В сравнении с психопатиями 3 страница

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Приложение

Пример диагностического интервью

Демографические данные

Имя, возраст, пол, этническая и расовая принадлежность, религиозная ориентация, состояние отношений, родители, уровень образования, работа, предшествующий опыт психотерапии, кто направил на терапию в этот раз, другие (кроме клиента) источники информации.

Текущие проблемы и их состояние

Главные трудности и понимание пациентом их причин, история этих проблем, предпринимавшееся лечение, почему именно сейчас пришел на терапию.

Личная история

Где родился, вырос, количество детей в семье и место пациента среди них, главные переезды. Родители и сиблинги: получить объективные данные (живы ли, причины и время смерти, если умерли; возраст, здоровье, профессия) и субъективные данные (личность, природа отношений с клиентом). Психологические проблемы в семье (диагностированная психопатология и другие условия, например, алкоголизм).

Младенчество и детство

Хотели ли родители пациента рождения ребенка, условия в семье после рождения, что-то необычное в критические периоды развития, некоторые ранние проблемы (еда, туалет, речь, двигательная активность, никтурия, ночные кошмары, засыпание, грыз или нет ногти и т.д.), ранние воспоминания, семейные истории или шутки в адрес клиента.

Латентный период

Проблемы сепарации, социальные проблемы, проблемы в учебе, в поведении, жестокость к животным, болезни, переезды или семейные стрессы в это время, сексуальный или физический абъюз.

Адолесцентный период

Возраст полового созревания, физические проблемы, связанные с созреванием, семейная подготовка к сексуальности, первый сексуальный опыт, мастурбационная фантазия, школьный опыт, успеваемость и социализация, самодеструктивные паттерны (нарушения питания, использование лекарств, сомнения о сексуальности, рискованные эксцессы, суицидальные импульсы, антисоциальные паттерны); болезни, потери, переезды или семейные стрессы в это время.

Взрослая жизнь

История работы; отношений; адекватность текущих интимных отношений; отношение к детям; хобби, таланты, гордость или удовлетворение.

Текущие представления

(ментальный статус)

Общее представление, состояние аффектов, настроение, качество речи, присутствие тестирования реальности, уровень интеллекта, адекватность памяти, оценка надежности информации. Исследование возможностей дальнейшего развития областей предполагаемых проблем, например, при депрессии — возможность суицида.

Сновидения: Запоминаются ли они? Какие-то — повторяющиеся, некоторые — недавние.

Используемые вещества — описанные и другие — а также алкоголь.

В заключение

Спросите пациента, нет ли другой важной информации, которой он обладает и о которой его не спросили.

Спросите, было ли ему удобно и не хочет ли он что-либо сказать.

Выводы

Главные текущие темы, области фиксаций и конфликтов, основные защиты, бессознательные фантазии, желания и страхи; центральные идентификации, контридентификации; неоплаканные потери; связанность собственного “Я” и самооценка.

СОДЕРЖАНИЕ

М.В. Глущенко. Предисловие к русскому изданию............................ 5

Благодарности. Перевод М. Глущенко.............................................................. 9

Предисловие. Перевод М. Глущенко............................................................... 13

Введение. Перевод М. Глущенко...................................................................... 16

Часть I. Концептуальные положения...................................... 21

1. Зачем нужен диагноз? Перевод А Шуткова.......................................... 22

2. Психоаналитическая диагностика личности. Перевод

А. Шуткова......................................................................................................... 37

3. Уровни развития организации личности. Перевод А Шуткова,

М. Глущенко....................................................................................................... 63

4. Клиническое приложение уровней развития организации

личности. Перевод А Шуткова, Д. Шаталовой..................................... 95

5. Первичные (примитивные) защитные процессы. Перевод

В. Сидоровой................................................................................................... 130

6. Вторичные (высшего порядка) защитные механизмы.

Перевод М. Глущенко.................................................................................. 155

Часть I. Типы организации характеров.................................. 191

7. Психопатические (асоциальные) личности. Перевод

М. Глущенко, К. Ягнюк................................................................................ 197

8. Нарциссические личности. Перевод М. Глущенко............................ 219

9. Шизоидные личности. Перевод М. Глущенко..................................... 246

10. Параноидные личности. Перевод М. Глущенко................................. 266

11. Депрессивные и маниакальные личности. Перевод

М. Глущенко, К. Ягнюк................................................................................ 293

12. Мазохистические (пораженческие, саморазрушительные

[SELF-DEFEATING] личности. Перевод З. Зиминой........................... 331

13. Обсессивные и компульсивные личности. Перевод Н. Лоховой. 358

14. Истерические или театральные (HISTRIONIC) личности.

Перевод А Шуткова...................................................................................... 388

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