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Psychoanalytic treatment endeavors to improve patients’ psychological health and functioning and ameliorate personality pathology. However, these treatment outcomes are notoriously hard to capture via self-report measures and not frequently measured in naturalistic psychoanalytic practice. In this brief report, we examined the validity of the Psychodynamic Diagnostic Manual’s Psychodiagnostic Chart–2 (PDC-2; R. M. Gordon & Bornstein, 2015) in assessing patients’ psychological health and personality pathology achieved in 27 long-term psychoanalytic treatments in naturalistic practice. We used previously collected session recordings (eight early- and eight late-phase sessions per treatment) that had previously been rated by observers on the Shedler–Westen Assessment Procedure-200 (Shedler & Westen, 1998). A group of graduate student observers rated the PDC-2. Results indicated that multiple indices of the PDC-2 showed statistically significant change from early to late in treatment. The PDC-2 was also related to ratings on the Shedler–Westen Assessment Procedure-200 at both the early and late phases of treatment, supporting the convergent validity of the measure.
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