Psychodynamic Diagnostic Manual

Second Edition

Edited by Vittorio Lingiardi and Nancy McWilliams

HardcoverPaperbacke-bookprint + e-book
May 22, 2017
ISBN 9781462530557
Price: $128.00
1078 Pages
Size: 7" x 10"
June 20, 2017
ISBN 9781462530540
Price: $68.00
1078 Pages
Size: 7" x 10"
May 15, 2017
Price: $68.00
1078 Pages
print + e-book
Paperback + e-Book (PDF) ?
Price: $136.00 $74.80
1078 Pages

Now completely revised (over 90% new), this is the authoritative diagnostic manual grounded in psychodynamic clinical models and theories. Explicitly oriented toward case formulation and treatment planning, PDM-2 offers practitioners an empirically based, clinically useful alternative or supplement to DSM and ICD categorical diagnoses. Leading international authorities systematically address personality functioning and psychological problems of infancy, childhood, adolescence, adulthood, and old age, including clear conceptualizations and illustrative case examples. Purchasers get access to a companion website where they can find additional case illustrations and download and print five reproducible PDM-derived rating scales in a convenient 8½“ x 11” size.

New to This Edition Sponsoring associations include the International Psychoanalytical Association, Division 39 of the American Psychological Association, the American Psychoanalytic Association, the International Association for Relational Psychoanalysis & Psychotherapy, the American Association for Psychoanalysis in Clinical Social Work, and five other organizations.

Winner—American Board and Academy of Psychoanalysis Book Prize (Clinical Category)

“The depth is impressive….Recommended. Upper-level undergraduates through professionals/practitioners.”

Choice Reviews

“This edition is both timely and crucial to the continued advancement of the field….This book takes into account the whole person and does not get weighed down by the mere presence or absence of symptoms. It goes beyond the subjective nature of the disorder and truly makes clinicians think. Given the present state of the field, this book truly provides a missing piece of the therapeutic puzzle….No matter what your theoretical framework, this book and its ideas will work for you. Truly a mind-opening experience, and one which makes clinicians stop and think about their current therapeutic orientation. A must read for open-minded clinicians willing to go beyond the confines of the current diagnostic models. *****!”

Doody's Review Service

“PDM finally has given clinicians—as well as researchers and theorists—an alternative to DSM, which is largely based on symptom counting. As the editors state, PDM provides a 'taxonomy of people' rather than a 'taxonomy of disorders.' While the first edition was a monumental achievement, the second edition is even more impressive. It is an invaluable resource not only for diagnostic purposes, but also for teaching and research. I recommend this book to anyone—psychologist, psychiatrist, psychoanalyst, social worker, or educator—interested in an ecologically valid way of assessing personality and mental functioning.”

—Morris N. Eagle, PhD, ABPP, Distinguished Educator-in-Residence, School of Graduate Psychology, California Lutheran University

“People are more than their diagnoses. Diagnostic formulations rooted in the diversity and humanity of the people we aim to help and, at the same time, rooted in carefully evaluated empirical evidence represent the real gold standard in our field. This synthesis is precisely what PDM-2 aims for. The book will be of value both to practicing clinicians and to those teaching the next generation to think in ways that combine rigor with empathy for the client's experience.”

—Paul L. Wachtel, PhD, Distinguished Professor, Doctoral Program in Clinical Psychology, City College and the Graduate Center of the City University of New York

“It is quite difficult to achieve agreement on psychiatric diagnosis, and almost impossible to achieve agreement on psychodynamic concepts. The most interesting aspects of human nature are inherently the very hardest to agree upon, because they are also the most idiosyncratic, complicated, buried, and inferential. This heroically ambitious book is a startlingly successful synthesis of the confusing babel of different psychoanalytic tongues. It will improve the daily practice of psychodynamic clinicians, enliven teaching in the field, and contribute to the infant field of psychodynamic research. A labor of love and erudition.”

—Allen Frances, MD, Department of Psychiatry and Behavioral Sciences (Emeritus), Duke University

“A masterful work that fills a gap in the clinical literature. This 21st-century psychodynamic manual not only covers diagnostic formulations, but also presents validated research tools that can be used in assessment of patients. The editors have recruited leaders in the field from across the globe to contribute to this major, far-reaching resource. PDM-2 takes a lifespan approach, covering infancy, childhood, adolescence, adulthood, and old age. Crucially, it takes seriously the need to integrate research and practice, with clear comparisons between the PDM-2 and DSM and ICD diagnostic systems. The inclusion of extensive case material helps the editors achieve their goal of addressing the complexities rather than just the symptoms of patients.”

—Miriam Steele, PhD, Department of Psychology, The New School for Social Research

Table of Contents

Introduction, Vittorio Lingiardi & Nancy McWilliams sample

I. Adulthood

1. Personality Syndromes—P Axis, Nancy McWilliams & Jonathan Shedler

2. Profile of Mental Functioning—M Axis, Vittorio Lingiardi & Robert F. Bornstein

3. Symptom Patterns: The Subjective Experience—S Axis, Emanuela Mundo & John Allison O’Neil

II. Adolescence

4. Profile of Mental Functioning for Adolescents—MA Axis, Mario Speranza & Nick Midgley

5. Emerging Personality Patterns and Syndromes in Adolescence—PA Axis, Johanna Malone & Norka Malberg

6. Adolescent Symptom Patterns: The Subjective Experience—SA Axis, Mario Speranza

III. Childhood

7. Profile of Mental Functioning for Children—MC Axis, Norka Malberg & Larry Rosenberg

8. Emerging Personality Patterns and Difficulties in Childhood—PC Axis, Norka Malberg & Larry Rosenberg

9. Child Symptom Patterns: The Subjective Experience—SC Axis, Norka Malberg & Larry Rosenberg

IV. Infancy and Early Childhood

10. Mental Health and Developmental Disorders in Infancy and Early Childhood—IEC 0–3, Anna Maria Speranza & Linda Mayes

V. Later Life

11. Introduction to Part V, Franco Del Corno & Daniel Plotkin

12. Profile of Mental Functioning for the Elderly—ME Axis, Franco Del Corno & Daniel Plotkin

13. Personality Patterns and Syndromes in the Elderly—PE Axis, Franco Del Corno & Daniel Plotkin

14. Symptom Patterns in the Elderly: The Subjective Experience—SE Axis, Franco Del Corno & Daniel Plotkin

VI. Assessment and Clinical Illustrations

15. Assessment within the PDM-2 Framework, Sherwood Waldron, Robert M. Gordon, & Francesco Gazzillo

16. Clinical Illustrations and PDM-2 Profiles, Franco Del Corno, Vittorio Lingiardi, & Nancy McWilliams

Appendix. Psychodiagnostic Charts (PDCs)

About the Editors

Vittorio Lingiardi, MD, is a psychiatrist and psychoanalyst. He is Full Professor of Dynamic Psychology and past Director (2006-2013) of the Clinical Psychology Specialization Program in the Department of Dynamic and Clinical Psychology of the Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy. His research interests include diagnostic assessment and treatment of personality disorders, process-outcome research in psychoanalysis and psychotherapy, and gender identity and sexual orientation. He has published widely on these topics, including articles in the American Journal of Psychiatry, World Psychiatry, International Journal of Psychoanalysis, Psychoanalytic Dialogues, Psychotherapy, Psychotherapy Research, and Psychoanalytic Psychology. Dr. Lingiardi is the recipient of several awards, including the Ralph Roughton Paper Award from the American Psychoanalytic Association, the Cesare Musatti Award from the Italian Psychoanalytic Society, and the Research Award from the Society for Psychoanalysis and Psychoanalytic Psychology (Division 39 of the American Psychological Association).

Nancy McWilliams, PhD, ABPP, is Visiting Professor in the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey, and has a private practice in Flemington, New Jersey. She is on the editorial board of Psychoanalytic Psychology and has authored three classic books on psychotherapy, including the award-winning Psychoanalytic Diagnosis, Second Edition: Understanding Personality Structure in the Clinical Process. Dr. McWilliams is an Honorary Member of the American Psychoanalytic Association and a former Erikson Scholar at the Austen Riggs Center in Stockbridge, Massachusetts. She is a recipient of the Leadership and Scholarship Awards from Division 39 (Psychoanalysis) of the American Psychological Association (APA) and the Hans H. Strupp Award from the Appalachian Psychoanalytic Society, and delivered the Dr. Rosalee G. Weiss Lecture for Outstanding Leaders in Psychology for APA Division 42 (Psychologists in Independent Practice). She has demonstrated psychodynamic psychotherapy in three APA educational videos and has spoken at the commencement ceremonies of the Yale University School of Medicine and the Smith College School for Social Work.


Robert F. Bornstein, PhD, Derner Institute of Advanced Psychological Studies, Adelphi University, Garden City, New York

Franco Del Corno, MPhyl, DPsych, President, Society for Psychotherapy Research— Italy Area Group, Italy

Francesco Gazzillo, PhD, Department of Dynamic and Clinical Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy

Robert M. Gordon, PhD, ABPP, Institute for Advanced Psychological Training, Allentown, Pennsylvania

Vittorio Lingiardi, MD, Department of Dynamic and Clinical Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy

Norka Malberg, PsyD, Yale Child Study Center, New Haven, Connecticut

Johanna C. Malone, PhD, Department of Psychiatry,'Massachusetts General Hospital and Harvard Medical School, Cambridge, Massachusetts

Linda Mayes, MD, Yale Child Study Center and Office of the Dean, Yale School of Medicine, New Haven, Connecticut

Nancy McWilliams, PhD, Graduate School of Applied and Professional Psychology, Rutgers, The State University of New Jersey, Piscataway, New Jersey

Nick Midgley, PhD, Research Department of Clinical Education and Health Psychology, University College London, London, United Kingdom

Emanuela Mundo, MD, Residency Program in Clinical Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy

John Allison O’Neil, MD, Department of Psychiatry, McGill University and St. Mary’s Hospital, Montréal, Québec, Canada

Daniel Plotkin, MD, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California

Larry Rosenberg, PhD, Child Guidance Center of Southern Connecticut, Stamford, Connecticut

Jonathan Shedler, PhD, University of Colorado School of Medicine, Denver, Colorado

Anna Maria Speranza, PhD, Department of Dynamic and Clinical Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy

Mario Speranza, MD, PhD, Department of Psychiatry, Versailles General Hospital, and Faculty of Medicine and Health Sciences, University of Versailles Saint Quentin en Yvelines, Versailles, France

Sherwood Waldron, MD, Psychoanalytic Research Consortium, New York, New York


Clinical psychologists, psychiatrists, psychoanalysts, clinical social workers, psychiatric nurses, and mental health counselors.

Course Use

May serve as a supplemental text in graduate-level courses.
New to this edition: