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Psykodiagnostik i enlighet med ISTDP jämförd med en självskattad anknytningsprofil
Ersta Sköndal University College, Department of Health Care Sciences, St Lukas Educational Institute.
2016 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Psychodiagnosis according to ISTDP compared to an selfratedattachment profile (English)
Abstract [sv]

Inledning: Intensiv Kort-Tids Dynamisk Psykoterapi, ISTDP, är en psykodynamiskterapimetod med unika terapitekniker. En av de avgörande interventionerna för enframgångsrik terapi är den psykodiagnostiska bedömningen som görs utifrån frånvilka försvar som dominerar hos patienten och hur ångest tar sig uttryck.Psykopatologi anses ha sin grund i anknytningstrauma och i den aktuella studienutforskades sambandet mellan den psykodiagnostiska bedömningen ochanknytningsprofilen. Psykodiagnostiken skiljer ut två spektra av patienter, skörkaraktärsstruktur och psykoneurotisk karaktärsstruktur. Skillnaden mellan dessakaraktärsstrukturer stämmer väl överens med hur man inom anknytningsforskningenbeskriver desorganiserad anknytning till skillnad från övriga otrygga anknytningar.

Frågeställningar: Syftet med föreliggande studie var att jämföra denpsykodiagnostiska bedömningen med patientens anknytningsprofil och utforska huren självskattad anknytningsprofil skiljer sig åt mellan individer med skörkaraktärstruktur respektive neurotisk karaktärsstruktur.

Metod: Tjugofyra patienter inom psykiatrin bedömdes utifrån en modell av ISTDP:spsykodiagnostik (Frederickson, 2013) avseende karaktärsstruktur. Patienternasanknytning, skattad med ASQ (Attachment Style Questionnaire), jämfördes medkaraktärsstrukturen i en statistisk analys för att utforska eventuella samband.

Resultat: Samtliga patienter var otrygga i sin anknytningsprofil enligtsjälvskattningen och det fanns inte någon signifikant skillnad mellan skörkaraktärsstruktur och neurotisk karaktärsstruktur avseende anknytningsprofilen.

Diskussion: Självskattningsformuläret som användes kan har varit skälet till att detinte gick att påvisa signifikanta skillnader. Det har också i tidigare forskning funnitsfunderingar om huruvida formuläret förmår differentiera inom ett psykiatriskt urval.

Abstract [en]

Introduction: Intensive Short-Time Dynamic Psychotherapy, ISTDP, is apsychodynamic therapy method with unique therapy techniques. One of the crucialinterventions for a successful therapy is the psychodiagnose, an assessment that isdone by which defense is dominating with the patient and how anxiety is present.Psychopathology is seen as rooted in an attachment trauma and in the present studythe connection between the psychodiagnostic assessment and the attachment profilewas investigated. The psychodiagnose distinguishes between two spectra of patients,fragile character structure and psychoneurotic character structure. The differencebetween these character structures fits well with how you in the attachment researchdescribe disorganized attachment unlike the other unsecure attachments.

Questions: The purpose with the present study was to compare thepsychodiagnostic assessment with the patients’ attachment profile and explore how aself-rated attachment profile differ between individuals with fragile character structurerespective neurotic character structure.

Method: Twenty-four patients in psychiatric care were assessed using a model ofISTDP's psychodiagnostics (Frederickson, 2013) concerning the character structure.The patients attachment, rated with ASQ (Attachment Style Questionnaire), wascompared with the character structure in a statistical analysis to explore possible links.

Result: All patients were unsecure in their attachment profile according to the selfratingsand there was no significant difference between fragile character structure andneurotic character structure according to the attachment profile.

Discussion: The self-rating test that was used could be the reason to why there wereno significant differences. It has also in previously research been doubts whether thetest was capable of differentiate within a psychiatric sample.

Place, publisher, year, edition, pages
2016. , p. 29
Keywords [en]
ISTDP, Attachment theory, ASQ, Psychodynamic diagnostic, Character structure
Keywords [sv]
ISTDP, Anknytningsteori, ASQ, Psykodynamisk diagnostik, Karaktärsstruktur
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:esh:diva-5239OAI: oai:DiVA.org:esh-5239DiVA, id: diva2:935839
Educational program
Psykoterapeutprogrammet
Uppsok
Social and Behavioural Science, Law
Available from: 2016-06-13 Created: 2016-06-04 Last updated: 2016-06-13Bibliographically approved

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