. (Editorial Tamedia)

Created: 01.05.2019, 13:32 PM

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