Qualitative research in diagnosis of neurosis and personality disorders

Author(s): Lopez, E. H. G., JuttemannLembke, A., Mollering, A., Reissner, V., Stratkotter, A., Tress, W.

Journal/Book: Psychotherapeut. 1997; 42: 175 Fifth Ave, New York, NY 10010. Springer Verlag. 163-169.

Abstract: A study of verbatim transcripts of 47 psychotherapeutical assessment interviews. Four groups were examined: patients with neurotic depressions (n = 11), patients with phobia and panic disorders (n = 12), patients suffering from severe personality disorders (n = 12), and patients with bulimia (n = 12). The interviews were systematically evaluated by means of qualitative content analysis focussing on the following categories:subjective theories of illness, biography, and characterization of their own personality. As a result ideal types of self-description were found which also serve to reconstruct the determinants of the diagnostic process, Based on the patients' self-descriptions arguments could be developed for reducing the present confusing multiplicity of nosological concepts. One could arrive at a simpler system of broader diagnostic concepts in the field of neurosis and personality disorders which is more appropriate to the needs of clinical psychotherapy and psychotherapy research.

Note: Article Frommer J, Otto Von Guericke Univ, Klin Psychiat Psychotherapie & Psychosomat Med, Leipziger Str 44, D-39120 Magdeburg, GERMANY

Keyword(s): assessment interview; research in diagnostic processes; qualitative research; content analysis; SUBJECTIVE THEORIES; ILLNESS

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Qualitative research in diagnosis of neurosis and personality disorders - The Dusseldorf first interview project