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The correct way to cite this book is: PDM Task Force. (2006). Psychodynamic Diagnostic Manual. Silver Spring, MD: Alli ance of Psychoanalytic Organizations Published by the Alliance of Psychoanalytic Organizations* Psychodynamic Diagnostic Manual (PDM) 10125 Colesville Road, Suite 194 Silver Spring, MD20901 301-789-1660 http://www.pdm1.org Copyright 2006Psychodynamic Diagnostic Manual All rights reserved. Library of Congress Control Number:2006923050 ISBN 0-9767758-2-4 (paper); 0-9767 758-1-6 (cloth) *The Alliance of Psychoanalytic Organizations is a program of the Interdisciplin ary Council on Developmental and Learning Disorders Psychodynamic Diagnostic Manual (PDM) TABLE OF CONTENTS Outline of the PDM Classification System Psychodynamic Diagnostic Manual Task Force and Work Groups Introduction – Goals and Purpose PART I—CLASSIFICATION OF ADULT MENTAL HEALTH DISORDERS Introduction to Part I Personality Patterns and Disorders — P Axis Profile of Mental Functioning — M Axis Symptom Patterns: The Subjective Experience — S Axis Case Illustrations of the PDM Profile with Adult Mental Health Disorders PART II—CLASSIFICATION OF CHILD AND ADOLESCENT MENTAL HEALTH DISORDERS Introduction to Part II Profile of Mental Functioning for Children and Adolescents—MCA Axis Child and Adolescent Personality Patterns and Disorders—PCA Axis Child and Adolescent Symptom Patterns: The Subjective Experience—SCA Axis Case Illustrations of the PDM Profile with Child and Adolescent Mental Health Di sorders The Classification of Mental Health and Developmental Disorders in Infancy and E arly Childhood PART III—CONCEPTUAL AND RESEARCH FOUNDATIONS FOR A PSYCHODYNAMICALLY BASED CLASSIF ICATION SYSTEM FOR MENTAL HEALTH DISORDERS Introduction to Part III Historical and Conceptual Foundations Research Foundations Outline of the PDM Classification System PART I—CLASSIFICATION OF ADULT MENTAL HEALTH DISORDERS Introduction to Part I Personality Patterns and Disorders—P Axis • Differential Diagnosis of Personality Disorders as a Class • Level of Personality Organization (Severity of Personality Disorder) • Healthy Personalities (Absence of Personality Disorder) • Neurotic-Level Personality Disorders • Borderline-Level Personality Disorders • Implications of the Severity Dimension for Psychotherapy • Types of Personality Disorders P101. Schizoid Personality Disorders P102. Paranoid Personality Disorders P103. Psychopathic (Antisocial) Personality Disorders • P103.1 Passive/Parasitic • P103.2 Aggressive P104. Narcissistic Personality Disorders • P104.1 Arrogant/Entitled P104.2 Depressed/Depleted P105. Sadistic and Sadomasochistic Personality Disorders • P105.1 Intermediate Manifestation: Sadomasochistic Personality Disorders P106. Masochistic (Self-Defeating) Personality Disorders • P106.1 Moral Masochistic • P106.2 Relational Masochistic P107. Depressive Personality Disorders • P107.1 Introjective • P107.2 Anaclitic • P107.3 Converse Manifestation: Hypomanic Personality Disorder P108. Somatizing Personality Disorders P109. Dependent Personality Disorders • P109.1 Passive-Aggressive Versions of Dependent Personality Disorders • P109.2 Converse Manifestation: Counterdependent Personality Disorders P110. Phobic (Avoidant) Personality Disorders • P110.1 Converse Manifestation: Counterphobic PersonalityDisorders P111. Anxious Personality Disorders P112. Obsessive-Compulsive Personality Disorders • P112.1 Obsessive • P112.2 Compulsive P113. Hysterical (Histrionic) Personality Disorders • P113.1 Inhibited • P113.2 Demonstrative or Flamboyant P114. Dissociative Personality Disorders (Dissociative Identity Disorder/Multipl e Personality Disorder) P115. Mixed/Other Profile of Mental Functioning—M Axis • Capacity for Regulation, Attention, and Learning • Capacity for Relationships (Including Depth, Range, and Consistency) • Quality of Internal Experience (Level of Confidence and Self-Regard) • Affective Experience, Expression, and Communication • Defensive Patterns and Capacities • Capacity to Form Internal Representations • Capacity for Differentiation and Integration • Self-Observing Capacity (Psychological-Mindedness) • Capacity to Construct or Use Internal Standards and Ideals: Sense of Morality • Summary of Basic Mental Functioning M201. Optimal Age- and Phase-Appropriate Mental Capacities M202. Reasonable Age- and Phase-Appropriate Mental Capacities M203. Age- and Phase-Appropriate Mental Capacities M204. Mild Constrictions and Inflexibility • M204.1 Encapsulated character formations • M204.2 Encapsulated symptom formations M205. Moderate Constrictions and Alterations in Mental Functioning M206. Major Constrictions and Alterations in Mental Functioning M207. Defects in Integration and Organization and/or Differentiation of self-and Object Representations M208. Major Defects in Basic Mental Functions Symptom Patterns: The Subjective Experience—S Axis • Introduction • Symptom Patterns S301. Adjustment Disorders S302. Anxiety Disorders • S302.1 Psychic Trauma and Posttraumatic Stress Disorders • S302.2 Phobias • S302.3 Obsessive-Compulsive Disorders S303. Dissociative Disorders S304. Mood Disorders • S304.1 Depressive Disorders • S304.2 Bipolar Disorders S305. Somatoform (Somatization) Disorders S306. Eating Disorders S307. Psychogenic Sleep Disorders S308. Sexual and Gender Identity Disorders • S308.1 Sexual Disorders • S308.2 Paraphilias • S308.3 Gender Identity Disorders S309. Factitious Disorders S310. Impulse-Control Disorders S311. Addictive/Substance Use Disorders S312. Psychotic Disorders S313. Mental Disorders Based on a General Medical Condition Case Illustrations of the PDM Profile with Adult Mental Health Disorders PART II—CLASSIFICATION OF CHILD AND ADOLESCENT MENTAL HEALTH DISORDERS Introduction to Part II Profile of Mental Functioning for Children and Adolescents— MCA Axis • Capacity for Regulation, Attention, and Learning • Capacity for Relationships (Including Depth, Range, and Consistency) • Quality of Internal Experience (Level of Confidence and Self-Regard) • Affective Experience, Expression, and Communication • Defensive Patterns and Capacities • Capacity to Form Internal Representations • Capacity for Differentiation and Integration • Self-Observing Capacities (Psychological-Mindedness) • Capacity for Internal Standards and Ideals: Sense of Morality • Summary of Child and Adolescent Mental Functioning MCA201. Optimal Age- and Phase-Appropriate Mental Capacities MCA202. Reasonable Age- and Phase-Appropriate Mental Capacities MCA203. Age- and Phase Appropriate Capacities with Phase-Specific Conflicts MCA204. Mild Constrictions and Inflexibility • MCA204.1 Encapsulated character formations • MCA204.2 Encapsulated symptom formations MCA205. Moderate Constrictions and Alterations in Mental Functioning MCA206. Major Constrictions and Alterations in Mental Functioning MCA207. Defect in Integration and Organization and/or Differentiation of Self an d Object Representation MCA208. Major Defects in Basic Mental Functions • Selected Definitions Related to Attention, Regulation, and Learning Child and Adolescent Personality Patterns and Disorders— PCA Axis • Emerging Personality Styles in Children and Adolescents • “Normal” Emerging Personality Patterns • Mildly Dysfunctional Emerging Personality Patterns • Moderately Dysfunctional Emerging Personality Patterns • Severely Dysfunctional Emerging Personality Patterns • Developmental Aspects of Emerging Personality Patterns • Normal Range of Patterns • Dysfunctional Personality Patterns PCA 101. Fearful of Closeness/Intimacy (Schizoid) Personality Disorders PCA 102. Suspicious/Distrustful Personality Disorders PCA 103. Sociopathic (Antisocial) Personality Disorders PCA 104. Narcissistic Personality Disorders PCA 105. Impulsive/Explosive Personality Disorders PCA 106. Self-Defeating Personality Disorders PCA 107. Depressive Personality Disorders PCA 108. Somatizing Personality Disorders PCA 109. Dependent Personality Disorders PCA 110. Avoidant/Constricted Personality Disorders • PCA110.1 Counterphobic Personality Disorders PCA111. Anxious Personality Disorders PCA112. Obsessive-Compulsive Personality Disorders PCA113. Histrionic Personality Disorders PCA114. Dysregulated Personality Disorders PCA115. Mixed/Other Child and Adolescent Symptom Patterns: The Subjective Experience—SCA Axis • Healthy Response • Developmental Crises • Situational Crises • Anxiety Disorders SCA301. Anxiety Disorders SCA302. Phobias SCA303. Obsessive-Compulsive Disorders SCA304. Somatization (Somatoform) Disorders • Affect/Mood Disorders SCA305. Prolonged Mourning/Grief Reaction SCA306. Depressive Disorders SCA307. Bipolar Disorders SCA308. Suicidality • Disruptive Behavior Disorders SCA309. Conduct Disorders SCA310. Oppositional-Defiant Disorders SCA311. Substance Abuse Related Disorders • Reactive Disorders SCA312. Psychic Trauma and Posttraumatic Stress Disorder SCA313. Adjustment Disorders (other than developmental) • Disorders of Mental Functioning SCA314. Motor Skills Disorders SCA315. Tic Disorders SCA316. Psychotic Disorders SCA317. Neuropsychological Disorders • SCA317.1 Visual-Spatial Processing Disorders • SCA317.2 Language and Auditory Processing Disorders • SCA317.3 Memory Impairments • SCA317.4 Attention Deficit/Hyperactivity Disorders • SCA317.5 Executive Function Disorders • SCA317.6 Severe Cognitive Deficits SCA318. Learning Disorders • SCA318.1 Reading Disorders • SCA318.2 Mathematics Disorders • SCA318.3 Disorders of Written Expression • SCA318.4 Nonverbal Learning Disabilities • SCA318.5 Social-Emotional Learning
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