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

Abstract:

OBJECTIVES: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. METHODS: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. RESULTS: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. CONCLUSIONS: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 obtained should be tested in longitudinal studies with larger sample sizes.

authors

Uzdawinis D,Edel MA,Ozgürdal S,von Haebler D,Hauser M,Witthaus H,Gudlowski Y,Heinz A,Juckel G

doi

10.13109/zptm.2010.56.2.150

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

150-62

issue

2

eissn

1438-3608

issn

2196-8349

journal_volume

56

pub_type

杂志文章
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    更新日期:2011-01-01 00:00:00

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    doi:10.13109/zptm.2014.60.4.337

    authors: Blawath S,Metten R,Tschuschke V

    更新日期:2014-01-01 00:00:00

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    pub_type: 杂志文章

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    authors: Fliege H,Becker J,Weber C,Schoeneich F,Klapp BF,Rose M

    更新日期:2003-01-01 00:00:00

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    authors: Doering S

    更新日期:2009-01-01 00:00:00

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    更新日期:2011-01-01 00:00:00

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    pub_type: 杂志文章,评审

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    更新日期:2012-01-01 00:00:00

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    authors: Schneider G,Heuft G

    更新日期:2018-09-01 00:00:00

  • [Not Available].

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    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

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    doi:10.13109/zptm.1999.45.1.43

    authors: Sandell R

    更新日期:1999-03-01 00:00:00

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    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

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    pub_type: 杂志文章

    doi:10.13109/zptm.2017.63.3.314

    authors: Oster J

    更新日期:2017-09-01 00:00:00

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    authors: Fischer-Kern M,Mikutta C,Kapusta ND,Hörz S,Naderer A,Thierry N,Leithner-Dziubas K,Löffler-Stastka H,Aigner M

    更新日期:2010-01-01 00:00:00

  • [Not Available].

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    pub_type: 杂志文章

    doi:10.13109/zptm.2000.46.4.331

    authors: Krause R

    更新日期:2000-10-01 00:00:00

  • [Oxytocin, a mediator of anti-stress, well-being, social interaction, growth and healing].

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    pub_type: 杂志文章

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    doi:10.13109/zptm.2008.54.4.409

    authors: Tritt K,von Heymann F,Zaudig M,Zacharias I,Söllner W,Loew T

    更新日期:2008-01-01 00:00:00

  • [Is there adequate care for patients with psychosomatic disorders in Austria? Analysis of the need and a proposal for a model of quality assurance in Austrian psychosomatic medicine].

    abstract:INTRODUCTION:Quality assurance in psychosomatic medicine in Austria is currently based on a voluntary continuing medical education programme in psychosocial, psychosomatic and psychotherapeutic medicine. It is questionable whether psychosomatic care can be sufficiently provided in this manner. In addition, a broadly ba...

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    doi:

    authors: Leitner A,Pieh C,Matzer F,Fazekas C

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  • [Age-, gender- and diagnosis-specific differences in the body image of psychosomatic outpatients].

    abstract:OBJECTIVE:This study investigates body image with respect to the age, gender, and psychiatric diagnosis (ICD-10) of psychosomatic outpatients based on apriori formulated hypotheses. METHODS/SAMPLE:865 of the 1114 patients examined over the course of 10 months in a psychosomatic clinic agreed to participate in the stud...

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  • [On the validity of the axis "Structure" of operationalized psychodynamic diagnostics].

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    authors: Rudolf G,Rüger U

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    doi:10.13109/zptm.2008.54.3.285

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    更新日期:2001-01-01 00:00:00

  • [The use of OPD-based focused interventions in inpatient psychotherapy: effects on outcome and course of treatment].

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    doi:

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    更新日期:2007-01-01 00:00:00

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  • [Not Available].

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    更新日期:1999-12-01 00:00:00

  • [Quality of psychological strain in police work--development of a taxonomy of sources of stress].

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