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Operationalized Psychodynamic Diagnosis >>

The „Operationalized Psychodynamic Diagnosis (OPD-2) is a manual which includes strategies for the formulation of therapeutic foci (OPD Task Force, 2006) for use by experienced therapists in clinical application. The psychodynamic diagnostic is based on 5 axes defined as "experience of illness and prerequisites for treatment", "interpersonal relations", "conflict", "structure", and "mental and psychosomatic disorders in line with chapter V (F) of the ICD 10". After an initial one- or two-hour interview, the clinician (or an external observer) assesses the patient's psychodynamic profile along these axes and rates the data on evaluation forms. The OPD is based on the conception that the main determinants in axes 2 to 4 correspond to partial psychoanalytic concepts (transference and countertransference, intrapsychic conflict, personality structure). Final conclusions inferred on the level of the unconscious should, however, only be made cautiously and with reference to the respective operationalizations. The current manual provides the tools for describing the process of change in the patient. With the OPD diagnostic, dysfunctional relationship patterns, stressful internal conflict configurations, and structural conditions can be identified, which can all be used to formulate therapeutic foci as these may be connected with the patient's symptoms and suffering. Changes brought about by psychotherapy may thus be tracked in their development within the identified OPD categories. OPD-2 follows current requirements of psychotherapy research to pinpoint the effects of change as it unfolds in the process of psychotherapy in order to identify how mechanisms of psychotherapy can be effective. Knowledge about the process is then incorporated into each further step of the treatment while considering therapeutic approaches and suitable interventions. OPD provides clinical-diagnostic guidelines formulated in a relatively open manner so as to leave users enough scope to apply their own judgements. The OPD system can contribute to make the therapeutic process favourable for the patient.