CLINICAL PSYCHOLOGY OF PERSONALITY

Single discipline educational activity

Course Sheet

Course code:

PSICLI001

Academic Year of enrolment:

2018

Year of supply:

2018/2019

Type of Course:

Characterising

Degree:

Course of 2nd Cycle Degree in CLINICAL AND HEALTH PSYCHOLOGY

Disciplinary Sector:

Clinical Psychology

Location:

CHIETI

Credits:

Programme Year:

Professor and Collaborators:

MUCCI Clara

Cycle:

Second semester

Hours of classroom activity:

Individual study hours:

108

Prerequisites:

no previous requirements

Objectives

Definition of the concept of healthy and dysfunctional personality organization . Capacity to recognise and describe the functioning of the various personality organizations and the levels of severity of the personality (neurotic, borderline, psychotic).
Description of the concept of Borderline organization of personality according to Otto Kernberg for diagnostic purposes, in contrast with neurotic and psychotic personalities. How to conduct a semistructured interview for diagnostic and clinical purposes (STIPO). To acquire an understanding of the multidimentional etiopathogenesis fini di evidenziarene dellof the disorder (vulnerability, interpersonal traumatic events, psychosocial and neurobiological factors) fattori psicosociali). To recognize the fundamental features of the dysfunctional personalities according to the recognized types by DSM-5 and by Otto Kernberg (hysteric-hyistrionic; borderline proper; narcissism and malignant narcissism maligno; antisociale; schizoid; paranoid) and their functioning in the therapeutic relationship relazione con il terapeuta; transfert e controtransfert. Acquisition fo the fundamental techniques for the establishment and maintenance of therapeutic alliance, establishment of the steps of the treatment form diagnosis to contract, and how to maintain the proper alla formulation of the mental assett to facilitate the therapeutic and healing relationship.Fondamental techniques of TFP (Kernberg) MBT (Fonagy) with notions of how to work in DBT Marsha Linehan.

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

Conventional

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

Università degli Studi
"G. d'Annunzio"

Chieti - Pescara

Aree