Journal article
Same same but Different: The Potential of the Operationalized Psychodynamic Diagnosis for a Differentiated Understanding of Personality Disorders



Publication Details
Authors:
Henkel, M.; Zimmermann, J.; Kuenecke, J.; Remmers, C.; Benecke, C.
Publisher:
VERLAG HANS HUBER
Publication year:
2018
Journal:
Zeitschrift für Psychiatrie, Psychologie und Psychotherapie
Pages range:
107-117
Volume number:
66
Issue number:
2
Start page:
107
End page:
117
Number of pages:
11
ISSN:
1661-4747

Abstract
The Operationalized Psychodynamic Diagnosis (OPD) has established itself in the psychodynamic field as a supplement to descriptive classification systems for mental disorders. In addition to an axis on experience of illness and prerequisites for treatment, the axes interpersonal relations, conflict and structure capture various psychodynamic explanations of a patient's mental disorder. In this paper, we aim to demonstrate how OPD can enrich and deepen the descriptive diagnosis of a personality disorder. For this purpose, the OPD axes are presented and connections with personality disorders are explained. In addition, we describe two case examples that were diagnosed with the same three personality disorders according to DSM-IV but show different relationship patterns, intrapsychic conflicts and structural impairments. In this way, the additional value of OPD for understanding the disorders as well as for indication and treatment planning becomes clear.


Keywords
clinical case example, Operationalized Psychodynamic Diagnosis, personality disorders, treatment planning

Last updated on 2019-30-08 at 21:48