{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:45:44Z","timestamp":1785545144942,"version":"3.56.0"},"reference-count":45,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Widerstand gilt in der psychoanalytischen Theorie neben \u00dcbertragung und\n                        Gegen\u00fcbertragung als zentrales Element des Behandlungsprozesses. Der Umgang\n                        damit stellt eine therapeutische Kernkompetenz dar. Ziel der Studie war es,\n                        zu erfassen, wie Analytische und Tiefenpsychologisch fundierte\n                        Psychotherapeut*innen Widerstand verstehen und mit diesem umgehen.<\/jats:p>\n                  <jats:p>Es wurde eine qualitative Befragung mit N=12 Expert*innen\n                        durchgef\u00fchrt. Sechs Analytische und sechs Tiefenpsychologisch fundierte\n                        Psychotherapeut*innen wurden hierf\u00fcr anhand halbstrukturierter Interviews\n                        befragt. Die Transkripte wurden mittels qualitativer Inhaltsanalyse in einem\n                        deduktiv-induktiven Vorgehen ausgewertet.<\/jats:p>\n                  <jats:p>Die Aussagen wurden Kaslows Kompetenzbegriff folgend, welcher die Facetten\n                        Knowledge (Wissen), Attitude (Haltung) und Skills (Fertigkeiten) umfasst,\n                        den Kategorien Wissen (\u00fcber Widerstand), Haltung (in der Begegnung mit\n                        Widerstand) und Fertigkeiten (im Umgang mit Widerstand) zugeordnet. Unter\n                        Wissen dominierten pers\u00f6nliche Konzeptualisierungen von Widerstand\n                        (Charakteristika, Funktion, Quellen) sowie die Abgrenzung zu Abwehr.\n                        Uneinigkeit bestand \u00fcber die Anwendbarkeit des Begriffs bei strukturellen\n                        St\u00f6rungen. Unter Haltung wurde die innere Resonanz auf\n                        Widerstandsmanifestationen sowie deren aktiver Einbezug in die\n                        therapeutische Beziehung beschrieben. Verst\u00e4ndnis und Verstehen-Wollen\n                        galten als zentrale Haltungselemente. Unter Fertigkeiten wurden allgemeine\n                        Prinzipien (von der Oberfl\u00e4che in die Tiefe), spezifische Interventionen\n                        (Kl\u00e4rung, Konfrontation, Deutung), die Wahl des Interventionszeitpunkts\n                        (beim ersten Auftreten vs. nach wiederholtem Auftreten) sowie der Umgang mit\n                        strukturell gest\u00f6rten Patient*innen genannt. Die Expert*innen betonten, dass\n                        Widerstandsarbeit stets an Parametern wie Konflikt, Strukturniveau oder\n                        Bindungsstil ausgerichtet sein sollte.<\/jats:p>\n                  <jats:p>Konsens bestand \u00fcber die Bedeutung einer angemessenen Haltung, w\u00e4hrend Fragen\n                        zum Interventionszeitpunkt und zur Anwendbarkeit des Widerstandsbegriffs bei\n                        strukturellen St\u00f6rungen kontrovers blieben. Eine Standardintervention lie\u00df\n                        sich nicht identifizieren; entscheidend sei vielmehr, dass Widerstandsarbeit\n                        individuell \u201epassen\u201c m\u00fcsse.<\/jats:p>\n                  <jats:p>Expert*innen betrachten Widerstandsarbeit als klinische Kernkompetenz, die\n                        Wissen, Haltung und Fertigkeiten umfasst. Die Kompetenzentwicklung sollte\n                        durch praxisbasierte, kompetenzorientierte Lehrformate in der Ausbildung\n                        gef\u00f6rdert werden.<\/jats:p>","DOI":"10.1055\/a-2894-8083","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:35:34Z","timestamp":1785537334000},"source":"Crossref","is-referenced-by-count":0,"title":["Widerstandsarbeit in der Analytischen und\n                    Tiefenpsychologisch-fundierten Psychotherapie: Eine qualitative\n                    Expertenbefragung"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0850-5586","authenticated-orcid":false,"given":"Pierre Thomas","family":"Schleicher","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemeine Innere Medizin, Psychosomatik und Psychotherapie,\n                    Universit\u00e4tsklinikum Heidelberg, Zentrum f\u00fcr Psychosoziale Medizin, Heidelberg,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Nikendei","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemeine Innere Medizin, Psychosomatik und Psychotherapie,\n                    Universit\u00e4tsklinikum Heidelberg, Zentrum f\u00fcr Psychosoziale Medizin, Heidelberg,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Christoph","family":"Friederich","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemeine Innere Medizin, Psychosomatik und Psychotherapie,\n                    Universit\u00e4tsklinikum Heidelberg, Zentrum f\u00fcr Psychosoziale Medizin, Heidelberg,\n                    Germany"},{"name":"Deutsches Zentrum f\u00fcr Psychische Gesundheit, Standort\n                    Mannheim-Heidelberg-Ulm, Mannheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inka","family":"Montan","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemeine Innere Medizin, Psychosomatik und Psychotherapie,\n                    Universit\u00e4tsklinikum Heidelberg, Zentrum f\u00fcr Psychosoziale Medizin, Heidelberg,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"ref1","first-page":"1","volume-title":"Die Traumdeutung","author":"S Freud","year":"1999"},{"key":"ref2","volume-title":"Grundbegriffe der Tiefenpsychologie und Psychotherapie","author":"J Rattner","year":"2000"},{"key":"ref4","volume-title":"Widerstand und Verdr\u00e4ngung. 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