Epistemic Object Relations: Character Organisation and the Reception of Information
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Abstract
The Psychodynamic Diagnostic Manual (PDM-3) provides a clinically grounded taxonomy of thirteen character organisations and indicates that epistemic trust should be assessed within its M-Axis Capacity for Trust, Empathy, and Intimacy. The systematic mapping between specific character organisations and specific epistemic stances has not, however, been articulated. This brief theoretical note proposes such a mapping. Drawing on Bion's K-link, object relations theory, Fonagy and Campbell's epistemic trust framework, and Jurist's mentalized affectivity, it introduces the construct of epistemic attunement, the characteristic, pre-reflective orientation of a person toward the reception, processing, and holding of information, shaped by their internalised object-relational template. The note proposes that each of the thirteen PDM-3 P-Axis organisations generates a distinct epistemic attunement with a characteristic affective texture, and that this mapping has implications for clinical formulation, the calibration of therapeutic delivery, and the interpretation of cognitive assessment. An operationalisation of the framework, in the form of a self-report instrument, has been developed and is awaiting psychometric validation; it will be reported separately. The note is offered as the conceptual foundation for empirical and clinical work to follow.
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- europepmc
- last seen: 2026-05-20T01:45:00.602351+00:00