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Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-10038

Boeker, H; Himmighoffen, H; Straub, M; Schopper, C; Endrass, J; Kuechenhoff, B; Weber, S; Hell, D (2008). Deliberate self-harm in female patients with affective disorders: Investigation of personality structure and affect regulation by means of Operationalized Psychodynamic Diagnostics. Journal of Nervous and Mental Disease, 196(10):743-751.

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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.


1 citation in Web of Science®
3 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Psychiatric University Hospital Zurich > Clinic for Clinical and Social Psychiatry Zurich West (former)
04 Faculty of Medicine > Psychiatric University Hospital Zurich > Clinic for Psychiatry, Psychotherapy, and Psychosomatics
Dewey Decimal Classification:610 Medicine & health
Date:October 2008
Deposited On:08 Jan 2009 21:52
Last Modified:05 Apr 2016 12:49
Publisher:Lippincott Wiliams & Wilkins
Publisher DOI:10.1097/NMD.0b013e3181879daf
PubMed ID:18852618

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