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
Nancy McWilliams, PhD, ABPP, teaches in the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey, and has a private practice in Flemington, New Jersey. She is a former president of the Division of Psychoanalysis (39) of the American Psychological Association and is on the editorial board of Psychoanalytic Psychology. Dr. McWilliams's books have been translated into 14 languages, and she has lectured widely both nationally and internationally. She is a recipient of honors including the Rosalee Weiss Award for contributions to practice from the Division of Independent Practitioners of the American Psychological Association; Honorary Membership in the American Psychoanalytic Association; and the Robert S. Wallerstein Visiting Scholar Lectureship in Psychotherapy and Psychoanalysis at the University of California, San Francisco. A graduate of the National Psychological Association for Psychoanalysis, Dr. McWilliams is also affiliated with the Center for Psychoanalysis and Psychotherapy of New Jersey and the National Training Program of the National Institute for the Psychotherapies in New York City.
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
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