“Who fits for whom? On the significance of the fit of conflict, structural and relationship dynamics of the OPD-3 between therapist and patient as a predictor for the therapeutic alliance”

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

DRKS

Registry ID

DRKS00034811

Enrollment

600

Registered

2024-10-30

Start date

2024-11-15

Completion date

Unknown

Last updated

2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Both the therapists and the patients are rated according to OPD-3 on the relationship axis, the structure axis and the conflict axis. The patients to be counseled are diagnosed with mental disorders according to ICD-10

Interventions

Group 1: Operationalized Psychodynamic Diagnostics (OPD-3) ratings of therapists (conflict, structure and relationship axis). Naturalistic study using psychoanalytic fit as a predictor of therapeuti

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: All patients who have contacted the training institute with the desire to receive psychotherapy and are considered suitable for treatment as part of the training for psychological psychotherapists after an initial assessment by experienced therapists.

Exclusion criteria

Exclusion criteria: Acute self-injury or injury to others, as well as acute psychotic symptoms

Design outcomes

Primary

Measure	Time frame
The extent of the therapeutic alliance in connection with similarity or complementarity in terms of the fit between therapist and patient. First, the therapists are rated by independent diagnosticians according to the Operationalized Psychodynamic Diagnostics (OPD-3). At the same time, they complete self-report questionnaires on Axis II (relationship, IMI-R), Axis III (conflict, OPD conflict questionnaire) and Axis IV (structure, OPD-SF12), as well as control instruments such as the B5TR. Each therapist then meets with 20-40 different patients, each for 5 sessions. Before the initial interviews, the patients completed the same self-report questionnaires as the therapists. In the first three sessions, an Operationalized Psychodynamic Diagnostic (OPD-3) interview is conducted. Then the therapist rates the patient according to the Operationalized Psychodynamic Diagnostics (OPD-3). In the fourth session, the results are communicated and both the therapist and the patient rate the therapeutic alliance (e.g., WAI-SR-T, TRQ-40) at the end of the fourth session. In the fifth session, a SKID interview is then conducted.	—

Measure

Time frame

The extent of the therapeutic alliance in connection with similarity or complementarity in terms of the fit between therapist and patient. First, the therapists are rated by independent diagnosticians according to the Operationalized Psychodynamic Diagnostics (OPD-3). At the same time, they complete self-report questionnaires on Axis II (relationship, IMI-R), Axis III (conflict, OPD conflict questionnaire) and Axis IV (structure, OPD-SF12), as well as control instruments such as the B5TR. Each therapist then meets with 20-40 different patients, each for 5 sessions. Before the initial interviews, the patients completed the same self-report questionnaires as the therapists. In the first three sessions, an Operationalized Psychodynamic Diagnostic (OPD-3) interview is conducted. Then the therapist rates the patient according to the Operationalized Psychodynamic Diagnostics (OPD-3). In the fourth session, the results are communicated and both the therapist and the patient rate the therapeutic alliance (e.g., WAI-SR-T, TRQ-40) at the end of the fourth session. In the fifth session, a SKID interview is then conducted.

—

Secondary

Measure	Time frame
Exploratory investigation: Can the relationship axis be represented as a condition of the conflict axis of the OPD-3?	—

Countries

Germany

Contacts

Public ContactKlaus Michael Reininger

Universitätsklinikum Hamburg-Eppendorf, Professur für Psychotherapieforschung

m.reininger@uke.uni-hamburg.de+4940741052975

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026