
PERSONALITY STYLES IN PSYCHOTHERAPY:
A Roadmap to Deep and Lasting Change
Master clinicians know that deep and lasting psychological change does not come from focusing on surface symptoms, but from addressing the personality dynamics and relational patterns underlying them. In the morning lecture, “Personality Pathways to Depression,” Dr. Shedler will discuss the personality styles most often seen in clinical practice (e.g., narcissistic, borderline, depressive, obsessive–compulsive), integrating longstanding clinical wisdom with contemporary empirical findings. He will discuss how each personality style represents a unique psychological pathway to depression that requires a distinct treatment focus, and offer clinical strategies for deepening the treatment.
The afternoon session will build on these concepts with a strong hands-on clinical focus. Participants will deepen their skills in recognizing and working with personality dynamics through clinical case presentations by selected attendees, with case discussion, live supervision, and role-playing to demonstrate effective intervention. Dr. Shedler will emphasize how personality dynamics and relational patterns play out in real time play out in the therapy relationship through transference and countertransference, and how to use the therapy relationship constructively to bring about deep and lasting change.
NCSPP is aware that historically psychoanalysis has either excluded or pathologized groups outside of the dominant population in terms of age, race, ethnicity, nationality, language, gender, religion, sexual orientation, socioeconomic status, disability, and size. As an organization, we are committed to bringing awareness to matters of anti-oppression, inequity, inequality, diversity, and inclusion as they pertain to our educational offerings, our theoretical orientation, our community, and the broader world we all inhabit.
Presenter's Response:
Many writings in past formulations on personality structure have been based on clients that have been able to afford treatment. This workshop will include discussion on treatment with marginalized populations and factors that affect personality formation within broader cultural contexts.
At the end of this course, participants will be able to:
- Explain how common personality styles represent distinct pathways to depressive disorders
- Describe how narcissistic, paranoid, and borderline personality styles create psychological vulnerability to depression
- Differentiate borderline personality as a distinct psychological pathway to depression
- Describe the defining features of depressive personality as a diagnostic construct and discuss implications for treatment
- Describe the rationale for the Shedler-Westen Assessment Procedure (SWAP) for personality diagnosis and case formulation
- Develop a deeper understanding of the role of personality in psychotherapy and apply it through case discussion, role play, and live clinical supervision
- Feinstein, R. (Ed.) (2022). Personality Disorders. Oxford University Press.
- McWilliams, N. & Shedler, J. (in press). Psychodynamic Diagnostic Manual, third edition (PDM-3): Personality Syndromes. NY: Guilford Press.
- Peebles, M.J. (2022). What to do when treatment feels stuck. Routledge.
- Shedler, J. (2022). That Was Then, This Is Now: Psychoanalytic Psychotherapy for The Rest of Us. Contemporary Psychoanalysis, 58:2-3, 405-437. https://doi.org/10.1080/00107530.2022.2149038
- Shedler, J. (2022). The personality syndromes. In R. Feinstein (Ed.), Personality Disorders. Oxford University Press.
- Shedler, J. (2022). That Was Then, This Is Now: Psychoanalytic Psychotherapy for The Rest of Us. Contemporary Psychoanalysis, 58:2-3, 405-437.
- Westen, D., Shedler, J., Bradley, B., DeFife, J. (2012). An empirically derived taxonomy for personality diagnosis: Bridging science and practice in conceptualizing personality. American Journal of Psychiatry, 169, 273-284.
Jonathan Shedler, Ph.D., is known internationally as an author, clinical consultant, and master teacher. He is the author of over 100 scientific and scholarly articles; the creator of the Shedler-Westen Assessment Procedure (SWAP) for personality diagnosis and clinical case formulation; and co-author, with Nancy McWilliams, of the Psychodynamic Diagnostic Manual. Clinical Professor of Psychiatry at the University of California, San Francisco and a Training and Supervising analyst at SFCP, Dr. Shedler has more than 25 years’ experience teaching and supervising psychologists, psychiatrists, and psychoanalysts.
LCSW/MFTs: Course meets the requirements for 6 hours of continuing education credit for LMFTs, LCSWs, LPCCs and/or LEPS, as required by the CA Board of Behavioral Sciences. NCSPP is approved by the California Association of Marriage and Family Therapists (Provider Number 57020), to sponsor continuing education for LMFTs, LCSWs, LPCCS, and/or LEPs. NCSPP maintains responsibility for this program /course and its content.
Psychologists: Division 39 is approved by the American Psychological Association to sponsor continuing education for psychologists. Division 39 maintains responsibility for these programs and their content.
Certificates of Attendance for CE credits will be sent to those participants who attend the entire workshop and return a completed course evaluation.

