WCP 2025

EINFÜHRUNG
Im Institut für Frührehabilitation werden seit 15 Jahren junge Erwachsene mit erster PsychoseErstmanifestation behandelt. Eine zeitnahe umfassende Behandlung und Unterstützung nach der ersten Episode soll eine Chronifizierung der Erkrankung verhindern und helfen, wichtige Meilensteine in der Entwicklung zu erreichen. Studien belegen die Wirksamkeit psychotherapeutischer Methoden bei der Behandlung von psychotischen Erkrankungen. Ein Element psychologischer Behandlung im Institut ist die Therapiegruppe ACT.

METHODOLOGIE / ANSATZ
Im Workshop werden Methoden der sogenannten „Dritte Welle“ Verhaltenstherapie vorgestellt: Akzeptanz- und Commitmenttherapie (ACT) und Compassion Focussed Therapy (CFT) sowie für junge Menschen angepasste Übungen, die aus dem Improtheater entlehnt sind. Das Gruppenkonzept u.a. basiert auf folgenden Werken: O'Donoghue, E. K., Morris, E. M. J., Oliver, J. E., & Johns, L. C. (2018). ACT for psychosis recovery: A practical manual for group-based interventions using acceptance and commitment therapy. Context Press/New Harbinger Publications. Heriot-Maitland, Charles & Longden, Eleanor. (2022). Relating to Voices using Compassion Focused Therapy: A Self-help Companion. 10.4324/9781003166269. https://clinical-neuropsychology.de/lebenswert/
Kartenset „Den inneren Kritiker zum Lachen bringen!“ von Frauke Nees

ERGEBNISSE / ERKENNTNISSE
ACT hilft jungen Menschen, ihre Denkmaschine als solche zu erkennen und zu verstehen, im Hier und Jetzt zu sein, ihr Handeln entsprechend ihrer selbstgewählten Werte auszurichten und mutig wie warmherzig mit sich selbst umzugehen. Der spielerische Umgang und die erfahrungsbasierten Übungen lassen die psychologischen Konzepte wirken und erfahrbar statt nur verstehbar werden.

SCHLUSSFOLGERUNG / PERSPEKTIVE
Im Workshop erfahren Sie Basiswissen zur therapeutischen Haltung und den Kernelementen aus ACT für Psychosen: Akzeptanz, Defusion, Gegenwärtigkeit, Werte, Commitment und Self-as-Context. Sie erfahren etwas über die gelungene Kombination mit Selbstmitgefühl und Improvisationstheater. Gemeinsam gehen wir die beliebtesten Übungen durch und erfahren ihre Wirkung. Ebenso sprechen wir über Besonderheiten der Behandlung von jungen Menschen mit Psychosen.

Introduction: Meaning is a distinct resource and indicator of human health and well-being. According to Viktor Frankl, founder of Logotherapy and Existential Analysis (LTEA) or the so-called meaning-oriented psychotherapy, music and the arts can play a decisive role in the context of meaning actualization. However, there is a lack of research considering the thematic field of LTEA, music therapy, music and meaning in life.
Methodology/Approach: The author was head of a team that conducted an international mixed-methods survey among logotherapists and music therapists. The survey focused on the potentials of music in the context of meaning-actualization among clients suffering from mental disorders and on the music therapists’ and logotherapists’ music-assisted concepts and approaches in relation to meaning-fulfillment.
Results/Findings: Music was judged to have many beneficial potentials in the context of meaning-actualization in clients suffering from mental disorders. Music seems to be a powerful factor in relation to meaning-fulfillment along creative values. Relying on the outcomes of the survey, a music-assisted model of meaning-fulfillment was developed. The practical application of this model will be demonstrated by clinical case examples.  
Conclusion/Perspective: A music-assisted model of meaning fulfillment, as well as a combination of LTEA, music therapy and music, could complement existing treatment concepts and theories. Such arts-based approaches could prove to be effective when meaning-oriented topics, crises of meaning and feelings of meaninglessness take center stage in psychotherapy and counselling.

Every form of psychotherapy is grounded in a psychological theory. Each approach is anchored in a specific model of the human psyche, establishing its own conceptions of psychological development, the origins of disorders, and the most effective methods for psychological transformation. The choice of a theoretical foundation is not merely methodological but also philosophical, as it defines the therapist’s perspective on human nature and the capacity for change. Phenomenological psychology, developed by Edmund Husserl and furthered by Edith Stein, provides a foundation that transcends the naturalistic, psychologistic, and reductionist models predominant in psychotherapy. Unlike traditional approaches, which often assume fixed diagnostic categories or naturalized psychic structures, phenomenological psychology proposes a rigorous investigation of lived experience. It employs epoché and psychology reduction as methodological tools to uncover the ways in which psychic consciousness is constituted. This workshop will explore key ideas in phenomenological psychology, presenting it not as just another therapeutic approach but as a radical rethinking of how the psyche is understood. Furthermore, it aims to establish phenomenology as a secure and rigorous foundation for psychotherapeutic practice - one that is deeply committed to lived experience, not as a mere technique or therapeutic style, but as a path toward a genuine understanding of psychological experience.

Dorothea Oberegelsbacher: Diversity-sensitive psychotherapy for intellectual disabilities

Monika Smetana: Roots, developments, and perspectives of Music Therapy in research and practice.

Edith Wiesmüller: Music Therapy with war-traumatised refugees

Katharina Fuchs: Listening to silence

Saya Shiobara: Making audible together. Integration of gestalt therapy and music therapy treatment techniques

Martin Astenwald: Group music therapy in psychiatric rehabilitation

Statement of the problem: Modular and common factor approaches in psychotherapy are a central issue in psychotherapy research. It seems necessary to mark the limitations of specific approaches and to detect where interdisciplinary perspectives are indispensable. This presentation is an attempt to integrate psychotherapeutic models as well as neurobiological, psychological and socio-cultural and practical aspects of psychotherapy.
We offer a comprehensive psychotherapeutic model which integrates relational, cognitive-behavioral, psychodynamic-psychoanalytic and existential aspects. In this process neuro-biological, psychologic and socio-cultural perspectives come into play.
Methodology & theoretical orientation: The case of a patient suffering from schizotypic episodes is studied under the perspectives of relational, cognitive-behavioral, psychodynamic-psychoanalytic and existential psychotherapy. In a hermeneutic circle biological, psychological and socio-cultural findings are integrated.
Findings: It is shown that psychotherapy can and should include psychological, cultural and neurobiological knowledge. The dialectics between coherence–incoherence, stabilization–destabilization, construction–deconstruction of cognitions, emotions, and actions are shown to be general principles that can be found in neuroscientific, psychological and cultural approaches in psychotherapy.
Conclusions: The interdisciplinary reflection of different psychotherapeutic methods leads to a practical model that can integrate relational, cognitive-behavioral, psychodynamic-psychoanalytic and existential aspects of psychotherapy.

Introduction: There is growing evidence of the curative and preventive effects of nature, nature exposure and nature relatedness on health and well-being. Recent studies and reviews show that psychotherapy and counselling conducted in nature affects, for example, working alliance, clients’ and professionals’ mental and physical health, therapy motivation, eco-anxiety, pro-ecological behaviours. Still, overall empirical evidence is poor – especially in the context of clinical applications.
Methodology/Approach: The presentation provides insights into a randomized clinical study that compared walk and talk psychotherapy in nature with conventional psychotherapy indoors and in seated position. Participants were clinical patients suffering from major depressive disorders and their psychotherapists. We applied a mixed methods approach (quantitative measures and qualitative follow-up interviews) and assessed feasibility (primary outcome parameter) and mental and physical health (secondary outcome parameters) among participants.
Results/Findings: Results show that psychotherapists and patients estimate psychotherapy in nature as a valuable addition within the range of psychotherapy treatment. Walk and talk psychotherapy in nature affects the participating patients’ and psychotherapists’ health and well-being.
Conclusion/Perspective: Considering that pioneers of modern psychotherapy, such as Sigmund Freud, Hans Zulliger, C. G. Jung, Lou Andreas-Salomé, Viktor Frankl, had already conducted psychotherapy sessions while walking and/or in nature or highlighted the importance of nature in relation to human health, the lack of current research or concepts in this context is surprising. Nature-assisted approaches may also be a valuable psychotherapy contribution addressing the effects of global challenges (e.g., climate change/crises) on human mental health by focusing on the treatment of eco-anxiety or the promotion of pro-ecological behaviours. This presentation – and the accompanying clinical study – are intended to provide impulses for further theoretical, empirical and practical discussions on the topic.