Psychotherapy without society
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socialnet Materials. Series 14: Kritische Psychologie, Psychotherapie und emanzipatorische Praxis
Although the biopsychosocial model (BPS) is the most widely used way of explaining and treating mental illness today, some studies suggest that a biomedical model of illness prevails in the health sector. The social level is neglected. This approach seems to be inadequate, especially in the case of complex mental illnesses such as exhaustion phenomena. Qualitative interviews were conducted to investigate whether and how the model is used in psychotherapeutic practice for questions of aetiology and treatment practice of exhaustion phenomena. On the one hand, the analysis shows that the interviewed psychotherapists understand performance motives and relationships as central components of exhaustion. On the other hand, an imbalance can be observed: In the aetiological clarification of exhaustion phenomena, an awareness of the social conditionality of this suffering is discernible, but treatment tends to take place at the individual level. Socio-structural perspectives on health and illness can be an approach to closing the identified gap. This shows that the commodification of capitalist production, which characterises the relations of subjects, as well as current processes of subjectivation, which demand more and more performance, can be a reason for the exhaustion of subjects.
Written by
Julian Dicks
Tiefenpsychologischer Psychotherapeut in Ausbildung
Dozent an der Fresenius Hochschule in Köln
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Dicks, Julian, 2024.
Psychotherapy without society [online]. socialnet Materials.
Bonn: socialnet, 2024-12-09.
Retrieved 2025-06-14 . https://doi.org/10.60049/6fzutkno
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