2024-01-22 Mon 13.50pm > [!-cf-]+ [[Related notes]] > - [[CP 630a - Psychological assessment with Matthew Bennett]], [[CP 543 - Depth psych theory and practice - psychoanalytic psychotherapy with Matthew Bennett]] > - [[Psychoanalytic theory]] > - [[Psychoanalytic defenses]] | Personality Structure | Essence | Desire | Fear | Defenses | Example Characters | | --------------------- | --------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------ | -------------------------------------------------------------------------- | | Psychopathic | Lack of empathy, guilt, or remorse; tendency towards exploitation and manipulation | Power, control, dominance, thrill-seeking | Vulnerability, weakness, being controlled or exposed | Denial, rationalization, grandiose sense of self, projection | Hannibal Lecter, Joker, Anton Chigurh, Dexter Morgan, Patrick Bateman | | Narcissistic | Grandiose sense of self-importance, need for admiration, lack of empathy | Admiration, validation, special treatment, success | Humiliation, shame, being seen as flawed or inferior | Idealization and devaluation, denial, projection, grandiosity | Tony Stark, Gaston, Miranda Priestly, Gilderoy Lockhart, Kate Sanders | | Schizoid | Profound detachment from social relationships, restricted range of emotional expression | Independence, self-sufficiency, privacy, freedom from obligations | Intimacy, engulfment, being overwhelmed by emotional needs | Withdrawal, intellectualization, fantasy, isolation | Sherlock Holmes, Dr. Manhattan, Lisbeth Salander, Mr. Darcy, Dexter Morgan | | Paranoid | Pervasive distrust and suspiciousness of others, fear of being exploited or harmed | Safety, security, loyalty, being right, exposing hidden threats | Betrayal, persecution, being deceived or harmed by others | Projection, denial, splitting, hypervigilance | Fox Mulder, Mad-Eye Moody, Dale Gribble, Piglet, Bree Van de Kamp | | Depressive | Feelings of worthlessness, guilt, despair | Love, acceptance, understanding, forgiveness, relief from suffering | Loss, abandonment, being a burden to others | Introjection, turning against the self, denial, self-criticism | Eeyore, Charlie Brown, Hamlet, Bojack Horseman, Katniss Everdeen | | Manic | Grandiosity, impulsivity, decreased need for sleep | Excitement, euphoria, admiration, freedom from constraints, invincibility | Depression, emptiness, worthlessness | Denial, grandiosity, omnipotence, idealization | Tigger, The Mask, Willy Wonka, Phoebe Buffay, Barney Stinson | | Masochistic | Tendency to seek out and endure suffering, often in the context of relationships | Love, acceptance, being cared for, being seen as good and loyal | Abandonment, asserting oneself, being unlovable | Turning against the self, moralization, undoing, self-sabotage | Severus Snape, Dobby, Theon Greyjoy, Anastasia Steele | | Obsessive | Preoccupation with order, control, perfection | Perfection, control, certainty, correctness, meeting high standards | Chaos, uncertainty, making mistakes, being criticized | Intellectualization, isolation of affect, undoing, rationalization | Monk, Sheldon Cooper, Monica Geller, Mary Poppins, Hermione Granger | | Compulsive | Need to act on one's impulses or desires | Gratification, excitement, relief from tension, freedom from restraint | Guilt, shame, being seen as "bad" or out of control | Acting out, rationalization, compartmentalization, undoing | Ariel, Rebecca Bunch, Quagmire, Karen Walker, Blanche Devereaux | | Hysterical | Pattern of excessive emotionality and attention-seeking behavior | Love, attention, excitement, validation, being seen as special and important | Being unloved, abandoned, ignored, being seen as uninteresting | Repression, dissociation, sexualization, dramatization | Scarlett O'Hara, Rachel Berry, Blanche DuBois, Effie Trinket, Elle Woods | | Dissociative | Disruption in normal integration of consciousness, memory, identity, perception, often in the context of trauma | Safety, escape from pain, numbness, detachment, creating an alternate reality | Remembering traumatic experiences, feeling the pain and terror associated with traumatic memories | Dissociation, depersonalization, derealization, amnesia | Elsa, Tyler Durden, James Cole, Sybil, Norman Bates | --- # [[Journal section]] ### 2024-04-01 Mon 17.31pm From [[Ref. Nancy McWilliams 2011 (og 1994) - Psychoanalytic Diagnosis 2nd ed]], the chapters are: 1. Psychopathic 2. Narcicisstic 3. Schizoid 4. Paranoid 5. Depressive and Manic 6. Masochistic 7. Obsessive and Compulsive 8. Hysterical (Histrionic) 9. Dissociative Claude, does she mean that depressive and maic are one type? and Obsessive and compulsive? Or are all those different types? Why does she group them? > [!ai]+ AI > > Based on the chapter titles you provided from Nancy McWilliams' book "Psychoanalytic Diagnosis, 2nd ed.", it appears that she groups certain personality structures together: > 1. Depressive and Manic: These are grouped together likely because they are both mood-related disorders. In psychoanalytic theory, depression and mania are often seen as two ends of a spectrum, with individuals oscillating between these states. The underlying personality structure may have similarities, even though the manifestations are different. > 2. Obsessive and Compulsive: These are grouped together because they share common features, such as a preoccupation with control, perfectionism, and rigidity. In psychoanalytic theory, obsessive-compulsive traits are thought to stem from a similar underlying personality structure, with variations in how these traits manifest. > > McWilliams likely groups these personality structures together because they share some common underlying features or dynamics, even though their manifestations may differ. This grouping helps to highlight the similarities in the underlying personality structure while acknowledging the differences in how these traits are expressed. > However, it's important to note that each of these personality structures (depressive, manic, obsessive, and compulsive) can also be considered distinct types, with their own unique characteristics and challenges. The grouping is more a matter of highlighting commonalities rather than suggesting they are the same. Okay in the video, [[Ref. Nancy McWilliams 2024 - The psychodynamic diagnostic process (Picturing it with Elliot, youtube)]], she says: 1. Schizoid 2. Paranoid 3. Narcissistic 4. Psychopathic 5. Hysterical 6. Obsessional 7. Dissociative 8. Dependent 9. Masochistic 10. Hypomanic 11. Counterdependent 12. Sadistic - Somatizing - Phobic 2024-04-02 Tue 18.42pm And in [[Ref. Vittorio Lingiardi, Nancy McWilliams (eds.) 2017 - Psychodynamic Diagnostic Manual_ PDM-2]], well it's so confusing because they talk about the distinction between level of function and type of organization, and then they list and describe the levels of function, but instead of listing and describing the types of organization they talk about personality "syndrome"s. WTF? Claude why do they do that? > [!ai]+ AI > > The reason for the discrepancy between the terms "types of organization" and "personality syndromes" in the Psychodynamic Diagnostic Manual (PDM-2) is likely due to the authors' attempt to integrate psychoanalytic theory with modern diagnostic classifications and research. > In psychoanalytic theory, the concept of "personality organization" refers to the underlying structure of an individual's personality, including their defenses, object relations, and sense of self. This is the traditional way of conceptualizing personality in psychoanalytic theory. > However, in modern diagnostic systems like the DSM and ICD, the term "syndrome" is more commonly used to describe a cluster of symptoms or traits that tend to occur together. By using the term "personality syndrome," the authors of the PDM-2 are likely trying to bridge the gap between psychoanalytic theory and modern diagnostic terminology. > The use of "syndrome" also implies that these personality patterns are not fixed or immutable categories, but rather are clusters of traits that may occur together and have a common underlying dynamic. This is consistent with the psychoanalytic view of personality as being on a continuum rather than being composed of distinct categories. > So, while the terminology may be confusing, the authors of the PDM-2 are likely using "personality syndrome" as a way to describe patterns of personality organization in a manner that is more consistent with modern diagnostic terminology, while still maintaining the underlying psychoanalytic understanding of personality structure. 2024-04-02 Tue 19.59pm From [[Ref. Vittorio Lingiardi, Nancy McWilliams (eds.) 2017 - Psychodynamic Diagnostic Manual_ PDM-2]] Depressive: > Contributing constitutional– maturational patterns: Possible genetic predisposi-tion to depression. > Central tension/preoccupation: Self- criticism and self- punitiveness, or preoccu-pation with relatedness and loss (or both). > Central affects: Sadness, guilt, shame. > Characteristic pathogenic belief about self: “There is something essentially bad or inadequate about me,” “Someone or something necessary for well-being has been irretrievably lost.” > Characteristic pathogenic belief about others: “People who really get to know me will reject me.” > Central ways of defending: Introjection, reversal, idealization of others, devaluation of self. Paranoid: > K E Y FE ATURES > Contributing constitutional– maturational patterns: Possibly irritable/aggressive. > Central tension/preoccupation: Attacking versus being attacked by humiliating others. > Central affects: Fear, rage, shame, contempt. > Characteristic pathogenic belief about self: “I am in constant danger.” > Characteristic pathogenic belief about others: “The world is full of potential attackers and users.” > Central ways of defending: Projection, projective identification, denial, reaction formation. ### 2024-04-04 Thu 19.44pm From [[✅ CP 630a final assignment - clinical vignette - due 2024-04-04]]: | Personality Structure | Essence | Desire | Fear | Defenses | | --------------------- | ----------------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------ | | Psychopathic | Lack of empathy, guilt, or remorse; tendency towards exploitation and manipulation | Power, control, dominance, thrill-seeking | Vulnerability, weakness, being controlled or exposed | Denial, rationalization, grandiose sense of self, projection | | Narcissistic | Grandiose sense of self-importance, need for admiration, lack of empathy | Admiration, validation, special treatment, success | Humiliation, shame, being seen as flawed or inferior | Idealization and devaluation, denial, projection, grandiosity | | Schizoid | Profound detachment from social relationships, restricted range of emotional expression | Independence, self-sufficiency, privacy, freedom from obligations | Intimacy, engulfment, being overwhelmed by emotional needs | Withdrawal, intellectualization, fantasy, isolation | | Paranoid | Pervasive distrust and suspiciousness of others, fear of being exploited or harmed | Safety, security, loyalty, being right, exposing hidden threats | Betrayal, persecution, being deceived or harmed by others | Projection, denial, splitting, hypervigilance | | Depressive | Feelings of worthlessness, guilt, despair | Love, acceptance, understanding, forgiveness, relief from suffering | Loss, abandonment, being a burden to others | Introjection, turning against the self, denial, self-criticism | | Manic | Grandiosity, impulsivity, decreased need for sleep | Excitement, euphoria, admiration, freedom from constraints, invincibility | Depression, emptiness, worthlessness | Denial, grandiosity, omnipotence, idealization | | Masochistic | Tendency to seek out and endure suffering, often in the context of relationships | Love, acceptance, being cared for, being seen as good and loyal | Abandonment, asserting oneself, being unlovable | Turning against the self, moralization, undoing, self-sabotage | | Obsessive | Preoccupation with order, control, perfection | Perfection, control, certainty, correctness, meeting high standards | Chaos, uncertainty, making mistakes, being criticized | Intellectualization, isolation of affect, undoing, rationalization | | Compulsive | Need to act on one's impulses or desires | Gratification, excitement, relief from tension, freedom from restraint | Guilt, shame, being seen as "bad" or out of control | Acting out, rationalization, compartmentalization, undoing | | Hysterical | Pattern of excessive emotionality and attention-seeking behavior | Love, attention, excitement, validation, being seen as special and important | Being unloved, abandoned, ignored, being seen as uninteresting | Repression, dissociation, sexualization, dramatization | | Dissociative | Disruption in the normal integration of consciousness, memory, identity, and perception, often in the context of trauma | Safety, escape from pain, numbness, detachment, creating an alternate reality | Remembering traumatic experiences, feeling the pain and terror associated with traumatic memories | Dissociation, depersonalization, derealization, amnesia | ### 2024-04-05 Fri 11.51am Claude, I want to take that table which is formatted in md and put it into a spreadsheet. What's teh best way? > [!ai]+ AI > > The easiest way to convert a Markdown table to a spreadsheet is to copy and paste the table into a spreadsheet application like Microsoft Excel or Google Sheets. Here's how you can do it: > 1. Select and copy the entire Markdown table, including the header row and all the data rows. > 2. Open a new spreadsheet in your preferred application (e.g., Excel or Google Sheets). > 3. Click on the first cell (A1) in the spreadsheet. > 4. Paste the copied table into the spreadsheet (Ctrl+V or Cmd+V). > 5. The spreadsheet application should automatically recognize the table structure and place the data into the appropriate cells. > If the table isn't automatically formatted correctly after pasting, you can try the following: > 1. Paste the table into a plain text editor like Notepad (Windows) or TextEdit (Mac) to remove any hidden formatting. > 2. Copy the table from the plain text editor. > 3. In your spreadsheet, select the cell where you want to paste the table. > 4. Go to the "Edit" menu and click on "Paste Special" or "Paste and Match Style." > 5. Choose "Text" from the options and click "OK." > 6. The table should now be pasted into the spreadsheet with the correct formatting. > After the table is in the spreadsheet, you can adjust the column widths, apply formatting, and make any other necessary changes.