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Publication
Operacionalização psicodinâmica de diagnóstico (OPD-2) numa psicanálise
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Advisor(s)
Abstract(s)
A investigação em psicoterapia psicanalítica é apontada como tendo um elevado
nível de abstração, falta de clareza e de consenso entre os clínicos na operacionalização
de constructos e na análise de resultados fiáveis. Um diagnóstico psicodinâmico
rigoroso e fiável que permita uma homogeneização de critérios de avaliação
aumenta a comunicação dentro da comunidade científica e aproxima a investigação
à prática. O OPD2 – Operationalized Psychodynamic Diagnosis – objetiva operacionalizar
os constructos psicanalíticos, através de entrevistas semiestruturadas, e
formular um diagnóstico psicodinâmico multiaxial baseado em 5 eixos: experiência
da doença e pré-requisitos para o tratamento (Eixo I); relações interpessoais (Eixo
II); conflito (Eixo III); estrutura (Eixo IV); perturbações mentais e psicossomáticas
(Eixo V). O OPD-2 foi aplicado neste estudo com o objetivo de testar a avaliação
diagnóstica através de notas de sessões numa paciente seguida em psicanálise.
A realização do diagnóstico multiaxial foi, de uma forma geral,
Research on psychoanalytic psychotherapy is identified as having a high level of abstraction, lack of clarity and consensus among clinicians in the constructs operationalization and analysis of reliable results. A rigorous and reliable psychodynamic diagnosis that allows a homogenization of evaluation criteria, increases communication within the scientific community and approaches research to practice. The OPD2’s – Operationalized Psychodynamic Diagnosis – objective is to operationalize psychoanalytic constructs, through semi-structured interviews, to formulate a psychodynamic multi-axial diagnosis based on 5 axes: experience of the illness and prerequisites for the treatment (Axis I); interpersonal relationships (Axis II); conflict (Axis III); structure (Axis IV); mental and psychosomatic disorders (Axis V). The OPD-2 was applied in this study with the objective to test the diagnosis evaluation using sessions notes of one patient submitted to psychoanalysis. The realization of the multiaxial diagnosis was generally successful and changes in the focus formulated in the diagnosis were registered.
Research on psychoanalytic psychotherapy is identified as having a high level of abstraction, lack of clarity and consensus among clinicians in the constructs operationalization and analysis of reliable results. A rigorous and reliable psychodynamic diagnosis that allows a homogenization of evaluation criteria, increases communication within the scientific community and approaches research to practice. The OPD2’s – Operationalized Psychodynamic Diagnosis – objective is to operationalize psychoanalytic constructs, through semi-structured interviews, to formulate a psychodynamic multi-axial diagnosis based on 5 axes: experience of the illness and prerequisites for the treatment (Axis I); interpersonal relationships (Axis II); conflict (Axis III); structure (Axis IV); mental and psychosomatic disorders (Axis V). The OPD-2 was applied in this study with the objective to test the diagnosis evaluation using sessions notes of one patient submitted to psychoanalysis. The realization of the multiaxial diagnosis was generally successful and changes in the focus formulated in the diagnosis were registered.
Description
Keywords
Psicoterapia psicanalítica Operationalized Psychodinamic Diagnosis Mudança Psychoanalytic psychotherapy Operationalized Psychodynamic Diagnosis Change
Citation
Psicologia Clínica, 25(1), 1-16
Publisher
Pontificia Universidade Catolica do Rio de Janeiro