title: [Working verbally and non-verbally within the psychotherapeutic process].
abstract: Patients in paediatric and adolescent psychiatry frequently suffer from both a categorical psychiatric disorder and structural deficits. Within the scope of a competence profile--which is subdivided into three areas: knowledge, skills, and a method--this article describes the term "structure" as used in the Operationalised Psychodynamic Diagnostics for Children and Adolescents (German abbreviation: OPD-KJ) as well as the deficits of self-esteem regulation. In this context, the development and importance of affects and their regulation for, as well as within, the therapeutic relationship are discussed, including the bodily processes associated with them. Finally, the article demonstrates how we as practitioners in the areas of therapeutic mental health and education can compensate for structural deficits of our patients by using our knowledge of psychological structures and of affect regulation and its importance for the therapeutic process; we can also use our own structural competences and competences to perceive the patients' affects as revealed by their bodies. For this purpose, we introduce methods that include body-psychotherapeutic interventions, among others.
authors.affiliation: Ruppiner Kliniken GmbH, Klinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Neuuruppin. r.weber@ruppiner-kliniken.de
authors.forename: Reinhard
authors.initials: R
authors.lastname: Weber-Steinbach
authors.forename: Jens
authors.initials: J
authors.lastname: Tasche
mesh_terms: D000293:Adolescent; D000339:Affect; D002648:Child; D002983:Clinical Competence; D003674:Defense Mechanisms; D006801:Humans; D007389:Internal-External Control; D008016:Life Change Events; D001523:Mental Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D009633:Nonverbal Communication; D009769:Object Attachment; D010553:Personality Development; D010817:Physician-Patient Relations; D011575:Psychoanalytic Therapy / Q000379:methods*; D012649:Self Concept; D013694:Temperament; D014705:Verbal Behavior