Operacionalização Psicodinâmica de Diagnóstico (OPD-2) numa psicanálise

Paulo, Ana Maria Ribeiro; Pires, António Augusto Pazo

doi:10.1590/s0103-56652013000100011

Cited by 6 publications

(8 citation statements)

References 15 publications

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“…In the last five years, the OPD-2 has spread nationally and internationally and has been applied in validity and reliability studies, 2,3 in empirical studies with process analysis and treatment outcome, in studies assessing different mental disorders, [4][5][6][8][9][10][13][14][15][19][20][21] and in comparative studies with different instruments and techniques or proposing new techniques. 11,12,[16][17][18] Traditionally, the use of the instrument is operationalized and the usefulness of this technique was confirmed in investigation of axis III.…”

Section: Discussionmentioning

confidence: 99%

“…Adapted from Vicente et al 3 a psychodynamic point of view, proposing therapeutic foci and treatment plans tailored to each patient, linking a cross-sectional diagnostic evaluation (five diagnostic axes) with a longitudinal evaluation (assessment of the process of change in each axis with treatment planning) and supporting a diagnostic and therapeutic classification of change in empirical investigations with a psychoanalytic focus. [1][2][3][4][5][6] The OPD-2 is considered one of the main instruments for clinical diagnosis, planning, and scientific research in the international context. It's also used for training future psychotherapists.…”

Section: Personality Disorders Main/additional Diagnosticsmentioning

confidence: 99%

“…3 It is a rigorous and standardized psychodynamic diagnostic method with specific assessment criteria to facilitate communication in the scientific community and for applying research to clinical practice. 5 In Germany and Switzerland, the OPD-2 is considered an essential resource for certifying the quality of interventions, both in the hospital setting and in the traditional clinic, to assess the evolution and progress of treatment, and from this point on provide a new plan and psychodynamic understanding of the patient. 3 This diagnostic tool enables assessment, both quantitatively and qualitatively, of change variables (symptoms, relational patterns, conflicts, and structure), efficacy, and the therapeutic relationship in an operationalized form, and also adjustment of treatment planning; it therefore enables process and outcome research.…”

Section: Personality Disorders Main/additional Diagnosticsmentioning

confidence: 99%

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Operationalized psychodynamic diagnosis: a systematic review of the literature

Both

Bastos

Freitas

2019

Trends Psychiatry Psychother.

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Introduction The Operationalized Psychodynamic Diagnosis (OPD-2) is an operational multiaxial diagnostic assessment and treatment planning tool. This systematic review sought to analyze empirical studies that used the OPD as an instrument. In addition to identifying the studies, we analyzed the topics covered and the results of research that used the OPD empirically. Method Articles, dissertations and empirical theses that mentioned or used the OPD instrument in the last five years (2012-2017) were included in this review. The strategy included searching with combinations of the descriptors “Operationalized and psychodynamic and diagnosis” from the Portal de Periódicos CAPES on the PubMed, Google Scholar, and ResearchGate databases for work published in English, Portuguese or Spanish in the last five years. Results The search returned a total of 189 papers, but only 20 were included. The studies selected discussed the validity and reliability of the instrument, the therapeutic process and analysis of outcomes, assessment of different mental disorders, and also included studies comparing different instruments and techniques. Considerable scientific effort has evidently been dedicated to accumulating more consistent data on psychodynamic diagnosis. Conclusion It was demonstrated that the OPD is an essential clinical tool for dimensional comprehension of the subject and for scientific research. However, the number of publications on the subject is not yet significant and the methods employed are diverse. Nevertheless, there is a growing body of data on topics such as applicability in different contexts and to different pathologies, promoting greater visibility and with greater representativeness of professionals who have experience with the instrument.

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Section: Discussionmentioning

confidence: 99%

Section: Personality Disorders Main/additional Diagnosticsmentioning

confidence: 99%

Section: Personality Disorders Main/additional Diagnosticsmentioning

confidence: 99%

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Operationalized psychodynamic diagnosis: a systematic review of the literature

Both

Bastos

Freitas

2019

Trends Psychiatry Psychother.

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“…On the other hand, intrapsychic stress, which combines feelings of anger, indecision about care and shame, did not have a statistically significant relationship with the perception of a worse quality of life and a worse sense of control and autonomy. According to Paulo and Pires 34 there is a tendency to neglect or minimize the problems that arise in situations of stress or tension, characteristics of the act of caring. In addition, because they are elderly caregivers, they tend to have a more enjoyable and normative view about life.…”

Section: Discussionmentioning

confidence: 99%

Quality of life of elderly people who care for other elderly people with neurological diseases

Oliveira

Delfino

Batistoni

et al. 2018

Rev. bras. geriatr. gerontol.

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Objective: to investigate the relationships between the perceived quality of life of elderly people who care for other elderly people with neurological diseases (dementia and strokes) and the gender, age and caregiver burden, diagnosis, functional dependence, and cognitive status of the care recipient. Method: 75 caregivers aged over 60 years were interviewed using the Quality of Life Scale (CASP-19) and Zarit Burden Interview. The levels of physical vulnerability of the elderly were identified through the Lawton and Brody questionnaires and the Katz scale and the cognitive assessment of elderly care recipients was assessed with the Clinical Dementia Rating. The data were analyzed by chi-squared test (for comparison of categorical variables), Mann-Whitney and Kruskal-Wallis U tests (for comparison of continuous variables). To study the associations between variables, univariate logistic regression analysis was performed, followed by multivariate logistic regression analysis. Results: the age, gender of the caregiver, type of neurological condition, and physical and cognitive functioning of the care recipient did not statistically influence the quality of life of the caregiver. Elderly caregivers with higher levels of burden (≥29) were 11.4 times more likely to have a worse quality of life score (CI: 3.16-36.77; p <0.001). Conclusion: the quality of life of the elderly caregiver is negatively influenced by the burden involved in caring for another elderly person. Identifying the negative emotional aspects of caregivers that negatively affect their quality of life should be considered a target for intervention by health teams.

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“…However, in addition to the factors related to the increasing involvement in offending acts, it is disturbing for clinicians and researchers how their psychic records occur, showing the way they deal with their feelings, seeing those around them and also relate. Thus OPD-2 emerges as a proposal for a broad and comprehensive understanding, allowing an approximation of research to practice, where the processes and results can be defined and operationalized in different change variables, symptoms, relational patterns, conflicts, and structure, effectiveness and the therapeutic relationship (Paulo & Pires, 2013).…”

Section: Discussionmentioning

confidence: 99%

Operationalized Psychodynamic Diagnosis (OPD-2) of an Adolescent in Conflict With the Law

Both¹,

Favaretto²,

Benetti³

2017

JPR

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There is a scientific effort to construct instruments that evaluate the patient's psychodynamic functioning and improve clinical/academic communication. Therefore, the operationalized psychodynamic diagnosis (OPD-2) was created to perform a multiaxial diagnosis based on five axes: experience of illness and prerequisites for treatment (Axis I); interpersonal relationships (Axis II); conflict (Axis III); structure (Axis IV); mental and psychosomatic disorders (Axis V).This study aimed to identify the psychodynamic characteristics from an audio recorded treatment session with an 18-year-old adolescent in conflict with the law, serving detention without the possibility of external activities. In Axis I, median severity of the problem was observed, but with a level of suffering almost absent. In Axis II, he experiences others as controllers, which disqualify and neglect him, thus, he seeks to keep to himself by maintaining distant, to the point where there is uncontrolled impulses, aggression, and exposure to risk.In Axis III, there was a predominance of conflicts: need to for care versus self-sufficiency and self-esteem conflict.The Axis IV showed a median level structure with internalization of negative models and difficulty in mentalization.The Axis V showed that the patient has a diagnosis of International Statistical Classification of Diseasesand Related Health Problems (ICD), which refers to Conduct Disorders, being characterized by persistent patterns (six months or more) of anti-social, aggressive or confrontational conduct. The OPD-2 has been shown to be a useful tool for identifying the psychic characteristics of adolescents in conflict with the law and for therapeutic planning.

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Operacionalização Psicodinâmica de Diagnóstico (OPD-2) numa psicanálise

Cited by 6 publications

References 15 publications

Operationalized psychodynamic diagnosis: a systematic review of the literature

Operationalized psychodynamic diagnosis: a systematic review of the literature

Quality of life of elderly people who care for other elderly people with neurological diseases

Operationalized Psychodynamic Diagnosis (OPD-2) of an Adolescent in Conflict With the Law

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