Psychotherapy Psychotherapist is a protected term

Clarification of terms

A clarification / definition seems to make sense for the following terms used on my homepage:

„doctor“Is someone who has received his license (license to practice medicine) as a doctor (the license to practice medicine is state recognition) after completing his medical degree; so he can work as a doctor. (The term "doctor" is a protected term.)

„SpecialistFor ... “is someone who, as a doctor, has made several years of specialization (usually between 5 and 7 years) in a specialist field and has completed it with an examination (the specialist title is also called the field title); Examples: "Specialist in psychotherapeutic medicine", "Specialist in internal medicine", "Specialist in general medicine"; "Specialist in surgery". (The term "specialist ..." is a protected term.)

Additional designations are indications that a doctor has acquired special knowledge in a certain area of ​​medicine, which is usually not only assigned to a single specialist area, usually in additional training lasting several years; Examples: "psychotherapy“; „Psychoanalysis"," Cardiology "; etc. (The additional terms are protected terms in connection with the term “doctor” or “specialist”.)

"Psychiatrist"is a "Specialist in psychiatry", often, but not always, also trained in psychotherapy. A great many psychiatrists treat patients with mental and mental illnesses exclusively or predominantly with drugs. (The terms “specialist in psychiatry” or “psychiatrist” are protected terms.)

"Neurologist" is a "Specialist in Neurology" (Neurology); this subject includes the physical diseases of the brain and nervous system. (The terms “specialist in neurology” or “neurologist” are protected terms.)

"Neurologist"is a "Specialist in neurology and psychiatry", often, but not always, also trained in psychotherapy. (The terms "specialist in neurology and psychiatry" or "neurologist" are protected terms.)

psychologist: Colloquially, this is the name given to people who work in the field of psychology, especially in the field of psychotherapy. (Officially, not only the designation "graduate psychologist", but also the designation "psychologist" is a protected term and may only be used by people with a corresponding university education in psychology.)

The designation "Psychotherapy" is not a protected term insofar as it cannot be determined what someone understands by it; However, it may only be used as an official additional designation to a specialist information with the appropriate qualifications and with the permission of the responsible medical association.

Bezl. the designation "Psychotherapist" and "Psychotherapist" says the Psychotherapists Act (PsychThG, §1, Paragraph 1): "The designation "psychotherapist" or "psychotherapist" may not be used by persons other than doctors, psychological psychotherapists or child and adolescent psychotherapists. "  

Important: There are groups of qualified psychologists who reserve the terms “psychotherapist” and “psychotherapy” for their professional group and thus want to monopolize them. They claim that only qualified psychologists can (properly) be active in psychotherapy and thus try to exclude other professional groups, especially doctors, from the field of psychotherapy. This ambiguity is expressed in the designation "Federal Chamber of Psychotherapists" or in the abbreviation of the Hessian State Chamber for Psychological Psychotherapists and Child and Adolescent Psychotherapists - as State Chamber of Psychotherapists or even just: Chamber of Psychotherapists.)

psychoanalyst / analyst is a doctoror a qualified psychologist (very rarely a member of other professional groups) who has completed additional training as a psychoanalyst. This training is probably the most thorough and at the same time the most complex qualification in the entire field of psychotherapy. The focus is on the psychoanalyst's own analysis (self-experience), since in psychoanalytic work the personality of the analyst is an essential "instrument" which he must know as well as possible.

Psychologist: „diploma-psychologist“Is someone who has passed a diploma examination after completing a degree in psychology. Unlike the "doctor" has the“Graduated psychologist” does not yet have a therapeutic qualification. (The term "qualified psychologist" is a protected term.) Lately no more qualified psychologists have been trained, but the study of psychology leads to "master"-Graduation.

„Psychologicalpsychotherapist“Is a graduate psychologist who, due to an additional psychotherapeutic qualification, has received his license to practice medicine (as state recognition) and is therefore recognized under professional law. (The term "psychological psychotherapist" is a protected term.)

„children- andAdolescent Psychotherapist"Is a graduate psychologist or a member of another profession (graduate pedagogue, teacher, etc.) who, due to an additional psychotherapeutic qualification in the field of child and adolescent psychotherapy, has received the license to practice medicine (as state recognition) and is therefore recognized under professional law. (The term "child and adolescent psychotherapist" is a protected term.)

Contract psychotherapists Those doctors (medical psychotherapists), qualified psychologists (psychological psychotherapists) or child and adolescent psychotherapists are named who are active in psychotherapeutic care in their own practice within the framework of the agreements with the statutory health insurance companies (GKV). (The term contract psychotherapist is not a protected term.)

in thePsychotherapists Act the basics of training and professional activity for psychological psychotherapists and child and adolescent therapists are regulated. (

Psychotherapy guidelines
“At its meeting on October 23, 1998, the Federal Committee of Doctors and Health Insurance Funds passed the following guidelines on the conduct of psychotherapy (psychotherapy guidelines).
The guidelines adopted by the Federal Committee of Doctors and Health Insurance Funds in accordance with Section 92 (6) a of the fifth book of the Social Security Code serve to ensure adequate, expedient and economical psychotherapy for insured persons and their relatives in statutory health care that meets the legal requirements. The health insurance company bears the costs. The following guidelines must be observed in order to use the funds sensibly. They serve as the basis for agreements that are to be concluded between the contracting parties for the implementation of psychotherapy in statutory medical care. "(In: Deutsches Ärzteblatt 95, Issue 51-52 (December 21, 1998), page A-3309)

The duty of confidentiality serves personal protection of patients and possibly involved third party and relates to all information that the doctor receives about the patient or other people and processes in the course of his work. ThePassing on this information is not permitted or only with the express consent of the patient (so-called release from the obligation to maintain confidentiality).

A A comparable duty of confidentiality applies to work within the framework of training / supervision and in the field of Organizational advice. The duty of confidentiality also applies to medical assistants, to other parties involved (e.g. participants in a self-awareness group) and of course to specialist colleagues who receive information as part of a professional consultation.

From a psychoanalytical point of view, a symptom is not primarily something that has to be made to disappear because it bothers the patient, but an external sign of an internal conflict.
The Development of a symptom - an unconscious process - retrace leads to the underlying conflict, enables an understanding of the conflict and new possibilities for good conflict resolution. The aim of psychoanalytic work is to make the symptom superfluous.
But that also means: From a psychoanalytic point of view, is every symptom meaningful in the sense of meaningful - even if it can be associated with great restrictions and stress.
So every symptom has regressive, backward-looking and restrictive parts and progressive parts that indicate development. Above all, the latter should be used. The same applies to somatic medicine, in which it is still very common to combat symptoms - instead of understanding them.
This understanding of symptoms requires patience from the patient (= the person suffering from symptoms) as well as the ability and insight not to be satisfied with eliminating the symptoms, but of them Causes of conflict to go. If symptoms are only "eliminated" (e.g. superficial changes in behavior, medication, etc.) and the conflict persists, this leads to a change in symptoms: The still unresolved conflict (unconsciously) seeks a new form of expression. In this context, the original meaning of the term symptom (from the Greek) is interesting: Sym-ptom = chance in the sense of coincidence, temporary property (i.e. the internal conflict coincides with the external sign).