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Zusammenfassung {! Fragestellung:} Die prospektive Studie untersucht Prozess und Outcome psychodynamischer Therapie im stationaren Kontext (N = 200) unter besonderer Berucksichtigung des Erlebens und Verhaltens in interpersonellen Beziehungen. In einer teamorientierten Fokuskonferenz erfolgten die systematische Ableitung eines interpersonellen Therapiefokus sowie die konkrete Empfehlung einer hilfreichen interpersonellen Haltung (sog. therapeutisches Tuning) fur die Mitglieder des multiprofessionellen Behandlerteams gegenuber dem Patienten. Diese Fokusbestimmung erfolgte auf Grundlage der Beziehungsachse (Achse II) der Operationalisierten Psychodynamischen Diagnostik (OPD-2). {! Methode:} Unter dem Paradigma der vergleichenden Evaluation wird in einem Eingruppen- Messwiederholungsplan uberpruft, ob diese spezielle, systematischem Beziehungserleben und Beziehungsverhalten orientierte Behandlung dem Routine-Vorgehen stationarer Psychotherapie uberlegen ist. {! Ergebnisse:} Die Befunde zur differenziellen Wi...

In this study the mental representations of interpersonal relations in depressive patients were assessed using the axis relationships of the operationalized psychodynamic diagnostics (OPD) system. The data were obtained at the beginning and at the end of inpatient psychotherapy. Although a link was assumed to exist between the severity of the symptoms and the variability of the mental representation of relational behavior, this was not proven. Also, contrary to expectations, an increase in the variability of the mental representations of the patients’ own relational behavior was not observed on completion of therapy. However, patients’ mental representation of their social partners’ relational behavior tends to become more variable. A shift in the focus of relationships was also observed.

Research material from a study relating to a central concept of inpatient psychotherapy is presented. The purpose of the research program was to investigate the extent to which patients reenact their experience and behavior from relationships outside of psychotherapy during inpatient treatment. Toward this end, the concordance of patients' relationship and behavior experiences was measured at 2 separate stages of treatment. Patients' subjective relationship structures, as diagnosed at the beginning of treatment, were compared with the consensus rating of the team of therapists, who then assessed patients' interpersonal experience and behavior during the first 3 weeks of treatment. Axis II (relationships) of the Operationalized Psychodynamic Diagnostics System was used as a measuring instrument. The similarity of the assessments was illustrated and checked for chance hits by means of the weighted kappa coefficient, κw (J. Cohen, 1968). All similarity comparisons showed clear kappa concordance (κw = 0.55, v...

The study explores the course and outcome of inpatient psychodynamic psychotherapy (N=200) with particular regard to interpersonal experiences and behaviour. Based on the implementation of a focus conference, the multi-professional team members formulated an interpersonal treatment focus and individualised helpful interpersonal attitude towards the patient (so-called therapeutic tuning). This focus formulation follows the systematic procedure provided by the Operationalised Psychodynamic Diagnostics System (OPD-2).The study was initiated to evaluate the effectiveness of the so-called "tuning-treatment" compared to inpatient "treatment as usual".Compared to "treatment as usual", the tuning condition showed greater improvement (p.001) in interpersonal functioning (GARF). Interpersonal problems (IIP) and symptoms (SCL-90-R) were slightly more improved than in the "treatment as usual" cases (p=.13 and. p=.09).An interpersonal treatment focus followed by focus-oriented interventions is a promising approach for inpatient psychodynamic psychotherapy. Generalisation of the empirical results is, however, limited due to problems of internal validity.