Psychopathology: Clinical Evaluation and Diagnosis

Course objectives

The aim of this course is to illustrate how to manage an assessment process leading to psychological di-agnosis and case formulation, combining the complexity of clinical observation and the use of valid and reliable assessment instruments, the demands of clinical practice and the needs of research. Diagnostic assessment of clinical syndromes - with emphasis on personality and its disorders – will be treated in the broader context of psychodynamic psychopathology. The major classification systems of mental disorders (DSM-5-TR, ICD-11, PDM-2 and PDM-3) and the most recent procedures for assessing per-sonality and psychological and relational functioning (SWAP-200 and SWAP-II) will be described, with particular attention on treatment. Course aims By the end of the course, students will have acquired the basic and necessary knowledge to: a) navigate different diagnostic models in the assessment of personality and psychopathology; b) choose and select the assessment methods and nosographic systems that best meet the different needs of various applica-tion contexts (clinical, research, epidemiological, etc.). Laboratory aims Discussion, supervision and practical application of the instruments studied will be conducted during the laboratory, so that students can acquire professionalizing skills in the field of psychodiagnostic as-sessment. General aims The course is primarily aimed at providing students with the theoretical and practical knowledge that would help them conduct an assessment process useful for diagnosing, developing case formulations, and planning successful treatments; in other words, an assessment process that reflects the effort to promote a diagnostic approach that bridges the gap between clinical complexity (idiographic) and no-sographic systems (nomothetic). In detail, the course aims to furnish students with the necessary and most up-to-date knowledge to: a) navigate the main diagnostic systems (DSM-5-TR, PDM-2 and PDM-3, SWAP-200 and SWAP-II) and psychopathological pictures; b) conduct a psychodynamic assessment of personality and its disorders; (c) select the most appropriate assessment procedures and nosographic systems in relation to different contexts (clinical, research, etc.); (d) deepen an updated reflection on issues related to the construction of identity in the relational and social context. The expected learning outcomes are: skills in clinical and diagnostic assessment of individual mental capacities, as well as in the choice of patient-tailored treatments. Frontal classes provide students with fundamental knowledge of the assessment of psychological func-tioning, including cognitive, affective and relational patterns. Laboratory activities promote the acquisition of professional skills aimed at using empirically validated tools, methods, and procedures suitable for conducting an accurate assessment process. Specific aims Knowledge and understanding Passing the exam guarantees students’ knowledge of the main diagnostic classification systems and their psychopathological pictures, as well as the most widely used assessment procedures of personali-ty, mental capacities, and symptom patterns. Applying knowledge and understanding Passing the exam guarantees students the ability to use methods and procedures of clinical-diagnostic assessment in various domains (clinical practice, empirical research, ecc.), in line with the distinctive areas on which the Master’s Degree "Dynamic Psychopathology and Clinical Relationships in Evolu-tional Age and Adults" is based. Making judgments Passing the exam enables students to develop informed judgments about the appropriateness of as-sessment tools and methods based on different methodologies and applied in different context; these skills allow them to identify the strengths and potential limitations of these measures. Students’ abilities will be acquired through case discussions, video of clinical interviews or movies, and practical exercises during the laboratory. Communication skills Passing the exam requires students to acquire effective communication skills. These skills will be achieved during frontal lectures and laboratory sessions through learning both "technical" diagnostic language and non-jargon communication skills useful for patient relationship. Learning skills Passing the exam involves the acquisition of learning skills that will allow students to deepen, in the course of their academic and professional careers, the knowledge of the most relevant diagnostic mod-els, and to acquire skills on the most widespread assessment procedures of personality and individual mental functioning. These skills will be acquired, in different ways, both during frontal classes and the laboratory sessions, dedicated in particular to the discussion of clinical cases. Prerequisites Useful prerequisites for a better understanding of teaching content and more effective learning are: a) basic knowledge in the area of general psychopathology [important]; b) basic knowledge related to the most widely used nosographic systems for assessing mental disorders [useful]; basic knowledge of the main methods and procedures of diagnostic assessment of individual mental functioning most com-monly used in clinical and research settings [important].

Channel 1
VITTORIO LINGIARDI Lecturers' profile

Program - Frequency - Exams

Course program
The main topics of the course are: 1) Clinical interview, psychological testing, and different types of diagnosis (nomothetic, idiographic, descriptive, structural, etc.); 2) Diagnostic manuals (DSM-5-TR; ICD-11; PDM-3); 3) Diagnostic assessment of personality, mental functioning, and symptom patterns of the adult individual; 4) Main personality assessment procedures (Shedler-Westen Assessment Procedure-200, SWAP-200 and SWAP-II); 5) Personality disorders: psychodynamics and neuroscience; 6) Defense mechanisms: theoretical-clinical elements and tools for empirical research; 7) Personality and trauma; 8) Personality: attachment, mentalization, epistemic trust; 9) Sexual and gender identity; 10) Therapeutic relationship (therapist's emotional responses, patient's interpersonal patterns, therapeutic alliance) and its assessment tools; 11) Indications for psychotherapy and main treatment models; 12) Elements of clinical and dynamic psychopathology: schizophrenia and psychotic disorders; bipolar and depressive disorders; anxiety, phobias, obsessions; feeding and eating disorders; substance-related disorders and addiction disorders; personality factors and somatization mechanisms; paraphilic disorders and online sexuality; 13) Movies and psychopathology. The total 84 hours scheduled for teaching are divided as follows: 12 hours of traditional classes devoted to discussing the issue of diagnosis and describing the most widespread systems of nosographic classification of mental disorders (DSM-5-TR; ICD-11; PDM-3); 12 hours devoted to the study of personality and its functioning (identity, defense mechanisms, sexualities, relational patterns, etc.); 12 hours devoted to the description of personality assessment methods and procedures, particularly the Shedler-Westen Assessment Procedure-200 (SWAP-200 and SWAP-II); 12 hours devoted to the illustration of clinical-psychiatric syndromes (including, schizophrenia and psychotic disorders, bipolar and depressive disorders, nutrition and eating disorders, etc.); 36 laboratory hours devoted to the use of tools and procedures for assessing the personality, mental functioning and symptom patterns of individuals and the clinical interpretation/discussion of the results in light of intervention or treatment planning.
Prerequisites
The scientific-cultural and curricular prerequisites useful for a better understanding of teaching content and more effective learning are: a) basic knowledge in the area of general psychopathology; b) basic knowledge related to the most widely used international nosographic systems for assessing mental disorders;; c) basic knowledge of the main methods and procedures of diagnostic assessment of individual mental functioning most commonly used in clinical and research settings.
Books
Lingiardi, V. (2024). Personality and its disorders. Clinical assessment and diagnosis in the service of treatment. Raffaello Cortina, Milan. One of the following texts: Lingiardi, V. (2023). The navel of the dream. An oneiric journey. Einaudi, Turin. Lingiardi, V. (2021). Archipelago N. Variations on narcissism. Einaudi, Turin. Lingiardi, V. (2018). Diagnosis and fate. Einaudi, Turin. Other materials will be provided during the course.
Frequency
Class attendance is not mandatory but strongly recommended.
Exam mode
In general, the evaluation arrangement consists of a written examination. If the written test is passed, there is an oral supplement at the student's request. Objective of the examination The evaluation arrangement consists of a written examination. The test comprises 21 multiple-choice questions and 3 open-ended questions. The first 21 questions aim to examine students’ theoretical knowledge of the most widespread diagnostic systems and approaches in the field of mental psycho-pathology. The 3 open-ended questions aim to evaluate students’ abilities to formulate and synthesize information and concepts; moreover, they verify the effective acquisition of professionalizing skills aimed at using empirically validated tools, methods, and procedures suitable for conducting an accurate assessment process. Number of examinations and time placement The text is scheduled at the end of the course and thereafter in the other 4 annual appeals. Type, duration and method of administration The test consists of 21 multiple-choice questions and 3 open-ended questions. The total time of the exam is 60 minutes. If the written test is passed, there is an oral supplement at the student's request. Final evaluation A score of at least 18 out of 30 needs to be achieved to pass the exam. This score of 18 reflects sufficient levels of knowledge and understanding of the topics covered in the course, and minimum skills in the clinical and diagnostic assessment of individuals' personality, mental functioning, and symptom patterns. The score of 30 (“cum laude”) reflects an excellent knowledge of course topics; optimal abilities to formulate informed judgments about the appropriateness of assessment tools and methods based on specific methodologies and applied in different contexts, as well as to identify their strengths and potential limitations; and capacities to clarify and explain the choice of potential treatment indications.
Bibliography
A constant mention of PDM-3 will be made throughout the course: Lingiardi, V., McWilliams, N. (2025). Psychodynamic Diagnostic Manual, Third Edition (PDM-3). Guilford Press, New York (NY).
Lesson mode
The course combines: frontal classes, practical exercises, group collaborative work, use of audio and video material (such as clinical-diagnostic interviews or movies), and clinical case discussions. The frontal classes aim to provide students with theoretical and clinical knowledge that is useful for conducting an accurate assessment of individual psychological functioning and planning patient-tailored treatments. Laboratory activities, especially practical exercises and group collaborative work, aim to promote the acquisition of specific skills in the use of assessment methods and procedures typically employed in different contexts (clinical, research, etc.). Discussion of clinical materials and viewing videos and movies promote and foster students' awareness of their emotional responses in psychopathological and clinical settings. The interplay of frontal classes and laboratory activities promotes more effective learning and stimulates the development of cognitive skills and personal resources that students will be able to invest in different areas of application.
  • Lesson code1044936
  • Academic year2025/2026
  • Coursecorso|33581
  • CurriculumSingle curriculum
  • Year2nd year
  • Semester1st semester
  • SSDM-PSI/07
  • CFU9
  • Subject areaPsicologia dinamica e clinica