Resch F, Schulte-Markwort M, Bürgin D
Prax Kinderpsychol Kinderpsychiatr. 1998 Jul-Aug;47(6):373-86.
Adopting a therapeutic view on diagnosis in child and adolescent psychiatry a psychodynamic diagnostic manual seems to be necessary, that may provide reliability in the assessment of intrapsychic processes. Multiaxial diagnosis of children's and adolescent's psychiatric disturbances may thus be completed with additional psychodynamic assessment procedures. In adults an operationalized procedure of psychodynamic assessment (OPD) already exists. In child and adolescent psychiatry a working group for psychodynamic diagnostic (OPD-KJ) has been founded. In 4 areas (subjective experiences of disturbances, relationships, intrapsychic conflicts and psychic structure) diagnostic manuals are being worked out. Fundamental questions of developmental psychopathology and diagnostic procedures have to be addressed. The basic proposition takes into account that children should not be psychodynamically compared with adults, but normally have a basic capacity to adapt to environment on a high level of psychic organisation in all developmental stages. Reports of the ongoing work are being given.
在儿童和青少年精神病学中，若要对诊断采取一种治疗性观点，一本心理动力学诊断手册似乎是必要的，它可以在评估心理内部过程时提供可靠性。儿童和青少年精神障碍的多轴诊断因此可以通过额外的心理动力学评估程序来完善。在成人领域，已经存在一种心理动力学评估的操作化程序（OPD）。在儿童和青少年精神病学领域，一个心理动力学诊断工作组（OPD-KJ）已经成立。目前正在四个领域（障碍的主观体验、人际关系、心理内部冲突和心理结构）编写诊断手册。发展性精神病理学的基本问题和诊断程序必须得到解决。基本观点考虑到儿童不应与成人进行心理动力学上的比较，而是在所有发育阶段通常都具有在高水平心理组织上适应环境的基本能力。正在汇报当前工作的进展情况。
