The Developmental Profile: Its use in establishing indications for psychoanalytic treatment

Abraham, Robert E.; Dam, Quin van

doi:10.1521/bumc.68.2.115.35950

“…13,14 Based on psychodynamic developmental psychology, DP describes the degree to which psychosocial functioning is determined by mature adaptive and by "early" maladaptive behavioral patterns. 21,22 DP standardizes psychodynamic personality diagnostics to make them more convenient for clinical diagnosis and treatment planning, and it enables empirical validation. DP consists of a matrix of 10 Developmental Levels (rows) and 9 Developmental Lines (columns) (Appendix 2).…”

Section: Assessmentsmentioning

confidence: 99%

Effectiveness of Pharmacotherapy for Severe Personality Disorders

Ingenhoven¹,

Lafay²,

Rinne³

et al. 2009

J. Clin. Psychiatry

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Background. Behavioral dyscontrol and violations of treatment contracts are serious clinical problems during psychotherapy, especially in treating patients with personality disorders. However, little is known about predictors of these treatment-interfering phenomena.Objective. To identify psychodynamic personality characteristics that can interfere with the psychotherapy process as indicated by treatment-disrupting behaviors.Methods. Sociodemographic characteristics, descriptive psychiatric diagnoses, and psychodynamic characteristics were assessed in 89 inpatients with personality disorders in psychotherapeutic treatment. Psychodynamic charac teristics were assessed with the Developmental Profile (DP). DP variables were used to predict impulsive acts, anger outbursts, parasuicidal behaviors, and contract violations. Incremental value was established.Results. In this sample, 4 out of 5 patients engaged in treatment-interfering behaviors during the first 3 months of therapy. In general, treatment-disrupting behaviors were not predicted by baseline DSM-IV Axis I or II disorders. In contrast, impulsive behaviors, anger outbursts, and contract violations were significantly predicted by psychodynamic variables, especially the DP levels Fragmentation and Egocentricity. DP variables accounted for an incremental predictive value of 23% for treatment-disrupting behaviors, over and above demographics and descriptive diagnoses. Parasuicidal gestures were not predicted by either DSM-IV diagnoses or psychodynamic variables. KEY WORDS: personality disorder, psychodynamic diagnosis, Developmental Profile, treatment-disrupting behaviors, predictive validity, incremental value

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“…This low percentage of agreement will always lead to low reliability scores, irrespective of which statistical reliability measure is used. It is these developmental levels that are rated often in the population studied and at the same time have occurred frequently in the higher level Cluster B and Cluster C patients (Abraham, 2005;Abraham & van Dam, 2004). These crucial developmental levels must be able to be measured reliably in clinical practice if the instrument is to contribute to an evidence-based psycho-diagnostic basis for the indication for (day-) clinical psychotherapy.…”

Section: Scholte Et Al Feedbackmentioning

confidence: 99%

Feedback on: Interrater reliability in unbalanced designs: A comment on Scholte et al. (2009)

Scholte¹,

Tiemens²,

Verheul³

et al. 2010

Bulletin of the Menninger Clinic

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“…13,14 Based on psychodynamic developmental psychology, DP describes the degree to which psychosocial functioning is determined by mature adaptive and by "early" maladaptive behavioral patterns. 21,22 DP standardizes psychodynamic personality diagnostics to make them more convenient for clinical diagnosis and treatment planning, and it enables empirical validation. DP consists of a matrix of 10 Developmental Levels (rows) and 9 Developmental Lines DP is assessed with a semi-structured interview in order to obtain a detailed description of the patient's daily functioning over the previous 10 years, by focusing on the way the patient functions in the context of family and friendships, education and work, and sports and hobbies.…”

Section: Psychodynamic Predictorsmentioning

confidence: 99%