Diagnosing Neurotic Disorders

  • Martin Mayman
  • Jennifer Cole


Among mental health practitioners, it is generally assumed that sound clinical work rests squarely on sound diagnostic assessment. This has long been a truism in all medical specialties. It was virtually the be-all and end-all of psychiatry during the last century and the beginning of this century. More recently, especially among nonmedical practitioners, the art of differential diagnosis is no longer so highly revered. Attaching a diagnostic label to a set of presenting symptoms or to a prevailing character style which a patient manifests initially in his work with a therapist has been reduced in many clinical settings to the status of an annoying bureaucratic requirement. There are some clinicians, most notably Karl Menninger (Menninger, Mayman, & Pruyser, 1963), who have spoken out forcefully and eloquently against the dangers inherent in diagnostic labeling, which too often becomes a subtle form of pejorative, dehumanizing rejection of the patient because of his illness.


Object World Diagnostic Label Neurotic Disorder Phobic Symptom Conversion Symptom 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. American Psychiatric Association, Committee on Nomenclature and Statistics. Diagnostic and statistical manual of mental disorders. Washington, D.C.: American Psychiatric Association, 1968.Google Scholar
  2. Bellak, L., Hurvich, M., and Gediman, H. Ego functions in schizophrenics, neurotics and normals. New York: Wiley, 1973.Google Scholar
  3. Chodoff, P. A reexamination of some aspects of conversion hysteria. Psychiatry, 1954, 17, 75–81.PubMedGoogle Scholar
  4. Chodoff, P., and Lyons, H. Hysteria, the hysterical personality and “hysterical” conversion. American Journal of Psychiatry, 1958, 114, 734–740.PubMedGoogle Scholar
  5. Freud, A. The writings of Anna Freud, Vol. 6. New York: International Universities Press, 1965, 108–147.Google Scholar
  6. Goldstine, T. Impersonal and interpersonal orientations in the conception of autonomy: A study of sex differences. Unpublished Ph.D. dissertation. Ann Arbor: University of Michigan, 1974.Google Scholar
  7. Kernbert, O. Borderline conditions and pathological narcissism. New York: Jason Aronson, 1975.Google Scholar
  8. Kohut, H. The analysis of the self. New York: International Universities Press, 1971.Google Scholar
  9. Luborsky, L. Clinicians’ judgments of mental health. Archives of General Psychiatry. 1962, 7, 407–417.PubMedCrossRefGoogle Scholar
  10. Mayman, M. Early memories and character structure. Journal of Projective Techniques and Personality Assessment, 1968, 32, 303–316.CrossRefGoogle Scholar
  11. Mayman, M. The shame experience, the shame dynamic, and shame personalities in psychotherapy. Paper presented to the American Psychological Association, September, 1974.Google Scholar
  12. Menninger, K., Mayman, M., and Pruyser, P. The vital balance. New York: Viking, 1963.Google Scholar
  13. Rapaport, D., Gill, M., and Schafer, R. Diagnostic psychological testing. Edited by R. Holt. New York: International Universities Press, 1968.Google Scholar
  14. Salzman, L. The obsessive personality. New York: Science House, 1968.Google Scholar
  15. Seton, P. Uses of affect observed in a histrionic patient. International Journal of Psychoanalysis. 1965, 46, 226–236.PubMedGoogle Scholar
  16. Shapiro, D. Aspects of the obsessive-compulsive style. Psychiatry, 1962, 25, 46–55.PubMedGoogle Scholar
  17. Shapiro D. Neurotic styles. New York: Basic Books, 1965.Google Scholar
  18. Voth, H., and Mayman, M. The psychotherapy process: Its relation to ego-closeness—ego-distance. Part I. Journal of Nervous and Mental Disease, 1966, 143, 324–337.CrossRefGoogle Scholar
  19. Voth, H., and Mayman, M. Diagnostic and treatment implications of ego-closeness/ ego-distance: Autokinesis as a diagnostic instrument. Comprehensive Psychiatry, 1967, 8, 203–216.PubMedCrossRefGoogle Scholar
  20. Wallerstein, R. Psychotherapy and psychoanalysis. New York: International Universities Press, 1975.Google Scholar
  21. Wallerstein, R., Robbins, L., Sargent, H., and Luborsky, L. The psychotherapy research project of the Menninger Foundation. Bulletin of the Menninger Clinic, 1956, 20, 221–280.Google Scholar
  22. Waskow, I., and Parloff, M. Psychotherapy change measures. Rockville, Maryland: National Institute of Mental Health, 1975.Google Scholar
  23. Weekes, C. Simple, effective treatment of agoraphobia, New York: Hawthorn, 1977.Google Scholar

Copyright information

© Plenum Press, New York 1978

Authors and Affiliations

  • Martin Mayman
    • 1
  • Jennifer Cole
    • 1
  1. 1.Department of PsychologyUniversity of MichiganAnn ArborUSA

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