Diagnosis of human relationships with the Operationalized Psychodynamic Diagnostics for Children and Adolescents
Abstract
Traditional psychodynamic diagnostics is based on scenic understanding in the course of the first session with a patient. With transference and countertransference phenomena playing a key role in the assessment process, it is a diagnosis of human relationships. These diagnoses are characterized by including hypotheses on etiology, being rather rough and lacking a standardized form. Diagnostic systems used in psychiatry such as the ICD-10, which are based on phenomenology to ensure wide applicability regardless of theoretical backgrounds, have remained unsatisfactory for the purposes of psychodynamic thinking and therapy planning. Developed as an alternative and supplementary diagnostic system, the Operationalized Psychodynamic Diagnostics for Adults (OPD-E) operationalizes psychodynamic concepts in a descriptive manner. For use with children and adolescents an additional version had to be developed and is about to be evaluated. The Operationalized Psychodynamic Diagnostics for Children and Adolescents (OPD-KJ) is briefly described in general terms and with reference to particular features of the KJ-version. Axis II (relationship axis), which assesses dyadic and triadic relational patterns and qualities in a standardized manner, is described in more detail. Its particular relevance may be concluded from psychotherapy research findings and the necessity of quality assurance.
Keywords:
Psychodynamic diagnostics, psychoanalysis, operationalization, children and adolescents, relationship axis
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