title: [OPD in the hospital: an algorithm for structuring the diagnostic process with the Operationalized Psychodynamic Diagnostics OPD-2].
abstract: OBJECTIVE
  Operationalized psychodynamic diagnostics OPD-2 is a diagnostic procedure that has proven to be valuable for psychotherapy. However, to date there has been only little discussion about the application context and any necessary adaptations to various clinical fields.
  
  
  RESULTS
  The working group "Implementation of OPD in Clinical Practice" proposes an algorithm for the sequential and adapted use of OPD depending on the clinical context.
  
  
  CONCLUSIONS
  Especially for patients who are primarily not open to receiving psychotherapy, e.g., in psychiatric hospitals or general hospitals, OPD can be an important basis for structuring motivating interventions. A stepwise procedure is proposed which is adapted to the usage of OPD in such contexts. Furthermore, also for these contexts, simplified ratings are proposed and discussed for the axes relationships, conflicts and structure. However, complete OPD remains recommended when determining the focus of a psychotherapeutic treatment.
authors.affiliation: Klinik für Psychosomatische Medizin und Psychotherapie, Universität Tübingen, CH-8596 Münsterlingen, Germany. isa.sammet@stgag.ch
authors.forename: Isa
authors.initials: I
authors.lastname: Sammet
authors.forename: Holger
authors.initials: H
authors.lastname: Himmighoffen
authors.forename: Johanna
authors.initials: J
authors.lastname: Brücker
authors.forename: Caroline
authors.initials: C
authors.lastname: Dreher
authors.forename: Cordula
authors.initials: C
authors.lastname: Olshausen Küchenhoff
authors.forename: Fabian
authors.initials: F
authors.lastname: Wilmers
authors.forename: Andreas
authors.initials: A
authors.lastname: Wolf
authors.forename: Petra
authors.initials: P
authors.lastname: Zell
authors.forename: Joachim
authors.initials: J
authors.lastname: Küchenhoff
mesh_terms: D000465:Algorithms; D003220:Conflict, Psychological; D006801:Humans; D007406:Interview, Psychological; D001523:Mental Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D009042:Motivation; D010347:Patient Care Planning; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy; D013557:Switzerland; D016312:Treatment Refusal / Q000523:psychology*