Objective.

To understand the relation between the psychodynamic profile and drug addiction in patients hospitalized in a therapeutic community, taking into account the operationalization of the structure axis based on the OperationalizationPsychodynamic Diagnostic (OPD-2).

Method.

A multi-case method was implemented consisting of the qualitative study of four individual processes of psychodynamic psychotherapy. Each case was analyzed individually and the diagnostic axes proposed by the OPD-2 were operationalized, this being an instrument of psychodynamic orientation, validated internationally through research, evaluation, focalization and treatment indication. The case of a drug-addicted patient in the process of rehabilitation was chosen for the purpose of multi-axial evaluation.

Results.

The case analysis concluded that limitations in cognitive, emotional and bonding abilities correspond to a middle-low structural level.

Discussion.

In psychotherapeutic interventions, it is important to understand the psychological dynamic present in addictive behavior starting with an appropriate dimensional diagnosis.

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