ArticleFrontiers in public health2025
The long arm of repression: determinants of psychotherapy use among East Germans and its relevance for today's institutional trust-psychotherapeutic implications of political repression in the former German Democratic Republic.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Maintaining trust in social institutions is a critical challenge for Western democracies. We examine the role of psychotherapy on institutional trust in the former German Democratic Republic (GDR; now: New Federal States of Germany) which used open and covert methods to keep opposition members under control. Methods: The study with Results: Reporting repression in the GDR (44% of the total sample) was related to a higher probability of psychotherapy use. In the group who reported personally experienced repression (15% of the total sample), psychotherapy appeared to be relevant for higher levels of institutional trust. Discussion: Psychotherapy might have the potential to help regaining institutional trust after a system change. Psychotherapists should consider that patients who experienced (post-)socialism were commonly affected by repression and might show less institutional trust including the healthcare system. Furthermore, this study revealed an estimation of the occurrence of repression in a representative sample in the former GDR.
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