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    Psychoanalytic Diagnoses Chart Summary

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    Adriana Bogdanovska Toskic
    This document provides an overview of psychoanalytic personality diagnosis (PPD), outlining various personality styles, their core features, experiences of self and others, transference patterns, and treatment implications. PPD assesses personality on two levels: style and developmental level of organization. Some key differences between PPD and the DSM include PPD always assessing personality style regardless of Axis I or II diagnoses, viewing borderline conditions as a developmental level rather than a type of personality disorder, and not precluding consideration of personality in psychosis as the DSM does.

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    Psychoanalytic Diagnoses Chart Summary

    Uploaded by

    Adriana Bogdanovska Toskic
    567 views1 page
    This document provides an overview of psychoanalytic personality diagnosis (PPD), outlining various personality styles, their core features, experiences of self and others, transference patterns, and treatment implications. PPD assesses personality on two levels: style and developmental level of organization. Some key differences between PPD and the DSM include PPD always assessing personality style regardless of Axis I or II diagnoses, viewing borderline conditions as a developmental level rather than a type of personality disorder, and not precluding consideration of personality in psychosis as the DSM does.

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    This document provides an overview of psychoanalytic personality diagnosis (PPD), outlining various personality styles, their core features, experiences of self and others, transference patterns, and treatment implications. PPD assesses personality on two levels: style and developmental level of organization. Some key differences between PPD and the DSM include PPD always assessing personality style regardless of Axis I or II diagnoses, viewing borderline conditions as a developmental level rather than a type of personality disorder, and not precluding consideration of personality in psychosis as the DSM does.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    567 views1 page

    Psychoanalytic Diagnoses Chart Summary

    Uploaded by

    Adriana Bogdanovska Toskic
    This document provides an overview of psychoanalytic personality diagnosis (PPD), outlining various personality styles, their core features, experiences of self and others, transference patterns, and treatment implications. PPD assesses personality on two levels: style and developmental level of organization. Some key differences between PPD and the DSM include PPD always assessing personality style regardless of Axis I or II diagnoses, viewing borderline conditions as a developmental level rather than a type of personality disorder, and not precluding consideration of personality in psychosis as the DSM does.

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    © All Rights Reserved
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    of 1

    Overview of Psychoanalytic Personality Diagnosis (PPD) (www.jacobsmallphd.

    com) (rev 6/16/08)


    Style Core Organizational Features of P Style Conscious and Unconscious Affects Core Defenses
    Depressive loss, sadness, negative self, introjection Cs sadness, guilt; Uncs anger, sadness introjection, idealizes objects, devalues self
    Hypomanic avoidance of severe depressive experience Cs social, energetic; Uncs guilt, deeply sad avoid depressive xp (denial, minimization, humor)
    Masochistic association of attachment and pain Cs sadness, moral rectitude; Uncs anger victimization, moralization; introjection
    Obsessive values thought over feeling; rigidity, control Cs anxious, guilt; Uncs shame, anger isolation (intellectual-, rational-, moralization)
    Compulsive wish that action will master/rid self of feelings Cs anxious, guilt, out of control; Uncs anger Obsessive isolation defenses + undoing, acting out
    Narcissistic grandiosity split from empty depletion Cs grandiose; Uncs shame, weak, vulnerable idealization/devaluation, minimization, denial
    Sociopathic Conscienceless victimizer; destroys weaknss Cs unbounded power; Uncs powerless, envy omnipotent control, denial, dissociation, acting out
    Hysterical sex- and anger-avoidant, stereotyped F Cs jovial, sensitive;Uncs anger, anxious, envy regression, repression, acting out, sexualization
    Paranoid Distrust; hreat consumed; projection Cs suspicious, angry; Uncs intrusion fear, need projection, denial, displacement
    Schizoid turn away from people and toward fantasy Cs detachment; Uncs object hunger withdrawal to fantasy, regression, detachment

    Style Core Experiences of Self and Others Typical Themes in Object Relations Typical Transferences to Therapist
    Depressive defective, unworthy, unlovable critical, hostile; selflessness; signif. loss xp idealized figure/critical, punishing parent
    Hypomanic must not show self or others sadness similar to depressive; hx of traumatic loss inquiry threatens depress avoidance,urge to flee
    Masochistic depressive with hope' of love thru suffering neglected but attended to when in pain must prove victimhood to get love/moral outrage
    Obsessive anger, shame, humiliation, powerless intense criticism; rigidity; control; humiliation xp Cs compliance; Uncs rigid undermining of tmt
    Compulsive anxious; loss of control of ego dystonic bx (similar to obsessive); emphasis on right/wrong Cs compliance; behavioral undermining of tmt
    Narcissistic grandiose/powerful vs. injury, empty, shame love' for what pt provides, not who they are grandiose devalution, masking vulnerability/rage
    Sociopathic power/sadism avoiding weakness, envy all-powerful sadist vs weak, helpless victim con (power) or be conned by tpist
    Hysterical anxious, powerless, resentful, overstimulated exciting, feared oppos-sex/same-sex competes desired but feared; overstimulated; seductive
    Paranoid suspicious, angry, fearful of intrusion threat/danger, intrusion xps, boundary loss suspicion; anger; expects persecution, betrayal
    Schizoid seemingly content detached; 'inhuman' engulfing/neglectful xps result in psychic retreat detached curiosity; engulfment fear

    Style Typical Countertranferences to Pt. Treatment Implications Treatment Implications 2


    Depressive protective; rescue fantasy; depressive ID don't support ego, attack superego Primacy of loss, unexpressed anger
    Hypomanic charmed; collusion; fearful of pt fleeing tmt anticipate desire flee in psychotherapy contract gently encourage approaching depressive core
    Masochistic excessive self sacrifice; anger and sadism anger and agency; separate feeling/principle de-associate attachment and pain, 'no rachmones'
    Obsessive exasperation; power struggle; frustration feelings are not useless or irrational but human owning choices, uncertainty, power
    Compulsive (same) with pull to overfunction, control pt. difficult emotions symbolized, not enacted being' over 'doing;' acknowledge ambivalence
    Narcissistic loss of clinician ID; rage; fear wounding pt. identify and repair ruptures, challenge grandiosity development of a cohesive identity
    Sociopathic fear of exploitation; countersadism Incorruptable stance, focus on bx. consequences develop conscience, nonexploitative relating
    Hysterical overfunction; infantilize; disdain; seduced interpret Uncs conflict, normalize aggression power is possible w/o feminine seterotype
    Paranoid attacked, misinterpreted; wish to prove trust build trust, gently address delusions overapplied mistrust may not always apply
    Schizoid counterdetachment, pt a lab specimen negotiate conflict between need/fear of others increasing sense of safety of dependency needs

    Analytic diagnosis involves 2 levels: 1. 'style' and 2. developmental level of organization: Neurotic: defensive rigidity (DR); Borderline: DR, disturbed
    object relations (DOR); identity diffusion (ID), and reactive reality testing impairment (RTI), and Psychotic: DR, DOR, ID, and pervasive RTI.
    Core Incompatibilties between PPD and DSM: 1. Personality 'style' is always assessed, regardless of Axis I or II DSM diagnosis..
    2.Borderline conditions are not considered a type of PD but developmental level of intrapsychic structure; as evidenced by very high comorbity w other PDs
    3. Psychosis does not preclude considering personality like in the DSM: example DSM Paranoid Schizophrenia vs. a psychotic level paranoid personality

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