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Psicologia Clínica

Print version ISSN 0103-5665On-line version ISSN 1980-5438


BOTH, Luciane Maria; MALGARIM, Bibiana Godoi  and  FREITAS, Lúcia Helena. Psychodynamic evaluation of patients with acute and posttraumatic stress disorder in a public institution. Psicol. clin. [online]. 2018, vol.30, n.3, pp. 579-593. ISSN 0103-5665.

This study evaluated the psychodynamic functioning of patients with Stress Disorder through Operational Psychodynamic Diagnosis (OPD-2), regarding the structure, intrapsychic conflict and interactional pattern of the subject. Three patients with a diagnosis of Stress Disorder, either Acute Stress Disorder or Posttraumatic Stress Disorder, were evaluated. The interviews were transcribed and coded according to the OPD-2, considering the test-retest reliability for the coding of the items. All participants presented moderate levels of subjective suffering, with limitations in the continuity of daily activities. The prevailing conflict was the need to be cared for versus self-sufficiency. The level of psychic structure was assessed as moderate, in which the main fear is the loss of an important object or significant separation from support and there is difficulty in emotional regulation. By the dimensional understanding of the OPD, an understanding of the patients' psychodynamic functioning was made clearer, which may help in the understanding of the clinical context of stress.

Keywords : evaluation; psychodynamic; stress.

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