Psychological Mindedness - PDM Description

PDM Description

The Psychodynamic Diagnostic Manual (PDM) describes psychological mindedness as an individual's ability to observe his or her own internal life. The PDM details a four point sliding scale between high to low psychological mindedness, or 'healthy-to-impaired functioning'.

  1. Can reflect on (i.e. observe and experience at the same time) a full range of own and others' feelings or experiences (including subtle variations in feelings). Can reflect both in the present and with reference to a longer-term view of self, values, and goals. Can reflect on multiple relationships between feelings and experiences, across the full range of age-expected experiences in the context of new challenges.
  2. Can reflect on feelings or experiences of self and others both in the present and with reference to a longer-term view of a sense of self, values, and goals for some age-expected experiences, but not others. Cannot be reflective in this way when feelings are strong.
  3. Can reflect on moment-to-moment experiences, but not with reference to a longer-term sense of self and experiences, values, and goals.
  4. Unable to reflect genuinely on feelings or experiences, even in the present. Self-awareness consists often of polarized feeling states or simple basic feelings without an appreciation of subtle variations in feelings. Self-awareness is lacking, and there may be a tendency toward fragmentation.

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