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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

18 reviews for Psychoanalytic Diagnosis: Understanding Personality Structure in the Clinical Process

  1. David Cottrell, Author of Monday Morning Leadership
    (18)
    October 15, 2024
    Ask better questions to improve results
    Asking effective questions is one of the most important qualities of positive leadership. In Leading with Questions, Bob Tiede and Michael Marquardt ...More
    Asking effective questions is one of the most important qualities of positive leadership. In Leading with Questions, Bob Tiede and Michael Marquardt reveal how great leaders ask great questions to improve engagement and job satisfaction.

    The simple statement of "I dont know. What do you think?" is a leader's model demonstrating humility and compassion, two keys to positive long term results. This book provides information and techniques for you to ask better questions at the right time and achieve greater results.
    Helpful? 0 0
    Doug
    (18)
    September 15, 2024
    Great Lessons for Leaders
    What an amazing book! I have always believed that you can learn so much more from listening than you can from speaking. This book takes that concept...More
    What an amazing book! I have always believed that you can learn so much more from listening than you can from speaking. This book takes that concept and helps leaders (and everyone for that matter) create situations that benefit both parties in a conversation, by asking thought-provoking questions and receiving insightful answers. This is a must-read for business professionals at all levels.
    Helpful? 0 0
    Kathy Anthony
    (18)
    September 8, 2024
    I built a successful coaching business based on Bob Tiede’s teachings.
    Once I learned that most answers are found in the perfect question, I understood the true value of coaching. Our role is not to be the smartest person...More
    Once I learned that most answers are found in the perfect question, I understood the true value of coaching. Our role is not to be the smartest person in the room; but the one who asks the most powerful questions. Thank you for giving me the gift of knowledge.
    Helpful? 0 0
    Amzntyrant
    (18)
    March 18, 2024
    Essential for students if depth psychology
    This book offers practical application of cutting edge diagnostic methods in depth psychology. It takes diagnostic approaches back from the hands of ...More
    This book offers practical application of cutting edge diagnostic methods in depth psychology. It takes diagnostic approaches back from the hands of those who prefer the medical model and returns it to counselors and therapists treating the psyche and soul of people.
    Helpful? 0 0
    Nathan
    (18)
    August 28, 2023
    Love McWilliams
    Such a clear introduction to psychoanalytic thought.
    Helpful? 0 0
    Virginia
    (18)
    June 14, 2023
    Extremely informative
    Excellent overview of personality types, mostly focused on the pathologies associated with them. The introduction is an invaluable guide to key strain...More
    Excellent overview of personality types, mostly focused on the pathologies associated with them. The introduction is an invaluable guide to key strains of psychoanalytic thought. The book is a bit academic, yes, but this is to some extent necessary to explain the subject matter in precise terms. It's written for therapists, but I'd recommend it to anyone who has done read some pop psychology and wants to go deeper.
    Helpful? 2 0
    Christine
    (18)
    November 24, 2019
    State of the art
    Nancy’s books define the field as her writing is superb in terms of being clear about sophisticated theory!
    Helpful? 0 0
    TJBII
    (18)
    September 19, 2019
    Excellent
    I had the privilege of using this outstanding textbook in grad school. My professor expressed that there were two "go to" texts for him, one was McWil...More
    I had the privilege of using this outstanding textbook in grad school. My professor expressed that there were two "go to" texts for him, one was McWilliams' "Psychoanalytic Diagnosis, Second Edition: Understanding Personality Structure in the Clinical Process" and the other was McKinnon's "The Psychiatric Interview in clinical practice". Both superb texts, but obviously very different writing styles. Nonetheless a must for any clinician.
    Helpful? 0 0
    kyra
    (18)
    July 21, 2019
    Must have as a clinician!
    Must read for any clinician. Very well written, albeit dense. Clear, concise explanations of personality structures and types. Incredibly helpful to ...More
    Must read for any clinician. Very well written, albeit dense. Clear, concise explanations of personality structures and types. Incredibly helpful to use in practice.
    Helpful? 0 0
    Turbomom
    (18)
    January 27, 2019
    Best general discussion of personality disorders
    Nancy McWilliams writes as a thoughtful, experienced, and well-read psychoanalytic theorist. Whether or not you are interested in psychoanalytic thou...More
    Nancy McWilliams writes as a thoughtful, experienced, and well-read psychoanalytic theorist. Whether or not you are interested in psychoanalytic thought, this text is a highly readable, practical and well-considered overview of personality disorders in clinical practice, as well as underlying theoretical ideas. The writing is enjoyable, with warmth and compassion consistently evident
    Helpful? 0 0
    Chris Dostie
    (18)
    July 25, 2018
    Lots of value in this
    I'm fairly new to the field and have been reading books like crazy. This book is fantastic with helping to understand and zero in on the details of ps...More
    I'm fairly new to the field and have been reading books like crazy. This book is fantastic with helping to understand and zero in on the details of psychotherapy. It's fairly easy to read and understand and really helped me to learn more about myself as well as others. This book is chalk full of great information for anyone working in the mental health field.
    Helpful? 6 0
    Lisa B.
    (18)
    January 22, 2018
    Great read!
    This was my favorite text last semester. I absolutely loved this book. It gives a very thorough understanding of personality disorders and what causes...More
    This was my favorite text last semester. I absolutely loved this book. It gives a very thorough understanding of personality disorders and what causes some people to behave the way that they do. You would have a much better understanding of the personality disorders and how to counsel certain groups of people as opposed to others. I love how the book gives information on what to look for in certain personality types and then how to counsel certain personality types and what might work and what might not work. It gives a much more in depth understanding of the different personality disorders than the DSM.
    Helpful? 11 0
    Asli B-K
    (18)
    January 28, 2016
    A must for any student/clinician or interested person!
    Nancy cant do no wrong. The book reads itself so well that I actually enjoyed it even though it was part of required reading in my doctoral program. H...More
    Nancy cant do no wrong. The book reads itself so well that I actually enjoyed it even though it was part of required reading in my doctoral program. Honestly, I love her. Her writing is so clear and precise and often humorous that even though the material is not exactly funny the book is still a very enjoyable read.
    Helpful? 5 0
    Paul V. KATCHALOV
    (18)
    August 11, 2015
    Excellent Guidelines On Psychodynamic Psychiatry Teaching. To Be Used By The Future Psychiatrists And By Their Teachers.
    I do not know in any language another such audacious and successful attempt to reconcile the requirements of up-to-date psychiatric curricula with con...More
    I do not know in any language another such audacious and successful attempt to reconcile the requirements of up-to-date psychiatric curricula with continuing tradition of psychodynamic training for psychiatric interns and residents. And this book would be equally precious gift as well as for psychiatric interns and residents as for their psychiatric teachers. Even for the teacher from somewhat different than the author, psychiatric and psychoanalytical traditions, it would be not at all difficult to add their specific vistas among these guidelines. Especially, as the author herself is generous enough to finish her every chapter with "suggestions for further reading".
    Helpful? 7 0
    Rev Diva
    (18)
    August 2, 2015
    Insightful book on a scholars level
    A hard read at first although Very informative.
    Helpful? 0 0
    Tim Norton
    (18)
    October 23, 2013
    Best. Book. Ever.
    Not only is it practically a meta-analysis of psychoanalytic literature from her thorough assimilation of all the best books of all time - it reads we...More
    Not only is it practically a meta-analysis of psychoanalytic literature from her thorough assimilation of all the best books of all time - it reads well! Ever try to read Kernberg, or Kohut? - absolute tedium, but McWilliams makes extremely complex concepts palatable, illustrates them with client stories, and reminds you why everyone needs a foundation in these concepts when trying to understand clients.
    Note: It's dense, be prepared to read it many times over.
    Helpful? 6 0
    William Duff
    (18)
    August 2, 2012
    Psychoanalystic Diagnosis by Dr. McWilliams
    I am thoroughly enjoying this book that I am studying for a doctoral course in clinical psychology. Dr. McWilliams begins by explaining why analysts o...More
    I am thoroughly enjoying this book that I am studying for a doctoral course in clinical psychology. Dr. McWilliams begins by explaining why analysts or clinicians diagnosis and then proceeds to developmental levels of personality organization. She writes descriptively and with clarity, which makes it easy to understand. She explains the fundamental Freudian principles well. She provides an understandable and clinical review of Object Relations and Ego Psychology, which is very helpful, then provides a comprehensive description of defenses, which I found fascinating. I am studying the last half of this book on the types of character organization and I know that I will be grateful for the knowledge she imparts to me as I have been from the beginning of the book.
    Helpful? 4 0
    alltatup
    (18)
    January 23, 2012
    Brilliant & Humane
    This is an excellent resource because Dr. McWilliams knows how to place diagnostics within a socio-cultural framework and can therefore provide a more...More
    This is an excellent resource because Dr. McWilliams knows how to place diagnostics within a socio-cultural framework and can therefore provide a more thorough and insightful analysis of personality disorders, those who diagnose them and those who suffer from them. She is not one of those clinicians who attempts to detach in a pseudo-scientific manner, but rather constantly reminds the reader of the DYNAMICS between therapist and patient.

    I have read various books on these issues, and some authors known as experts in the field (Kernberg, Millon) are tedious to read because of their jargon. They have much in common with the DSM which takes a "cold," clinical approach by listing symptoms. McWilliams provides a great deal of insight by contextualizing these issues; J. Reid Meloy is also excellent.

    Highly recommended: one of the most accessible, comprehensive and scholarly books I have read on the challenging and fascinating subject of personality disorders.
    Helpful? 7 0
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