Main description:

"OPD-2" is a new edition of the multiaxial diagnostic system for psychodynamically oriented therapists and psychiatrists, now with practical tools and procedures for treatment planning and for measuring change.Operationalized Psychodynamic Diagnosis (OPD) is a form of multiaxial diagnostic and classification system based on psychodynamic principles, analogous to those based on other principles such as DSM-IV and ICD-10. The OPD is based on five axes: I - experience of illness and prerequisites for treatment, II - interpersonal relations, III - conflict, IV - structure, and V - mental and psychosomatic disorders (in line with Chapter V (F) of the ICD-10). After an initial interview lasting 1-2 hours, the clinician (or researcher) can evaluate the patient's psychodynamics according to these axes and enter them in the checklists and evaluation forms provided. The new version, OPD-2, has been developed from a purely diagnostic system to include a set of tools and procedures for treatment planning and for measuring change, as well as for determining the appropriate main focuses of treatment and developing appropriate treatment strategies.

Contents:

Foreword by Otto F. Kernberg and John F. Clarkin; Preface; OPD Task Force; 1. Theoretical Background; 1.1 From OPD-1 to OPD-2; 1.2 Aims of the OPD Task Force; 1.3 The Concept of the Operationalized Psychodynamic Diagnosis (OPD); 1.4 Fundamental Considerations on a Multiaxial Diagnosis; 1.5 On the Operationalization of Psychoanalytic Constructs; 1.6 Past Approaches of Operationalization of Psychodynamic Constructs; 1.7 Limits of the OPD; 2. Experiences and Empirical Findings with OPD-1; 2.1 Quality Criteria of OPD-1; 2.2 Axis I: "Experience of Illness and Prerequisites for Treatment"; 2.3 Axis II: "Interpersonal Relations"; 2.4 Axis III: "Conflict"; 2.5 Axis IV: "Structure"; 2.6 Conclusion; 3. Operationalization of the Axes According to OPD-2; 3.1 Axis I - Experience of Illness and Prerequisites for Treatment; 3.2 Axis II - Interpersonal Relations; 3.3 Axis III - Conflict; 3.4 Axis IV - Structure; 3.5 Axis V - Mental and Psychosomatic Disorders; 3.6 Conceptual Cross-References and Interactions Between the Axes; 4. Manualization of the Axes According to OPD-2; 4.1 Axis I - Experience of Illness and Prerequisites for Treatment; 4.2 Axis II - Interpersonal Relations; 4.3 Axis III - Conflict; 4.4 Axis IV - Structure; 5. The OPD Interview; 5.1 The Theory of the Psychodynamic Interview; 5.2 Carrying out the OPD Interview; 6. Case Example: "Driven out from Paradise"; 6.1 Interview Vignette; 6.2 Case Evaluation and Documentation; 6.3 Comments on the Evaluation; 7. Focus Selection and Treatment Planning; 7.1 Establishing the Indication for Treatment on the Basis of OPD Axis I; 7.2 Determination of Foci on the Basis of OPD Axes II-IV; 7.3 Principles of Focus Selection; 7.4 Component Parts of the Foci; 7.5 Treatment Planning and Therapeutic Aims; 7.6 Peculiarities of the Psychodynamic Work on Dysfunctional Relationship Patterns; 7.7 Concluding Remarks; 8. Change Measurement with OPD; 8.1 OPD and Change Measurement: Basic Considerations; 8.2 Model of an OPD-based Change Measurement; 8.3 Reliability and Validity; 8.4 Clinical Application; 9. Areas of Application and Quality Assurance; 9.1 Quality Assurance in Psychotherapy and the Law; 9.2 Quality Assurance in Psychodynamic Psychotherapies (QPP); 9.3 OPD in the Expert Assessment Procedure of the German Psychotherapy Guidelines; 9.4 OPD in Inpatient Treatment in Psychosomatic-Psychotherapeutic Hospitals; 9.5 OPD in the Psychosomatic Rehabilitation Treatment; 9.6 Training, Continuing Education, and Post-Graduate Study; 9.7 OPD and Expert Opinion; 10. Continuing Education and Post-Graduate Study (with a List of Addresses); 11. References; 12. Addresses of Authors; 13. Tools for Working with OPD; 13.1 Axis I - Forensic Module; 13.2 Axis II; 13.3 OPD-2 Conflict Checklist; 13.4 The OPD-2 Structure Checklist; 1.1 Cognitive ability: Self-perception; 13.5 Heidelberg Structural Change Scale; 13.6 Interview Tools; 13.7 Operationalized Psychodynamic Diagnosis (OPD-2) Data Evaluation Forms; 13.8 Data Evaluation Sheet Forensic Module; 13.9 Data Evaluation Sheet Focus Selection; 14. Additional Modules; 14.1 The GAF (Global Assessment of Functioning) Scale; 14.2 EQ-5D; 14.3 List of Defence Mechanisms.