Psychodynamic Research
For psychodynamic diagnostics evidence is provided by a number of interview-based approaches. Mainly personality functioning has been focused for decades, but comprehensive systems like the Operationalized Psychodynamic Diagnostics (OPD, 2023), additionally offer diagnosis of interpersonal behavior as well as neurotic conflict. Also, other psychodynamic constructs like defense mechanisms, mentalization (Reflective Functioning) or attachment can be assessed by self-reports and interviews and have been employed in various international studies.
Research on Operationalized Psychodynamic Diagnostics (OPD Task Force 2013): Interview and questionnaires (Ehrenthal et al., 2012; )
Research on Psychodynamic Diagnostic Manual (Lingiardi et al. 2017)
Research on diagnostics of personality organization – interviews (Clarkin et al. 2004; Leichsenring 1999) Wallerstein et al., 1989 ; OPD, 2023
Research on diagnostics of personality functioning according to the DSM-5 Alternative Model and according to ICD-11 (Blüml & Doering, 2022; Hörz-Sagstetter et al. 2022; Hutsebaut et al., 2017; Kampe et al. 2018; Ohse et al. 2022; Vierl et al. ,2023)
Research on diagnostics of personality organization – questionnaires (Dinger et al. 2014; Ehrenthal et al. 2023; Hörz-Sagstetter et al., 2021; Leichsenring, 1999; Lenzenweger et al. 2001; Vierl et al., 2023; Zimmermann et al. 2013, 2015)
Research on diagnostics of object relations and attachment (Buchheim et al., 2017; George & West, 2012; George, Kalpaln & Main, 1985; Westen 1995; Hilsenroth et al. 2004; Diamond et al., 2023; …)
Research on diagnostics of neurotic conflict ((OPD Task Force 2013) Connolly et al., 1999; Henkel et al., 2022; McCarthy et al., 2008)
Research on diagnostics of Reflective Functioning (Fonagy et al., 1998; Fonagy et al., 1996; Fischer-Kern et al., 2015; Levy et al., 2006)
Research on diagnostics of Defenses (Bond, 2004; Cramer, 2015; DiGiuseppe et al., 2020; Kampe et al., 2021; Perry & Cooper, 1989)
References
Blüml, V., & Doering, S. (2021). ICD-11 personality disorders: A psychodynamic perspective on personality functioning. Frontiers in Psychiatry, 12, 654026–654026. https://doi.org/10.3389/fpsyt.2021.654026
Bond, M. (2004). Empirical Studies of Defense Style: Relationships with Psychopathology and Change. Harvard Review of Psychiatry, 12(5), 263–278. https://doi.org/10.1080/10673220490886167
Buchheim, A., Hörz-Sagstetter, S., Doering, S., Rentrop, M., Buchheim, P., Schuster, P., Pokorny, D. & Fischer-Kern, M. (2017). Change of Unresolved Attachment in Borderline Personality Disorder: RCT Study of Transference-Focused Psychotherapy. Psychotherapy and Psychosomatics, 86, 314–316
Clarkin, J.F., Caligor, E., Stern, B. & Kernberg, O.F. (2004) Structured Interview for Personality Organization (STIPO). New York: Personality Disorders Institute, Weill Medical College of Cornell University.
Connolly, M. B., Crits‐Christoph, P., Shelton, R. C., Hollon, S. D., Kurtz, J. E., Barber, J. P., Butler, S. F., Baker, S., & Thase, M. E. (1999). The reliability and validity of a measure of self-understanding of interpersonal patterns. Journal of Counseling Psychology, 46(4), 472–482. https://doi.org/10.1037/0022-0167.46.4.472
Cramer, P. (2014). Defense Mechanisms: 40 years of Empirical research. Journal of Personality Assessment, 97(2), 114–122. https://doi.org/10.1080/00223891.2014.947997
Diamond, D., Keefe, J. R., Hörz‐Sagstetter, S., Fischer-Kern, M., Doering, S., & Anna, A. (2023). Changes in attachment representation and personality organization in Transference-Focused Psychotherapy. American Journal of Psychotherapy, 76(1), 31–38. https://doi.org/10.1176/appi.psychotherapy.20220018
Dinger U, Schauenburg H, Hörz S, Rentrop M, Komo-Lang M, Klinkerfuß M, Köhling J, Grande T, Ehrenthal JC. (2014). Self-report and observer ratings of personality functioning: a study of the OPD system. J Pers Assess 96(2):220-5.
Di Giuseppe, M., Perry, J. C., Conversano, C., Gelo, O. C. G., & Gennaro, A. (2020). Defense mechanisms, gender, and adaptiveness in emerging personality disorders in adolescent outpatients. The Journal of Nervous and Mental Disease, 208(12), 933–941. https://doi.org/10.1097/nmd.0000000000001230
Ehrenthal, J. C., Dinger, U., Horsch, L., Komo-Lang, M., Klinkerfuß, M., Grande, T., & Schauenburg, H. (2012). Der OPD-Strukturfragebogen (OPD-SF): Erste Ergebnisse zu Reliabilität und Validität. Psychotherapie Psychosomatik Medizinische Psychologie, 62(01), 25–32. https://doi.org/10.1055/s-0031-1295481
Ehrenthal JC, Kruse J, Schmalbach B, Dinger U, Werner S, Schauenburg H, Brähler E, Kampling H. (2023). Measuring personality functioning with the 12-item version of the OPD-Structure Questionnaire (OPD-SQS): reliability, factor structure, validity, and measurement invariance in the general population. Front Psychol 14:1248992. doi: 10.3389/fpsyg.2023.1248992.
Fischer-Kern, M., Doering, S., Taubner, S., Hörz, S., Zimmermann, J., Rentrop, M., Schuster, P., Buchheim, P., & Buchheim, A. (2015). Transference-focused psychotherapy for borderline personality disorder: Change in reflective function. The British Journal of Psychiatry, 207(2), 173–174. https://doi.org/10.1192/bjp.bp.113.143842
Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R. G., Mattoon, G., Target, M., & Gerber, A. J. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64(1), 22–31. https://doi.org/10.1037/0022-006x.64.1.22
Fonagy, P; Target, M; Steele, H; Steele, M; (1998) Reflective-Functioning Manual Version 5 for Application to Adult Attachment Interviews.
George, C., Kaplan, N., & Main, M. (1985). Adult Attachment Interview. Unpublished manuscript, Berkeley, CA: University of California.
George, C., & West, M. (2011). The Adult Attachment Projective Picture System: Integrating attachment into clinical assessment. Journal of Personality Assessment, 93(5), 407–416. https://doi.org/10.1080/00223891.2011.594133
Henkel, M., Benecke, C., Masuhr, O., Jaeger, U., & Spitzer, C. (2022). Reliabilität und Validität des OPD-Konfliktfragebogens bei stationären Psychotherapiepatient*innen. Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie, 68(1), 39–53. https://doi.org/10.13109/zptm.2022.68.1.39
Hilsenroth, M., Stein, M., Pinsker, J. (2004). Social Cognition and Object Relations Scale: Global rating method (SCORS–G). Unpublished manuscript, The Derner Institute of Advanced Psychological Studies, Adelphi University, Garden City, NY
Hutsebaut, J., Kamphuis, J. H., Feenstra, D. J., Weekers, L. C., & De Saeger, H. (2017). Assessing DSM–5-oriented level of personality functioning: Development and psychometric evaluation of the Semi-Structured Interview for Personality Functioning DSM–5 (STiP-5.1). Personality Disorders, 8(1), 94–101. https://doi.org/10.1037/per0000197
Hörz-Sagstetter, S., Ohse, L., & Kampe, L. (2021). Three dimensional ap_proaches to personality disorders: A review on personality function_ing, personality structure, and personality organization. Current Psychiatry Reports, 23(7), 45. https://doi.org/10.1007/s11920-021-01250-y
Hörz-Sagstetter, S., Volkert, J., Rentrop, M., Benecke, C., Gremaud-Heitz, D. J., Unterrainer, H. F., Schauenburg, H., Seidler, D., Buchheim, A., Doering, S., Feil, M. G., Clarkin, J. F., Dammann, G., & Zimmermann, J. (2021). A bifactor model of personality organization. Journal of Personality Assessment, 103(2), 149–160. https://doi.org/10.1080/00223891.2019.1705463
Kampe, L., Bohn, J., Remmers, C., & Hörz‐Sagstetter, S. (2021). It’s not that great anymore: the central role of defense mechanisms in grandiose and vulnerable narcissism. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.661948
Kampe, L., Zimmermann, J., Bender, D., Caligor, E., Borowski, A. L., Ehrenthal, J. C., Benecke, C., & Hörz-Sagstetter, S. (2018). Comparison of the structured DSM-5 clinical interview for the level of personality functioning scale with the structured interview of per_sonality organization. Journal of Personality Assessment, 100(6), 642–649. https://doi.org/10.1080/00223891.2018.1489257
Lenzenweger MF, Clarkin JF, Kernberg OF, Foelsch PA (2001). The Inventory of Personality Organization: psychometric properties, factorial composition, and criterion relations with affect, aggressive dyscontrol, psychosis proneness, and self-domains in a nonclinical sample. Psychol Assess 13(4):577-91.
Levy, K. N., Meehan, K. B., Kelly, K. M., Reynoso, J. S., Weber, M., Clarkin, J. F., & Kernberg, O. F. (2006). Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder. Journal of Consulting and Clinical Psychology, 74(6), 1027–1040. https://doi.org/10.1037/0022-006x.74.6.1027
Lingiardi, V., & McWilliams, N. (Eds.). (2017). Psychodynamic diagnostic manual: PDM-2 (2nd ed.). The Guilford Press.
Leichsenring, F. (1999). Development and first results of the Borderline Personality Inventory: a Self-Report instrument for assessing Borderline personality organization. Journal of Personality Assessment, 73(1), 45–63. https://doi.org/10.1207/s15327752jpa730104
McCarthy, K. S., Gibbons, M. B. C., & Barber, J. P. (2008). The relation of rigidity across relationships with symptoms and functioning: An investigation with the revised Central Relationship Questionnaire. Journal of Counseling Psychology, 55(3), 346–358. https://doi.org/10.1037/a0012578
Ohse, L., Zimmermann, J., Kerber, A., Kampe, L., Mohr, J., Kendlbacher, J., Busch, O., Rentrop, M., & Hörz-Sagstetter, S.(2022, May 5). Reliability, Structure, and Validity of Module I (Personality Functioning) of the Structured Clinical Interview for the Alternative DSM–5 Model for Personality Disorders (SCID-5-AMPD-I). Personality Disorders: Theory, Research, and Treatment. Advance online publication. http://dx.doi.org/10.1037/per0000576
OPD Task Force. (2023). OPD-3—Operationalisierte Psychodynamische Diagnostik: Das Manual für Diagnostik und Therapieplanung. Hogrefe.
OPD Task Force (2013) Operationalized Psychodynamic Diagnosis OPD-2: Manual of Diagnosis and Treatment Planning.
Perry, J. C., & Cooper, S. H. (1989). An empirical study of defense mechanisms. Archives of General Psychiatry, 46(5), 444. https://doi.org/10.1001/archpsyc.1989.01810050058010
Vierl, L., Hörz‐Sagstetter, S., Benecke, C., Spitzer, C., & Juen, F. (2023). All the Same? Different Measures of Personality Functioning Are Similar but Distinct. A Comparative Study from a Psychodynamic Perspective Using Exploratory Graph Analysis. Journal of Personality Assessment, 1–14. https://doi.org/10.1080/00223891.2023.2251150
Westen, D. (1995). Social Cognition and Object Relations Scale: Q-sort for projective stories (SCORS–Q). Unpublished manuscript, Department of Psychiatry, Cambridge Hospital and Harvard Medical School, Cambridge, MA.
Wallerstein, R. S., DeWitt, K. N., Hartley, D., Rosenberg, S. E., & Zilberg, (1989). The Scales of Psychological Capacities: Version 1. San Francisco, CA: University of California.
Zimmermann, J., Benecke, C., Hörz, S., Rentrop, M., Peham, D., Bock, A., Wallner, T., Schauenburg, H., Frommer, J., Huber, D., Clarkin, J. F., & Dammann, G. (2013). Validierung einer deutschsprachigen 16-Item-Version des Inventars der Persönlichkeitsorganisation (IPO-16). Diagnostica, 59(1), 3–16. https://doi.org/10.1026/0012-1924/a000076
Zimmermann, J., Benecke, C., Hörz‐Sagstetter, S., & Dammann, G. (2015). Normierung der deutschsprachigen 16-Item-Version des Inventars der Persönlichkeitsorganisation (IPO-16). Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie, 61(1), 5–18. https://doi.org/10.13109/zptm.2015.61.1.5
