• Classical psychoanalysis is no longer reimbursed by the Dutch health insurance system because its effectiveness is questioned. The longing for evidence is due to a tendency in psychiatry and psychotherapy to be part of the so-called evidence-based movement. Mental health care needs other ways to prove its efficiency than those used in general health care because of the different scientific status of psychiatry and psychotherapy. A rather different methodology is needed to establish the effectiveness or rather value of psychoanalysis and do justice to psychoanalysis as a hermeneutic discipline in between understanding and explanation. …