Up till now psychoanalytic psychotherapy confronted itself not very of
ten with the challenges of quality assurance. Moreover, in the rare ar
ticles about this topic the specific characteristics of psychoanalytic
therapy were not considered. The reasons for this strained relationsh
ip are on the one hand the difficulties between the conceptual guideli
nes of quality assurance and on the other hand the self-conception of
psychoanalytic psychotherapy and inner conflicts of psychoanalytic psy
chotherapy revived through quality assurance. These problems lead to l
ack of interest and distance of the psychoanalytic therapy towards qua
lity assurance. In case of unavoidable confrontation intense aggressiv
e affects emerge, which impair the institutional self-assertion and th
e further conceptual development of psychoanalytic psychotherapy.