[Inter-rater reliability and construct validity of the OPD-CA axis structure: first study results regarding the integration of OPD-CA into clinical practice]. / Interrater-reliabilität und Konstruktvalidität der OPD-KJ-Achse Struktur--Erste Forschungsergebnisse zum Einsatz der OPD-KJ im Rahmen der klinischen Routine.

The axis structure of the Operationalized Psychodynamic Diagnostics in childhood and adolescence (OPD-CA) has proven to be a reliable and valid diagnostic tool under research conditions. However, corresponding data regarding the integration of OPD-CA axis structure into clinical practice is still lacking. Hence, this aspect was examined as part of a randomized controlled clinical trial realized at Asklepios Fachklinikum Tiefenbrunn. Here, the OPD-CA axis structure has been applied to assess the structural level of 42 adolescent patients (15-19 years). In contrast to previous studies, the assessment was not carried out by independent raters using a videotaped OPD-CA interview, but the rating was part of clinical routine procedures. Also under these conditions, inter-rater reliability was high, in particular regarding the four subscales of the OPD-CA axis structure. With respect to construct validity, the results of our study supported a two-factor solution, which is in accordance with the findings of two previous works. One factor corresponded to the dimension "self-regulation" while the other factor included both the dimension "self-perception and object perception" as well as the dimension "communication skills". Implications of the findings for research and practice are discussed.

[Empathy and mirror neurons. A view on contemporary neuropsychological empathy research]. / Empathie und Spiegelneurone. Ein Blick auf die gegenwärtige neuropsychologische Empathieforschung.

Neurons firing both to specific actions performed by self and matching actions performed by others are classified as mirror neurons. Since its discovery in 1991, this phenomenon has been surveyed in the field of motor and sensorimotor function and incipiently in the field of language and emotions. The research group of Giacomo Rizzolatti assumes that mirror neurons form the biological basis of compassion and thereby of affective empathic experience. The research regarding mirror neurons is yet in early stages and further research is required to specify mirror neuron systems. In view of empathy it is the insula which is of central importance for the recognition of disgust. The discovery of mirror neurons allows a comprehension of empathy as an immediate and compassionate partaking of a response, enabling an understanding of the other persons feeling. At the same time, the resonating affect remains allocated to the other person, distinguishing this comprehensive process from a mere emotional contagion. At present, the phenomenon of mirror neurons is gaining clinical relevance in the field of autism spectrum disorders and apoplexia. One's own ability for empathy as well as promoting empathetic abilities of others is of central importance for the clinical praxis, in particular concerning the treatment of children and adolescents.