Psycho-dynamic Operationalization of the Structure Axis in Drug Addicted Patients

Abstract

Objective.
To understand the relation between the psychodynamic profile and drug addiction in patients
hospitalized in a therapeutic community, taking into account the operationalization of the structure axis based
on the OperationalizationPsychodynamic Diagnostic (OPD-2).
Method.
A multi-case method was implemented
consisting of the qualitative study of four individual processes of psychodynamic psychotherapy. Each case was
analyzed individually and the diagnostic axes proposed by the OPD-2 were operationalized, this being an
instrument of psychodynamic orientation, validated internationally through research, evaluation, focalization
and treatment indication. The case of a drug-addicted patient in the process of rehabilitation was chosen
for the purpose of multi-axial evaluation.
Results.
The case analysis concluded that limitations in cognitive,
emotional and bonding abilities correspond to a middle-low structural level.
Discussion.
In psychotherapeutic
interventions, it is important to understand the psychological dynamic present in addictive behavior starting
with an appropriate dimensional diagnosis.