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Assessing the Level of Structural Integration Using Operationalized Psychodynamic Diagnosis (OPD): Implications for DSM–5

Zimmermann, Johannes, Ehrenthal, Johannes C., Cierpka, Manfred, Schauenburg, Henning, Doering, Stephan, Benecke, Cord·2012·Journal of Personality Assessment

Abstract

A key ingredient in the current proposal of the DSM-5 Work Group on Personality and Personality Disorders is the assessment of overall severity of impairment in personality functioning: the Levels of Personality Functioning Scale (LPFS). The aim of this article is to contribute a conceptual and empirical discussion of the LPFS from the perspective of the Operationalized Psychodynamic Diagnosis (OPD) system (OPD Task Force, 2008 ). First, we introduce the OPD Levels of Structural Integration Axis (OPD-LSIA), a measure of individual differences in severity of personality dysfunction that is rooted in psychodynamic theory. We show that the OPD-LSIA is reliable, valid, and highly associated with observer ratings of personality disorders. In the second part, we present results from an OPD expert consensus study exploring potential limitations of the current LPFS item set from the perspective of the OPD-LSIA. We conclude with highlighting implications for future revisions of the DSM-5 proposal.

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Metadata

Authors
Zimmermann, J., Ehrenthal, J. C., Cierpka, M., Schauenburg, H., Doering, S., & Benecke, C.
Venue
Journal of Personality Assessment
Published
2012-07-18
Volume
94
Issue
5
Pages
522-532
ISSN
  • 0022-3891 (ISSN-L)
  • 1532-7752
OpenAlex
W1989331251
Cited by
162
References
7
FWCI
10.06
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Assessing the Level of Structural Integration Using Operationalized Psychodynamic Diagnosis (OPD): Implications for DSM–5. https://app.cochat.ai/papers/10.1080/00223891.2012.700664
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Zimmermann, J., Ehrenthal, J. C., Cierpka, M., Schauenburg, H., Doering, S., & Benecke, C. (2012). Assessing the Level of Structural Integration Using Operationalized Psychodynamic Diagnosis (OPD): Implications for DSM–5. Journal of Personality Assessment. https://doi.org/10.1080/00223891.2012.700664

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