Psychodynamische Therapiefoki in einer stationären multimodalen Therapie - Zusammenhänge zu den Selbstauskunftskalen und Individuellen Therapiezielen/ Psychodynamic therapy foci in inpatient psychotherapy – relations to self-assessment scales and individual therapeutic goals

Change in personality functioning during psychotherapy for depression predicts long-term outcome.

“…From a psychoanalytic perspective, a study on inpatient treatment revealed that structural change, measured by the Heidelberg Structural Change Scale (HSCS; Rudolf et al, 2000), correlated fairly strongly with a team-rated global assessment of outcome (Grande, Rudolf, Oberbracht, & Jakobsen, 2001) and also significantly predicted the main criterion of treatment success, an observer-rated report of the patient's progress in important life domains at 6-month follow-up (Grande, Rudolf, Oberbracht, & Pauli-Magnus, 2003). In a study of inpatient psychotherapy, Schneider, Schmitz-Moormann, Bär, Driesch, and Heuft (2006) demonstrated a small correlation between structural change, measured by the HSCS, and the attainment of the patient-rated most important therapeutic goal at the end of treatment, whereas changes in symptoms and interpersonal problems were not significantly correlated. Based on data from the Heidelberg-Berlin Study (Grande et al, 2006;Rudolf et al, 2002), Grande et al (2009) found that change in personality functioning measured at the end of outpatient therapy predicted treatment outcome at 3-year follow-up, both for PA and PD, measured by the patient's retrospective evaluation of outcome, covering aspects like psychological symptoms, somatic symptoms, interpersonal problems, coping with life demands, overall capacity, enjoyment potential, self-esteem and general contentment with life.…”

Structural change as a predictor of long-term follow-up outcome

“…In a 6-month follow-up with the same patients (Grande et al, 2003), those patients who had achieved good results on the HSCS upon finishing therapy showed progressive changes in important life domains, changes that were not made by those with poorer HSCS results. In a mixed group of 173 inpatient courses of treatment, Schneider et al (2006) demonstrated that HSCS changes significantly correlated with the attainment The problem is entirely unconscious; associated experiences are evaded; problematic behaviour is egosyntonic; the patient has "no problem" with the problem area 2. Unwanted preoccupation with the problem tendency↑ 2-exact 2 match…”

“…To date, the HSCS has been used in two studies (Grande, Rudolf, Oberbracht, & Jakobsen, 2001;Grande et al, 2003;Schneider, Schmitz-Moormann, Bär, Driesch, & Heuft, 2006). In a study on 12-week inpatient treatment (N 049), Grande, Rudolf, Oberbracht, and Jakobsen were able to show that initial HSCS values significantly correlated with prognostically favourable patient characteristics; preÁpost changes in HSCS further correlated highly with outcome evaluations performed by members of the therapeutic team.…”

La evaluación de las primeras entrevistas psicoterapéuticas mediante el sistema diagnóstico psicodinámico operacionalizado (OPD-2)

“…En la mayoría de los casos los dos aspectos son significativos. Dónde más concretamente muestra el diagnóstico OPD su aplicación para la psicoterapia, como consecuencia de la formulación del foco, es en la elección de las metas terapéuticas (Schneider, Schmitz-Moormann, Bär, Driesch, & Heuft, 2006). Este procedimiento ha sido aplicado y evaluado en proyectos de investigación clínica como, por ejemplo, el "Estudio de Terapias Analíticas Prolongadas en la Práctica Clínica" (Grande, Rudolf, & Oberbracht, 1997;Grande, Rudolf, Oberbracht, Jakobsen, & Keller, 2004;Rudolf et al, 2002;Rudolf et al, 2004).…”