The Heidelberg restructuring scale. A model of changes in psychoanalytic therapies and its operationalization on an estimating scale

As a part of a project for " Practical studies about long-term psychoanalyt ic therapies" an instrument was developed of the Heidelberg Group for measu ring the stages of restructuring of the patient's personality in the course of analytic therapies. The instrument relies in its formal structure on th e APES-Scale of Stiles (1992). In our scale, however, the stages of develop ment not to the general requirement of problems, but rather to an specific model of the psychoanalytic process. The scale and the included model are p resented and theoretically founded. Furthermore, results of the reliability and first experiences with application in in-patient therapies are describ ed. It should be emphasized that our scale is not only an instrument of res earch, but also a of practice for planing and evaluating of psychodynamic t reatments and therefore a contribution to quality assurance in this field.