@article{ref1,
title="Deliberate self-harm in female patients with affective disorders: investigation of personality structure and affect regulation by means of operationalized psychodynamic diagnostics",
journal="Journal of nervous and mental disease",
year="2008",
author="Boeker, Heinz and Himmighoffen, Holger and Straub, Miriam and Schopper, Christian and Endrass, J. and Kuechenhoff, Bernhard and Weber, S. and Hell, Daniel",
volume="196",
number="10",
pages="743-751",
abstract="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&quot;operationalized psychodynamic diagnostics&quot;(OPD). Patients with DSH had a significantly lower level of integration in the OPD dimension&quot;structure,&quot;and their&quot;interpersonal relationships&quot;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.<p /> <p>Language: en</p>",
language="en",
issn="0022-3018",
doi="10.1097/NMD.0b013e3181879daf",
url="http://dx.doi.org/10.1097/NMD.0b013e3181879daf"
}