Schneider W, Buchheim P, Cierpka M, Freyberger H J, Hoffmann S O, Janssen P L, Muhs A, Rudolf G, Rüger U, Schüssler G
Abteilung für Psychosomatik und Psychotherapeutische Medizin, Nervenklinik, Universität Rostock.
Psychother Psychosom Med Psychol. 1995 Mar-Apr;45(3-4):121-30.
Since 1992 a working group called "Operationalized Psychodynamic diagnoses" conceptualized a model of operationalized psychodynamic diagnosis in Germany. This model includes the most important diagnostic dimensions from psychodynamic view which are: Axis I: Experience with illness and treatment preconditions. Axis II: Habituated relationships of the patient, Axis III: Intrapsychic conflicts of the patient, Axis IV: the structure of personality development of the patient, Axis V: The level of symptoms or syndromes. This axis is adapted to ICD-10. The development of these axis is done in special subgroups during 1992 and 1994 and in first empirical studies the reliability and other test-related dimensions of the model were proved. In this paper the essentials of the diagnostic model are shown and further developments are discussed.
自1992年以来,德国一个名为“可操作化精神动力学诊断”的工作组构建了一个可操作化精神动力学诊断模型。该模型包含了从精神动力学角度来看最重要的诊断维度,即:第一轴:患病经历及治疗前提条件;第二轴:患者习惯化的人际关系;第三轴:患者的内心冲突;第四轴:患者人格发展结构;第五轴:症状或综合征水平。此轴与《国际疾病分类第10版》(ICD - 10)相适配。这些轴在1992年至1994年期间于特定亚组中得以发展,并且在首批实证研究中该模型的可靠性及其他与测试相关的维度得到了验证。本文展示了该诊断模型的要点,并对其进一步发展进行了讨论。