[Investigation of practicability of OPD-CA for patients with migration background]. / Eine Pilotstudie zur Praktikabilität der OPD-KJ bei Patienten mit Migrationshintergrund.

32 clinical patients (5-15 years) were diagnosed with an OPD-CA interview-manual (Winter, 2004). To investigate practicability of OPD-CA for patients with migration background (N = 14) a comparison with patients without migration background (N = 18) was carried out. There were patients with different ethnical backgrounds. The OPD-CA covers the axes prerequisites for treatment, interpersonal relation, structure and conflicts. Both groups showed equal prerequisites for treatment, interpersonal relation and conflicts. Significant differences were rated in structure: Patients with migration background have fewer skills in control as well as self- and object-perception. The interpretation of these results remained unsettled and suggested a careful use of the axis structure of OPD-CA for patients with migration background. The replication with a larger sample in a multicultural team of therapists and raters would be important.

[Use of operationalized psychodynamic diagnostics in childhood and adolescence in patients with somatic diseases]. / Anwendung der Operationalisierten Psychodynamischen Diagnostik im Kindes- und Jugendalter bei somatischer Krankheit Eine Pilotstudie bei Patienten mit Anorektaler Malformation.

Psychodynamic findings based on the Operationalized Psychodynamic Diagnostics in Childhood and Adolescence (OPD-CA) in patients with Anorectal Malformations (ARM) in comparison to psychiatric patients were presented focussing the psychic structure. Patients with ARM had significant better psychic structure especially with regard to coping with conflicts and communication of affects. Furthermore typical findings were generated: Patients with ARM had better treatment conditions and more positive relationships. Still they had fewer hypotheses about their disease and greater living burden. Structural strengthes facilitate acceptance and integration of the disease. Nonetheless more attention should be paid to child-oriented psychoeducation for development of age-appropriate hypotheses about the disease. Facing living burden, psychological-psychiatric support should be offered to patients with ARM.