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Psychoanalytic Diagnosis


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Table of Contents

IntroductionI. Conceptual Issues1. Why Diagnose?2. Psychoanalytic Character Diagnosis3. Developmental Levels of Personality Organization4. Implications of Developmental Levels of Organization5. Primary Defensive Processes6. Secondary Defensive ProcessesII. Types of Character Organization7. Psychopathic (Antisocial) Personalities8. Narcissistic Personalities9. Schizoid Personalities10. Paranoid Personalities11. Depressive and Manic Personalities12. Masochistic (Self-Defeating) Personalities13. Obsessive and Compulsive Personalities14. Hysterical (Histrionic) Personalities15. Dissociative PsychologiesAppendix. Suggested Diagnostic Interview Format

About the Author

Nancy McWilliams, PhD, Graduate School of Applied and Professional Psychology, Rutgers, The State University of New Jersey, USA


"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, in private practice, Mill Valley and Albany, California, USA "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, University of Colorado School of Medicine, USA "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, New York University, USA

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