[How do conflict and structure present themselves in relationships?].
It is argued that the approaches used up to now for analyzing dysfunctional relationship patterns are more or less explicitly based on a conflict model and therefore not adequate for describing relationships characterized by structural impairments of a patient's personality. Using the concepts of conflict and structure as derived from the Operationalized Psychodynamic Diagnostic system (OPD-2), four principles of a dysfunctional relationship formation are discussed. It is shown that the differentiation of conflict- and structure-related pathology is highly significant with regard to the selection of an appropriate psychotherapeutic strategy. Furthermore, the connections between the OPD axes relationship, conflict, and structure are conceptualized.
Grande
Tilman
T
Klinik für Psychosomatische und Allgemeine Klinische Medizin der Universität Heidelberg, Germany. tilman_grande@med.uni-heidelberg.de
D000223:Adaptation, Psychological; D003220:Conflict, Psychological; D003674:Defense Mechanisms; D006801:Humans; D007398:Interpersonal Relations; D009769:Object Attachment; D010554:Personality Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D010817:Physician-Patient Relations; D011575:Psychoanalytic Therapy; D012649:Self Concept; D014473:Unconscious, Psychology