The conflict axis (axis III) of Operationalized Psychodynamic Diagnostics OPD

Authors

  • Gereon Heuft
  • Gudrun Schneider
  • Sven Olaf Hoffmann
  • Gerhard Schüßler

Abstract

Considering increasing demands with regard to validity and reliability of diagnostic criteria, the necessity arises to operationalize psychoanalytic diagnostics of intrapsychic conflicts. This is an important issue in the planning of studies which should fulfill criteria of Evidence Based Medicine (EBM) and also for quality management in clinical treatment. In addition to the seven repetitive and dysfunctional patterns of intrapsychic conflict, the concept of “limited perception of conflict and feelings", based on the alexithymia concept, and the concept of the "current external conflict" are discussed. The importance of the main emotions for a valid rating of intrapsychic conflict is emphasized. In rating the active vs. passive mode of processing of the most important conflict, the biographically predominating attitude should be represented. In order to increase the OPD’s validity, clusters of terms that lead to further differentiation are introduced exemplary for the conflicts “dependance vs. autonomy” and "desire for care vs. autarchy”. With the English translation of the OPD becoming available this year, operationalized concepts may lead to a renewed international scientific interest with regard to psychoanalytic issues.

Keywords: Operationalized Psychodynamic Diagnostics, OPD, Intrapsychic conflict, structure, current external conflict

Author Biographies

Gereon Heuft

Univ.-Prof. Dr. med. Gereon Heuft, Lehrstuhl für Psychosomatische Medizin und Psychotherapie; Direktor der Klinik und Poliklinik für Psychosomatik und Psychotherapie am Universitätsklinikum Münster. Arbeitsschwerpunkte: Gerontopsychosomatik und Alterspsychotherapie; Qualitätssicherung; Operationalisierte Psychodynamische Diagnostik; chronische Dyspepsie.

Korrespondenz: Univ.-Prof. Dr. med. Gereon Heuft, Klinik und Poliklinik für Psychosomatik und Psychotherapie, Universitätsklinikum Münster, Domagkstraße 11, D-48129 Münster

Gudrun Schneider

Dr. med. Gudrun Schneider, Oberärztin der Klinik und Poliklinik für Psychosomatik und Psychotherapie am Universitätsklinikum Münster. Arbeitsschwerpunkte: Gerontopsychosomatik und Alterspsychotherapie; Operationalisierte Psychodynamische Diagnostik

Sven Olaf Hoffmann

Univ.-Prof. Dr. med. Sven Olaf Hoffmann, Direktor der Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Mainz, Lehrstuhl für Psychosomatische Medizin und Psychotherapie; Arbeitsschwerpunkte: zahlreiche Publikationen und Lehrbücher aus dem gesamten Spektrum des Fachgebietes.

Gerhard Schüßler

Univ.-Prof. Dr. med. Gerhard Schüßler, Vorstand der Klinik für Medizinische Psychologie und Psychotherapie, Universitätsklinikum Innsbruck, Lehrstuhl für Medizinische Psychologie und Psychotherapie; Arbeitsschwerpunkte: psychosomatische und psychodynamische Grundlagen- und angewandte Forschung.

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Published

1999-07-01

How to Cite

Heuft, G., Schneider, G., Hoffmann, S. O., & Schüßler, G. (1999). The conflict axis (axis III) of Operationalized Psychodynamic Diagnostics OPD. Psychotherapie-Wissenschaft, 7(3), 110–117. Retrieved from https://psychotherapie-wissenschaft.info/article/view/548

Issue

No. 3 (1999): Psychotherapie Forum 7/3 (veröffentlicht bei Springer Wien New York)

Section

Special Issue

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