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[Psychoanalysis and psychotherapy management in Austria].

E Jandl-Jager1, G Stumm, B Wirth

  • 1Aus der Universitätsklinik für Tiefenpsychologie und Psychotherapie Wien.

Zeitschrift Fur Psychosomatische Medizin Und Psychoanalyse
|January 1, 1989
PubMed
Summary

Austria faces a shortage of psychotherapists, impacting access to mental healthcare. Psychoanalysts, predominantly non-medical professionals, are key providers, yet face reimbursement challenges.

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Area of Science:

  • Psychiatry and Mental Health
  • Healthcare Systems Analysis

Context:

  • The study examines psychotherapeutic provision in Austria, with a specific focus on the role and challenges of psychoanalysts.
  • Austria experiences a significant shortage of psychotherapists, both in terms of overall numbers and regional distribution.
  • Long-term psychotherapy is generally free in institutional settings but incurs substantial costs in private practice.

Purpose:

  • To investigate the participation and role of psychoanalysts within the Austrian psychotherapeutic landscape.
  • To identify systemic barriers affecting psychotherapeutic access and provision in Austria.
  • To analyze the professional background and practice orientation of psychoanalysts.

Summary:

  • A significant deficit in psychotherapists exists across Austria, affecting service availability.

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  • The majority of psychotherapists (nearly 4/5) are non-medical professionals, such as psychologists.
  • Medical doctors constitute a smaller proportion (about 1/5) of psychotherapists.
  • Psychoanalysts in Austria predominantly function as psychoanalytically oriented psychotherapists rather than solely as psychoanalysts.
  • Non-medical psychotherapists are not covered by the national health insurance system, creating financial barriers for patients.

    • Impact:

    • Highlights critical gaps in mental healthcare accessibility and provision in Austria.
    • Underscores the financial disparities in accessing psychotherapy based on provider type and practice setting.
    • Informs policy discussions regarding therapist training, reimbursement structures, and equitable access to mental health services.