Under steady pressure from ordinary pastoral practice German Protestantism gradually made proclamatory pastoral care more responsive to human need and more adequate to human complexity. In doing so it drew heavily from psychology, but the very refinements helped obscure its original intent. For that and other reasons it came into crisis and was replaced by “therapeutic pastoral care,” which now dominates German pastoral thought and practice. Each of these paradigms of pastoral work reflected in its own way on the theological aspects of pastoral care, producing quite different theologies of pastoral care and employing psychology in that process in quite different ways.