title: [Real-time monitoring in psychotherapy - methodology and casuistics].
abstract: BACKGROUND
  Real-Time Monitoring in psychotherapy is a new method to increase quality and efficacy in psychotherapy. This internet-based information technology offers an online collection of psychotherapy-related data and allows insights into therapeutic patterns of change without any time-delay. The classical pre-post-evaluation is completed by an assessment of therapeutic processes. Besides an internet-based data collection the Synergetic Navigation System (SNS) integrates different methods of nonlinear time series analysis and provides a visualization of results.
  
  
  METHODS
  SNS is a new internet-based technology of data collection and data analysis. For illustration we present a single case study (avoidant personality disorder (DSM IV 301.82) with recurrent major depressive episodes) where SNS was applied in clinical practice (in-patient treatment). SNS results are used for therapy planning by repeated feedback interviews with the patients.
  
  
  RESULTS
  Critical phases and nonlinearities of the ongoing self-organization processes can be identified. In addition to the practical impact of real-time monitoring SNS allows for continuous process-outcome-research in naturalistic settings. Models of change processes (e.g. sudden gains) can be tested but also used as a interpretation frame of idiographic results.
  
  
  CONCLUSIONS
  In every day practice SNS enhances transparency, self-efficacy of patients, and supports the motivation to change. Compliance of patients is high, and the data show high validity. Therefore as a future perspective SNS should become routine in clinical practice and be integrated in professional psychotherapy training.
authors.affiliation: Sonderauftrag für Stationäre Psychotherapie, Univ.-Klinik für Psychiatrie und Psychotherapie I, Christian-Doppler-Klinik, Salzburg, Austria.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Maurer
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Aichhorn
authors.forename: Wilfried
authors.initials: W
authors.lastname: Leeb
authors.forename: Brigitte
authors.initials: B
authors.lastname: Matschi
authors.forename: Günter
authors.initials: G
authors.lastname: Schiepek
mesh_terms: D000328:Adult; D015897:Comorbidity; D003196:Computer Graphics; D003199:Computer Systems; D003625:Data Collection; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D005246:Feedback; D006801:Humans; D020407:Internet; D008297:Male; D008432:Mathematical Computing; D010043:Outcome and Process Assessment, Health Care; D010554:Personality Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D013811:Psychotherapeutic Processes; D011613:Psychotherapy / Q000379:methods*; D013223:Statistics as Topic; D013813:Therapy, Computer-Assisted / Q000379:methods*