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让诊断更具意义。《发展概况:人格的心理动力学评估》

Making diagnosis more meaningful. The Developmental Profile: a psychodynamic assessment of personality.

作者信息

Ingenhoven Theo J M, Abraham Robert E

机构信息

The Treatment Center for Personality Disorders, Symfora Group, Amersfoort, The Netherlands.

出版信息

Am J Psychother. 2010;64(3):215-38. doi: 10.1176/appi.psychotherapy.2010.64.3.215.

Abstract

The Developmental Profile (DP) offers a psychodynamic description of the degree to which an individual has developed adaptive functioning appropriate to his or her age, and the extent to which daily functioning is determined by "early" maladaptive patterns. In this article we summarize the taxonomic frame of reference of the DP, the constituted Developmental Lines and Developmental Levels, and the way DP can be reliably assessed by a semi-structured interview using a scoring protocol. We describe DP from a theoretical and clinical point of view. Current empirical research findings with regard to reliability and validity issues are reviewed. We discuss the use of the DP in clinical practice with respect to other diagnostic methods and assessment procedures, and its properties in supporting the treatment process. Directions for future empirical research are explored.

摘要

发展概况(DP)提供了一种心理动力学描述,即个体在多大程度上发展出了与其年龄相适应的适应性功能,以及日常功能在多大程度上由“早期”适应不良模式所决定。在本文中,我们总结了DP的分类参照框架、构成的发展线和发展水平,以及通过使用评分协议的半结构化访谈可靠评估DP的方法。我们从理论和临床角度描述DP。回顾了当前关于信度和效度问题的实证研究结果。我们讨论了DP在临床实践中相对于其他诊断方法和评估程序的应用,以及它在支持治疗过程中的特性。探讨了未来实证研究的方向。

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