학술논문
Vertrauen in der Psychotherapie--epistemische und evaluative Aspekte/On the notion of trust in psychotherapy--epistemic and evaluative aspects
Document Type
Report
Author
Source
Zeitschrift fur Psychosomatische Medizin und Psychotherapie. March 2021, Vol. 67 Issue 1, p5, 16 p.
Subject
Language
German
ISSN
1438-3608
Abstract
Zusammenfassung Fragestellung: Die therapeutische Beziehung gilt als der empirisch bestvalidierte Wirkfaktor in der Psychotherapie. Allerdings gibt es bisher keine übereinstimmende Definition einer hilfreichen Beziehung. In jüngster Zeit hat die Arbeitsgruppe [...]
Objectives: One of the most consistent findings in the psychotherapy research literature is that the quality of the relationship between the patient and the therapist is a major determinant of psychotherapeutic effectiveness. Yet so far a consistent and assured definition of a helping alliance doesn't exist. Recently P. Fonagy and his research group have introduced the notion of 'epistemic trust' to open up a new understanding of the effectiveness of the therapeutic relationship. Methods: The paper outlines Fonagy's et al. notion of 'epistemic trust' and compares it to notions of trust devised in the humanities and social sciences from a clinical-psychodynamic perspective. Results: Fonagy et al. characterize epistemic trust as 'trust in the authenticity and personal relevance of interpersonally transmitted information'. Thus it enables an individual to safely learn from others and to orient himself within a primarily unknown and an ever changing social world. By contrast the humanities and social sciences offer a more comprehensive perspective insofar as trust is described as both an affective, cognitive and volitive phenomenon embedded within a specific ethical topography (evaluative trust). Conclusions: Taking trust's multidimensionality into account results in a slightly different clinical understanding of confidence building within psychotherapy and postulates a primacy of recognition over cognition in clinical encounter as well. Z Psychosom Med Psychother 67/2021, 5-20 Key words Therapeutic Relationship--Epistemic Trust--Evaluative Trust--Mentalization--Recognition
Objectives: One of the most consistent findings in the psychotherapy research literature is that the quality of the relationship between the patient and the therapist is a major determinant of psychotherapeutic effectiveness. Yet so far a consistent and assured definition of a helping alliance doesn't exist. Recently P. Fonagy and his research group have introduced the notion of 'epistemic trust' to open up a new understanding of the effectiveness of the therapeutic relationship. Methods: The paper outlines Fonagy's et al. notion of 'epistemic trust' and compares it to notions of trust devised in the humanities and social sciences from a clinical-psychodynamic perspective. Results: Fonagy et al. characterize epistemic trust as 'trust in the authenticity and personal relevance of interpersonally transmitted information'. Thus it enables an individual to safely learn from others and to orient himself within a primarily unknown and an ever changing social world. By contrast the humanities and social sciences offer a more comprehensive perspective insofar as trust is described as both an affective, cognitive and volitive phenomenon embedded within a specific ethical topography (evaluative trust). Conclusions: Taking trust's multidimensionality into account results in a slightly different clinical understanding of confidence building within psychotherapy and postulates a primacy of recognition over cognition in clinical encounter as well. Z Psychosom Med Psychother 67/2021, 5-20 Key words Therapeutic Relationship--Epistemic Trust--Evaluative Trust--Mentalization--Recognition