12. OPD-2/PDM-2

Question 1

How are the PDM/OPD different to the DSM/ICD?

Answer 1

A way of conceptualising psychological dysfunction that is less symptom focussed and less categorical. The DSM/ICD group disorders, the OPD/PDM represent kinds of people.

Question 2

What does the PDM do?

Psychodynamic Diagnostic Manual-2

Answer 2

Describes personality patterns related to social and emotional capacities. Sees personality as entwined with psychological problem/disorder. ie. sees disorder in context of the whole person.

Question 3

What does the OPD do?

Operationalised Psychodynamic Diagnoses-2

Answer 3

Brings together dynamic features and biological, psychodynamic, social etc. parts of psychopathology. (?)

Question 4

What are the four axes of the OPD?

Answer 4

1. Interpersonal relations
2. Conflict
3. Structure
4. Prerequisites for treatment

Question 5

What are the four levels of personality organisation?

Answer 5

Psychotic, borderline, neurotic, healthy

Question 6

What is typical for someone who may be healthy or neurotic in terms of affectivity, defences and reality testing?

Answer 6

• Intact reality testing
• Integrated identity
• Mostly mature defences
• Low level aggress/effective regulation of affect
• Deep, mutual relationships

Question 7

How may someone present if they are borderline?

Answer 7

• Poor affect regulation
• Unstable relationships
• Occasional lapse in reality testing
• Primitive defences