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[Structure and structural disorder]

G Rudolf1, P Buchheim, W Ehlers

  • 1Psychosomatische Klinik, Universität Heidelberg.

Zeitschrift Fur Psychosomatische Medizin Und Psychoanalyse
|January 1, 1995
PubMed
Summary
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This study defines psychic structure in psychodynamic diagnosis, outlining six criteria for the "Structure of the self in the relationship to others." It also proposes four integration levels to assess structural disorders, aiding operationalization.

Area of Science:

  • Psychodynamic Psychology
  • Psychoanalytic Theory

Context:

  • Psychodynamic diagnosis involves assessing intrapsychic conflicts, relational patterns, and subjective experiences.
  • Evaluating psychic structure and structural disorders is a core diagnostic task.

Purpose:

  • To develop a comprehensive understanding of psychic structure from various psychoanalytic perspectives.
  • To establish measurable criteria and levels for assessing structural disorders.

Summary:

  • The article defines
  • Structure of the self in the relationship to others
  • using six criteria: self-perception, self-control, defense, object perception, communication, and attachment.
  • Four levels of integration are proposed to differentiate the extent and quality of structural disorders.

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  • This framework provides a basis for the operationalization within the Operationalized Psychodynamic Diagnostics (OPD) system.

    • Impact:

    • Offers a structured approach to assessing psychic structure in psychodynamic diagnosis.
    • Facilitates the operationalization of psychodynamic concepts for research and clinical practice.
    • Preliminary studies suggest promising practicality and reliability for the proposed diagnostic system.