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Accreditation Form For Therapists And/or Counsellors

This document is an accreditation form for therapists and counselors seeking accreditation from the Viktor Frankl Institute. It requests general information about the applicant's training, practice, theoretical orientations, and commitment to ethical guidelines. Applicants must submit the completed form along with supplemental documents including a resume, certificate of highest degree, and certificate of logotherapy training and supervision hours. By applying, applicants declare their commitment to uphold the ethical guidelines of the American Psychological Association unless otherwise agreed upon. The form recommends ongoing continuing education to enhance competency in logotherapy and related fields.

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0% found this document useful (0 votes)
69 views4 pages

Accreditation Form For Therapists And/or Counsellors

This document is an accreditation form for therapists and counselors seeking accreditation from the Viktor Frankl Institute. It requests general information about the applicant's training, practice, theoretical orientations, and commitment to ethical guidelines. Applicants must submit the completed form along with supplemental documents including a resume, certificate of highest degree, and certificate of logotherapy training and supervision hours. By applying, applicants declare their commitment to uphold the ethical guidelines of the American Psychological Association unless otherwise agreed upon. The form recommends ongoing continuing education to enhance competency in logotherapy and related fields.

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Copyright
© © All Rights Reserved
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Accreditation Form for Therapists and/or Counsellors

Please save your completed accreditation form and send it together with the
accompanying supplemental documents (see V. Supplemental Documents)
either as printout or as electronic file to:
[email protected]
Batthyny

or

Viktor Frankl Institut Wien


z.Hd.
Univ.-Prof.
Dr.
Alexander
Prinz Eugenstr. 18/12
A - 1040 Wien
sterreich

Accreditation Form for Therapists/ Counsellors


I. General Information
01. Name:
02. Date of Birth:
03. Address:
04. Website & Email-Address:

II. Training
05. Title/ Highest Level of Education Completed and Accredited Academic Institution/
Degree:
06. Discipline of Highest Level of Education Completed and Accredited Academic
Institution/ Degree (s):
07. Name of Degree-Conferring Graduate Program/ Advanced Training Institute of Highest
Level of Education Completed/ Degree(s):
08. Have you completed a formal training program in Logotherapy?
09. If yes, at what institution and in what year have you completed your Logotherapy
training?
10. Have you completed training in other psychotherapeutic techniques?
11. If yes, which of these training programs have you completed in a professional
framework?

III. Practice
12. In what professional context do you practice Logotherapy?
(Please select from the following list of options):

1 Psychiatrist
clinic
2 Clinical Psychologist
clinic
3 Psychotherapist
4 Counsellor / Coach
5 Social Worker
6 Nurse Practitioner
7 Priest/ Minister

a in private practice

b in a

a in private practice

b in a

a in private practice

b in a clinic

13. Do you offer Logotherapy in a private practice, in a public health institute, or both?
14. When did you first begin to practice Logotherapy and Existential Analysis as a form of
counselling or therapy?
15. How many patients do you regularly see on average (e.g., monthly or weekly)?
16. In your private practice do you collaborate with members of other health or helping
professions (e.g., psychiatrists, a clinic, or medical doctors)?
17. Are your therapeutic or counselling services covered in whole or in part by public or
private health insurance?

IV. Theoretical Orientations


18. (Optional) Please name your emphasis areas in therapy and / or counselling (max 6)
19. (Optional) Please list here populations whose service you specialize in (e.g., age
groups or professional groups)
20. In what language(s) do you offer Logotherapeutic therapy and/ or counselling in?
21. If you offer Logotherapeutic therapy and / or counselling in conjunction with other
therapeutic methods, please list these here.

V. Supplemental Documents
Please include the following supplemental documents with this form, either as a single
copy or as scanned documents:
(1) Brief Resume
(2) Certificate of Completion of Highest Academic Degree/ Professional Degree
(3) Certificate of Training in Logotherapy and Completion of Supervision Hours

VI. Commitment to Uphold Ethical Guidelines


Included with this application form is a copy of the ethical guidelines for the education,
research, and practice of psychotherapy and counselling of the American Psychological

Association
(APA).1
These
guidelines
can
also
be
found
at
the
URL:
http://www.apa.org/ethics/code/
Individuals that are not APA members, including those who are not directly in the
profession of Psychotherapy, may willingly and publically commit to uphold the APA code
of conduct. We recommend accredited practices to communicate this commitment
publically. Accreditation as an institute through the Viktor Frankl Institute constitutes a
binding commitment to uphold these ethical guidelines.
However, if you are unable to commit to the ethical guidelines of the APA due to personal,
ideological, or other grounds, either in whole or in part, then you may submit alternative
ethical guidelines to the accreditation committee to supplement or substitute the APA
guidelines through your commitment to uphold them.
With this solicitation for accreditation through the Viktor Frankl Institute you declare in the
name of your institute, unless otherwise expressly agreed upon, your institutes voluntary
commitment to uphold the ethical guidelines and code of conduct of the American
Psychological Association (APA).

VII. Recommendations for Continuing Education


The fulfilment of psychotherapeutic or counselling duties and responsibilities calls
for continued self-critical assessment of ones own personal and professional
qualifications and competence, as well as continued efforts for their further
development and the observation of ones own limits. Given this reality, the
responsibility arises to stay informed of current best professional practices via the
appropriate ongoing education training, and to critically grapple with and selfappropriate this ongoing training into the course of ones psychotherapeutic or
counselling activities.
Particularly, with a view of the two years to renewal of accreditation for your
practice, we recommend that accredited therapists or counsellors take part in
advanced training, congresses, and conferences on psychotherapy and
counselling. Specifically, we recommend taking part not only in advanced training
programs in Logotherapy, but also in related schools of psychotherapy in order to
remain informed of the latest themes and trends in the helping and counselling
professions. This recommendation is expressly not a binding commitment for
therapists or counsellors accredited through the Viktor Frankl Insitute; it should
simply serve to safeguard and enhance the quality of Logotherapeutic
psychotherapy and counselling.

The APAs code has been adopted for ease of use amongst applicants not fluent in
German. The APAs guidelines represent a conservative articulation of the Viktor Frankl
Institutes ethical standards. The Institutes guiding document is the ethical guidelines of
the Deutschen Dachverbands fr Psychotherapie (DVP e.V.). Institutes seeking
accreditation through the Viktor Frankl Institute who anticipate regularly encountering
difficulty with the APAs articulation by the nature of organisational activities are
encouraged to obtain a copy of the DVPs guidelines (a German-language document) from
the VFI and substitute this document for the APA guidelines.

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