Introduction I. Conceptual Issues 1. Why Diagnose? 2. Psychoanalytic Character Diagnosis 3. Developmental Levels of Personality Organization 4. Implications of Developmental Levels of Organization 5. Primary Defensive Processes 6. Secondary Defensive Processes II. Types of Character Organization 7. Psychopathic (Antisocial) Personalities 8. Narcissistic Personalities 9. Schizoid Personalities 10. Paranoid Personalities 11. Depressive and Manic Personalities 12. Masochistic (Self-Defeating) Personalities 13. Obsessive and Compulsive Personalities 14. Hysterical (Histrionic) Personalities 15. Dissociative Psychologies Appendix. Suggested Diagnostic Interview Format
Nancy McWilliams, PhD, ABPP, is Visiting Professor Emerita in the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey, and has a private practice in Lambertville, New Jersey. She is author of Psychoanalytic Diagnosis, Second Edition; Psychoanalytic Case Formulation; Psychoanalytic Psychotherapy; and Psychoanalytic Supervision; and is coeditor of Psychodynamic Diagnostic Manual, Second Edition. She is a past president of the Society for Psychoanalysis and Psychoanalytic Psychology, Division 39 of the American Psychological Association (APA), and is on the editorial board of Psychoanalytic Psychology. A graduate of the National Psychological Association for Psychoanalysis, Dr. McWilliams is also affiliated with the Center for Psychotherapy and Psychoanalysis of New Jersey, and serves on the Board of Trustees of the Austen Riggs Center in Stockbridge, Massachusetts. She is the recipient of honors including the Gradiva Award from the National Association for the Advancement of Psychoanalysis; the Goethe Scholarship Award from the Section on Psychoanalytic and Psychodynamic Psychology of the Canadian Psychological Association; the Rosalee Weiss Award from the Division of Independent Practitioners of the APA; the Laughlin Distinguished Teacher Award from the American Society of Psychoanalytic Physicians; the Hans H. Strupp Award from the Appalachian Psychoanalytic Society; and the International, Leadership, and Scholarship Awards from APA Division 39. Dr. McWilliams is an honorary member of the American Psychoanalytic Association, the Moscow Psychoanalytic Society, the Institute for Psychoanalytic Psychotherapy of Turin, Italy, and the Warsaw Scientific Association for Psychodynamic Psychotherapy. Her writings have been translated into 20 languages.
This is a book for all clinicians who aspire to understand their
clients deeply and help them live more richly and authentically.
McWilliams synthesizes a century of cumulative clinical wisdom and
offers it in a form that is accessible and useful to clinicians of
any theoretical persuasion. The first edition of Psychoanalytic
Diagnosis was an instant classic; the second edition is
exceptionally lucid and masterful. This is McWilliams, master
clinician and teacher, at her very best.--Jonathan Shedler, PhD,
Department of Psychiatry, University of Colorado School of
Medicine
In revising Psychoanalytic Diagnosis, McWilliams has surpassed
herself. The original--deservedly regarded as a classic--was an
integrative tour de force; the second edition is even better.
Informed by current advances in neuroscience and infant research,
and reshaped in light of the 'relational turn' in contemporary
psychoanalysis, this book distills a vast literature on
development, psychopathology, and therapy into an extraordinarily
useful map of the clinical terrain. It is at once an indispensable
resource for beginning therapists, a valuable teaching tool, and a
comprehensive reference for seasoned clinicians.--David J. Wallin,
PhD, private practice, Mill Valley and Albany, California
In this accessible and impassioned book, McWilliams provides
organizing principles to help us understand psychopathology without
oversimplifying or evading the difficult questions raised by
diagnosis. Reading McWilliams's book will make you feel like you
know her. Her extraordinary humanity, wisdom, deep sense of ethics,
and steady concern for her patients are evident throughout. The
second edition includes an updated presentation of attachment
theory, addresses the contributions of relational theory and
neuroscience research, and integrates a contemporary understanding
of somatization and defense. A 'must read' for every clinician in
training.--Joyce A. Slochower, PhD, Postdoctoral Program in
Psychotherapy and Psychoanalysis, New York University-This
essential text is highly useful to all practitioners of any
theoretical orientation….[McWilliams's] writing style is much like
she describes her therapy sessions….Her personal sharing gives the
text a soul and you feel you are with a warm and wise teacher….This
text [is] as enjoyable as it is enlightening….It goes into great
detail about personality organization, defensive functioning, and
character styles and describes how they impact
treatment.--DIVISION/Review, 4/1/2013ƒƒWith humor, warmth, and
enthusiasm, Dr. McWilliams instills confidence while making the
book a delectable read. There is no doubt that the goal of
'enhancing practice' has been achieved. This book is highly
recommended to any clinician-in-training as a foundation for
psychoanalytic thinking and also to any practicing therapist as a
well-structured and comprehensive resource....This book will be a
rich addition to learning about psychoanalytic diagnosis (and
psychoanalytic concepts) for any younger mental health professional
who is seriously interested in depth psychology. It will also be a
valuable tool for more experienced clinicians and educators who
would like assistance in translating fairly complex concepts into
language that can be appreciated by learners of a variety of
different levels of sophistication and disciplinary
backgrounds.--Journal of Clinical Psychiatry, 10/1/2012ƒƒIf a
'charming textbook' seems like an oxymoron, then welcome to Nancy
McWilliams's Psychoanalytic Diagnosis. Her book is just such a
wonder....McWilliams has succeeded in producing a book for initial
learning that will remain on her readers' desks as a frequently
thumbed manual. (on the first edition)--Psychoanalytic Books,
7/16/2011ƒƒThanks to McWilliams's excellent book, those of us who
teach or supervise can at last offer our students and supervisees a
comprehensive, exceptionally well-organized text on diagnosis,
grounded in evolving psychoanalytic theory and focused on linking
diagnosis to the appropriate therapeutic response....Experienced
therapists will enjoy a thorough 'refresher' course while also
absorbing new ideas, and less experienced clinicians will gain a
solid structural foundation and essential guidelines for their
clinical work. (on the first edition)--Contemporary Psychology,
7/16/2011
This is a book for all clinicians who aspire to understand their
clients deeply and help them live more richly and authentically.
McWilliams synthesizes a century of cumulative clinical wisdom and
offers it in a form that is accessible and useful to clinicians of
any theoretical persuasion. The first edition of Psychoanalytic
Diagnosis was an instant classic; the second edition is
exceptionally lucid and masterful. This is McWilliams, master
clinician and teacher, at her very best.--Jonathan Shedler, PhD,
Department of Psychiatry, University of Colorado School of
Medicine
In revising Psychoanalytic Diagnosis, McWilliams has surpassed
herself. The original--deservedly regarded as a classic--was an
integrative tour de force; the second edition is even better.
Informed by current advances in neuroscience and infant research,
and reshaped in light of the 'relational turn' in contemporary
psychoanalysis, this book distills a vast literature on
development, psychopathology, and therapy into an extraordinarily
useful map of the clinical terrain. It is at once an indispensable
resource for beginning therapists, a valuable teaching tool, and a
comprehensive reference for seasoned clinicians.--David J. Wallin,
PhD, private practice, Mill Valley and Albany, California
In this accessible and impassioned book, McWilliams provides
organizing principles to help us understand psychopathology without
oversimplifying or evading the difficult questions raised by
diagnosis. Reading McWilliams's book will make you feel like you
know her. Her extraordinary humanity, wisdom, deep sense of ethics,
and steady concern for her patients are evident throughout. The
second edition includes an updated presentation of attachment
theory, addresses the contributions of relational theory and
neuroscience research, and integrates a contemporary understanding
of somatization and defense. A 'must read' for every clinician in
training.--Joyce A. Slochower, PhD, Postdoctoral Program in
Psychotherapy and Psychoanalysis, New York University-This
essential text is highly useful to all practitioners of any
theoretical orientation….[McWilliams's] writing style is much
like she describes her therapy sessions….Her personal sharing
gives the text a soul and you feel you are with a warm and wise
teacher….This text [is] as enjoyable as it is enlightening….It
goes into great detail about personality organization, defensive
functioning, and character styles and describes how they impact
treatment.--DIVISION/Review, 4/1/2013Æ’Æ’With humor, warmth, and
enthusiasm, Dr. McWilliams instills confidence while making the
book a delectable read. There is no doubt that the goal of
'enhancing practice' has been achieved. This book is highly
recommended to any clinician-in-training as a foundation for
psychoanalytic thinking and also to any practicing therapist as a
well-structured and comprehensive resource....This book will be a
rich addition to learning about psychoanalytic diagnosis (and
psychoanalytic concepts) for any younger mental health professional
who is seriously interested in depth psychology. It will also be a
valuable tool for more experienced clinicians and educators who
would like assistance in translating fairly complex concepts into
language that can be appreciated by learners of a variety of
different levels of sophistication and disciplinary
backgrounds.--Journal of Clinical Psychiatry, 10/1/2012Æ’Æ’If a
'charming textbook' seems like an oxymoron, then welcome to Nancy
McWilliams's Psychoanalytic Diagnosis. Her book is just such a
wonder....McWilliams has succeeded in producing a book for initial
learning that will remain on her readers' desks as a frequently
thumbed manual. (on the first edition)--Psychoanalytic Books,
7/16/2011Æ’Æ’Thanks to McWilliams's excellent book, those of us who
teach or supervise can at last offer our students and supervisees a
comprehensive, exceptionally well-organized text on diagnosis,
grounded in evolving psychoanalytic theory and focused on linking
diagnosis to the appropriate therapeutic response....Experienced
therapists will enjoy a thorough 'refresher' course while also
absorbing new ideas, and less experienced clinicians will gain a
solid structural foundation and essential guidelines for their
clinical work. (on the first edition)--Contemporary Psychology,
7/16/2011
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