<p>Therapeutic goals developed collaboratively are considered an essential foundation for the treatment process in psychosomatic rehabilitation. The patients’ social and cultural backgrounds should be taken into account in the process of setting these goals. It is well known that patients of&#xa0;Turkish origin often have a&#xa0;more somatic understanding of illness, experience a&#xa0;higher symptom burden, and have specific expectations regarding therapy. However, empirical data on the systematic formulation of therapeutic goals for this group are limited. In a&#xa0;cross-sectional study, the therapeutic goals of 47&#xa0;patients of Turkish origin and 41&#xa0;patients of German origin were recorded at the start of inpatient rehabilitation using the Bern Inventory for Therapeutic Goals—Checklist (BIT-C). Additionally, psychopathological burden was assessed using the ICD-10 Symptom Rating (ISR). The goals were evaluated qualitatively and descriptively across the five main BIT categories and compared between the two groups. Results: Patients of Turkish origin formulate more strongly symptom-related and present-oriented therapeutic goals, which corresponds to their significantly higher psychological and psychosomatic distress. German patients, on the other hand, demonstrate a&#xa0;broader spectrum of orientation- and self-development-related goals. The results underscore the need for culturally sensitive goal-setting that takes everyday concerns seriously while simultaneously promoting development-oriented perspectives.</p>

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Zielmuster in der psychosomatischen Rehabilitation

  • Jan Ilhan Kizilhan,
  • Claudia Klett

摘要

Therapeutic goals developed collaboratively are considered an essential foundation for the treatment process in psychosomatic rehabilitation. The patients’ social and cultural backgrounds should be taken into account in the process of setting these goals. It is well known that patients of Turkish origin often have a more somatic understanding of illness, experience a higher symptom burden, and have specific expectations regarding therapy. However, empirical data on the systematic formulation of therapeutic goals for this group are limited. In a cross-sectional study, the therapeutic goals of 47 patients of Turkish origin and 41 patients of German origin were recorded at the start of inpatient rehabilitation using the Bern Inventory for Therapeutic Goals—Checklist (BIT-C). Additionally, psychopathological burden was assessed using the ICD-10 Symptom Rating (ISR). The goals were evaluated qualitatively and descriptively across the five main BIT categories and compared between the two groups. Results: Patients of Turkish origin formulate more strongly symptom-related and present-oriented therapeutic goals, which corresponds to their significantly higher psychological and psychosomatic distress. German patients, on the other hand, demonstrate a broader spectrum of orientation- and self-development-related goals. The results underscore the need for culturally sensitive goal-setting that takes everyday concerns seriously while simultaneously promoting development-oriented perspectives.