The OPD-CA-2 axis interpersonal relations: A helpful tool for treatment planning? Relationship patterns of adolescent patients with persistent intrapsychic conflicts, structural deficits and trauma sequelae disorders

2021 ◽  
pp. 1-11
Author(s):  
Carola Cropp ◽  
Bastian Claaßen
2020 ◽  
Vol 53 (4) ◽  
pp. 515-529
Author(s):  
Racheli Assaf Bitan

This article proposes a conceptualization of symptoms from an interpersonal perspective and advocates group analysis as an appropriate medium for treatment. Psychoanalytic theory has traditionally conceptualized symptoms using the language of intrapsychic conflicts in the individual’s mind. In this article, drawing on ideas from group analysis and contemporary psychoanalytic theories, I propose an interpersonal conceptualization of symptomatic phenomenology. In addition, I introduce a concept that describes a treatment process based on this perspective: Relations Training in Action1. I will argue that a symptom occurring in one person symbolizes an inadequate interpersonal relations pattern, and that recognition of the pathological relations pattern in therapy enables a process which paddles the creation of healthier communication. Furthermore, I suggest group therapy as a space which offers a rich set of opportunities for the repetition and reparation of relations disorder (Friedman, 2007), and that the transition from the language of intrapsychic symptoms to the language of relationships plays a significant role in broadening the areas of interpersonal communication (Foulkes, 1964). Therapy based on an interpersonal perspective regarding symptoms will facilitate participation in a meaningful and significant relationship with the other, improve the mental health of patients and decrease their need to cling to the symptom.


Elbow injuries in young athletes are becoming an increasing concern for orthopedic sports medicine specialists, but imaging is frequently complicated. The purpose of this study was to assess MRI in imaging ligaments, plicae, and cartilage in 65 pediatric and adolescent patients. 9 MRIs (13%) did not allow assessment because of poor quality. In skeletally mature patients, the radial and ulnar collateral ligament were clearly discernable in 94% and 77%, measuring 1.5 ± 0.6 mm and 1.9 ± 0.6, compared to 55% and 59% in the immature patients with a mean thickness of 1.1 ± 0.6 and 1.4 ± 0.6 mm (p<0.05). 12 patients (18%) revealed a cartilaginous pseudodefects, 5 (8%) had a true OCD. 23 (35%) showed a posterolateral plica with a maximum extension of 1.6 ± 1.7 mm. In OCD the plica was significantly larger compared to patients without OCD (p=0.001). While MRI is a helpful tool in assessing elbow injuries, its usefulness is restricted in pediatric and adolescent patients. 1 in 10 MRI studies was too distorted to be read. However, ligaments ad plicae could be well discerned in most patients. At 18% pseudodefects are much less common than in adults (85%).


1970 ◽  
pp. 231-243
Author(s):  
Emilia Soroko ◽  
Katarzyna Adamczyk ◽  
Paweł Kleka ◽  
Barbara Jankowiak

The article analyses relationship patterns as predictors of relationship status (having vs not having a partner) among female university students. Inner relationship patterns were identified on the basis of written statements on significant relations. The statements were obtained through the Relationship Anecdotes Paradigm (RAP), which allows the acquisition of autobiographic records of narrative nature on personally significant interpersonal relations. The results of the analysis based on the concept of Core Conflictual Relationship Theme (CCRT) helped predict whether a respondent has a partner thanks to only one category of relationship patterns – the desire of the self to feel well and comfortably, to have a sense of stability, to feel happy and self-satisfied, triggered in the context of referring to a significant interpersonal relation in the narratives. The other aspects of the patterns – responses of the other to the self’s desire and the response of the self to the reactions of the other – do not markedly affect the prediction of the relationship status.


2013 ◽  
Vol 16 (1) ◽  
pp. 24-32 ◽  
Author(s):  
Francesco De Bei ◽  
Andrea Montorsi

Nowadays it is sufficiently accepted that the therapeutic action of psychotherapy is expected to lie at the interface between two dimensions: identification and interpretation of the patient's dysfunctional relationship patterns arising in the relationship with the clinician. This can only happen, however, if there is a temporal space where the transference-countertransference reactions to be explored and understood can emerge (Jones, 2000). The limited number of sessions characterizing short-term psychotherapy does not seem to allow the unfolding of these dynamics, thus suggesting that the therapeutic action of this approach lies outside the patient-therapist relationship. The aim of this study is to investigate the possibility that, even within the few sessions that characterize short-term psychotherapy, the dynamics of transferencecountertransference typical of the patient's dysfunctional relationship patterns do in fact emerge. For this purpose, a study has been made of the patterns of patient-therapist interaction, measured by the Psychotherapy Process Q-set. The patterns identified are related to the change found in the Core Conflictual Relationship Theme, allowing reflection on the role played by alternating interaction patterns in the variation of the patient's intrapsychic conflicts in this psychotherapy model.


2005 ◽  
Vol 173 (4S) ◽  
pp. 412-412
Author(s):  
Ashutosh Tewari ◽  
Assaad El-Hakim ◽  
Peter N. Schlegel ◽  
Mani Menon ◽  
Deirdre M. Coll

Author(s):  
Irving B. Weiner

Abstract. This article concerns the utility of ego psychoanalytic perspectives in Rorschach interpretation. Psychoanalytic ego psychology focuses on how people cope with events in their lives and how effectively they can meet challenges to their sense of well-being. The way people deal with experienced distress constitutes their defensive style and determines to a large extent what kind of person they are. Adequate defenses against anxiety promote comfortable and productive adjustment, whereas ineffective defenses typically cause adjustment difficulties and susceptibility to psychological disorders. In Rorschach assessment, the nature and effectiveness of a person’s defensive style can often be identified with a sequence analysis that integrates the structural, thematic, and behavioral features in the protocol. In particular, the sequential quality of responses, especially preceding and following instances of cognitive slippage, can help identify causes of upsetting concerns, defensive efforts to alleviating these concerns, and the adequacy of these defensive efforts in restoring equanimity. This interpretive process is illustrated with attention to implications for differential diagnosis and treatment planning in the Rorschach protocol of a 20-year-old suicidal woman.


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