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[Psychoanalytic initial interview and OPD-CA interview--no balancing act!]. 2011

Veronika Diederichs-Paeschke, and Christine Forkel, and Ulrike Held, and Cordula Jaletzke, and Bruno Stafski, and Oliver Bilke-Hentsch
Arbeits-Grouppe OPD-KJ, Institut für Psychotherapie e.V. Berlin.

The application of the OPD-CA (Operationalised Psychodynamic Diagnostics in Childhood and Adolescence) for diagnostic purposes during the initial interview is no abdication of a psychoanalytic attitude. The study group OPD (2006, p. 289) proposed a "moderate structured action" for the investigation of the axes "interpersonal relations", "conflicts", "psychic structure", and "preconditions for treatment". But this is not a schematic checking. Space should be provided explicitly to a scenic development of the relationship-dynamics. In this article, the intersubjective character and the uniqueness of the conversation are underlined. Thus, the resulting diagnosis cannot be seen independently of the inner attitude and the concrete intervention of the interviewer. Certain phases of the interview that regularly ensue on the basis of the inherent dynamics and the "choreography" of a first meeting with a patient, are described in regard to the dynamic aspects and their significance in the OPD-Diagnostics. They are balanced with scenic points of view. Possible difficulties and suggestions for the practical handling are discussed on the basis of a case vignette.

UI MeSH Term Description Entries
D007406 Interview, Psychological A directed conversation aimed at eliciting information for psychiatric diagnosis, evaluation, treatment planning, etc. The interview may be conducted by a social worker or psychologist. Interview, Psychologic,Interviews, Psychological,Psychological Interview,Psychological Interviews,Interviews, Psychologic,Psychologic Interview,Psychologic Interviews
D008370 Manuals as Topic Works about presentation designed to give factual information or instructions.
D009769 Object Attachment Emotional attachment to someone or something in the environment. Bonding (Psychology),Bonds, Emotional,Emotional Bonds,Object Relations,Symbiotic Relations (Psychology),Bonding, Psychological,Object Relationship,Psychological Bonding,Attachment, Object,Attachments, Object,Bond, Emotional,Bondings (Psychology),Emotional Bond,Object Attachments,Object Relation,Object Relationships,Relation, Object,Relation, Symbiotic (Psychology),Relations, Object,Relations, Symbiotic (Psychology),Relationship, Object,Relationships, Object,Symbiotic Relation (Psychology)
D010817 Physician-Patient Relations The interactions between physician and patient. Doctor-Patient Relations,Doctor Patient Relations,Physician Patient Relations,Physician Patient Relationship,Doctor Patient Relation,Doctor-Patient Relation,Physician Patient Relation,Physician Patient Relationships,Physician-Patient Relation,Relation, Doctor Patient,Relation, Doctor-Patient,Relation, Physician Patient,Relation, Physician-Patient,Relations, Doctor Patient,Relations, Doctor-Patient,Relations, Physician Patient,Relations, Physician-Patient,Relationship, Physician Patient,Relationships, Physician Patient
D010989 Play Therapy A treatment technique utilizing play as a medium for expression and communication between patient and therapist. Play-based Mental Health Intervention,Sandplay,Sandplay Therapy,Therapy, Play,Play Therapies,Play based Mental Health Intervention,Sandplay Therapies,Therapies, Play,Therapies, Sandplay,Therapy, Sandplay
D011574 Psychoanalytic Theory Conceptual system developed by Freud and his followers in which unconscious motivations are considered to shape normal and abnormal personality development and behavior. Oral Character,Psychoanalytical Theory,Theory, Psychoanalytic,Character, Oral,Characters, Oral,Oral Characters,Psychoanalytic Theories,Psychoanalytical Theories,Theories, Psychoanalytic,Theories, Psychoanalytical,Theory, Psychoanalytical
D011575 Psychoanalytic Therapy A form of psychiatric treatment, based on Freudian principles, which seeks to eliminate or diminish the undesirable effects of unconscious conflicts by making the patient aware of their existence, origin, and inappropriate expression in current emotions and behavior. Balint Psychoanalytic Therapy,Psychoanalytic Therapy, Balint,Psychoanalytical Therapy,Therapy, Balint Psychoanalytic,Therapy, Psychoanalytic,Psychoanalytic Therapies,Psychoanalytical Therapies,Therapies, Psychoanalytic,Therapies, Psychoanalytical,Therapy, Psychoanalytical
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003142 Communication The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups. Miscommunication,Misinformation,Social Communication,Communication Programs,Communications Personnel,Personal Communication,Communication Program,Communication, Personal,Communication, Social,Communications, Social,Miscommunications,Misinformations,Personnel, Communications,Program, Communication,Programs, Communication,Social Communications

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