Related Experiment Video
Updated: Jun 10, 2025

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
Systemic Psychotherapy: An Introduction to Its Theoretical Foundations and Clinical Practice.
Kirsten von Sydow1, Stefan Beher, Rüdiger Retzlaff
1Medical School Hamburg (MSH), Department for Psychology, Hamburg, Germany; Helm Stierlin Institut e. V., Heidelberg.
Systemic therapy (ST), now covered by German statutory health insurance, offers effective treatment for various mental health disorders in adults and children. This approach focuses on the social context of mental health conditions.
Area of Science:
- Psychiatry and Psychotherapy
- Clinical Psychology
- Family Systems Theory
Background:
- Systemic therapy (ST) was officially recognized in Germany in 2020 for adults and 2024 for children/adolescents.
- It is now a covered service under statutory health insurance, expanding access to this psychotherapy approach.
Purpose of the Study:
- To review the theoretical underpinnings of Systemic Therapy (ST).
- To examine the clinical applications and established efficacy of ST.
- To synthesize findings from recent meta-analyses on ST's effectiveness.
Main Methods:
- A selective literature review was conducted.
- The review focused on theoretical foundations, clinical practice, and meta-analyses of ST efficacy.
- Included recent meta-analyses evaluating ST's effectiveness across various mental health conditions.
Main Results:
- ST integrates systems theory, communication theory, constructivism, and attachment perspectives.
- Key clinical elements include structural-strategic and solution-focused family therapy techniques.
- ST demonstrates significant efficacy for diverse disorders in adults and youth, including depression, anxiety, and substance use disorders, with notable effect sizes (e.g., Hedges g = 1.09 for adult depression).
Conclusions:
- Systemic therapy (ST) expands treatment options for mental health disorders.
- It uniquely emphasizes the social context in understanding and treating psychological conditions.
Related Concept Videos
Psychodynamic Therapy
Elements Crucial for Effective Psychotherapy
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
Psychotherapy
Interpersonal Psychotherapy
Cognitive Therapy
Theoretical Approaches to Psychological Disorder
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...

