Engaging With The Role of Personality Structure in Psychoanalysis with Nancy McWilliams
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Feb 22, 2021 
Nancy McWilliams discusses the role of personality in psychoanalysis, critiquing the DSM approach. She emphasizes cultural considerations in therapy, challenges in diagnosis, and the impact of clinician personality styles on treatment.
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DSM Replacing Clinical Wisdom
- McWilliams recalls a resident wanting to use her interview line, "Can you say more about that?".
- This highlighted how DSM checklists were replacing clinical interviewing wisdom.
Personality Structure
- People have a general order to their personality and character.
- High-functioning individuals exist within each personality type.
Personality Spectrums
- DSM inadequately addresses the spectrum within personality disorders.
- The neurotic to psychotic spectrum exists across personality styles.