Identification of emerging dynamic scene in the course of initial psychodynamic interview: A clinical and research perspective

Vol.13,No.3(2019)

Abstract

In a systematic case study we investigated how reliable is to capture an emerging dynamic scene and to determine hypotheses and OPD-2 foci. The study explored scenic enactment of central configuration „(not to) submit to dictatorial coach“. Observable clinical manifestations and hypotheses of dynamic scene were verified by retrospective views by the patient and by independent evaluators via OPD-2 and CHAP methods in the initial and final interviews. Selected perspectives identified reliably specific content of initial interview`s central configuration. Moreover, scenic configuration influenced evaluators of videorecordings: evaluators who saw patient personally tended to overvalue patient`s progress, while evaluators of videorecordings assessed his changes moderately.


Keywords:
creating therapeutic hypothesis; treatment foci formulation; scenic enactment; initial psychodynamic interview; Operacionalized Psychodynamic Diagnosis; Change After Psychotherapy; Heidelberg Structural Change Scale
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