Deliberate self-harm in female patients with affective disorders: investigation of personality structure and affect regulation by means of operationalized psychodynamic diagnostics.
This study investigated psychodynamically relevant dimensions in female depressive patients with and without deliberate self-harm (DSH). DSH is often observed in depressive patients and frequently shows a correlation with personality disorders. Forty female depressive patients with and without DSH were investigated after recovery from acute depressive pathology by means of "operationalized psychodynamic diagnostics" (OPD). Patients with DSH had a significantly lower level of integration in the OPD dimension "structure," and their "interpersonal relationships" showed dysfunctional interaction patterns. They also had a significantly higher rate of personality disorders. These results underline the significance of aspects of personality structure in female depressive patients with DSH, and enable a deeper understanding of their dysfunctional defense strategies, the connections with underlying disturbed affect regulation, and vicious circles in the therapeutic transference-countertransference relationship. OPD has been shown to be a useful tool for empirical research into therapeutically relevant dimensions of personality.
Hospital for Affective Disorders and General Psychiatry Zurich East, Center for Affective and Anxiety Disorders, University of Zurich, Zürich, Switzerland. boeker@bli.unizh.ch
Heinz
H
Boeker
Holger
H
Himmighoffen
Miriam
M
Straub
Christian
C
Schopper
Jerome
J
Endrass
Bernhard
B
Kuechenhoff
Silvan
S
Weber
Daniel
D
Hell
D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D019964:Mood Disorders / Q000150:complications / Q000175:diagnosis* / Q000523:psychology*; D010551:Personality; D010554:Personality Disorders / Q000150:complications / Q000175:diagnosis* / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D016728:Self-Injurious Behavior / Q000150:complications / Q000175:diagnosis* / Q000523:psychology*