Levelling down psychoanalysis to the new psychotherapeutic regulations: Psy-BaDo (Psychotherapeutic basic documentation) - an instrument for psychotherapy to meet the requirements of medicine

The purpose of Psy-BaDo is to serve as a useful concept for quality assuran ce for everybody and every form of psychotherapy and to link psychotherapy to the medical development as an "evidence based medicine". In its foundati ons it is aimed at "structural quality" in the sense of standard therapy an d standard therapist, at "process quality" in the sense of a standard docum entation of diagnostic and therapeutic measures and at "result quality", wh ich is orientated at the medical concepts of illness, of the role of the ph ysician and of therapy. Economy, efficiency and practicability should be as sured via quality management by a central controlling institute supported b y all professional groups. The criticism of the Psy-BaDo aims at its underl ying reductionist scientific perceptions, at the discharge of basic psychoa nalytic views, and at the integrative application of methods without any ju stification through the theory of therapy following the pattern of medical application of drugs. The "practical quality assurance" of the Psy-BaDo inv olves no clinically and scientifically necessary psychodynamic-systemic dia gnostics at all, which is, however, a pre-conditon for any reasonable psych otherapy. With Psy-BaDo the psychotherapeutic treatment becomes simply a di sease-management which defines its quality assurance by criteria of normali sation and thus follows the medical model of transformation disease into he alth. Medical psychotherapy as an integrated standard treatment offers itse lf to society as a monopolistic health supply agency. Psy-BaDo intends to a dapt psychotherapeutic medicine to somato-psychiatric standards, ignores th e differentiated level of knowledge and perception in psychotherapy for the sake of a legitimation as the most-favoured psychotherapy within the healt h care system.