Abstract

This paper argues for the value of a developmental perspective in both diagnosis and treatment. Three groups of character disorders are discussed and classified on a developmental continuum, ranging from the low-level borderline disorders through a medium level of narcissistic personality disorders to a high level of neurotic character disorders. Neurotic character disorders result from structural (ego-superego-id) conflict, whereas middle- and low-level disorders stem mainly from developmental defects and malformations. A developmental evaluation is aided by an examination of the subject's status on various lines of development. Developmental lines summarized and related to character pathology include typical anxieties, the self, defenses, moral regulations, object relations, psychosocial crises, and psychosocial phases and modes.

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