Personality disorders and metacognitive deficit. some considerations - The author underlines the importance that psychodynamic diagnosis is inspired to a dimensional approach rather than a categorial one. In personality disorders, referring strictly to DSM diagnostic categories can reduce the complexity of the single clinical situation. The metacognitive deficit, which is present in various degree in personality disorders, has predominantly a defensive role against the pain and the anxiety caused by the recognition of mental contents presented by refusing and aggressive parental figures.
Key Words: Psychodynamic diagnosis; Personality disorders; Metacognition; Therapeutic relationship; Defences of the Self.
Parole chiave: diagnosi psicodinamica; disturbi di personalità; metacognizione; relazione terapeutica; difese del sé.