ABSTRACT

Counseling centers are part of a national practice environment that arguably encourages expedience rather than thoroughness in working with psychological difficulties. In this landscape, diagnosis is a process where symptom identification is preferred over a more complex understanding of clients. The predominant diagnostic tool used by mental health professionals is the Diagnostic and Statistical Manual of Mental Disorders (DSM) which has the main purpose of identifying symptom clusters. A less known competitor to the DSM is the Psychodynamic Diagnostic Manual (PDM). Purposefully developed as an alternative to the DSM, the PDM has many unique features and differences that distinguish it from the DSM. Compared to the DSM, the PDM requires a more labor-intensive and thorough assessment process. That process assists clinicians in arriving at a multifaceted diagnosis, including case conceptualization, that provides valuable information on how to approach therapy. In this was the PDM may be more valuable for University and College counselors. This is because the PDM, in addition to identifying symptoms, also provides a wholistic portrait of the person who has them. The usefulness of the holistic view of a person, that the PDM provides, is discussed and illustrated through a case study.

摘要

咨询中心是国家实践环境的一部分，可以说鼓励权宜之计而不是彻底解决心理困难。在这种情况下，诊断是一个过程，其中症状识别优于对客户的更复杂的理解。精神卫生专业人员使用的主要诊断工具是精神疾病诊断和统计手册 (DSM)，其主要目的是识别症状群。DSM 的一个鲜为人知的竞争对手是心理动力学诊断手册 (PDM)。PDM 有目的地开发为 DSM 的替代品，具有许多独特的功能和区别，使其与 DSM 不同。与 DSM 相比，PDM 需要更加劳动密集型和彻底的评估过程。该过程有助于临床医生做出多方面的诊断，包括病例概念化，从而为如何进行治疗提供有价值的信息。在这方面，PDM 可能对大学和学院的辅导员更有价值。这是因为 PDM 除了识别症状外，还提供了患者的整体画像。通过案例研究讨论和说明 PDM 提供的个人整体观点的有用性。