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Related Experiment Videos

The Kleinian Psychoanalytic Diagnostic Scale (revised version): presentation and study of reliability

J Aguilar1, L Mauri, M Salamero

  • 1Psychiatry and Psychology Unit, Sant Pere Claver Foundation Hospital, Barcelona, Spain.

Acta Psychiatrica Scandinavica
|August 1, 1996
PubMed
Summary

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The Kleinian Psychoanalytic Diagnostic Scale (KPDS) offers a robust assessment of intrapsychic and relational structures in psychiatric diagnosis. This tool provides reliable insights into ego abilities, projective identification, and paranoid-schizoid and depressive dimensions.

Area of Science:

  • Psychiatry
  • Psychoanalysis
  • Psychological Assessment

Background:

  • Psychoanalytic theory emphasizes object relations.
  • Existing psychiatric diagnostic research often lacks intrapsychic and relational dimensions.
  • A need exists for specialized instruments to capture these dimensions.

Purpose of the Study:

  • To introduce an intrapsychic and relational dimension into psychiatric diagnosis research and epidemiology.
  • To present the Kleinian Psychoanalytic Diagnostic Scale (KPDS) as a novel assessment instrument.
  • To detail the structure and application of the KPDS.

Main Methods:

  • The Kleinian Psychoanalytic Diagnostic Scale (KPDS) comprises 15 subscales across four dimensions: Ego Abilities, Projective Identification, Paranoid-Schizoid, and Depressive.

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  • Assessment is based on unstructured interviews, analyzing both patient discourse and rater observations of the therapeutic relationship.
  • The scale aims to create a profile of the subject's intrapsychic and relational structure.

    • Main Results:

    • The KPDS demonstrates high inter-rater reliability.
    • The scale exhibits strong temporal stability over time.
    • Internal consistency analyses confirm the reliability of the KPDS subscales and dimensions.

    Conclusions:

    • The KPDS is a psychometrically sound instrument for assessing object relations.
    • It effectively integrates intrapsychic and relational aspects into psychiatric assessment.
    • The scale holds potential for enhancing clinical research and psychiatric epidemiology.