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CLINICAL PSYCHOLOGY OF PERSONALITY Single discipline educational activity
Course Sheet Academic Year of enrolment:
Professor and Collaborators:
Hours of classroom activity:
Objectives
Contents Psicodinamic diagnosis of personality disorders according to Nancy McWiliams and Otto Kernberg. ;
DSM-5 sections for personality disorders. Dysfunctional traits of the following personalities:
hysteric/Hystrionic, istrionica, borderline, narcissist and malignant narcissist, schizoid, paranoid and their major defenses and evolutional structure. caratteristiche e difese prjincipali. Reazioni transferal and controtransferal reactions in therapy. Diagnosis and diagnostic interview according to Kernberg. Major treatments for personality disorders: TFP (Kernberg), MBT (Fonagy), major features of DBT (Linehan)
Extended Syllabus Diagnosis, diagnostic interview and levels of organization of personality (neurotic, borderline, psychotic) according to Kernberg (TFP). Differential diagnoses.
Trauma theory and intergenerational transmission. Correlation between trauma and Complex PTSD and personality disorders (discussion).
First level (early relational trauma, Schore), second level (maltreatment and abuse, Ferenczi, Mucci, van der Kolk). Differences in dynamics and symptomatology among first, second and third generations of trauma. Difference between hand-made trauma and trauma due to natural catastrophies . Dissociation derives from Complex PTSD not from natural catastrophies (Liotti).
Difference between PTSD e PTSD complex
and absence of recognition of PTSD complex in DSM-5; PTSD Complex in PDM-2. Early relational trauma as in Schore; Dissociation (Schore. Liotti, Mucci, Ferenczi).
Neurobiology of traumatization and neurobiological underpinnings and transgenerazional transmission (Yehuda et others).
Manualized treatments: TFP ( Kernberg) MBT (Fonagy); some features DBT (Linehan).
Alien self (Fonagy); victim-persecutor dyad in personality disorders and their acting outs (Ferenczi, Mucci); interpersonal dynamics of forgiveness as it might evolve in the relationship with the therapist (implying the resolution of the identification of the self as victim and the self as persecutor, with shame and guilt) and a part identified with the aggressor aggressore (aggressività, rabbia, with aggressiveness and destructiveness) ) also against one's body (as we see in Personality disorders with self-harm, suicidality; eating disorders and problems in sexuality and sexual identity. Psychosomatic disorders.
Recommended Bibliography McWilliams. Psychoanalytic Diagnosis. Guilford Press.
c. Mucci. Beyond Individual and Collective Trauma. Karnac.
C.Mucci. Borderline Bodies. Affect Regulation Therapy for Personality Disorders, Norton.
Clarkin, Yeomans, Kernberg, Psychotherapy for Borderline Personality, Wiley and Sons.
Bateman, Fonagy; Psychotherapy for Borderline Personality Disorder. Mentalization Based Treatment, Oxford.
Methods of Provision
Teaching Methods lecturs in class plus discussion of clinical cases in class with video of cases
Evaluation methods Verification of learning:
oral exam at the end of the course