Operationalized Psychodynamic Diagnostics and Differential Therapy Indication in Routine Diagnostics at a Psychosomatic Outpatient Department

Schneider, Gudrun; Lange, C.; Heuft, Gereon

doi:10.1093/ptr/12.2.159

Cited by 12 publications

(7 citation statements)

References 16 publications

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“…Data from 17 independent samples including more than 2,000 persons support the validity of the OPD-LSIA (Benecke et al, 2009;Böker et al, 2008;Doering et al, 2012;Grande, Rudolf, & Oberbracht, 1998;Grande, Schauenburg, & Rudolf, 2002;Grande et al, 2006;Grütering & Schauenburg, 2000;Hill, Ujeyl, Habermann, Berner, & Briken, 2008;Mestel, Klingelhöfer, Dahlbender, & Schüßler, 2004;Müller, Kaufhold, Overbeck, & Grabhorn, 2006;Nitzgen & Brünger, 2000;Rudolf, Grande, Oberbracht, & Jakobsen, 1996;G. Schneider, Lange, & Heuft, 2002;G.…”

Section: Reliabilitymentioning

confidence: 88%

Assessing the Level of Structural Integration Using Operationalized Psychodynamic Diagnosis (OPD): Implications forDSM–5

Zimmermann

Ehrenthal

Cierpka

et al. 2012

Journal of Personality Assessment

139

111

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A key ingredient in the current proposal of the DSM-5 Work Group on Personality and Personality Disorders is the assessment of overall severity of impairment in personality functioning: the Levels of Personality Functioning Scale (LPFS). The aim of this article is to contribute a conceptual and empirical discussion of the LPFS from the perspective of the Operationalized Psychodynamic Diagnosis (OPD) system (OPD Task Force, 2008 ). First, we introduce the OPD Levels of Structural Integration Axis (OPD-LSIA), a measure of individual differences in severity of personality dysfunction that is rooted in psychodynamic theory. We show that the OPD-LSIA is reliable, valid, and highly associated with observer ratings of personality disorders. In the second part, we present results from an OPD expert consensus study exploring potential limitations of the current LPFS item set from the perspective of the OPD-LSIA. We conclude with highlighting implications for future revisions of the DSM-5 proposal.

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Section: Reliabilitymentioning

confidence: 88%

Assessing the Level of Structural Integration Using Operationalized Psychodynamic Diagnosis (OPD): Implications forDSM–5

Zimmermann

Ehrenthal

Cierpka

et al. 2012

Journal of Personality Assessment

139

111

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“…The instrument has attained wide usage in Germanspeaking countries in the last decade. Studies show good reliability in research contexts and acceptable reliability for clinical purposes [2,31] . A particular advantage of this system as compared to former psychoanalytic approaches is the inclusion of severe personality disorder and dissociative syndromes made possible by an extended concept of personality structure.…”

Section: Hermeneutic or 2nd-person Approachmentioning

confidence: 98%

Subjectivity and Intersubjectivity in Psychiatric Diagnosis

Fuchs

2010

Psychopathology

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The establishment of criteriological diagnostic systems since the 1980s has increased the reliability of psychiatric diagnosis. On the other hand, the limits of this approach for clinicians and researchers are becoming increasingly apparent. In particular, the assessment of subjective experience is nearly excluded on the theoretical level and undervalued on the pragmatic level, with detrimental consequences for the validity of psychiatric diagnosis, empirical research and therapeutic purposes. To correct this unfavourable development, three major approaches to the assessment of mental illness should be equally taken into account: (1) the positivistic, objectifying or 3rd-person approach as endorsed by DSM-IV and ICD-10, focusing mainly on observable behavioural symptoms; (2) the phenomenological, subject-oriented or 1st-person approach, focusing on the patient’s self-experience and exploring its basic structures, and (3) the hermeneutic, intersubjective or 2nd-person approach, mainly aiming at the co-construction of narratives and interpretations regarding the patient’s self-concept, relationships and conflicts. These three approaches will be compared regarding their respective values for psychopathological description, diagnosis, research and therapeutic purposes.

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“…More than 3,000 therapists have been trained in the different training centers in German-speaking countries. In various psychosomatic clinics, abuse clinics, university departments for psychotherapy and psychosomatics, the OPD is used in research projects, but also in the clinical day-to-day practice [18] . Current work on the further development of the OPD system is directed towards improving focus formulation and the therapy goal definition and thus the clinical applicability, so the system can be more used in day-to-day practice.…”

Section: Resultsmentioning

confidence: 99%

“…The OPD findings can supply the clinician with information to aid in deciding on differential therapy indication and treatment planning [18] . Axis I can help clarify the patient's basic assumptions regarding eventual psychotherapy.…”

Section: Status or Process Diagnosis: Focus Possibilitiesmentioning

confidence: 99%

The Operationalized Psychodynamic Diagnostics System: Clinical Relevance, Reliability and Validity

et al. 2007

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In this paper, we present a multiaxial system for psychodynamic diagnosis, which has attained wide usage in Germany in the last 10 years. First we will discuss the 4 operationalized psychodynamic diagnostics (OPD) axes: illness experience and treatment assumptions, relationships, mental conflicts, and structure, then clinical applications will be outlined. Focus psychodynamic formulations can be employed both with inpatients and with outpatients. Studies show good reliability in a research context and acceptable reliability for clinical purposes. Validity will be separately summarized as content, criterion, and construct validity. Validity studies indicate good validity for the individual axes. Numerous studies on the OPD indicate areas of possible improvement, for example for clinical purposes the OPD should be more practically formulated.

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Operationalized Psychodynamic Diagnostics and Differential Therapy Indication in Routine Diagnostics at a Psychosomatic Outpatient Department

Cited by 12 publications

References 16 publications

Assessing the Level of Structural Integration Using Operationalized Psychodynamic Diagnosis (OPD): Implications forDSM–5

Assessing the Level of Structural Integration Using Operationalized Psychodynamic Diagnosis (OPD): Implications forDSM–5

Subjectivity and Intersubjectivity in Psychiatric Diagnosis

The Operationalized Psychodynamic Diagnostics System: Clinical Relevance, Reliability and Validity

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