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Treatment Methods (Subject) / L3 Chapter (Lesson)

T H E AND PERSONALITY ORGANIZATION N A T U RE O F ABNORMAL N O R M A L

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  • psychological structure stable and enduring pattern of mental functions that organize behavior level of personality organization relates to severity of personality disorder from normal to neurotic to borderline to psychotic
  • Borderline organization Identity: Incoherent sense of self and others, poor investments in work, relations, leisure Defenses: Use of primitive defenses reality testing: Variable empathy with social criteria of reality; some confusion and distortion of self versus nonself, internal versus external
  • Neurotic organization Identity: Coherent sense of self and other but one element of psychic life not fully integrated; investments in work, relations, leisure Defenses: Use of more advanced defenses; rigidity Reality Testing: Accurate perception of self versus nonself, internal versus external; empathy with social criteria of reality
  • Normal organization Identity: Integrated sense of self and others; investment in work, relations, leisure Defenses: Use of more advanced defeses; flexibility Reality Testing: Accurate perception of self versus nonself, internal versus external, empahty with social criteria f reality
  • paranoid schizoid position radical splitting into extreme opposite camps
  • depressive position more realistc  and complex representations that can be good enough
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