Synopses & Reviews
An excellent introduction for students of psychoanalytic diagnostic thinking, this book clearly explicates the major clinically important character types and suggests how an appreciation of the patients's individual personality structure should influence the therapist's focus and style of intervention. Eschewing the dense jargon that often discourages beginning therapists, the book is engagingly written and includes numerous vignettes that bring concepts to life. Psychoanalytic Diagnosis will be of interest to psychotherapists, psychologists, and clinical therapists. It is ideal for beginning therapists and students of psychotherapy and psychology.
Review
"Books by Nancy McWilliams used in unison make the best psychodynamic resources I have yet encountered in more than 60 years in the field."--Robert C. Lane, PhD, Department of Psychology, Nova Southeastern University
"The aim of Nancy McWilliams's excellent (and I believe essential) book is twofold: first, to present a psychoanalytically oriented view of individual differences in personality structure and then, secondly, to show how these differences can be clinically and therapeutically useful....Stylistically, the writing is clear and simple and jargon is, for the most part, avoided. The case examples and anecdotes, especially those illustrating the different personality types, are well-chosen and illuminating." --Scott Miller, Ph.D. in New Jersey Psychologist
"A successful attempt to bring together the many strands of contemporary psychoanalytic investigation of the nature and psychotherapeutic treatment of character pathology. Readable and informative, this book moves easily from one theoretical frame to another according to the usefulness of each frame for understanding a specific aspect of the character pathology....The result is a book that should be helpful to the psychoanalytically oriented psychotherapist of personality disorders as well as to the clinician in carrying out the differential diagnosis of these conditions....The thoughtful references, at crucial points, to literature that permits the reader to deepen his or her understanding in this field enriches and broadens the perspective opened by this excellent primer." --Otto F. Kernberg, M.D.
"Comprehensible and readable--lends itself to graduate studies." --Cathleen Adams, Ph.D., New School for Social Research, Graduate Psychology
"This is a clear, superbly written text. The author consistently develops the treatment implications of diagnostic statements." --Virginia Brabender, Ph.D., ABPP-Cl
"This book is so well written, and with such subtlety, sensitivity, and clarity, it gave me goosebumps to read it." --Garry Walls, Ph.D., Illinois School of Professional Psychology, Chicago IL; Course: Psychopathology I
"Psychoanalytic Diagnosis is a highly readable approach to character pathology that combines theoretical sophistication with clinical wisdom. Nancy Williams is an experienced, empathic, and intelligent therapist who succeeds in making clinical material come alive through her perceptiveness and her skill in writing. It isn't often that diagnosis is linked in a meaningful way to treatment, and McWilliams' schema allows this to happen. In addition, she shows an appreciation of all of the approaches to psychoanalytic theory without succumbing to a doctrinaire formulation. The integration that is achieved is an accomplishment in its own right, and students at all levels of training should benefit from this lucid presentation."
--George Stricker, Ph.D., Distinguished Research Professor, Adelphi University
"Finally, a current, lucid, and comprehensive psychoanalytic text on psychology. It takes into account all of the most recent developments in psychoanalytic thinking. It is an ideal text for serious students of psychoanalytic approaches to psychopathology." --Jonathan H. Slavin, Ph.D., Director, Counseling Center, Tufts University
"A superb, highly readable work on the understanding of character patterns in clinical practice....PSYCHOANALYTIC DIAGNOSIS will be of immense value to all students undertaking training in the psychodynamic tradition. Because this book is so broadly integrative in scope and so rich in clinical understanding, it will be of great interest to students and practitioners of other theoretical persuasions as well." --George E. Atwood, Ph.D.
"For the students of therapy, for the young practitioner, for those interested in a diagnostic model for the initial stage of analytic therapy, I recommend this book. The prose is lucid, lively, and very readable. The author demonstrates refreshing candor about therapeutic work, empathy toward patients, as well as invaluable knowledge and insights gleaned from the clinical setting. McWilliams writes about complex constructs in psychoanalytic theory in a clear and comprehensive way...." --Doris K. Silverman, Ph.D.
"This is diagnosis, not as labeling, but as making distinctions with consequences for treatment....This book sensitizes the therapist to differences that make a difference, and provides a conceptual bridge for using psychoanalytic knowledge to greatly increase the effectiveness even of brief psychotherapy, as well as longer-term treatments." --Bertram P. Karon, Ph.D.
"There has been a great need for a comprehensive book to address the relationships between character and therapy. McWilliams not only succeeds in writing a scholarly text, but brings each character type to life with clinical vignettes which make this a real page-turner. It offers a foundation to the beginner, and the more experienced psychotherapist will come away with a deeper understanding of people and the therapeutic process. I think it is destined to become a classic in psychotherapy literature." --Jean Ciardiello, Ed.D.
Review
"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 Medicine
"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
Review
"If a 'charming textbook' seems like an oxymoron, then welcome to Nancy McWilliams's Psychoanalytic Diagnosis. Her book is just such a wonder....McWilliams has succeeded in producing a book for initial learning that will remain on her readers' desks as a frequently thumbed manual."--Psychoanalytic Books
Review
"Thanks to McWilliams's excellent book, those of us who teach or supervise can at last offer our students and supervisees a comprehensive, exceptionally well-organized text on diagnosis, grounded in evolving psychoanalytic theory and focused on linking diagnosis to the appropriate therapeutic response....Experienced therapists will enjoy a thorough 'refresher' course while also absorbing new ideas, and less experienced clinicians will gain a solid structural foundation and essential guidelines for their clinical work."--Contemporary Psychology
Review
"With humor, warmth, and enthusiasm, Dr. McWilliams instills confidence while making the book a delectable read. There is no doubt that the goal of 'enhancing practice' has been achieved. This book is highly recommended to any clinician-in-training as a foundation for psychoanalytic thinking and also to any practicing therapist as a well-structured and comprehensive resource....This book will be a rich addition to learning about psychoanalytic diagnosis (and psychoanalytic concepts) for any younger mental health professional who is seriously interested in depth psychology. It will also be a valuable tool for more experienced clinicians and educators who would like assistance in translating fairly complex concepts into language in a framework that can be appreciated by learners of a variety of different levels of sophistication and disciplinary backgrounds."--Journal of Clinical Psychiatry
Synopsis
This is the first text to come along in many years that makes psychoanalytic personality theory and its implications for practice accessible to beginning practitioners. The last book of its kind, which was published more than 20 years ago, predated the development of such significant concepts as borderline syndromes, narcissistic pathology, dissociative disorders and self-defeating personality.
Contemporary students often react with bewilderment to the language of pioneering analysts like Reich and Fenichel and, since 1980, the various volumes of the Diagnostic and Statistical Manual of Mental Disorders (DSM) have reflected an empirical-descriptive orientation that deliberately eschews psychodynamic assumptions. Consequently, today's therapist in training may have little exposure to the rich clinical and theoretical history behind each disorder mentioned in DSM; to psychoanalytic expertise with widely recognized character patterns not mentioned in DSM, such as depressive and hypomanic psychologies, high-functioning schizoid personalities, and hysterical personalities; or to a comprehensive, theoretically sophisticated rationale that links assessment to treatment.
Filling the need for a text that clearly lays out the conceptual heritage that psychoanalytic practitioners take for granted, this important new volume explicates the major clinically important character types and suggests how an appreciation of the patients' individual personality structure should influence the therapist's focus and style of intervention. Dispensing with the dense jargon that often discourages people from learning, Nancy McWilliams writes in a lucid, personal manner that demystifies psychodynamic theory and practice. Innumerable clinical vignettes are presented with humor, candor, and compassion, bringing abstract concepts to life.
Comprehensive in scope, Psychoanalytic Diagnosis will be valued by seasoned clinicians and students alike. Psychodynamically oriented readers will find it an excellent introduction to psychoanalytic diagnostic thinking. For those identified with other approaches, it will foster psychoanalytic literacy, providing them with the capacity to better understand the approaches of their analytically oriented colleagues.
Synopsis
This acclaimed clinical guide and widely adopted text has filled a key need in the field since its original publication. Nancy McWilliams makes psychoanalytic personality theory and its implications for practice accessible to practitioners of all levels of experience. She explains major character types and demonstrates specific ways that understanding the patient's individual personality structure can influence the therapist's focus and style of intervention. Guidelines are provided for developing a systematic yet flexible diagnostic formulation and using it to inform treatment. Highly readable, the book features a wealth of illustrative clinical examples. New to This Edition *Reflects the ongoing development of the author's approach over nearly two decades. *Incorporates important advances in attachment theory, neuroscience, and the study of trauma. *Coverage of the contemporary relational movement in psychoanalysis.
Winner--Canadian Psychological Association's Goethe Award for Psychoanalytic and Psychodynamic Scholarship
Description
Includes bibliographical references (p. 353-380) and indexes.
About the Author
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. McWilliamss 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.
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