7/27/2019 Operationalized Psychodynamic Diagnosis in Portugal

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Operationalized Psychodynamic Diagnosis (OPD-2) in

Portugal  Autores: Vicente, C. S., Aragão Oliveira, R., Ferrajão, P., & Silva, F.

Universidade de Évora, Portugal  – csvicent@gmail.com

Background

The Operationalized Psychodynamic Diagnosis (OPD-2) is internationally established as one of the maininstruments available for clinical diagnosis and scientificresearch, being frequently used as an auxiliary tool inthe selection of therapeutic interventions.

Aims

To assess inter-rater agreement for the different axes of the instrument when scoring clinical interviews.

Method

Sample

To assess inter-rater agreement were used interviewsof seventeen subjects 52 interviews.

Measures

- Socio-demographic questionnaire- Clinical interviews based on the OPD-2 protocol

- Checklist of OPD-2

Procedures 

References: 1. OPD Task-Force (Ed.). Operationalized Psychodynamic Diagnostics OPD-2 (2008) Manual of Diagnostics and treatment planning. Göttingen: Hogrefe & Huber,; 2. Cierpka M., Stasch M., Dahlbender R. & el grupo de trabajo OPD (2006) El sistemaDiagnóstico Psicodinâmico Operacionalizado (OPD): Concepto, confiabilidad y validez. Rev. Chilena de Neuro-Psiquiatría., Vol. 44, nº 2; 3. Aragão Oliveira, R., Vicente, C., Silva, F., Ferrajão, P., … Oliveira, S, & Sampaio, D. (2009, October) “Cultural problems in adapting he OPD system in Portugal”, 4th OPD International conference, , Heidelberg, Germany.; 4. Vicente C. S., Oliveira R. A., Silva F, Ferrajão P, Augusto S, Oliveira S, et al. (2012) Cross-cultural adaptation of the Operationalized Psychodynamic Diagnosis (OPD-2) in Portugal.

Trends Psychiatry Psychotherapy., 34 ,3, 129-38; 5. Cierpka M., Grande T., Rudolf G., Von der Tann M., & Stasch M (2007) The Operationalized Psychodynamic Diagnostics System: Clinical Relevance, Reliability and Validity. Psychopathology., 40, 209-220; 6. Pérez F,Alvarado L., De la Parra G., & Dagnino P. (2009) Diagnóstico Psicdodinâmico (OPD-2): Evaluación preliminar de la validez y confiabilidad inter-evaluador. Revista Chilena Neuro-Psiquiatria, 47, 4, 271-278; 7. De la Parra G.; Palacios, J.P.; Stuardo, V.P., & Alvarado, L.(2012) Diagnóstico operacionalizado: indicación y planificación estratégica en psicoterapia psicodinâmica. Revista GPU., 6; 3, 364-371; 8. Cierpka, M. et al. (2010) La evaluación primeras entrevistas psicoterapéuticas mediante el sistema diagnóstico psicodinámicooperacionalizado (OPD2). Clínica e Investigación Relacional., 4, 1, 221-235.; 9.

Results

Axis IV - Structure is one of the axis on which it had thehighest inter-rater agreement (0,75).

Axis I - "Experiences and prerequisites for treatment,"obtained a concordance of 0,81. However, only 21items were considered.

Axis III - Conflict is the axis that has lower inter-rater agreement.

Discussion

The OPD-2 is an instrument that has a reasonable,good agreement inter evaluators.

Axes in which there is greater agreement  Axis I  and Axis IV , which may be due to be axes more objective,

observable criteria as assessed directly, the relationshipwith the patient.

The lower reliability of  Axis III  – Conflict  can be relatedto an more psychodynamic axes, in which hypothesesare formulated based on the interpersonal relationshipswith the patient, which makes a more subjective axis.

Should be emphasized that the quality of the examinedmaterial, as well as the evaluator’s clinical training andexperience, play an important role in the quality of 

subsequent evaluations.

Axis IV – Structure

Intra-Class Coefficient Correlations (ICC) 1a Self-

perception

1b Object

perception

2a Self 

regulation

5 Sctructure

0,760 0,569 0,544 0,642

Axis OPD-2  ICC Axis I – Experience of illness and

prerequisites for treatment 0,81

Axis III - Conflict 0,45

Axis IV - Structure 0,75

Clinical

Interviews

Áudio Recorded VerbatimTranscription

Analyzed threeindependentexaminers

One PsychoanalystPhD

One ClinicalPsychologist(Ten years)

One ClinicalPsychologist(Seven years)

Conducted by anexperienced clinical

psychologist(Nine Years)