The Millon-Grossman Personality Domain Checklist
(MG-PDC™)
by Theodore Millon, Ph.D, D.Sc., and Seth Grossman,
Psy.D.
Clinicians and personologists employ numerous sources to obtain
assessment data on both persons–in-general, as well as their
patients. These range from incidental to well-structured
observations, casual to highly systematic interviews, as well as
cursory to formal analyses of biographic history; also employed
are a variety of laboratory tests, self-report inventories and
performance-based or projective techniques. All of these have
proven to be useful grounds for diagnostic study.
How do we put these diverse data sources together to systematize
and quantify the information we have gathered? It is toward the
end of organizing and maximizing the clinical utility of our
personality findings that the MG-PDC has been developed.
Data obtained from patient-based self-judgments may be contrasted
with the sophisticated clinical appraisals of mental health
professionals. Encoded in the evolving professional language of
the last hundred years or so, we must ask whether clinical
language, concepts, and instruments generate information
incremental to the naïve descriptions of an ordinary person’s
everyday lexicon. We know that clinical languages differ from
laypersons’ languages because they serve different and more
sophisticated purposes (Livesley, Jackson, & Schroeder, 1989).
Indeed, clinical concepts reflect the experienced contributions of
numerous historical schools of thought (Millon, 2004). Each of
these clinical schools (e.g., psychodynamic, cognitive,
interpersonal) have identified a multitude of diverse and complex
psychic processes that operate in our mental life. Surely the
concepts of these historical professional lexicons are not
reducible to the superficial factors drawn from the everyday
vocabulary of non-scientists.
It is to represent and integrate the insights and
concepts of the several major schools of thought that has led us
to formulate a domain-based clinician-rated assessment (Millon,
1969, 1981, 1984, 1986, 1990, 1996; Tringone, 1990, 1997), and now
to develop, following numerous empirical and theoretical
refinements, the MG-PDC. In contrast with the Five Factor Method
(FFM), popular among research-oriented psychologists, the
Personality Domain Checklist is based on the contributions of five
of the major clinical traditions, notably the behavioral,
the interpersonal, the self, the cognitive, and the biological.
Three additional domains are listed in the instrument to reflect
the psychoanalytic tradition; the use of these “intrapsychic”
domains has diminished in recent decades and are therefore
included as elective, that is, not required components of the
instrument.
Several criteria were used to select and develop the
basic clinical domains listed as primary in the checklist: (a)
that they be broad-based and varied in the features they
embody, that is, not limited just to biological temperaments or
cognitive processes, but instead encompass a full range of
personality characteristics that are based on frequently used
clinical terms and concepts; (b) that they correspond to the major
therapeutic modalities employed by contemporary mental
health professionals to treat their patients (e.g., cognitive
techniques for altering dysfunctional beliefs, group procedures
for modifying interpersonal conduct) and, hence, are
readily employed by practicing therapeutic clinicians; (c) that
they be coordinated with and reflect the official ICD
and DSM-established personality disorder prototypes and,
thereby, be understood by insurance and other management
professionals; (d) that a distinctive psychological trait
can be identified and operationalized in each of the personality
domains for each personality prototype, assuring thereby, both
scope and comparability among personological criteria; (e) that
they lend themselves to the appraisal of domain characteristics
for both normal and abnormal personalities and, hence,
further promote advances in a field of growing interest in the
psychological literature; and (f) that they can serve as an
educational tool to sensitize mental heath workers-in-training
(psychologists, psychiatrists, clinical social workers, etc.) to
the many distinctions, subtleties and domain interactions that are
worth considering in appraising personality attributes.
Of course,
individuals differ with respect to the domains they enact most
frequently. Real persons/patients vary not only in the degree to
which they approximate each personality prototype but also in the
extent to which each domain dominates their behavior. In
conceptualizing personality as a system, we must recognize that
different parts of the system will be dominant in different
individuals, even when those individuals are patients who share
the same prototypal diagnosis. It is the goal of the MG-PDC to
differentiate, operationalize, and measure quantitatively
those domain features that are primary in contributing to the
person’s functioning. Thus identified, the instrument should help
orient the clinical therapist to modify the person’s problematic
features (e.g., interpersonal conduct, cognitive beliefs, etc.),
and thereby enable the patient to acquire a greater variety of
adaptive behaviors in his or her life circumstances.
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Directions for Completing the MG-PDC
If you have not already completed a prior MG-PDC, it will be
useful to briefly review the following pages of this packet to
acquaint yourself with the overall procedure and steps to be
followed in filling out the instrument’s ratings. Also helpful may
be a quick survey of the descriptive content of each of the 15
trait options that comprise the attribute choices printed for each
of the five primary personality domains (e.g., interpersonal,
cognitive); you will select among these attribute options in
assessing the person/patient you are evaluating.
It is assumed that you already have become
well-acquainted with many of the characteristics of the
person/patient you are rating by virtue of a number of hours of
direct contact time, perhaps including information from interviews
and observations, as well as psychological test results, etc.
Familiarity with DSM and/or ICD diagnostic criteria, as well as
clinical features described in Millon’s Disorders of
Personality, 2nd Edition (1996) or the 15 books he
and his associates will soon be publishing, would be
beneficial, but not required.
Completion of the MG-PDC entails of five steps
(one of which is optional). As mentioned, before beginning the
formal rating procedure, you may wish to review the trait options
that comprise the choices for each of the five primary domains.
While reading and thinking about the several domain descriptions,
and to help guide your choices, feel comfortable in moving freely,
back and forth, as you proceed in making your ratings. For
example, while working on selecting the trait options for the
Expressive Behavior domain, do not hesitate to look at the trait
descriptions for any of the other domains (e.g., Interpersonal
Conduct) if by doing so you may be aided in making your selections
in the Expressive Behavior group of choices.
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STEP 1:
STARTING WITH THE FIRST DOMAIN, EXPRESSIVE BEHAVIOR, SELECT THE
TRAIT OPTIONS THAT BEST FITS THE PERSON/PATIENT YOU ARE
EVALUATING. THEN PROCEED WITH THE SECOND, THIRD, FOURTH, & FIFTH
DOMAIN.
For each domain page, beginning with Expressive
Behavior, you will see 15 descriptive trait choices. Locate
the descriptive choice that appears to you to best fit in
characterizing the person/patient you are evaluating. Fill in that
choice in the (1) box column, noted as 1st best fit.
Since most persons/patients may be characterized by
more than one expressive behavior trait, locate a 2nd
best fit descriptive characteristic, one not as applicable to this
person/patient as the 1st best fit you selected, but
notable nonetheless. Fill in the (2) box in the 2nd
best fit column.
Should there be other listed descriptive trait
features that are applicable to this person/patient, but less so
than the one selected as 2nd best, fill in the (3) box
in the 3rd best fit column. You may fill in up to three
(3) boxes in the 3rd best fit column (Note that only
one trait description may be marked in each of the 1st
and 2nd best fit columns).
Consider the following points as you proceed. The 15
descriptive traits for each domain were written to characterize
patients. Further, each trait is illustrated with several clinical
characteristics and examples. Note that the person you are rating
need not display the specific illustrations that are listed; they
need only manifest any “best fit” aspect of the trait’s general
features. It is important to note also that for rated persons of a
nonclinical character, i.e., normal personalities who display only
minor or mild aspects of the trait characteristic, you should,
nevertheless, fully mark the “best fit” columns (even though the
descriptor is characterized with a more serious clinical
description than suits the person.) In short, do not
leave the “best fit” columns blank. Fill them, in rank “best fit”
order, even when the features of the trait are only marginally
present.
After completing your ratings for the Expressive
Behavior domain, proceed to fill in your choices for the next
four domains, one at a time, using the same 1st, 2nd
and 3rd rated box procedures you followed above.
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MG-PDC I. Expressive Behavior DOMAIN
These
attributes relate to observables at the behavioral level of
data and are usually recorded by noting how the patient acts.
Through inference, observations of overt behavior enable us to
deduce what the patient unknowingly reveals about him-or herself
or, often conversely, what he or she wants others to think about
him or her. The range and character of expressive actions are wide
and diverse and they convey distinctive and worthwhile clinical
information, from communicating a sense of personal incompetence
to exhibiting general defensiveness to demonstrating disciplined
self-control, and so on.
Characteristic Behavior
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1
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2 |
3 |
A. Impassive: Is colorless, sluggish, displaying deficits in
activation and motoric expressiveness; appears to be in a
persistent state of low energy and lack of vitality (e.g.,
phlegmatic and lacking in spontaneity) |
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1
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2 |
3 |
B.
Peculiar: Is
perceived by others as eccentric, disposed to behave in an
unobtrusively aloof, curious or bizarre manner; exhibits
socially gauche habits and aberrant mannerisms (e.g.,
manifestly odd or eccentric) |
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1
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2 |
3 |
C.
Fretful:
Fearfully scans environment for social derogation; overreacts
to innocuous events and judges them to signify personal
derision and mockery (e.g., anxiously anticipates
ridicule/humiliation) |
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1
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2 |
3 |
D.
Incompetent:
Ill-equipped to assume mature and independent roles; is
passive and lacking functional competencies, avoiding
self-assertion and withdrawing from adult responsibilities
(e.g., has difficulty doing things on his/her own) |
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1
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2 |
3 |
E.
Impetuous: Is
forcefully energetic and driven, highly excitable and
overzealous; often worked-up, unrestrained, rash and hotheaded
(e.g., is restless and socially intrusive) |
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1
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2 |
3 |
F.
Dramatic: Is
histrionically over-reactive and stimulus-seeking, resulting
in unreflected and theatrical responsiveness; describes
penchant for sensational situations and short-sighted
hedonism (e.g., overly emotional and artificially affected) |
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1
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2 |
3 |
G.
Haughty:
Manifests an air of being above conventional rules of shared
social living, viewing them as naïve or inapplicable to self;
reveals an egocentric indifference to the needs of others
(e.g., acts arrogantly self-assured and confident) |
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1
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2 |
3 |
H.
Defensive: Is
vigilantly guarded, hyperalert to ward off anticipated
deception and malice; is tenaciously resistant to sources of
external influence (e.g., disposed to be wary, envious and
jealous) |
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1
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2
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3 |
I.
Impulsive: Since
adolescence, acts thoughtlessly and irresponsibly in social
matters; is shortsighted, heedless, incautious and imprudent,
failing to plan ahead or consider legal consequences (e.g.,
conduct disorder evident before age 15) |
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1
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2 |
3 |
J.
Precipitate: Is
stormy and unpredictably abrupt, reckless, thick-skinned and
unflinching, seemingly undeterred by pain; is attracted to
challenge, as well as undaunted by punishment (e.g., attracted
to risk, danger and harm) |
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1
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2 |
3 |
K.
Disconsolate:
Appearance and posture convey an irrelievably forlorn,
heavy-hearted, if not grief-stricken quality; markedly
dispirited and discouraged (e.g., somberly seeks others to be
protective) |
|
1
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2 |
3 |
L.
Abstinent:
Presents self as nonindulgent, frugal and chaste, refraining
from exhibiting signs of pleasure or attractiveness; acts in
an unpresuming and self-effacing manner, placing self in an
inferior light (e.g., undermines own good fortune) |
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1
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2 |
3 |
M.
Resentful:
Exhibits inefficiency, erratic, contrary and irksome
behaviors; reveals gratification in undermining the pleasures
and expectations of others (e.g., uncooperative, contrary and
stubborn) |
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1
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2 |
3 |
N.
Spasmodic:
Displays a desultory energy level with sudden, unexpected
self-punitive outbursts; endogenous shifts in emotional state
places behavioral equilibrium in constant jeopardy (e.g., does
impulsive, self-damaging acts) |
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1
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2 |
3 |
O.
Disciplined:
Maintains a regulated, repetitively structured and highly
organized life; often insists that others adhere to
personally established rules and methods (e.g., meticulous and
perfectionistic) |
MG-PDC II. INTERPERSONAL CONDUCT
DOMAIN
A patient’s style of relating to
others may be captured in a number of ways, such as how his or her
actions affect others, intended or otherwise; the attitudes that
underlie, prompt, and give shape to these actions; the methods by
which he or she engages others to meet his or her needs; and his
or her way of coping with social tensions and conflicts.
Extrapolating from these observations, the clinician may construct
an image of how the patient functions in relation to others.
Characteristic Conduct
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1
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2 |
3 |
A.
Unengaged: Is
indifferent to the actions or feelings of others, possessing
minimal “human” interests; ends up with few close
relationships and a limited role in work and family settings
(e.g., has few desires or interests) |
|
1
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2 |
3 |
B.
Secretive:
Strives for privacy, with limited personal attachments and
obligations; drifts into increasingly remote and clandestine
social activities (e.g., is enigmatic and withdrawn) |
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1
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2 |
3 |
C.
Aversive: Reports
extensive history of social anxiety and isolation; seeks
social acceptance, but maintains careful distance to avoid
anticipated humiliation and derogation (e.g., is socially
pan-anxious and fearfully guarded) |
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1
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2 |
3 |
D.
Submissive:
Subordinates needs to a stronger and nurturing person, without
whom will feel alone and anxiously helpless; is compliant,
conciliatory, and self-sacrificing (e.g., generally docile,
deferential and placating) |
|
1
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2 |
3 |
E.
High-Spirited: Is
unremittingly full of life and socially buoyant; attempts to
engage others in an animated, vivacious and lively manner;
often seen by others, however, as intrusive and needlessly
insistent (e.g., is persistently overbearing)
|
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1
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2 |
3 |
F.
Attention-Seeking:
Is self-dramatizing, and actively solicits praise in a showy
manner to gain desired attention and approval; manipulates
others and is emotionally demanding (e.g., seductively
flirtatious and exhibitionistic) |
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1
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2 |
3 |
G.
Exploitive: Acts
entitled, self-centered, vain and unempathic; expects special
favors without assuming reciprocal responsibilities;
shamelessly takes others for granted and uses them to enhance
self and indulge desires (e.g., egocentric and socially
inconsiderate) |
|
1
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2 |
3 |
H.
Provocative:
Displays a quarrelsome, fractious and distrustful attitude;
bears serious grudges and precipitates exasperation by a
testing of loyalties and a searching preoccupation with hidden
motives (e.g., unjustly questions fidelity of spouse/friend) |
|
1
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2 |
3 |
I.
Irresponsible: Is
socially untrustworthy and unreliable, intentionally or
carelessly failing to meet personal obligations of a marital,
parental, employment or financial nature; actively violates
established civil codes through duplicitous or illegal
behaviors (e.g., shows active disregard for rights of others) |
|
1
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2 |
3 |
J.
Abrasive: Reveals
satisfaction in competing with, dominating and humiliating
others; regularly expresses verbally abusive and derisive
social commentary, as well as exhibiting harsh, if not
physically brutal behavior (e.g., intimidates, coerces and
demeans others) |
|
1
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2 |
3 |
K.
Defenseless:
Feels and acts vulnerable and guilt-ridden; fears emotional
abandonment and seeks public assurances of affection and
devotion (e.g., needs supportive relationships to bolster
hopeless outlook) |
|
1
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2 |
3 |
L.
Deferential:
Relates to others in a self-sacrificing, servile and
obsequious manner, allowing, if not encouraging others to
exploit or take advantage; is self-abasing, accepting
undeserved blame and unjust criticism (e.g., courts others to
be exploitive and mistreating) |
|
1
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2 |
3 |
M.
Contrary: Assumes
conflicting roles in social relationships, shifting from
dependent acquiescence to assertive independence; is
obstructive toward others, behaving either negatively or
erratically (e.g., sulky and argumentative in response to
requests) |
|
1
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2 |
3 |
N.
Paradoxical:
Needing extreme attention and affection, but acts
unpredictably, manipulatively and volatile, frequently
eliciting rejection rather than support; reacts to fears of
separation and isolation in angry, mercurial and often
self-damaging ways (e.g., is emotionally needy, but
interpersonally erratic) |
|
1
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2 |
3 |
O.
Respectful:
Exhibits unusual adherence to social conventions and
proprieties; prefers polite, formal and “correct” personal
relationships (e.g., interpersonally proper and dutiful) |
MG-PDC III. COGNITIVE
STYLE/CONTENT DOMAIN
How the patient focuses and
allocates attention, encodes and processes information, organizes
thoughts, makes attributions, and communicates reactions and ideas
to others represents key cognitive functions of clinical value.
These charactersitcs are among the most useful indices of the
patient’s distinctive way of thinking. By synthesizing his/her
beliefs and attitudes, it may be possible to identify indications
of problematic cognitive functions and assumptions.
Characteristic Cognitive Style
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1
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2 |
3 |
A.
Impoverished:
Seems deficient in human spheres of knowledge and evidences
vague thought processes about everyday matters that are below
intellectual level; social communications are easily derailed
or conveyed via a circuitous logic (e.g., lacks awareness of
human relations) |
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1
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2 |
3 |
B.
Autistic:
Intrudes social communications with personal irrelevancies;
there is notable circumstantial speech, ideas of reference and
metaphorical asides; is ruminative, appears self-absorbed and
lost in occasional magical thinking; there is a marked
blurring of fantasy and reality (e.g., exhibits peculiar ideas
and superstitious beliefs) |
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1
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2 |
3 |
C.
Distracted: Is
bothered by disruptive and often distressing inner thoughts;
the upsurge from within of irrelevant and digressive ideation
upsets thought continuity and interferes with social
communications (e.g., withdraws into reveries to fulfill
needs) |
|
1
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2 |
3 |
D.
Naive: Is easily
persuaded, unsuspicious and gullible; reveals a Pollyanna
attitude toward interpersonal difficulties, watering down
objective problems and smoothing over troubling events (e.g.,
childlike thinking and reasoning) |
|
1
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2 |
3 |
E.
Scattered:
Thoughts are momentary and scrambled in an untidy disarray
with minimal focus to them, resulting in a chaotic hodgepodge
of miscellaneous and haphazard beliefs expressed randomly with
no logic or purpose (e.g., intense and transient emotions
disorganize thoughts) |
|
1
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2 |
3 |
F.
Flighty: Avoids
introspective thought and is overly attentive to trivial and
fleeting external events; integrates experiences poorly,
resulting in shallow learning and thoughtless judgments (e.g.,
faddish and responsive to superficialities)
|
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1
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2 |
3 |
G.
Expansive: Has an
undisciplined imagination and exhibits a preoccupation with
illusory fantasies of success, beauty or love; is minimally
constrained by objective reality; takes liberties with facts
and seeks to redeem boastful beliefs (e.g., indulges fantasies
of repute/power) |
|
1
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2 |
3 |
H.
Mistrustful: Is
suspicious of the motives of others, construing innocuous
events as signifying conspiratorial intent; magnifies
tangential or minor social difficulties into proofs of
duplicity, malice and treachery (e.g., wary and distrustful) |
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1
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2 |
3 |
I.
Deviant:
Construes ordinary events and personal relationships in accord
with socially unorthodox beliefs and morals; is disdainful of
traditional ideals and conventional rules (e.g., shows
contempt for social ethics and morals) |
|
1
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2 |
3 |
J.
Dogmatic: Is
strongly opinionated, as well as unbending and obstinate in
holding to one’s preconceptions; exhibits a broad social
intolerance and prejudice (e.g., closed minded and bigoted)
|
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1
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K.
Fatalistic: Sees
things in their blackest form and invariably expects the
worst; gives the gloomiest interpretation of current events,
believing that things will never improve (e.g., conceives life
events in persistent pessimistic terms) |
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1
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2 |
3 |
L.
Diffident: Is
hesitant to voice one’s views; often expresses attitudes
contrary to ones inner beliefs; experiences contrasting and
conflicting thoughts toward self and others (e.g., demeans
one’s own convictions and opinions) |
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1
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2 |
3 |
M.
Cynical:
Skeptical and untrusting, approaching current events with
disbelief, and future possibilities with trepidation; has a
misanthropic view of life, expressing disdain and caustic
comments toward those who experience good fortune (e.g.,
envious or disdainful of those more fortunate) |
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1
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2 |
3 |
N.
Vacillating:
Experiences rapidly changing, fluctuating and antithetical
perceptions or thoughts concerning passing events;
contradictory reactions are evoked in others by virtue of ones
behaviors, creating, in turn, conflicting and confusing social
feedback (e.g., erratic and contrite over own beliefs and
attitudes) |
|
1
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2 |
3 |
O.
Constricted:
Constructs world in terms of rules, regulations, time
schedules and social hierarchies; is unimaginative, indecisive
and notably upset by unfamiliar or novel ideas and customs
(e.g., preoccupied with lists, details, rules, etc.) |
MG-PDC IV. SELF-IMAGE
DOMAIN
As the inner world of symbols is
mastered through development, one major configuration emerges to
impose a measure of sameness on an otherwise fluid environment:
the perception of self-as-object, a distinct, everpresent
identity. Self-image is significant in that it serves as a
guidepost and lends continuity to changing experience. Most
patients have an implicit sense of who they are, but differ
greatly in the clarity, accuracy, and complexity of their
introspection of the psychic elements that make up this image.
Characteristic Self-Image
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1
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2 |
3 |
A.
Complacent:
Reveals minimal introspection and awareness of self; seems
impervious to the emotional and personal implications of one’s
role in everyday social life (e.g., minimal interest in own
personal life) |
|
1
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2 |
3 |
B.
Estranged:
Possesses permeable ego-boundaries, exhibiting acute social
perplexities and illusions as well as experiences of
depersonalization, derealization and dissociation; sees self
as “different”, with repetitive thoughts of life’s confusions
and meaninglessness (e.g., self-perceptions are haphazard and
fragmented) |
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1
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2 |
3 |
C.
Alienated: Sees
self as a socially isolated person, one rejected by others;
devalues self-achievements and reports feelings of aloneness
and undesirability (e.g., feels injured and unwanted by
others) |
|
1 |
2 |
3 |
D.
Inept: Views self
as weak, fragile and inadequate; exhibits lack of
self-confidence by belittling own aptitudes and competencies
(e.g., sees self as childlike and/or fragile) |
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1
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2 |
3 |
E.
Energetic: Sees
self as full of vim and vigor, a dynamic force, invariably
hardy and robust, a tireless and enterprising person whose
ever-present energy galvanizes others (e.g., proud to be
active and animated) |
|
1
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2 |
3 |
F.
Gregarious: Views
self as socially stimulating and charming; enjoys the image of
attracting acquaintances and pursuing a busy and
pleasure-oriented social life (e.g., perceived as appealing
and attractive, but shallow) |
|
1
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2 |
3 |
G.
Admirable:
Confidently exhibits self, acts in a self-assured manner and
publicly displays achievements, despite being seen by others
as egotistic, inconsiderate and arrogant (e.g., has a sense of
high self-worth) |
|
1
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2 |
3 |
H.
Inviolable: Is
highly insular, experiencing intense fears of losing identity,
status or powers of self-determination; nevertheless, has
persistent ideas of self-reference, asserting as personally
derogatory and scurrilous entirely innocuous actions and
events (e.g., sees ordinary life events as invariably
referring to self) |
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1
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2 |
3
|
I.
Autonomous:
Values the sense of being free, unencumbered and unconfined by
persons, places, obligations or routines; sees self as
unfettered by the restrictions of social customs and the
restraints of personal loyalties (e.g., values being
independent of social responsibilities) |
|
1
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2 |
3 |
J.
Combative: Values
aspects of self that present tough, domineering and
power-oriented image; is proud to characterize self as
unsympathetic and unsentimental (e.g., proud to be stern and
feared by others) |
|
1
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2 |
3 |
K.
Worthless: Sees
self as valueless, of no account, a person who should be
overlooked, owing to having no praiseworthy traits or
achievements (e.g., sees self as insignificant or
inconsequential) |
|
1
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2 |
3 |
L.
Undeserving:
Focuses on and amplifies the very worst features of self;
judges self as worthy of being shamed, humbled and debased;
has failed to live up to the expectations of others and,
hence, should be reproached and demeaned (e.g., sees self as
deserving to suffer) |
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1
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2 |
3 |
M.
Discontented:
Sees self as unjustly misunderstood and unappreciated;
recognizes that he/she is characteristically resentful,
disgruntled and disillusioned with life (e.g., sees self as
unfairly treated) |
|
1
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2 |
3 |
N.
Uncertain:
Experiences the marked confusions of a nebulous or wavering
sense of identity and self-worth; seeks to redeem erratic
actions and changing self-presentations with expressions of
contrition and self-punitive behaviors (e.g., has persistent
identity disturbances) |
|
1
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2 |
3 |
O.
Reliable: Sees
self as industrious, meticulous and efficient; fearful of
error or misjudgment and, hence, overvalues aspects of self
that exhibit discipline, perfection, prudence and loyalty
(e.g., sees self as reliable and conscientious)
|
MG-FDPC V.
MOOD/AFFECT DOMAIN
Few observables are more clinically
relevant than the predominant character of an individual’s affect
and the intensity and frequency with which he or she expresses it.
The meaning of extreme emotions is easy to decode. This is not so
with the more subtle moods and feelings that insidiously and
repetitively pervaded the patient’s ongoing relationships and
experiences. The expressive features of mood and affect are often
revealed, albeit indirectly, in the patient’s activity level,
speech quality, and physical appearance.
Characteristic Mood
|
1 |
2 |
3 |
A.
Apathetic: Is
emotionally impassive, exhibiting an intrinsic unfeeling, cold
and stark quality; reports weak affectionate or erotic needs,
rarely displaying warm or intense feelings, and apparently
unable also to experience either sadness or anger (e.g.,
unable to experience pleasure in depth) |
|
1 |
2 |
3 |
B.
Distraught or Insentient: Reports being either
apprehensive and ill-at-ease, particularly in social
encounters; anxiously watchful, distrustful of others and wary
of their motives; or manifests drab, sluggish, joyless,
and spiritless appearance; reveals marked deficiencies in
emotional expression and in face-to-face encounters (e.g.,
highly agitated and/or affectively flat) |
|
1
|
2 |
3
|
C.
Anguished:
Vacillates between desire for affection, fear of rebuff and
numbness of feeling; describes constant and confusing
undercurrents of tension, sadness and anger (e.g., unusually
fearful of new social experiences) |
|
1
|
2 |
3 |
D.
Pacific: Quietly
and passively avoids social tension and interpersonal
conflicts; is typically pleasant, warm, tender and
noncompetitive (e.g., characteristically timid and
uncompetitive) |
|
1 |
2 |
3 |
E.
Mercurial:
Volatile and quicksilverish, at times unduly ebullient,
charged up and irrepressible; at other times, flighty and
erratic emotionally, blowing hot and cold (e.g., has marked
penchant for momentary excitements) |
|
1 |
2 |
3 |
F.
Fickle: Displays
short-lived and superficial emotions; is dramatically
overreactive and exhibits tendencies to be easily enthused and
as easily bored (e.g., impetuously pursues pleasure-oriented
social life) |
|
1 |
2 |
3 |
G.
Insouciant:
Manifests a general air of nonchalance and indifference;
appears coolly unimpressionable or calmly optimistic, except
when self-centered confidence is shaken, at which time either
rage, shame or emptiness is briefly displayed (e.g., generally
appears imperturbable and composed) |
|
1 |
2 |
3 |
H.
Irascible:
Displays a sullen, churlish and humorless demeanor; attempts
to appear unemotional and objective, but is edgy, touchy,
surly, quick to react angrily (e.g., ready to take personal
offense) |
|
1 |
2 |
3 |
I.
Callous: Exhibits
a coarse incivility, as well as a ruthless indifference to the
welfare of others; is unempathic, as expressed in wide-ranging
deficits in social charitableness, human compassion or
personal remorse (e.g., experiences minimal guilt or
contrition for socially repugnant actions) |
|
1
|
2 |
3 |
J.
Hostile: Has an
overtly rough and pugnacious temper which flares periodically
into contentious argument and physical belligerence; is
fractious, willing to do harm, even persecute others to get
one’s way (e.g., easily embroiled in brawls)
|
|
1
|
2 |
3 |
K.
Woeful: Is
typically mournful, tearful, joyless, and morose;
characteristically worrisome and brooding; low spirits rarely
remit (e.g., frequently feels dejected or guilty) |
|
1
|
2 |
3 |
L.
Dysphoric:
Intentionally displays a plaintive and gloomy appearance,
occasionally to induce guilt and discomfort in others (e.g.,
drawn to relationships in which he/she will suffer) |
|
1
|
2 |
3 |
M.
Irritable: Is
often petulant, reporting being easily annoyed or frustrated
by others; typically obstinate and resentful, followed in turn
by sulky and grumpy withdrawal (e.g., impatient and easily
provoked into oppositional behavior) |
|
1
|
2 |
3 |
N.
Labile: Fails to
accord unstable moods with external reality; has marked shifts
from normality to depression to excitement, or has extended
periods of dejection and apathy, interspersed with brief
spells of anger, anxiety, or euphoria (e.g., mood changes
erratically from sadness to bitterness to torpor) |
|
1
|
2 |
3 |
O.
Solemn: Is
unrelaxed, tense, joyless and grim; restrains overtly warm or
covertly antagonistic feelings, keeping most emotions under
tight control (e.g., affect is constricted and confined) |
STEP 2: RATE THE OVERALL SEVERITY LEVEL OF
THE PERSON /PATIENT WHOSE CHARACTERISTICS YOU HAVE JUDGED IN THE
PRECEDING FIVE DOMAINS.
Use the following definitions and
quantitative numbers as your guide when making one clinical
severity judgment; mark the one box that corresponds to the
severity level you judge as best fitting this person’s
domain dysfunctions.
Clinical Severity
|
1 Normal |
The presence of minor, but
reasonably well-defined, personality traits. Currently
present are a mix of manifest, but clinically insignificant
features that fall in the range of normality.
|
|
2 Mild |
A distinctive configuration
of personality trait dysfunctions that is essentially
subclinical in nature, i.e., although there are
occasional adaptive difficulties, treatment on
these grounds alone is not necessarily indicated. |
|
3 Moderate |
The personality trait
dysfunctions are sufficiently problematic to justify a
clinical diagnosis. Characteristics impair life
functioning, resulting in periodic, but significant,
adaptive difficulties. Outpatient treatment is
indicated. |
|
4 Marked |
Personality domain dysfunctions
are of a severe or persistent nature. They markedly
or repeatedly impair psychosocial functioning.
Treatment is definitely called for, probably on an
outpatient basis, but possibly in an inpatient setting. |
|
5 Extreme |
Personality dysfunctions are
intense or chronic, and are pervasive, often of an
idiosyncratic or deeply emotional character, and are
invariably debilitating. Inpatient/ residential
treatment is called for. |
STEP 3: RECORD YOUR CONFIDENCE IN YOUR
DOMAIN RATINGS OF THIS PERSON/PATIENT.
The degree to which you feel sure
about your ratings depends in large measure on the complexity of
the case, and the extent to which you have had an opportunity to
study the person’s domain characteristics. Using the guide that
follows, indicate the overall degree of your confidence regarding
your ratings.
|
5 Very Confident |
Judgments based on considerable
information and a secure understanding of the person’s domain
features; these judgments may be assumed to be accurate. |
|
3 Reasonably Confident |
Judgments based on reasonably
good information and an adequate understanding of the domain
features rated above. More precise and/or accurate appraisals,
however, may result as a function of additional information. |
|
1 Marginally Confident |
Judgments are modestly informed;
an understanding of the person’s rated domain features may be
only of limited accuracy at this time. Additional information
is likely to increase the validity of the judgments. |
STEP 4:ADDITIONAL
INTRAPSYCHIC DOMAINS
The following three
intrapsychically-oriented domains are presented here for
clinicians who are comfortable with and well-experienced in
dealing with psychodynamic and/or psychoanalytic concepts. They
are added to the preceding basic five domains, should the
clinician be disposed to explore and employ them for purposes of a
more extensive assessment/diagnosis. It is not necessary to
assess these three domains in order to achieve a MG-PDC computer
assessment and diagnosis of the patient/person being evaluated.
MG-PDC
VI. INTRAPSYCHIC MECHANISMS DOMAIN
Although mechanisms of
self-protection, need gratification, and conflict resolution are
consciously recognized at times, they represent data derived
primarily at the intrapsychic level. Because the ego or defense
mechanisms are internal regulatory processes, they are more
difficult to discern and describe than processes that are anchored
closer to the observable world. As such, they are not directly
amenable to assessment by self-reflective appraisal in their pure
form but only as derivatives that are potentially many levels
removed from their core conflicts and their dynamic resolution.
Despite the methodological problems they present, the task of
identifying which mechanisms are most characteristic of a patient
and the extent to which they are employed is extremely useful in a
comprehensive clinical assessment.
Characteristic Mechanism
|
1
|
2 |
3 |
A.
Intellectualization:
Describes interpersonal and affective experiences in a matter
of fact, abstract, impersonal or mechanical manner; pays
primary attention to formal and objective aspects of social
and emotional events. |
|
1
|
2 |
3 |
B.
Undoing: Bizarre
mannerisms and idiosyncratic thoughts appear to reflect a
retraction or reversal of previous acts or ideas that have
stirred feelings of anxiety, conflict or guilt; ritualistic or
“magical” behaviors serve to repent for or nullify assumed
misdeeds or “evil” thoughts. |
|
1
|
2 |
3 |
C.
Fantasy: Depends
excessively on imagination to achieve need gratification and
conflict resolution; withdraws into reveries as a means of
safely discharging affectionate, as well as aggressive
impulses. |
|
1
|
2 |
3 |
D.
Introjection: Is
firmly devoted to another to strengthen the belief that an
inseparable bond exists between them; jettisons any
independent views in favor of those of another to preclude
conflicts and threats to the relationship.
|
|
1
|
2 |
3 |
E.
Magnification:
Engages in hyperbole, overstating and overemphasizing ordinary
matters so as to elevate their importance, especially features
that enhance not only one’s own virtues but others who are
valued. |
|
1
|
2 |
3 |
F.
Dissociation:
Regularly alters self presentations to create a succession of
socially attractive but changing facades; engages in
self-distracting activities to avoid reflecting on and
integrating unpleasant thoughts and emotions. |
|
1
|
2 |
3 |
G.
Rationalization:
Is self-deceptive and facile in devising plausible reasons to
justify self-centered and socially inconsiderate behaviors;
offers alibis to place oneself in the best possible light,
despite evident shortcomings or failures. |
|
1
|
2 |
3 |
H.
Projection:
Actively disowns undesirable personal traits and motives, and
attributes them to others; remains blind to one’s own
unattractive behaviors and characteristics, yet is overalert
to, and hypercritical of the defects of others. |
|
1
|
2 |
3 |
I.
Acting Out: Inner
tensions that might accrue by postponing the expression of
offensive thoughts and malevolent actions are rarely
constrained; socially repugnant impulses are not refashioned
in sublimated forms, but are discharged directly in
precipitous ways, usually without guilt. |
|
1
|
2 |
3 |
J.
Isolation: Can be
coldblooded and remarkably detached from an awareness of the
impact of one’s destructive acts; views objects of violation
impersonally, often as symbols of devalued groups devoid of
human sensibilities. |
|
1
|
2 |
3 |
K.
Asceticism:
Engages in acts of self-denial, self-tormenting, and
self-punishment, believing that one should exhibit penance and
not be rewarded with life’s bounties; not only is there a
repudiation of pleasures but there are harsh self-judgments
and minor self-destructive acts. |
|
1
|
2 |
3 |
L.
Exaggeration:
Repetitively recalls past injustices and seeks out future
disappointments as a means of raising distress to troubled
homeostatic levels; misconstrues, if not sabotages, personal
good fortunes to enhance or maintain preferred suffering and
pain. |
|
1
|
2 |
3 |
M.
Displacement:
Discharges anger and other troublesome emotions either
indirectly or by shifting them from their true objective to
settings or persons of lesser peril; expresses resentments by
substitute or passive means, such as acting inept or
perplexed, or behaving in a forgetful or indolent manner.
|
|
1
|
2 |
3 |
N.
Regression:
Retreats under stress to developmentally earlier levels of
anxiety tolerance, impulse control and social adaptation; is
unable or disinclined to cope with responsible tasks and adult
issues, as evident in immature, if not increasingly childlike
behaviors. |
|
1
|
2 |
3 |
O.
Reaction Formation: Repeatedly presents positive
thoughts and socially commendable behaviors that are
diametrically opposite to ones deeper, contrary and forbidden
feelings; displays reasonableness and maturity when faced with
circumstances that normally evoke anger or dismay in most
persons. |
MG-PDC
VII. INTRAPSYCHIC CONTENT DOMAIN
Significant experiences from the
past leave an inner imprint, a structural residue composed of
memories, attitudes, and affects that serve as a substrate of
dispositions for perceiving and reacting to life’s events.
Analogous to the various organ systems in the body, both the
character and the substance of these internalized representations
of significant figures and relationships from the past can be
differentiated and analyzed for clinical purposes. Variations in
the nature and content of this inner world, or what are often
called object relations, can be identified with one or
another personality and lead us to employ the following
descriptive terms to represent them.
Characteristic Content
|
1
|
2 |
3 |
A.
Meager: Inner
representations are few in number and minimally articulated,
largely devoid of the manifold percepts and memories, nor the
dynamic interplay among drives and conflicts that typify even
well-adjusted persons. |
| 1 |
2 |
3 |
B.
Chaotic: Inner
representations consist of a jumble of miscellaneous memories
and percepts, random drives and impulses, and uncoordinated
channels of regulation that are only fitfully competent for
binding tensions, accommodating needs and mediating conflicts. |
|
1
|
2 |
3 |
C.
Vexatious: Inner
representations are composed of readily reactivated, intense
and anxiety-ridden memories, limited avenues of gratification,
and few mechanisms to channel needs, bind impulses, resolve
conflicts or deflect external stressors. |
|
1
|
2 |
3 |
D.
Immature: Inner
representations are composed of unsophisticated ideas and
incomplete memories, rudimentary drives and childlike
impulses, as well as minimal competencies to manage and
resolve stressors. |
|
1
|
2 |
3 |
E.
Piecemeal: Inner
representations are disorganized and dissipated, a jumble of
diluted and muddled recollections that are recalled by fits
and starts, serving only as momentary guideposts for dealing
with everyday tensions and conflicts. |
|
1
|
2 |
3 |
F.
Shallow: Inner
representations are composed largely of superficial yet
emotionally intense affects, memories and conflicts, as well
as facile drives and insubstantial mechanisms.
|
|
1
|
2 |
3 |
G.
Contrived: Inner
representations are composed far more than usual of illusory
ideas and memories, synthetic drives and conflicts, and
pretentious, if not simulated, percepts and attitudes, all of
which are readily refashioned as the need arises. |
|
1
|
2 |
3 |
H.
Unalterable:
Inner representations are arranged in an unusual configuration
of rigidly held attitudes, unyielding percepts and implacable
drives which are aligned in a semi-delusional hierarchy of
tenacious memories, immutable cognitions and irrevocable
beliefs. |
|
1
|
2 |
3 |
I.
Debased: Inner
representations comprise a mix of revengeful attitudes and
impulses oriented to subvert established cultural ideals and
mores, as well as to debase personal sentiments and
conventional societal attainments. |
|
1
|
2 |
3 |
J.
Pernicious: Inner
representations are distinguished by the presence of
aggressive energies and malicious attitudes, as well as by a
contrasting paucity of sentimental memories, tender affects,
internal conflicts, shame or guilt feelings.
|
|
1
|
2 |
3 |
K.
Forsaken: Inner
representations have been depleted or devitalized, either
drained of their richness and joyful elements or withdrawn
from memory, leaving the person to feel abandoned, bereft,
discarded. |
|
1
|
2 |
3 |
L.
Discredited:
Inner representations are composed of disparaged past memories
and discredited achievements, of positive feelings and erotic
drives transposed onto their least attractive opposites, of
internal conflicts intentionally aggravated, of mechanisms of
anxiety reduction subverted by processes that intensify
discomforts. |
|
1
|
2 |
3 |
M.
Fluctuating:
Inner representations comprise a complex of opposing
inclinations and incompatible memories that are driven by
impulses designed to nullify one’s own achievements and/or the
pleasures and expectations of others. |
|
1
|
2 |
3 |
N.
Incompatible:
Rudimentary and expediently devised, but repetitively
aborted, inner representations have led to perplexing
memories, enigmatic attitudes, contradictory needs,
antithetical emotions, erratic impulses, and opposing
strategies for conflict reduction. |
|
1
|
2 |
3 |
O.
Concealed: Only
those inner affects, attitudes and actions which are socially
approved are allowed conscious awareness or behavioral
expression, resulting in gratification being highly regulated,
forbidden impulses sequestered and tightly bound, personal and
social conflicts defensively denied, kept from awareness, all
maintained under stringent control. |
MG-PDC
VIII. INTRAPSYCHIC STRUCTURE DOMAIN
The overall architecture that serves
as a framework for an individual’s psychic interior may display
weakness in its structural cohesion, exhibit deficient
coordination among its components, and possess few mechanisms to
maintain balance and harmony, regulate internal conflicts, or
mediate external pressures. The concept of intrapsychic structure
refers to the organizational strength, interior congruity, and
functional efficacy of the personality system, a concept almost
exclusively derived from inferences at the intrapsychic
level of analysis. Psychoanalytic usage tends to be limited to
quantitative degrees of integrative pathology, not to
qualitative variations in either integrative structure or
configuration. Stylistic variants of this structural attribute,
such as the following, may be employed to characterize each of the
personality prototypes.
Characteristic Structure
|
1 |
2 |
3 |
A.
Undifferentiated:
Given an inner barrenness, a feeble drive to fulfill needs,
and minimal pressures to defend against or resolve internal
conflicts, nor to cope with external demands, internal
structures may best be characterized by their limited
coordination and deficient organization. |
|
1
|
2 |
3 |
B.
Fragmented: Coping
and defensive operations are haphazardly organized in a
fragile assemblage, leading to spasmodic and desultory actions
in which primitive thoughts and affects are directly
discharged, with few reality-based sublimations, leading to
significant further structural disintegrations.
|
|
1
|
2 |
3 |
C.
Fragile: Tortuous
emotions depend almost exclusively on a single modality for
their resolution and discharge, that of avoidance, escape and
fantasy; hence, when faced with unanticipated stress, there
are few resources available to deploy and few positions to
revert to, short of a regressive decompensation. |
|
1
|
2 |
3 |
D.
Inchoate: Owing to
entrusting others with the responsibility to fulfill needs and
to cope with adult tasks, there is both a deficit and a lack
of diversity in internal structures and controls, leaving a
miscellany of relatively undeveloped and immature adaptive
abilities, as well as an elementary system for functioning
independently. |
|
1
|
2 |
3 |
E.
Fleeting:
Structures are highly transient, existing in momentary forms
that are cluttered and disarranged, making effective coping
efforts temporary, at best. Affect and action are
unconstrained owing to the paucity of established controls and
purposeful goals. |
|
1
|
2
|
3 |
F.
Disjointed: A
loosely knit structural conglomerate exists in which processes
of internal regulation and control are scattered and
unintegrated, with few methods for restraining impulses,
coordinating defenses, and resolving conflicts, leading to
broad and sweeping mechanisms to maintain psychic cohesion and
stability and, when employed, only further disarrange
thoughts, feelings and actions. |
|
1
|
2 |
3 |
G.
Spurious: Coping
and defensive strategies tend to be flimsy and transparent,
appear more substantial and dynamically orchestrated than they
are, regulating impulses only marginally, channeling needs
with minimal restraint, and creating an egocentric inner world
in which conflicts are dismissed, failures are quickly
redeemed, and self-pride is effortlessly reasserted. |
|
1
|
2 |
3 |
H.
Inelastic: A
markedly constricted and inflexible pattern of coping and
defensive methods exists, as well as rigidly fixed channels of
conflict mediation and need gratification, creates an
overstrung and taut frame that is so uncompromising in its
accommodation to changing circumstances that unanticipated
stressors are likely to precipitate either explosive outbursts
or inner shatterings. |
|
1
|
2 |
3 |
I.
Unruly: Inner
defensive operations are noted by their paucity, as are
efforts to curb irresponsible drives and attitudes, leading to
easily transgressed social controls, low thresholds for
impulse discharge, few subliminatory channels, unfettered
self-expression and a marked intolerance of delay or
frustration. |
|
1
|
2 |
3 |
J.
Eruptive: Despite
a generally cohesive structure of routinely modulating
controls and expressive channels, surging, powerful and
explosive energies of an aggressive and sexual nature produce
precipitous outbursts that periodically overwhelm and overrun
otherwise reasonable restraints. |
|
1
|
2 |
3 |
K.
Depleted: The
scaffold for structures is markedly weakened, with coping
methods enervated and defensive strategies impoverished and
devoid of vigor and focus, resulting in a diminished if not
exhausted capacity to initiate action and regulate affect.
|
|
1
|
2
|
3 |
L.
Inverted:
Structures have a dual quality, one more-or-less conventional,
the other its obverse—resulting in a repetitive undoing of
affect and intention, of a transposing of channels of need
gratification with those leading to their frustration, and of
actions that produce antithetical, if not self-sabotaging
consequences. |
|
1
|
2 |
3 |
M.
Divergent: There
is a clear division in the pattern of internal elements such
that coping and defensive maneuvers are often directed toward
incompatible goals, leaving major conflicts unresolved and
psychic cohesion impossible by virtue of the fact that
fulfillment of one drive or need inevitably nullifies or
reverses another. |
|
1
|
2 |
3 |
N.
Split: Inner
cohesion comprise a sharply segmented and conflictful
configuration in which there is a marked lack of consistency
among elements; levels of consciousness occasionally blur and
a rapid shift occurs across boundaries that separate unrelated
memories and affects, resulting in schisms that upset what
limited psychic order exists. |
|
1
|
2 |
3 |
O.
Compartmentalized: Psychic structures are rigidly
organized in a tightly consolidated system that is clearly
partitioned into numerous, distinct and segregated
constellations of drive, memory and cognition, with few open
channels to permit any interplay among these components.
|
STEP 5:
ON THE BASIS OF YOUR KNOWLEDGE OF THE PERSON/PATIENT YOU HAVE JUST
EVALUATED, WE WOULD LIKE YOU TO “SUMMARIZE” YOUR JUDGMENTS BY
MAKING A 1ST, 2ND, AND 3RD BEST
FIT PERSONALITY SPECTRUM DIAGNOSIS.
Empirical and theoretical
developments of the past decade have led to an expansion in the
number of personality disorder types and subtypes in the recent
and forthcoming literature. Likewise, there has been a growing
interest in refining the continuum or spectrum of normal to
abnormal personalities. Toward the end of further clarifying these
advances, we would like you to select, as best you can, three of
the following “personality spectra” that you believe may best
characterize the person/patient you have just evaluated. As
before, select the 1st best fit, the 2nd
best fit, and the 3rd best fit.
1st
best
fit |
2nd
best
fit |
3rd
best
fit |
Normal to ABNORMAL
PERSONALITY SPECTRUM |
|
1 |
2 |
3 |
Retiring—Schizoid |
|
1 |
2 |
3 |
Eccentric—Schizotypal |
|
1 |
2 |
3 |
Shy—Avoidant |
|
| |