Grande Tilman
Klinik für Psychosomatische und Allgemeine Klinische Medizin der Universität Heidelberg, Germany.
Z Psychosom Med Psychother. 2007;53(2):144-62. doi: 10.13109/zptm.2007.53.2.144.
It is argued that the approaches used up to now for analyzing dysfunctional relationship patterns are more or less explicitly based on a conflict model and therefore not adequate for describing relationships characterized by structural impairments of a patient's personality. Using the concepts of conflict and structure as derived from the Operationalized Psychodynamic Diagnostic system (OPD-2), four principles of a dysfunctional relationship formation are discussed. It is shown that the differentiation of conflict- and structure-related pathology is highly significant with regard to the selection of an appropriate psychotherapeutic strategy. Furthermore, the connections between the OPD axes relationship, conflict, and structure are conceptualized.
有人认为,迄今为止用于分析功能失调关系模式的方法或多或少都明确基于冲突模型,因此不足以描述以患者人格结构受损为特征的关系。运用从操作性心理动力诊断系统(OPD - 2)衍生出的冲突和结构概念,讨论了功能失调关系形成的四项原则。结果表明,冲突相关病理与结构相关病理的区分对于选择合适的心理治疗策略具有高度重要性。此外,还对OPD轴关系、冲突和结构之间的联系进行了概念化阐释。