Expert Perspectives on the Effectiveness of Psychotherapy

Henriette Löffler-Stastka (), Andreas Ronge-Toloraya, Simeon Hassemer and Karl Krajic
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Henriette Löffler-Stastka: Department of Psychoanalysis and Psychotherapy, Medical University Vienna, A-1090 Vienna, Austria
Andreas Ronge-Toloraya: Postgraduate Unit, Medical University Vienna, A-1090 Vienna, Austria
Simeon Hassemer: Department of Psychoanalysis and Psychotherapy, Medical University Vienna, A-1090 Vienna, Austria
Karl Krajic: Department of Sociology, University Vienna, A-1090 Vienna, Austria

IJERPH, 2023, vol. 20, issue 18, 1-13

Abstract: The effectiveness of psychotherapeutic care, as well as the implementation of adequate improvements, are in question. A qualitative interview study was carried out in a cyclical research design with a comparative analysis on the basis of thematic coding using Grounded Theory Methodology. An overview of the design, sampling procedure, and data analysis is given. A variety of critical perspectives emerged concerning the state of psychotherapeutic care in Austria. Two perspectives are presented in this paper as interim results: a health care administration perspective states a general lack of knowledge and a possible unmet need, problematizes the underutilized benefit of psychotherapists and describes a shift in regard to the issue of effectiveness of care to the topic of access to psychotherapeutic care and to a problem with the care and work ethics of professionals. In this perspective, one solution may be to implement intermediary organizations, clearinghouses with multi-professional teams, comprehensive documentation and an indication-oriented approach. The health insurance perspective also claims the organization-specific action problem and the lack of rules for clearing in such intermediary organizations, as well as the relevance of regulated, limited access to psychotherapy.

Keywords: Grounded Theory; theme analysis; expert interview; care effectiveness of psychotherapy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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