Mark L. Ruffalo, LCSW, is an Assistant Professor of Psychiatry at the University of Central Florida College of Medicine and Adjunct Assistant Professor of Psychiatry at Tufts University School of Medicine.
is a psychotherapist in private practice in Tampa, Florida, and serves as Assistant Professor of Psychiatry at the University of Central Florida College of Medicine and Adjunct Assistant Professor of Psychiatry at Tufts University School of Medicine.
His main interests include the history of psychiatry, particularly mid-20th-century American psychiatry; the conceptualization of mental illness; and the psychodynamic treatment of borderline personality disorder and schizophrenia. His recent work has been on the object relations theory of borderline personality disorder, which he has described as fundamentally a disorder of paradox or self-contradiction. He is the Director of Psychotherapy Training at the UCF psychiatry residency program. Ruffalo has trained at the University of Pittsburgh, the Columbia University Center for Psychoanalytic Training and Research, and the Gunderson Personality Disorders Institute at McLean Hospital. He has published previously in theHe is the developer of the Borderline Personality Disorder Inventory and co-developer of the Psychopathology Refracted into Seven Modalities psychiatric diagnostic instrument. The views expressed on this blog are solely his own and do not reflect the views of any of his employers. His website isDiagnosis determines what illness is present; formulation explains why it takes its particular form in a given person. Both are essential and complementary to sound clinical reasoning.A classic communication theory, the double bind, may offer a unifying explanation for the paradoxes at the core of borderline personality disorder.Dimensional models of psychopathology may highlight symptom continua, but they do not answer the central question of whether our diagnoses reflect real entities in nature.What happens to psychoanalysis when the individual mind disappears? Here's a critique of the concept of the "analytic third." What happens to psychoanalysis when the individual mind disappears? Here's a critique of the concept of the "analytic third."Lithium Supplementation for the Psychotherapy Patient Could small doses of lithium, long known to prevent suicide in bipolar disorder, also help patients struggling with anxiety, impulsivity, or emotional instability? Could small doses of lithium, long known to prevent suicide in bipolar disorder, also help patients struggling with anxiety, impulsivity, or emotional instability?Why We Still Need Categories in Personality DiagnosisSelf Tests are all about you. Are you outgoing or introverted? Are you a narcissist? Does perfectionism hold you back? Find out the answers to these questions and more with Psychology Today.
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