Character strengths and clinical presentation

Three models are described that attempt to integrate clinical diagnosis with the strengths-based model introduced by Peterson and Seligman (2004). The strengths as syndrome model proposes conceptualizing clinical diagnoses in terms of excesses and deficiencies in strengths. The strengths as symptoms model suggests conceptualizing clinical symptoms as excesses or deficiencies in strengths. After reviewing these two models, we introduce a third. The strengths as moderators model suggests that signature or deficient strengths can serve moderators of clinical presentation within traditional diagnostic categories. This differs from the prior models primarily in offering a complement rather than alternative to traditional diagnostic formulation. A clinical case is provided highlighting the differences. The three approaches are not incompatible with each other, and in combination may provide practitioners a variety of perspectives for employing strength-based concepts in clinical interactions.