Introduction to the Special Issue on the Psychodynamic Diagnostic Manual, 2nd Edition (Pdm-2): The Pdm: Yesterday, Today, Tomorrow

Lingiardi, Vittorio; McWilliams, Nancy

doi:10.24234/miopap.v18i2.377

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…Namely, as with the basic personality traits on which they were based, the traits in AMPD are population-level constructs developed within and validated across large groups of people. This population-centered development of the AMPD traits contrasts with the person-centered approach of psychodynamically oriented diagnostic schemes such as the PDM (the recent revision to which offers an integrative expansion of the original PDM, as reviewed in a recent special issue of this journal; see Bornstein, 2018; Lingiardi & McWilliams, 2018; McWilliams, Grenyer, & Shedler, 2018) and assessment instruments such as the SWAP (Shedler & Westen, 1998). In addition to research integrating the AMPD within these and other models, future studies should also seek to take a person-centered approach to analyzing patterns of AMPD traits and examining how these patterns align with diagnoses in the PDM and patterns in the SWAP.…”

Section: Discussionmentioning

confidence: 99%

Psychodynamic underpinnings of the DSM–5 Alternative Model for Personality Disorder.

Yalch¹

2020

Psychoanalytic Psychology

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There has been much research in recent years on the Alternative Model for Personality Disorders (AMPD) in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013). Although this research has by and large validated the model from a psychometric perspective, it has sometimes been criticized by psychodynamically oriented researchers and clinicians for its (lack of) clinical utility and its disregard for the rich history and tradition of psychodynamic thought that formed the foundation for personality disorder research in the first place. These critiques have merit. However, there is much in DSM-5 AMPD that is not only consistent with the broad corpus of the psychodynamic tradition, but which may be useful to consider in psychodynamic research and clinical practice. In this article we review prominent (psychodynamic) critiques of the AMPD, consider the AMPD as a product of (and, thus, its dependency on) psychodynamic thought, and suggest how psychodynamically oriented researchers and clinicians might use the AMPD in their work in service of benefiting both the AMPD and psychodynamic thought more generally.

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Section: Discussionmentioning

confidence: 99%

Psychodynamic underpinnings of the DSM–5 Alternative Model for Personality Disorder.

Yalch¹

2020

Psychoanalytic Psychology

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“…A good diagnosis should reflect the clinical complexity of the borderline condition and promote the integration of a nomothetic understanding and the idiographic knowledge of the patient, which is essential for individual case formulation and effective treatment planning. It is not difficult to perceive some common ground between this phenomenology-based values and person-centered approach and the theoretical-clinical framework of the Psychodynamic Diagnostic Manual (PDM-2; Lingiardi & McWilliams, 2017) as both approaches emphasize the relevance of the patients' subjective experience (Lingiardi & McWilliams, 2018).…”

Section: Conclusion Limitations and Directions For Future Researchmentioning

confidence: 99%

Values in persons with borderline personality disorder: their relevance for the therapeutic interview

Mancini¹,

Stanghellini²

2020

ResPsy

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This is an explorative study on values of 25 patients affected by borderline personality disorder interviewed in a clinical setting (phenomenological-dynamic psychotherapy) and re-classified following Consensual Qualitative Research. We identified three main categories of values: recognition (the importance for attention, acknowledgment, commendation and acceptance by the other), authenticity (the importance of absolute emotional fusion with the other), and immediacy (the importance of instantaneous, hic et nunc satisfaction of one’s needs/desires). Each of these values expresses a kind of ‘logic’, namely the logic of intimacy (the other’s closeness as indispensable for defining oneself and establish/reinforce one’s selfhood and identity), spontaneity (over-reliance on feelings unrestricted by social norms undermining their intensity), and instantaneity (glorification of ‘now-moments’/execration of procrastination draining the vitality of feelings). The borderline person lives an emotional normativity constituted by the intensity of feelings under the spell of a frustrated normativity since they enter into a collision with the hypocrisy of common-sense ethical norms and social rules and conventions, as well as by potential conflicts with the feelings of the other. Acknowledging the values affirmed by borderline persons may help to better understand their condition - that is, to grasp ‘what it is like’ and make sense of the phenomena that affect them – and particularly to find a logic in their otherwise irrational and incomprehensible self-defeating behavior.

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“…The PDM-2 is the most sophisticated diagnostic system, which combines nomothetic and idiographic knowledge in a contemporary psychoanalytic perspective (Kernberg, 2018 ). Thanks to its person-centered perspective and its multidimensional approach, it is able to capture the overall functioning of patients in different age groups, providing useful indications on how to assess each of the functions and how to shape psychotherapeutic interventions (Lingiardi & McWilliams, 2018 ). Patients are grouped by age from Infancy and Early Childhood (0-3 years), Childhood (4-11 years), and Adolescence (12-18 years).…”

Section: Introductionmentioning

confidence: 99%

Advancement in the child attachment interview and the child and adolescent reflective functioning scale using a PDM-2 framework: case reports

Bizzi

Locati

Parolin

et al. 2022

RES PSYCHOTHER-PSYCH

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The Child Attachment Interview (CAI) is a well-established semi-structured interview, widely used to identify attachment representations in middle childhood and adolescence. The application of the Child and Adolescent Reflective Functioning Scale (CRFS) to CAI narratives allows for an assessment of child mentalization, considered a strong predictor of attachment security. The 2nd edition of the Psychodynamic Diagnostic Manual (PDM-2) includes CAI and CRFS as valid and reliable assessment measures in order to assess the dominion of the Mental Functioning axis. The aim of the present paper is to investigate the informative power of CAI and CRFS for the overall understanding of mental functioning and personality in a PDM-2 framework. The present report includes the discussion of two clinical cases of school-aged children in applying the Psychodiagnostic Chart-Second Edition (PDC-2) to the CAI transcript. The first case concerns a young male, aged 10, suffering from Oppositional-Provocative Disorder (externalizing disorder), while the second case concerns a young female, aged 15, suffering from Somatic Symptoms Disorder (internalizing disorder). PDC-2 for children and adolescents was used. Data from the scoring of CAI and CRFS were combined with a systematic evaluation of the qualitative contents emerging from CAI transcripts. A detailed analysis suggests that both the CAI and CRFS are useful attachment-oriented measures, able to explore child's mental states, and together with the application of PDC-2 they provide an essential contribution in the understanding of developmental psychopathology. Implications of this innovative approach for clinical assessment, treatment design, and interventions are further discussed.

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Introduction to the Special Issue on the Psychodynamic Diagnostic Manual, 2nd Edition (Pdm-2): The Pdm: Yesterday, Today, Tomorrow

Cited by 3 publications

References 18 publications

Psychodynamic underpinnings of the DSM–5 Alternative Model for Personality Disorder.

Psychodynamic underpinnings of the DSM–5 Alternative Model for Personality Disorder.

Values in persons with borderline personality disorder: their relevance for the therapeutic interview

Advancement in the child attachment interview and the child and adolescent reflective functioning scale using a PDM-2 framework: case reports

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