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The Functional Domain of Self-Criticism

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Depression and Personality Dysfunction

Abstract

Self-criticism has been identified as a core dimension of depressive experience. At the same time, the ability to regulate self-esteem and maintain a realistic and positive view of the self is an important aspect of personality functioning. Thus, the functional domain of self-criticism overlaps with both depression and personality dysfunction. The chapter will first provide an overview of commonalities and differences between self-criticism, depression, and personality dysfunction. Empirical studies are reviewed to shed light on the overlap as well as the unique aspects of the three constructs. A particular focus will be placed on the impact of personality dysfunction from a perspective of the Structural Integration Axis of the Operationalized Psychodynamic Diagnosis System (OPD-2), which highly overlaps with the levels of functioning from the DSM-5 Alternative Model of Personality Disorders. Secondly, we review clinical theory and empirical research on self-criticism as a predictor of psychotherapy outcome. The findings demonstrate that pronounced self-criticism has a meaningful impact on the treatment process and needs to be addressed specifically and adaptively for successful outcomes.

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Dinger, U., Löw, C.A., Ehrenthal, J.C. (2021). The Functional Domain of Self-Criticism. In: de la Parra, G., Dagnino, P., Behn, A. (eds) Depression and Personality Dysfunction. Depression and Personality. Springer, Cham. https://doi.org/10.1007/978-3-030-70699-9_7

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