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Multiaxial diagnostics and classifications in child and adolescent psychiatry based on ICD-10 generally now have been operationalized. Initial procedures to operationalize psychodynamically oriented concepts are currently underway. One of them is the operationalized psychodynamic diagnostics (OPD), which consists of five axes: illness concepts and treatment predispositions, human relationships, intrapsychic conflict, psychic structure, and the ICD-10. A team is currently adapting the adult version of the OPD for use in children and adolescents. Such an OPD-CA would affiliate with the MAS, a well-established system of classification. Central methodological and conceptual topics of the OPD-CA are presented.
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