The future of psychotherapy: Delphi data and concluding observations.

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Abstract
Psychotherapy trends in the next decade were predicted by a panel of 75 experts using Delphi methodology. The intrepid observers forecasted changes in clinical interventions, psychotherapy providers, therapy modalities, theoretical orientations, and future scenarios. Directive, present-centered, problem-focused, and brief therapies were expected to increase, whereas historically oriented, comparatively passive, and long-term approaches were predicted to decrease. Self-help groups and social workers should proliferate, whereas the proportion of psychotherapy provided by psychiatrists will diminish. Integrative, systemic, and cognitive orientations will be in the ascendancy, as opposed to the decline of psychoanalysis and existentialism. These forecast scenarios are discussed in the context of ongoing macroeconomic transformations in health care delivery.

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