Contemporary perspectives on psychodynamic diagnosis

Author/s Vittorio Lingiardi, Annalisa Tanzilli
Publishing Year 2011 Issue 2011/3 Language Italian
Pages 23 P. 9-31 File size 696 KB
DOI 10.3280/RPR2011-003002
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The most widely used diagnostic classification manuals such as the International Classification of Diseases (ICD; see World Health Organization, WHO, 1992) and the Diagnostic and Statistical Manual of Mental Disorders (DSM; see American Psychiatric Association, APA, 2000), in their various editions, are based on a descriptive, atheoretic and substantially symptom-behavior oriented approach to psychopathology. This approach aroused various reactions in psychodynamic clinicians: disinterest, dissatisfaction, distrust, or even rejection. The appearance of assessment procedures and psychodynamic diagnostic manuals, well grounded in empirical research [such as the Shedler-Westen Assessment Procedure-200 (SWAP-200; Westen, Shedler, 1999a, b; Westen, Shedler, Lingiardi, 2003) and the Psychodynamic Diagnostic Manual (PDM; PDM Task Force, 2006), promoted a "cultural revolution" in the community of mental health professionals, emphasizing an approach to diagnosis closer to clinical practice and more consistent with psychotherapeutic interventions. There, diagnosis is not only a label, but also an evaluation process that links symptoms to personality context and leads to patient-tailored treatments.

Keywords: Psychodinamic diagnosis, psycopathology, SWAP, PDM, DSM

Vittorio Lingiardi, Annalisa Tanzilli, La diagnosi psicodinamica in un’ottica contemporanea in "RICERCA PSICOANALITICA" 3/2011, pp 9-31, DOI: 10.3280/RPR2011-003002