The Clinical-Psychotherapeutic Approach as a Driver for the Development of Psychotherapy in Medicine

Relevance. Contemporary clinical practice and recent scientific research indicate an expanding use of psychotherapy within medical settings, where it is increasingly applied to the treatment and rehabilitation of patients across diverse clinical groups. However, the advancement of psychotherapy in medicine is constrained by insufficiently developed methodologies and techniques for its clinical application. Progress in this field requires the establishment of a system that reduces the number of psychotherapeutic methods and ensures justified clinical use of existing therapeutic tools and achievements. This task is complicated by the tendency to apply isolated psychotherapeutic methods, the number of which is estimated in some sources to exceed 800. The aim of the study is to conduct an expert analysis of the results and prospects for implementing the clinical–psychotherapeutic approach in work with patients from various clinical groups and to outline directions for its further refinement. Methodology. A series of scientific and practical conferences with international participation served as the platform for expert analysis of the concept of clinical psychotherapy and the experience of its application in different clinical populations. The goal was to improve the clinical-psychotherapeutic approach and to create conditions for developing a framework for applying psychotherapy in the treatment and rehabilitation of patients with consequences of psychological trauma. Results and Discussion. The study presents the conceptual foundations and general approaches to advancing the clinical–psychotherapeutic approach in medical practice. Core principles of clinical psychotherapy are examined, along with the essential requirements for psychotherapeutic diagnostics. These requirements include the formation of a functional diagnosis, the development of a psychotherapeutic hypothesis, the identification of therapeutic targets for each specific psychotherapeutic case, the formulation of an Individual Psychotherapeutic Program (IPP), and methods for improving psychotherapeutic practice. Expert analysis of the concept and its implementation under real clinical conditions demonstrated the need for further refinement of the proposed system and its components to enhance the clinical-psychotherapeutic approach, particularly in the treatment and rehabilitation of patients affected by psychological trauma. Conclusion. Overall, the concept of clinical psychotherapy has met expectations and offers substantive potential for the development of a medical model of psychotherapy within healthcare. The clinical-psychotherapeutic approach constitutes an important resource for strengthening the role of psychotherapy in medicine. Expert evaluation of the concept has identified key directions for its continued development, including the elaboration of approaches for treating and rehabilitating patients with psychological trauma.