[New decision making therapy in foster, adoptive and institutionalized children with failed outcome]

A specific group of children, adolescents and young adults with failure syndromes and courses of failure is described and a report is made on the new decision-making therapy, which has been modified for young patients. This is described from its transaction-analytical background as well as in its practical implementation in the in-patient department of a clinic for child and adolescent psychiatry. Here it is not a matter of a single method of therapy but of a therapy direction. The objective of this is to help the young person to review its earlier decisions that were made in connection with relationships in the sense of one's own prohibition of admission, these being the main cause for failure, and to code to a new decision of wanting to have successful relationships in the future. In its implementation different psychotherapeutical processes are applied according to the individual process situation. The new decision-making therapy can be considered to be completed when the typical failure syndrome symptoms have disappeared and the young person begins to open itself towards development-promoting help and to enter into relationships.