Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
Tip: To quickly return to the issue’s Table of Contents from an article…

PEP-Web Tip of the Day

You can go back to to the issue’s Table of Contents in one click by clicking on the article title in the article view. What’s more, it will take you to the specific place in the TOC where the article appears.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Bornstein, R.F. (2015). From Surface to Depth: Toward a More Psychodynamically Informed DSM-6. Psychoanal. Inq., 35S(Supplement):45-59.

(2015). Psychoanalytic Inquiry, 35S(Supplement):45-59

Diagnosis and Assessment

From Surface to Depth: Toward a More Psychodynamically Informed DSM-6

Robert F. Bornstein, Ph.D.

Although early editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM; Alliance of Psychoanalytic Organizations, 2006) incorporated a broad array of psychodynamic concepts, the influence of psychoanalysis in the DSM series has waned with each successive revision. The depsychoanalyzing of the DSM had a number of negative effects (e.g., increased syndrome comorbidity, diminished clinical utility). This article discusses how psychoanalytic concepts—once central but now marginalized—have much to contribute to DSM-6. I examine several ways in which a psychodynamic perspective can enhance the diagnostic manual, and challenges that may arise when psychodynamic concepts are reintroduced. I then present a psychodynamically informed framework for diagnosis in DSM-6 and beyond, which incorporates information in 4 domains: (a) overall level of functioning, (b) symptoms and syndromes, (c) underlying dynamics (i.e., ego strength, defense style, object relations), and (d) contextualizing factors (i.e., culture, stress, resilience and adaptation). I note how key constructs can be operationalized by clinicians and clinical researchers, and how dynamic assessment data can be integrated with descriptive, symptom focused information to enhance diagnosis and facilitate treatment planning.

[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

Copyright © 2020, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.