What is problem actuation?

grosse Holtforth, Martin (2017). What is problem actuation? Psychotherapeut, 62(2), pp. 77-82. Springer-Medizin-Verlag 10.1007/s00278-017-0176-x

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Problem actuation is a change factor in all forms of psychological therapy. By actuation of the problem that motivated a patient to undergo therapy, the problems are made accessible to therapeutic processing. Areas that do not satisfy the fundamental psychological needs (incongruence) are perceived by patients as problems. Problem actuation should be implemented on the foundation of a good therapeutic relationship and simultaneous resource activation. Problem actuation may happen unintentionally during the therapeutic process or may be initiated deliberately by the therapist. Therapists have a multitude of options for targeted problem actuation: examples are exposure to fear-provoking situations and places, the inclusion of partners or family members in conflictual relationships, the actuation of problematic emotions in chairwork, tackling problematic behavior patterns towards the therapist or staging problematic relationships in dancing. Patients can be prepared for problem actuation by tailoring the relationship offer as well as by building or activating personal resources.

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