Evidence map›Paper›PMID 42787769›Full record

ArticleClinical psychology in Europe2026

How to Define Psychological Therapy and Psychotherapy? - An Interdisciplinary Proposal.

Winfried Rief, Julia Asbrand, Luisa Baumgärtner, Ulrike Dinger, Christoph Flückiger, Nina Heinrichs, Sabine C Herpertz, Tania Lincoln, Silke Lipinski, Wolfgang Lutz and 4 more

Abstract readEditorial
In one paragraph

Article in Clinical psychology in Europe, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Winfried RiefDivision of Clinical Psychology and Psychotherapy, University of Marburg, Marburg, Germany.ORCID https://orcid.org/0000-0002-7019-2250
Julia AsbrandClinical Psychology in Childhood and Adolescence, University of Jena, Jena, Germany.ORCID https://orcid.org/0000-0003-2740-6070
Luisa BaumgärtnerWilhelm Wundt Institute of Psychology, University of Leipzig, Leipzig, Germany.ORCID https://orcid.org/0009-0007-8597-6131
Ulrike DingerClinical Institute for Psychosomatic Medicine and Psychotherapy, Medical Faculty and University Hospital Düsseldorf, Düsseldorf, Germany.ORCID https://orcid.org/0000-0002-4126-5676
Christoph FlückigerClinical Psychology II, University of Kassel, Kassel, Germany.ORCID https://orcid.org/0000-0003-3058-5815
Nina HeinrichsClinical Psychology in Children and Adolescents, Bielefeld University, Bielefeld, Germany.ORCID https://orcid.org/0000-0002-8301-5798
Sabine C HerpertzDepartment of Psychiatry and Psychotherapy, University of Heidelberg, Heidelberg, Germany.ORCID https://orcid.org/0000-0001-9676-1928
Tania LincolnClinical Psychology and Psychotherapy, University of Hamburg, Hamburg, Germany.ORCID https://orcid.org/0000-0002-6674-2440
Silke LipinskiTrialogical Board of the German Center for Mental Health (DZPG), Berlin-Potsdam Site, Germany.ORCID https://orcid.org/0000-0003-0778-7996
Wolfgang LutzClinical Psychology and Psychotherapy, Trier University, Trier, Germany.ORCID https://orcid.org/0000-0002-5141-3847
Bernhard StraussInstitute of Psychosocial Medicine, Psychotherapy and Psychooncology, University Hospital Jena, Jena, Germany.ORCID https://orcid.org/0000-0001-5971-038X
Svenja TaubnerInstitute for Psychosocial Prevention and Psychotherapy, University Hospital of Heidelberg, Heidelberg, Germany.ORCID https://orcid.org/0000-0001-8058-762X
Oliver VorthmannTrialogical Board of the German Center for Mental Health (DZPG), Berlin-Potsdam Site, Germany.
Jan Philipp KleinDepartment of Psychiatry, Psychosomatics and Psychotherapy, University of Lübeck, Lübeck, Germany.ORCID https://orcid.org/0000-0001-9882-2261

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The definition of psychological treatments and psychotherapy has various implications for communication within research and clinical care, as well as for legal issues - particularly in countries with psychotherapy acts. It can define what should be covered by public healthcare systems and who should be permitted to provide these services. Method: We assembled a group of psychotherapists in Germany to develop an inclusive, scientific definition of psychotherapy. This definition should serve as an umbrella that is not limited to traditional treatment schools and is suitable for science, clinical care and legal acts. The group comprised people with different therapeutic backgrounds (e.g., CBT, psychodynamic and systemic therapy), experts from various disciplines (e.g., psychology, psychiatry and psychosomatic medicine), people focusing on different age groups (e.g., adults and youth), individuals with lived experience of psychotherapy and early career clinicians. Results: A literature review led us to consider four aspects of a definition. What are the treatment means or 'tools'? (modality of treatment); how does the treatment work? (Proposed change mechanisms, assumptions about causal and evidence-based processes and concepts); who receives psychotherapy? (target group); and who provides psychotherapy? (Provider). Based on these aspects, we offer a definition of psychological therapy. Discussion: Our suggested definition is not bound to specific treatment orientations, but is intended to encompass both traditional approaches and innovative developments. Our aim is to promote the evidence-based provision of psychological therapy within healthcare systems and legal frameworks.

Indexed as

definitionevidence-based treatmentsintegrationpsychotherapytranstheoretical approach

Identifiers

PMID42787769
PMCPMC13602184

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.