Psychodynamic theory meets HiTOP: The nomological network between motivational conflicts and dimensions of the hierarchical taxonomy of psychopathology (HiTOP)

Remmers, Carina; Wester, Robin Anno; Repnik, Lukas G.; Plumbohm, Mariana; Unger, Sebastian; Jauk, Emanuel

doi:10.1016/j.jrp.2023.104418

Cited by 2 publications

(3 citation statements)

References 80 publications

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“…Psychodynamic conflicts correspond to the internal and unconscious collision and tensions of opposed tendencies of motives, needs, and wishes. The conflict axis in OPD focuses on the contents and coping style of conflicts, indicating patients handle the following conflicts in a passive or active way: individuation (dependence vs. autonomy), control (submission vs. control), care (need for care vs. autarky), self-worth (undervaluing oneself vs. overvaluing oneself), guilt (self-blame vs. rejecting responsibility), and sexual roles (unattractiveness vs. attractiveness) and identity (lacking identities vs. adoption of identity) ( 10 ). Axis IV comprises four main parts: “perception”, “regulation”, “emotion communication” and “attachment”, where each part is rated on a self-related and an object-related dimension, describing the relationships and interaction with self and objects.…”

Section: Introductionmentioning

confidence: 99%

“…For the structure levels, we hypothesize that both MDD and GAD patients will demonstrate lower levels of structural integration compared to healthy controls. We further expect MDD patients to exhibit the lowest levels of structural integration due to their utilization of passive conflict processing models, which are more associated with personality functioning impairments ( 10 ) in contrast to those with GAD.…”

Section: Introductionmentioning

confidence: 99%

“…Specifically, Axes III "Conflicts" and IV "Structures" are commonly the only axes being focused on when investigating the psychodynamic profiles of patients, as they align to the psychodynamic core concepts: conflict and structure (8), while interpersonal relations are not rated dimensionally, making the scientific use of OPD axis II difficult and the other two axes play as supplemental assessment from the perspectives outside the psychodynamics. Consistently, Benecke et al also specified the conflict and structure axes of OPD to explain individual psychodynamic differences (9). Psychodynamic conflicts correspond to the internal and unconscious collision and tensions of opposed tendencies of motives, needs, and wishes.…”

Section: Introductionmentioning

confidence: 99%

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Psychodynamic profiles of major depressive disorder and generalized anxiety disorder in China

Xu,

Wang,

Peng

2024

Front. Psychiatry

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Traditional clinical diagnoses relying on symptoms may overlook latent factors that illuminate mechanisms and potentially guide treatment. The Operationalized Psychodynamic Diagnosis (OPD) system may compensate for symptom-based diagnosis by measuring psychodynamic profiles underlying mental disorders through conflicts and structure axes. However, OPD has not been widely adopted in China, and it remains unclear whether OPD can be used as an effective approach to distinguish between depression and anxiety. The current study aims to adopt the OPD system to investigate the psychodynamic profiles of major depressive disorder (MDD) and generalized anxiety disorder (GAD) in China, targeting patients with “pure” symptoms without comorbidity. We recruited 42 MDD patients, 32 GAD patients, and 31 healthy controls (HC), and assessed their self-report depression and anxiety symptoms, along with their underlying psychodynamic profiles through OPD interviews. Overall, both MDD and GAD patients showed more prominent conflict issues and lower levels of structure than HC. The MDD and GAD groups yielded different conflict profiles and conflict processing modes when processing their second conflicts. Importantly, the multi-dimensional psychodynamic profiles achieved machine learning classification of clinical groups with an accuracy of 0.84, supporting successful distinction of MDD and GAD patients. In conclusion, the OPD demonstrated sensitivity in revealing distinct psychodynamic profiles underlying “pure” depression and anxiety clinical populations in China. This work calls for future incorporation of OPD as a tool to investigate psychodynamic formulations underlying mental disorders, compensating for traditional symptom-based diagnostic approaches to guide precise individualized interventions.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Psychodynamic profiles of major depressive disorder and generalized anxiety disorder in China

Xu,

Wang,

Peng

2024

Front. Psychiatry

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Unravelling inter‐relations within and between psychodynamic constructs and psychopathology using network analysis

Vierl,

Wülfing,

Juen

et al. 2024

Personality & Mental Health

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AbstarctPsychodynamic constructs and psychopathology are closely inter‐related, but more detailed insight is needed. We investigated these complex inter‐relations using network analysis. A Gaussian graphical model in a sample of N = 2232 psychotherapeutic inpatients was estimated. Self‐administered questionnaires to assess interpersonal relations (Inventory of Interpersonal Problems‐32), psychodynamic conflicts (Operationalized Psychodynamic Diagnosis–Conflict Questionnaire), personality functioning (Operationalized Psychodynamic Diagnosis–Structure Questionnaire‐Short Form, Inventory of Personality Organization‐Short Form), and psychopathology (Brief Symptom Inventory) were utilized. We investigated the network structure, identified the most inter‐related psychodynamic constructs and the psychodynamic constructs with the strongest inter‐relations to psychopathology, and explored the clustering of all included constructs. Active and passive conflict processing modes were negatively inter‐related in most conflicts. Passive conflict processing modes were more strongly related to psychopathology than active ones in all conflicts, apart from the care versus autarky conflict. Identity diffusion shared the strongest inter‐relations within psychodynamic constructs. The psychodynamic constructs that were most strongly related to psychopathology were impairments in self‐perception and the passive self‐worth conflict. Psychopathology and psychodynamic constructs formed distinct clusters. Our results emphasize the relevance of personality functioning within psychodynamic constructs and in relation to psychopathology.

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Psychodynamic theory meets HiTOP: The nomological network between motivational conflicts and dimensions of the hierarchical taxonomy of psychopathology (HiTOP)

Cited by 2 publications

References 80 publications

Psychodynamic profiles of major depressive disorder and generalized anxiety disorder in China

Psychodynamic profiles of major depressive disorder and generalized anxiety disorder in China

Unravelling inter‐relations within and between psychodynamic constructs and psychopathology using network analysis

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