El sistema Diagnóstico Psicodinámico Operacionalizado (OPD): Concepto, confiabilidad y validez

摘要

This paper presents the system "Operationalized Psychodynamic Diagnosis (OPD), which has been applied in the German speaking countries very successfully during the last 10 years. The OPD is the operationalization of the psychodynamically oriented clinical assessment. The clinical material assessed during the initial interview with the patient is described in a way which is close to the level of observation. The classification system OPD serves as a clinically relevant and process oriented tool for psychotherapists. The multidimensional psychodynamically oriented approach is based on five axes. Axis I: Experience with the illness and treatment preconditions, axis II: habituated relationships of the patient, axis III: the intrapsychic conflicts of the patient; axis IV: The psychic structure of the patient, axis V: syndromatic, according to chapter V (F) of the ICD 10. The fifth axis is conzeptualized as a linking tool to ICD-10. Reliability studies on OPD show good to satisfying scores for interrater agreement for the research context. The results derived from the validity studies support the validity of the OPD system. There are also hints for improvements of multiple categories or items within each axis