Therapeutische Veränderungen jenseits der Symptomatik

Grande, Tilman; Rudolf, Gerd; Oberbracht, Claudia; Jakobsen, Thorsten

doi:10.13109/zptm.2001.47.3.213

Cited by 27 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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.…”

Section: Discussionmentioning

confidence: 99%

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

Huber¹,

Zimmermann

Klug

2017

Psychoanalytic Psychology

View full text Add to dashboard Cite

Because depression is a recurrent disorder, the therapeutic aim for it should be the prevention of relapse or recurrence. Practitioners of psychoanalytic (PA), psychodynamic (PD) and cognitive-behavioral therapy (CBT) claim to achieve stable results by improving patients' personality functioning (e.g., selfand object representations, capacity to regulate affect and self-esteem). This hypothesis was tested using data from a subsample of 67 patients of the Munich Psychotherapy Study. In addition, we tested a diathesis-stress model, assuming that a failure to improve personality functioning during therapy may represent a vulnerability factor, especially for people confronted with adverse life events after therapy. Depressive symptoms and general psychiatric distress were assessed using the German versions of the Beck Depression Inventory (Hautzinger, Bailer, Worall, & Keller, 1995) and the Global Severity Index of the Symptom Checklist 90 -Revised (Franke, 1995) at pretreatment, posttreatment, and 3-year follow-up. Personality functioning was assessed pre-and posttreatment using the Scales of Psychological Capacities (Wallerstein, 1991;Wallerstein, DeWitt, Hartley, Rosenberg, & Zilberg, 1989). Patients were interviewed at 1-year follow-up to detect negative life events in the intervening time. Regression analyses revealed that depressive symptoms and general psychiatric distress at 3-year follow-up were significantly predicted by pre-to posttreatment changes in personality functioning. When controlling for pre-to posttreatment changes in outcome measures, the effects of change in personality functioning were no longer significant. However, we found evidence for an interaction effect between pre-to posttreatment changes in personality functioning and the number of negative life events on general psychiatric symptoms, partially supporting the assumed diathesis-stress model. This suggests that, irrespective of treatment modality, therapists should focus on changes in personality functioning to obtain stable benefits.

show abstract

Section: Discussionmentioning

confidence: 99%

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

Huber¹,

Zimmermann

Klug

2017

Psychoanalytic Psychology

View full text Add to dashboard Cite

show abstract

“…Cierpka et al 2001;2007). Die Heidelberger Umstrukturierungsskala (HUS, Rudolf et al 2000;Grande et al 2001;Rudolf 2004) erfasst als Therapeutenrating den Umgang des Patienten mit den als Foki ausgewählten Problembereichen auf sieben Stufen, von (1) "Abwehr/Nichtwahrnehmung des Fokus" bis (7) "Auflösung des Fokus".…”

Section: Fragestellungunclassified

“…Dabei und zu diesem Zweck aktivieren sie offenbar verstärkt schon vorhandene Ressourcen beziehungsweise akquirieren neue hinzu. Dazu passen die auch schon von Grande et al 2001und Schneider et al 2006 beschriebenen Symptombesserungen parallel zu Veränderungen der Fokuseinschätzung.…”

Section: Psychometrischeunclassified

“…In allen drei Studien ging ein besseres Strukturniveau (Achse IV) mit einer zumindest tendenziellen Besserung der Symptomatik einher. Darüber hinaus bietet die OPD mit der Heidelberger Umstrukturierungsskala (HUS; Grande et al 2001) die Möglichkeit, zu Behandlungsbeginn psychodynamische Behandlungsfoki zu definieren und zu Therapieende einzuschätzen, inwiefern der Patient diese für sich erkennen, akzeptieren, bearbeiten oder gar auflösen konnte. Psychodynamische Therapie impliziert, dass sich bezüg-lich des psychodynamischen Fokus etwas verändern muss, damit Symptombesserung eintreten kann.…”

Section: Introductionunclassified

See 1 more Smart Citation

Personale Ressourcen in stationärer Fachpsychotherapie - Zusammenhänge und Entwicklung/ Personal resources in inpatient psychotherapy – Relationships and development

Kati¹,

Stumpf²,

Heuft³

et al. 2015

Zeitschrift für Psychosomatische Medizin und Psychotherapie

View full text Add to dashboard Cite

Summary Personal resources in inpatient psychotherapy -Relationships and developmentObjective: We examined how personal resources develop during inpatient psychodynamic psychotherapy, their relationship to symptom development, Operationalized Psychodynamic Diagnosis (OPD-2), and sociodemographic aspects. Methods: 483 patients were examined using self-assessment questionnaires (Brief Symptom Inventory (BSI), Hospital Anxiety and Depression Scale (HADS), Inventory of Interpersonal Problems (IIP), Questionnaire of Actual Resource Realization (RES)) as well as the expert ratings Global Assessment of Functioning Scale (GAF), Impairment Score (IS), OPD-2, and the Heidelberg Structural Change Scale (HSCS), both at the beginning and the end of treatment. Results: There was a marked improvement in the realization of personal resources during inpatient psychotherapy, which showed significant correlations to the improvement of symptoms. The extent of improvement of resources correlated with the duration of psychotherapy and the assessment of the psychodynamic therapy foci on the HSCS. Conclusions:The results show that personal resources are activated when successfully working on the psychodynamic foci in psychodynamic inpatient treatment, and that this corresponds to an improvement of symptoms.

show abstract

“…This scale is related to the Assimilation of Problematic Experiences Scales [27] and allows through its fine gradations a quantitative weighting of therapeutic change in each individual focus [28,29] . Furthermore, a structure [16] and a conflict checklist [30] were developed which simplify the judgment of these two dimensions for the clinician.…”

Section: Status or Process Diagnosis: Focus Possibilitiesmentioning

confidence: 99%

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

et al. 2007

View full text Add to dashboard Cite

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.

show abstract

Therapeutische Veränderungen jenseits der Symptomatik

Cited by 27 publications

References 5 publications

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

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

Personale Ressourcen in stationärer Fachpsychotherapie - Zusammenhänge und Entwicklung/ Personal resources in inpatient psychotherapy – Relationships and development

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

Contact Info

Product

Resources

About