COPEDS - Psychometric Test to determine CPD & Fragility !

• https://www.istdpjournal.com/copeds/
  

Learning Points & Clinical Application of the CoPeds Instrument

A new tool for working with fragile patients in ISTDP

Cognitive Perceptual Disruption (CPD) has long been recognized in ISTDP as a marker of fragility — but until now, it’s been impossible to measure directly. The CoPeds instrument changes that.

Developed through clinical and statistical rigor, CoPeds is a 19-item self-report tool designed to help therapists detect CPD symptoms — such as visual distortion, dissociation, thought blocking, and sensory anomalies — that indicate low ego-adaptive capacity.

Key Learning Points:

• Fragility is now measurable. CoPeds offers a quantifiable indicator of whether a patient’s symptoms fall within the fragile spectrum.

• High AUC (0.88) shows strong ability to differentiate fragile from non-fragile cases.

• CPD is no longer an intuitive guess. We can now screen and document these symptoms to guide treatment.

Clinical Application:

Use CoPeds at intake or early in assessment to help determine whether a patient requires regulation of anxiety and defense restructuring — or if they are ready for higher-pressure interventions.

It’s especially useful when:

• Symptoms are subtle or mixed with resistance

• Supervisees struggle to spot fragility

• You’re teaching ISTDP psychodiagnostics in Core or Pre-Core

CoPeds doesn’t replace clinical judgment — but it sharpens it. It creates a common reference point between therapist, supervisor, and trainee.