Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: To save articles in ePub format for your eBook reader…

PEP-Web Tip of the Day

To save an article in ePub format, look for the ePub reader icon above all articles for logged in users, and click it to quickly save the article, which is automatically downloaded to your computer or device. (There may be times when due to font sizes and other original formatting, the page may overflow onto a second page.).

You can also easily save to PDF format, a journal like printed format.

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

Patriarca, E. Brusadelli, E. Grenyer, B.F. (2021). A Bridge between Person-Based versus Symptom-Based Nosology: A Clinical Case Study Using the Psychodiagnostic Chart-2. Psychoanal. Psychol., 38(1):31-38.

(2021). Psychoanalytic Psychology, 38(1):31-38

Assessment

A Bridge between Person-Based versus Symptom-Based Nosology: A Clinical Case Study Using the Psychodiagnostic Chart-2

Eleonora Patriarca, MPSYC, Emanuela Brusadelli, Ph.D. and Brin F. S. Grenyer, Ph.D.

The Psychodynamic Diagnostic Manual—Second Edition (PDM-2) stresses the importance of the integration between a descriptive and functional understanding of clinical phenomena in order to enhance a person-based nosology. The present article aims to discuss a clinical case of a patient suffering from generalized anxiety disorder, currently considered a controversial diagnosis, in order to illustrate some of the complexities and advantages of the PDM-2 model in the psychodiagnostic description, case formulation, and treatment planning. To do so, we applied the Psychodiagnostic Chart—Second Edition (PDC-2) to an Adult Attachment Interview (AAI) transcript, and, to the best of our knowledge, this is the first study that pursued this goal. As a clinical-research method, the AAI represents a useful tool in order to explore patients' mental states and internalized object relations, crucial aspects in personality organization. Furthermore, the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) Axis I Disorders and Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) were used in order to code the S-Axis. Symptoms were discussed in light of the other PDC-2 sections. Results demonstrated how the PDC-2 can add further crucial information to what symptoms-based assessment tools already provide. Despite there being no SCID-II personality disorders recorded, finer-grained analysis from the PDC-2 method showed an underlying borderline personality organization with highly relevant consequences on treatment planning. Indeed, this fundamental tool allows us to reflect on a wider range of patient's issues that need to be addressed in treatment. For this reason, we stress the importance of PDC-2 as a useful instrument in clinical assessment that could also provide a helpful dialogue frame for scholars with different theoretical backgrounds.

[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 © 2021, 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.