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[操作性精神动力诊断(OPD-1)中第三轴“冲突”的效度——OPD-2的实证结果与结论]

[Validity of axis III "Conflicts" of Operationalized Psychodynamic Diagnostics (OPD-1)--empirical results and conclusions for OPD-2].

作者信息

Schneider Gudrun, Mendler Till, Heuft Gereon, Burgmer Markus

机构信息

Klinik und Poliklinik für Psychosomatik und Psychotherapie am Universitätsklinikum Münster.

出版信息

Z Psychosom Med Psychother. 2008;54(1):46-62. doi: 10.13109/zptm.2008.54.1.46.

Abstract

OBJECTIVE

Using specific psychometric instruments, we investigate criteria-related validity of axis III ("conflicts") of OPD-1 by a priori formulated hypotheses concerning the relations to the main conflict/mode.

METHODS/SAMPLE: A consecutive sample of 105 psychotherapy inpatients was examined using self-assessment scales (Inventory of Interpersonal Problems; Rosenberg Self-Esteem Scale, Test of Self-Conscious Affect; Toronto Alexithymia-Scale; Frankfurt Self Concept Scales) and videotaped OPD research interviews in the first week after admission to the hospital. Two OPD-certified raters first rated the interviews independently, then in a consensus rating.

RESULTS

Due to the different frequency of the main conflict and mode, evaluation of 4 of 7 conflicts was possible. The a priori hypotheses could be confirmed for the conflicts Dependence versus Autonomy (both modes), Submission versus Control (active mode), Desire for Care versus Autarchy (active mode), and Self-Value (passive mode).

DISCUSSION

Confirmation of the a priori hypotheses indicates validity of axis III (Conflicts) of OPD. We discuss the small numbers of some conflicts, the comparison of expert rating OPD with self-assessment and the meaning of the results for OPD-2.

摘要

目的

运用特定的心理测量工具,通过关于与主要冲突/模式关系的先验假设,我们研究了OPD-1第三轴(“冲突”)与标准相关的效度。

方法/样本:对105名住院接受心理治疗的患者进行连续抽样,在入院后的第一周使用自我评估量表(人际问题量表;罗森伯格自尊量表、自我意识情感测试;多伦多述情障碍量表;法兰克福自我概念量表)以及对OPD研究访谈进行录像。两名获得OPD认证的评估者首先独立对访谈进行评分,然后进行一致性评分。

结果

由于主要冲突和模式的频率不同,对7种冲突中的4种进行了评估。对于依赖与自主(两种模式)、顺从与控制(主动模式)、对关爱的渴望与自主(主动模式)以及自我价值(被动模式)等冲突,先验假设得到了证实。

讨论

先验假设的证实表明了OPD第三轴(冲突)的效度。我们讨论了某些冲突数量较少的情况、专家对OPD的评分与自我评估的比较以及这些结果对OPD-2的意义。

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