title: [Brief report of working group OPD-CA (children and adolescents) Axis IV: structural standard].
abstract: Apart from the structural differentiation of the body and its functions, the enlargement of the child's repertoire of possibilities to make experiences and to act is a manifestation of the development of the child's psychic structure which, advancing in years, may be considered as a treasure of all the experiences one has made with oneself, with the world and with the others. Structure will develop along with the interactional experiences with the world around us and becomes manifest in one's behaviour which may be witnessed and observed. The description of the psychic structure comprises three dimensions (perception of the self and of the objects, control, communication and bonding) which will be described by certain capabilities and will be assessed with the help of an anchoring example typical for each age which serves the purpose of clinical illustration. The adaptational achievement may then be assessed on the basis of a structural standard independent of age and may be ranged on a structural level. It appears that the exemplary description of different scopes of tasks typically to be performed at certain ages which serves as a basis for the assessment of the adaptational competence during childhood and adolescence seems to be a good policy. The purpose of our studies is the development of a valid instrument which is easy to handle in practice and which has a high interrater-reliability.
authors.affiliation: Abteilung für Kinder- und Jugendpsychiatrie der Universität Heidelberg.
authors.forename: E
authors.initials: E
authors.lastname: Koch
authors.forename: J
authors.initials: J
authors.lastname: Arnscheid
authors.forename: B
authors.initials: B
authors.lastname: Atzwanger
authors.forename: K H
authors.initials: KH
authors.lastname: Brisch
authors.forename: R
authors.initials: R
authors.lastname: Brunner
authors.forename: B
authors.initials: B
authors.lastname: Cranz
authors.forename: R
authors.initials: R
authors.lastname: du Bois
authors.forename: A
authors.initials: A
authors.lastname: Hussmann
authors.forename: A
authors.initials: A
authors.lastname: Renzel
authors.forename: F
authors.initials: F
authors.lastname: Resch
authors.forename: G
authors.initials: G
authors.lastname: Rudolf
authors.forename: S
authors.initials: S
authors.lastname: Schlüter-Müller
authors.forename: K
authors.initials: K
authors.lastname: Schmeck
authors.forename: R G
authors.initials: RG
authors.lastname: Siefen
authors.forename: G
authors.initials: G
authors.lastname: Spiel
authors.forename: A
authors.initials: A
authors.lastname: Streeck-Fischer
authors.forename: C
authors.initials: C
authors.lastname: Wlezek
authors.forename: K
authors.initials: K
authors.lastname: Winkelmann
mesh_terms: D000293:Adolescent; D000296:Adolescent Psychiatry / Q000592:standards*; D002648:Child; D002657:Child Development; D002665:Child Psychiatry / Q000592:standards*; D005858:Germany; D006801:Humans; D010553:Personality Development; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D019455:Self Psychology
vernacular_title: Werkstattbericht der Arbeitsgruppe Achse IV: Strukturniveau.