title: [From nosology to functionality: the current discussion of psychopathology in the psychotherapy of adolescents].
abstract: Starting from the question whether the psychopathology in psychotherapy has relevance, different aspects of symptoms are described: the causal model views symptoms as a necessary consequence of specific preconditions. The functional model views symptoms as behaviors aiming at the achievement of internal motives and desires. An application of the cybernetic control model on psychological processes is formulated as a theory of the control of perception. Often the goals of behavior are represented by verbal rules. Such inner verbalizations are described in detail. An attempt of a functional symptom analysis is made, according to the theory of the control of perception in a clinical context. The psychotherapeutic attempt to modify dysfunctional goals in patients aims to decouple the emotional experiences from verbalized inner rules. Functional psychopathology may be useful for treatment failure after conventional therapies, as well as in multimodal interventions (combination of pharmacotherapy and psychotherapy).
authors.affiliation: Klinik für Kinder- und Jugendpsychiatrie, Universitätsklinikum Heidelberg, Blumenstraße 8, 69115, Heidelberg, Deutschland, franz.resch@med.uni-heidelberg.de.
authors.forename: Franz
authors.initials: F
authors.lastname: Resch
authors.forename: Peter
authors.initials: P
authors.lastname: Parzer
mesh_terms: D000293:Adolescent; D003131:Combined Modality Therapy; D003491:Cybernetics; D006801:Humans; D007389:Internal-External Control; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D008960:Models, Psychological; D009042:Motivation; D010347:Patient Care Planning; D011599:Psychopathology; D011613:Psychotherapy / Q000379:methods*; D011619:Psychotropic Drugs / Q000627:therapeutic use; D013850:Thinking
chemical_list: D011619:Psychotropic Drugs