[OPD in the hospital: an algorithm for structuring the diagnostic process with the Operationalized Psychodynamic Diagnostics OPD-2].
作者信息
Sammet Isa, Himmighoffen Holger, Brücker Johanna, Dreher Caroline, Olshausen Küchenhoff Cordula, Wilmers Fabian, Wolf Andreas, Zell Petra, Küchenhoff Joachim
机构信息
Klinik für Psychosomatische Medizin und Psychotherapie, Universität Tübingen, CH-8596 Münsterlingen, Germany.
出版信息
Z Psychosom Med Psychother. 2012;58(3):282-98. doi: 10.13109/zptm.2012.58.3.282.
OBJECTIVES
Operationalized psychodynamic diagnostics OPD-2 is a diagnostic procedure that has proven to be valuable for psychotherapy. However, to date there has been only little discussion about the application context and any necessary adaptations to various clinical fields.
METHODS AND RESULTS
The working group "Implementation of OPD in Clinical Practice" proposes an algorithm for the sequential and adapted use of OPD depending on the clinical context.
CONCLUSION
Especially for patients who are primarily not open to receiving psychotherapy, e.g., in psychiatric hospitals or general hospitals, OPD can be an important basis for structuring motivating interventions. A stepwise procedure is proposed which is adapted to the usage of OPD in such contexts. Furthermore, also for these contexts, simplified ratings are proposed and discussed for the axes relationships, conflicts and structure. However, complete OPD remains recommended when determining the focus of a psychotherapeutic treatment.
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