
Nancy McWilliams, Ph.D., ABPP., is emerita visiting professor at the
Graduate School
Postgraduate education, graduate education, or graduate school consists of academic or professional degrees, certificates, diplomas, or other qualifications usually pursued by post-secondary students who have earned an undergraduate (bachel ...
of
Applied and
Professional Psychology at
Rutgers University
Rutgers University ( ), officially Rutgers, The State University of New Jersey, is a Public university, public land-grant research university consisting of three campuses in New Jersey. Chartered in 1766, Rutgers was originally called Queen's C ...
. She has written on
personality
Personality is any person's collection of interrelated behavioral, cognitive, and emotional patterns that comprise a person’s unique adjustment to life. These interrelated patterns are relatively stable, but can change over long time per ...
and
psychotherapy
Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of Psychology, psychological methods, particularly when based on regular Conversation, personal interaction, to help a person change behavior, increase hap ...
.
McWilliams is a psychoanalytic/dynamic author, teacher, supervisor, and therapist. She has a private practice in psychotherapy and supervision in
Lambertville, New Jersey
Lambertville is a city (New Jersey), city within Hunterdon County, New Jersey, Hunterdon County in the U.S. state of New Jersey. As of the 2020 United States census, the city's population was 4,139, an increase of 233 (+6.0%) from the 3,906 reco ...
.
She is a former president of the Division of Psychoanalysis (39) of the
American Psychological Association
The American Psychological Association (APA) is the main professional organization of psychologists in the United States, and the largest psychological association in the world. It has over 170,000 members, including scientists, educators, clin ...
(APA).
Biography
Born in 1945 in Abington, Pennsylvania, she grew up in
Longmeadow, Massachusetts
Longmeadow is a town in Hampden County, Massachusetts, United States. The population was 15,853 at the 2020 census.
History
Longmeadow was first settled in 1644, and officially incorporated October 17, 1783. The town was originally farmland wit ...
,
New Canaan, Connecticut
New Canaan () is a town in Fairfield County, Connecticut, United States. The population was 20,622 according to the 2020 census. The town is part of the Western Connecticut Planning Region.
About an hour from New York City by train, the town ...
, and
Wyomissing, Pennsylvania. She graduated from
Oberlin College
Oberlin College is a Private university, private Liberal arts colleges in the United States, liberal arts college and conservatory of music in Oberlin, Ohio, United States. Founded in 1833, it is the oldest Mixed-sex education, coeducational lib ...
in 1967, with honors in Political Science. Subsequently, she studied psychology at
Brooklyn College
Brooklyn College is a public university in Brooklyn in New York City, United States. It is part of the City University of New York system and enrolls nearly 14,000 students on a campus in the Midwood and Flatbush sections of Brooklyn as of fall ...
and then received her Master's and Doctoral degrees from Rutgers University in Psychology (Personality and Social). In 1978 she was licensed as an independent psychologist in New Jersey and also graduated from the National Psychological Association for Psychoanalysis in New York. Since 2010, she has been Board Certified in Psychoanalysis in Psychology.
In 2011, the American Psychological Association chose her to represent psychoanalytic therapy in the remake of the classic film, ''Three Approaches to Psychotherapy''. In 2015, she was asked to be the plenary speaker at the American Psychological Association convention in Toronto, Canada. She is a member of the Center for Psychotherapy and Psychoanalysis of New Jersey and an Honorary Member of the American Psychoanalytic Association, the Moscow Psychoanalytic Society, the Institute for Psychoanalytic Therapy in Turin, Italy, and the Warsaw Scientific Association for Psychodynamic Psychotherapy. She has given graduation addresses at the Smith College School for Social Work and the
Yale University School of Medicine. In the summer of 2016 she was the Erikson Scholar at the Austen Riggs Center in
Stockbridge, Massachusetts
Stockbridge is a town in Berkshire County in Western Massachusetts, United States. It is part of the Pittsfield, Massachusetts, Metropolitan Statistical Area. The population was 2,018 at the 2020 census. A year-round resort area, Stockbridg ...
. In 2016, she taught a course on "The Minister and Mental Health" at Princeton Theological Seminary. Her writings have been translated into 20 languages, and she has taught in 30 countries.
Her areas of specialty include psychoanalytic theories, individual differences, personality, the relationship between psychological diagnosis and treatment, alternatives to DSM diagnostic conventions, integration of feminist theory and psychoanalytic knowledge, and the application of psychoanalytic understanding to the problems of diverse clinical populations.
''Psychoanalytic Diagnosis''
McWilliams' 1994 book ''Psychoanalytic Diagnosis'', published in a second edition in 2011, is considered by
psychoanalysts
PsychoanalysisFrom Greek: and is a set of theories and techniques of research to discover unconscious processes and their influence on conscious thought, emotion and behaviour. Based on dream interpretation, psychoanalysis is also a talk ther ...
and
psychodynamic psychotherapists to be a classic text on the diagnosis of patients within these theoretical frameworks.
It was described by
Otto F. Kernberg
Otto Friedmann Kernberg (; born 10 September 1928) is an Austrian-born American psychoanalyst and professor of psychiatry at Weill Cornell Medicine. He is most widely known for his psychoanalytic theories on borderline personality organizatio ...
as serving an "essential function" in educating about a psychoanalytic understanding of personality and personality disorders.
The book criticizes the approach to diagnosis widely adopted in the United States following the publication of the
DSM-III
The ''Diagnostic and Statistical Manual of Mental Disorders'' (''DSM''; latest edition: ''DSM-5-TR'', published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a c ...
in 1980,
and instead attempts to develop an alternative approach that mixes elements of classical
drive theory
In psychology, a drive theory, theory of drives or drive doctrine is a theory that attempts to analyze, classify or define the psychological drives. A drive is an instinctual need that has the power of influencing the behavior of an individual; ...
,
object relations theory
Object relations theory is a school of thought in psychoanalytic theory and psychoanalysis centered around theories of stages of ego development. Its concerns include the relation of the psyche to others in childhood and the exploration of re ...
,
ego psychology
Ego psychology is a school of psychoanalysis rooted in Sigmund Freud's structural id-ego-superego model of the mind.
An individual interacts with the external world as well as responds to internal forces. Many psychoanalysts use a theoretical c ...
,
neurobiology
Neuroscience is the scientific study of the nervous system (the brain, spinal cord, and peripheral nervous system), its functions, and its disorders. It is a multidisciplinary science that combines physiology, anatomy, molecular biology, ...
,
attachment theory
Attachment theory is a psychological and evolutionary framework, concerning the relationships between humans, particularly the importance of early bonds between infants and their primary caregivers. Developed by psychiatrist and psychoanalys ...
, and modern
psychodynamic
Psychodynamics, also known as psychodynamic psychology, in its broadest sense, is an approach to psychology that emphasizes systematic study of the psychological forces underlying human behavior, feelings, and emotions and how they might relate t ...
theory in general, often taking a relational perspective.
It relates these theoretical considerations to their implications for the practice of
psychotherapy
Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of Psychology, psychological methods, particularly when based on regular Conversation, personal interaction, to help a person change behavior, increase hap ...
.
In contrast to the
Psychodynamic Diagnostic Manual
The ''Psychodynamic Diagnostic Manual'' (PDM) is a diagnostic handbook similar to the International Statistical Classification of Diseases and Related Health Problems (ICD) or the ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM). ...
, ''Psychoanalytic Diagnosis'' is focused chiefly on
personality
Personality is any person's collection of interrelated behavioral, cognitive, and emotional patterns that comprise a person’s unique adjustment to life. These interrelated patterns are relatively stable, but can change over long time per ...
, and in particular
personality disorder
Personality disorders (PD) are a class of mental health conditions characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the culture. ...
s. While the book takes an eclectic approach,
it does propose a specific diagnostic framework containing nine distinct "types of character organization", namely:
#
psychopathic
Psychopathy, or psychopathic personality, is a personality construct characterized by impaired empathy and remorse, along with bold, disinhibited, and egocentric traits. These traits are often masked by superficial charm and immunity to s ...
personalities, which correspond to
antisocial personality disorder
Antisocial personality disorder (ASPD) is a personality disorder defined by a chronic pattern of behavior that disregards the rights and well-being of others. People with ASPD often exhibit behavior that conflicts with social norms, leading to ...
in the
DSM;
#
narcissistic
Narcissism is a self-centered personality style characterized as having an excessive preoccupation with oneself and one's own needs, often at the expense of others. Narcissism, named after the Greek mythological figure ''Narcissus'', has evolv ...
personalities, which correspond to
narcissistic personality disorder
Narcissistic personality disorder (NPD) is a personality disorder characterized by a life-long pattern of grandiosity, exaggerated feelings of self-importance, an excessive need for admiration, and a diminished ability to empathy, empathize w ...
;
# schizoid personalities, which encompass
schizoid personality disorder
Schizoid personality disorder (, often abbreviated as SzPD or ScPD) is a personality disorder characterized by a lack of interest in social relationships, a tendency toward a solitary or sheltered lifestyle, secretiveness, emotional coldness, ...
,
schizotypal personality disorder
Schizotypal personality disorder (StPD or SPD), also known as schizotypal disorder, is a cluster A personality disorder, cluster A personality disorder characterized by thought disorder, paranoia, a characteristic form of social anxiety, dereali ...
and
avoidant personality disorder
Avoidant personality disorder (AvPD), or anxious personality disorder, is a cluster C personality disorder characterized by excessive social anxiety and inhibition, fear of intimacy (despite an intense desire for it), severe feelings of inade ...
, and relates to
schizotypy
In psychology, schizotypy is a theoretical concept that posits a continuum (theory), continuum of personality psychology, personality characteristics and experiences, ranging from normal dissociative, imaginative states to extreme states of mind ...
and the
schizophrenia spectrum in general;
#
paranoid
Paranoia is an instinct or thought process that is believed to be heavily influenced by anxiety, suspicion, or fear, often to the point of delusion and irrationality. Paranoid thinking typically includes persecutory beliefs, or beliefs of con ...
personalities, which correspond to
paranoid personality disorder
Paranoid personality disorder (PPD) is a mental disorder characterized by paranoia, and a pervasive, long-standing suspiciousness and generalized mistrust of others. People with this personality disorder may be hypersensitive, easily insulted, ...
;
#
depressive and
manic personalities, which relate to various DSM diagnoses, including the former
depressive personality disorder;
# masochistic or self-defeating personalities, which correspond to the unrecognized
self-defeating personality disorder;
# obsessive and compulsive personalities, which correspond to
obsessive–compulsive personality disorder;
# hysterical or histrionic personalities, which correspond to
histrionic personality disorder
Histrionic personality disorder (HPD) is a personality disorder characterized by a pattern of excessive attention-seeking behaviors, usually beginning in adolescence or early adulthood, including inappropriate seduction and an excessive desire ...
and
borderline personality disorder
Borderline personality disorder (BPD) is a personality disorder characterized by a pervasive, long-term pattern of significant interpersonal relationship instability, an acute fear of Abandonment (emotional), abandonment, and intense emotiona ...
; and
#
dissociative
Dissociatives, colloquially dissos, are a subclass of hallucinogens that distort perception of sight and sound and produce feelings of detachment – dissociation – from the environment and/or self. Although many kinds of drugs are capable of ...
psychologies, which relate to various psychological phenomena, including
derealization
Derealization is an alteration in the perception of the external world, causing those with the condition to perceive it as unreal, distant, distorted, or in other ways falsified. Other symptoms include feeling as if one's environment lacks spontan ...
,
depersonalization
Depersonalization is a dissociative phenomenon characterized by a subjective feeling of detachment from oneself, manifesting as a sense of disconnection from one's thoughts, emotions, sensations, or actions, and often accompanied by a feeling of ...
, the associated
depersonalization–derealization disorder, and in extreme cases,
dissociative identity disorder.
These personalities are described in terms of their underlying
defense mechanisms, of which the book outlines ten "primary defensive processes" and another fifteen "secondary defensive processes".
Additionally, the book identifies a spectrum of developmental levels of organization, which is partitioned into three sections, namely the
neurotic, borderline and
psychotic ranges of functioning.
Here, "borderline" is used in the sense of Otto Kernberg's borderline personality organization (BPO), which is distinct from what is now usually called borderline personality disorder (BPD).
Publications
McWilliams is the author of several books on
psychoanalysis
PsychoanalysisFrom Greek language, Greek: and is a set of theories and techniques of research to discover unconscious mind, unconscious processes and their influence on conscious mind, conscious thought, emotion and behaviour. Based on The Inte ...
, personality and psychotherapy:
* First edition published in 1994.
*
*
*
She is also Associate Editor of the
Psychodynamic Diagnostic Manual
The ''Psychodynamic Diagnostic Manual'' (PDM) is a diagnostic handbook similar to the International Statistical Classification of Diseases and Related Health Problems (ICD) or the ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM). ...
, first published in 2006, and published in a second edition (
PDM-2) in 2017:
*
Awards
Awards include the Gradiva Prize for her second and fourth books, the Rosalee Weiss award for contributions to practice,
the Division of Psychoanalysis awards for leadership (2005),
scholarship (2012),
and international academic excellence (2021), the Laughlin distinguished teacher award, the Goethe Scholarship award, and the Hans Strupp award for teaching, practice and writing.
References
External links
Official website
{{DEFAULTSORT:McWilliams, Nancy
American psychoanalysts
American women psychologists
Rutgers University faculty
Living people
Nationality missing
Place of birth missing (living people)
Brooklyn College alumni
Oberlin College alumni
1945 births
20th-century American psychologists