Operationalized psychodynamic diagnostics (OPD) in patients in a prodromal state of schizophrenia--an explorative study

Zeitschrift für Psychosomatische Medizin und Psychotherapie
Dorota UzdawinisGeorg Juckel

Abstract

To obtain data and hypotheses regarding the amelioration of risk estimation and preventive psychotherapy in patients in a prodromal state of schizophrenia by using OPD. 20 participants with a prodromal condition--6 subjects far from psychosis and 14 close to psychosis--along with 10 patients with paranoid schizophrenia as reference group were examined using the first four OPD axes. Both groups differed considerably in all four axes. Compared to the schizophrenic participants, prodromal probands appear to have more favourable preconditions for therapy. Moreover, they experienced the interaction partners, including the investigator, as less aversive and induced less distanced behaviour in the investigator. Conflicts of self-esteem were prominent in both prodromal subgroups. However, patients farther from psychosis showed less conflicts of autonomy versus dependence and displayed a higher integration in structures such as "defence" and "attachment" when compared to participants closer to psychosis. Particularly the differences between the prodromal subgroups suggest that application of the OPD may positively complement previous approaches of early detection, prevention,and psychotherapy for prodromal conditions. The hypotheses obt...Continue Reading

References

Jan 1, 1987·Schizophrenia Bulletin·S R KayL A Opler
May 7, 2002·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Gerd Rudolf

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Citations

Aug 13, 2014·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·G SchneiderA Stumpf
Nov 15, 2012·Der Orthopäde·J ArtnerJ A Spiekermann
Sep 14, 2010·Zeitschrift für Psychosomatische Medizin und Psychotherapie
Jul 22, 2016·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Kathrin KönigStephan Doering
Sep 12, 2019·Frontiers in Psychiatry·Michaela Hiebler-Ragger, Human-Friedrich Unterrainer

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