[Show abstract][Hide abstract] ABSTRACT: In recent years the clinical need of using diagnostic tools with a high ecological validity brought to the development of systems that integrate the nosographic and descriptive diagnosis (DSM-IV, ICD-10) with other aspects of the patient’s mental functioning, to better describe real people who come to the mental health services and to our private practice. In this article we present the OPD system (Operationalized Psychodynamic Diagnosis), developed in the ‘90s by a group of psychiatrists and psychotherapists from different university psychosomatic clinics in Germany, and currently at its second version, OPD-2 (2006, 2009). This system is based on the operationalization of psychodynamic concepts and takes account of what psychotherapy research and cognitive sciences have showed us in recent years. The operationalization permits a psychodynamic clinical comprehension closer to the phenomenal level and consequently facilitates communication and confrontation among different clinicians. In its second version OPD-2 moved from diagnostic tool to diagnostic and process tool, used also for the treatment planning and monitoring. Change evaluation is made through the individuation of some treatment foci, connected to aspects that contribute to maintain the problem in that particular patient.
In Germany OPD-2 system is currently used in the clinical routine within the different psychosomatic clinics all over the country. In Italy it is used as a clinical and training tool in public health services, for example at the Niguarda Ca’ Granda Hospital’s Mental Health Department, as well as in psychiatric and psychotherapeutic private practice, but also for expert reports in legal context, as a scientific research instrument, and not least for quality assessment in mental health services.
Psychodynamic diagnosis, treatment planning, personalization, quality assessment, legal expert report, psychodynamic training