Die Integrative Psychotherapiekonferenz 1940
von Rudolf Sponsel, Erlangen
Vorbemerkung: An der Diskussion nahmen teil: Alexandra Adler, M. D.; Frederik Allen, M. D.; Eleanor Bertine, M. D.; Joseph O. Chassell, B.D., Ph.D.; Helen Durkin, Ph.D.; Carl. R. Rogers, Ph.D.; Saul Rosenzweig, Ph.D.; Robert Waelder, Ph.D.; Goodwin Wastson, Ph.D. Man erkennt an der Zusammenfassung des Diskussionsleiters unschwer die Einflüsse der Humanistischen PsychotherapeutInnen. Dieses Gespräch zwischen den Schulen ist nun, im Jahre 2000, 55 Jahre alt. Und wo stehen wir jetzt?
Aus: WATSON, G. Areas Of Agreement In Psychotherapy. Section Meeting,
1940. In: Ame-
rican Journal of Orthopsychiatry 10. P. 708 - 709.
"CLOSING SUMMARY BY THE CHAIRMAN
Our discussion has illustrated one reason why people get
the impression that there is little agreement among various exponents of
psychotherapy. We found it difficult to keep attention centered on our
wide area of agreement, and seemed irresistibly drawn to the one point
of controversy. On that issue of non-intervention'' we seem to have
reached the conclusion that psychoanalysis did give much of the initial
impetus toward a relationship in which the therapist tries not to let his
own values influence the patient, and that the past twenty years have seen
all other psychotherapies move toward much the same ideal.
We found reason to agree with Dr. Chassell's observation
that if we were to apply to our colleagues the distinction, so important
with patients, between what they tell us and what they do, we might find
that agreement is greater in practice than in theory. Despite the various
names under which we work and our various backgrounds of training we all
seem agreed upon many essentials of psychotherapeutic practice.
First, we have found no apparent disagreement on objectives.
We all hope to increase the client's capacity to deal with reality, to
work, to love, and find meaning in life. For all of us the relationship
of therapist and client has been a central factor. We have stressed the
need to provide a security which fosters spontaneity. We have seen the
treatment relationship as social adjustment under artificially simple conditions,
but as a step in socialization. We have recognized that as the therapist
meets the oft-used patterns of the patient in an unexpected, fresh and
revealing way, the patient is stimulated to new growth. We have urged that
the therapist must so understand his own needs as to prevent their unconscious
domination of the relationship. Our relationship with the client is an
identification controlled
in the client's best interests.
We have all stressed, as a third area of agreement, the
importance of keeping responsibility for choice on the client. Growth occurs
especially as he becomes able to achieve integration of will'' making
his own decisions and carrying out the implications of new insights earnestly,
responsibly, and with increasing independence. As Dr. Allen put it,
It is what (clients) do about themselves that is therapy.''
A fourth concept which has seemingly been accepted by
us is that good psychotherapy enlarges the client's understanding of himself.
We encourage but do not guide expression. We direct attention to dreams,
to art, to phantasy, to verbal sequences and to behavior. We try to help
the individual accept responsibility for more of his feelings than he previously
could. We recognize that interpretation of his past may be useful if it
illumines for the client his tendencies in the present. The psychoanalyst
says, Where was id, there shall ego be.'' The analytical psychologist
accepts this and adds, at least for some persons, Keep working at
that synthetic, creative, partly spontaneous process of growth whereby
each realizes his unique indivisible individuality.'' Every psychotherapy
assumes that in the client there are important impulses and connections,
some half-conscious, some repudiated, some unconscious, which need to be
assimilated in a more complete and truer self-awareness.
We have agreed, negatively, not to try to treat symptoms
in superficial isolation from the structure of the personality. We do not
believe that mere catharsis of feelings is therapeutic. We distrust advice
and exhortation. We have agreed further, I think, that our techniques cannot
be uniform and rigid, but vary with the age, problems and potentialities
of the individual client and with the unique personality of the therapist.
Finally, we all have recognized that what the therapist
can contribute depends in large measure upon his own character. He should
be mature, objective, constant, with insight into his own problems and
freedom to live with integrity. A therapist has nothing to offer
but himself.'' " (p. 708 f)