A new language for psychoanalytic diagnosis

J Am Psychoanal Assoc. 2002 Spring;50(2):429-56. doi: 10.1177/00030651020500022201.

Abstract

Many psychoanalysts believe it is impossible to conduct empirical research without eviscerating or trivializing psychoanalytic constructs, and past research efforts have all too often reinforced this view. A new method for studying personality and personality pathology is presented that challenges such beliefs. This method, the Shedler-Westen Assessment Procedure (SWAP), captures the richness and complexity of psychoanalytic constructs and formulations while also providing reliable data for research. The method is being used to develop a new personality disorder taxonomy, as an alternative to the DSM, that is both empirically grounded and psychoanalytically relevant. Its role in psychoanalytic training and supervision is discussed, as is its value as a measure of structural change in psychoanalytic process and outcome research.

Publication types

  • Case Reports
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Humans
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care / standards
  • Personality Assessment / standards*
  • Personality Disorders / classification
  • Personality Disorders / diagnosis*
  • Personality Disorders / therapy
  • Psychoanalytic Interpretation*
  • Psychoanalytic Therapy*
  • Q-Sort
  • Reproducibility of Results
  • Research / standards*
  • Terminology as Topic*