Long‐term changes in attachment patterns after psychotherapy in outpatients with Axis I and personality disorders vs. Axis I disorders only

2020 ◽  
Author(s):  
Ingrid Olssøn ◽  
Alv A. Dahl
Keyword(s):  
Personality Disorders ◽  
Attachment Patterns ◽  
Axis I Disorders ◽  
Long Term Changes ◽  
Axis I

scholarly journals Personality disorder and impaired functioning from adolescence to adulthood

2007 ◽  
Vol 190 (5) ◽  
pp. 415-420 ◽  
Author(s):  
Andrew E. Skodol ◽  
Jeffrey G. Johnson ◽  
Patricia Cohen ◽  
Joel R. Sneed ◽  
Thomas N. Crawford
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Epidemiological Data ◽  
Adult Onset ◽  
Global Functioning ◽  
Community Based ◽  
Axis I Disorders ◽  
Significant Impairment ◽  
Axis I

BackgroundLittle is currently known about functioning and impairment during adulthood associated with the course of personality disorders.AimsTo investigate the association of personality disorder stability from adolescence through middle adulthood with measures of global functioning and impairment, using prospective epidemiological data.MethodA community-based sample of 658 individuals was interviewed at mean ages 14, 16, 22 and 33 years.ResultsIndividuals with persistent personality disorder had markedly poorer functioning and greater impairment at mean age 33 years than did those who had never been identified as having such disorder or who had a personality disorder that was in remission, after co-occurring Axis I disorders at age 33 years were taken into account. Remitted disorder was associated with mild long-term impairment. Adult-onset personality disorders, however, were also associated with significant impairment.ConclusionsPersistent and adult-onset personality disorders are associated with functional impairment among adults in the community. These effects are independent of co-occurring Axis 1 disorders.

Treatment Outlines for Borderline, Narcissistic and Histrionic Personality Disorders

1991 ◽  
Vol 25 (3) ◽  
pp. 392-403 ◽  
Keyword(s):  
Personality Disorders ◽  
Expert Committee ◽  
Hypothetical Model ◽  
Special Training ◽  
Axis I Disorders ◽  
Axis I

Treatment outlines for Axis I disorders were published during 1982–1985. Treatment outlines for the DSM-Ill personality disorders are being published. This guide to the treatment of borderline, histrionic and narcissistic disorders was developed from the literature, from the opinions of practising psychiatrists and from the experience of nominated experts. Even though the treatment of patients who suffer from these disorders is very difficult, the surveys of outcome in the literature suggest that a majority of patients improve significantly with long term psychotherapy. In the present outline the expert committee describe a hypothetical model for the genesis of these disorders and outline the steps to be followed if therapy is to be optimal. The experts stress that therapy is often prolonged and difficult but can be rewarding. They caution that therapists are likely to require considerable special training and it is recommended that they seek supervision throughout the process of therapy.

Associations of Parental Personality Disorders and Axis I Disorders with Childrearing Behavior

Psychiatry ◽  
2006 ◽  
Vol 69 (4) ◽  
pp. 336-350 ◽  
Author(s):  
Jeffrey G. Johnson ◽  
Patricia Cohen ◽  
Stephanie Kasen ◽  
Miriam K. Ehrensaft ◽  
Thomas N. Crawford
Keyword(s):  
Personality Disorders ◽  
Axis I Disorders ◽  
Axis I ◽  
Parental Personality

scholarly journals Comparison of alternative models for personality disorders, II: 6-, 8- and 10-year follow-up

2011 ◽  
Vol 42 (8) ◽  
pp. 1705-1713 ◽  
Author(s):  
L. C. Morey ◽  
C. J. Hopwood ◽  
J. C. Markowitz ◽  
J. G. Gunderson ◽  
C. M. Grilo ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Factor Model ◽  
Five Factor Model ◽  
Personality Pathology ◽  
Diagnostic Categories ◽  
Dsm 5 ◽  
Axis I ◽  
Dsm Iv ◽  
Characteristic Features

BackgroundSeveral conceptual models have been considered for the assessment of personality pathology in DSM-5. This study sought to extend our previous findings to compare the long-term predictive validity of three such models: the Five-Factor Model (FFM), the Schedule for Nonadaptive and Adaptive Personality (SNAP), and DSM-IV personality disorders (PDs).MethodAn inception cohort from the Collaborative Longitudinal Personality Disorder Study (CLPS) was followed for 10 years. Baseline data were used to predict long-term outcomes, including functioning, Axis I psychopathology, and medication use.ResultsEach model was significantly valid, predicting a host of important clinical outcomes. Lower-order elements of the FFM system were not more valid than higher-order factors, and DSM-IV diagnostic categories were less valid than dimensional symptom counts. Approaches that integrate normative traits and personality pathology proved to be most predictive, as the SNAP, a system that integrates normal and pathological traits, generally showed the largest validity coefficients overall, and the DSM-IV PD syndromes and FFM traits tended to provide substantial incremental information relative to one another.ConclusionsDSM-5 PD assessment should involve an integration of personality traits with characteristic features of PDs.

Difficulties in Interpersonal Relationships Associated with Personality Disorders and AXIS I Disorders: A Community-Based Longitudinal Investigation

2000 ◽  
Vol 14 (1) ◽  
pp. 42-56 ◽  
Author(s):  
Jeffrey G. Johnson ◽  
Judith G. Rabkin ◽  
Janet B. W. Williams ◽  
Robert H. Remien ◽  
Jack M. Gorman
Keyword(s):  
Personality Disorders ◽  
Interpersonal Relationships ◽  
Community Based ◽  
Longitudinal Investigation ◽  
Axis I Disorders ◽  
Axis I

Cognitive Therapy for Personality Disorders

2012 ◽  
pp. 726-750
Author(s):  
Robert L. Leahy ◽  
Lata K. McGinn
Keyword(s):  
Personality Disorders ◽  
Cognitive Therapy ◽  
Dialectical Behavior Therapy ◽  
Negative Impact ◽  
Cognitive Model ◽  
Theoretical Models ◽  
Axis I Disorders ◽  
Treatment Research ◽  
Axis I ◽  
Schema Model

Personality disorders are prevalent and common among patients presenting for treatment. Research suggests that personality disorders are associated with significant impairment and can exert a negative impact on psychological and pharmacological treatments for Axis I disorders. Despite this, treatment development and research for personality disorders has lagged behind those of Axis I disorders. The present chapter describes two major cognitive models of personality disorder—the cognitive model advanced by Beck, Freeman, and colleagues and the schema model advanced by Young and colleagues (a brief review of the dialectical behavior therapy model is also provided). The chapter presents research on both theoretical models and outlines similarities and differences between the two theoretical formulations. A description of the therapeutic relationship in cognitive therapy is also provided. The components of treatment are presented followed by a case example for purposes of illustration. Finally, the chapter summarizes the extant research on the treatment of personality disorders. Although the data are encouraging, suggesting that personality disorders are responsive to treatment, further controlled trials are still needed.

Systematic review of psychotherapeutic treatments for “minor” personality disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 2106-2106
Author(s):  
K. Lieb ◽  
J. Stoffers ◽  
B. Völlm
Keyword(s):  
Personality Disorders ◽  
Cochrane Collaboration ◽  
Borderline Personality ◽  
Current Evidence ◽  
Electronic Search ◽  
Literature Searches ◽  
Dsm V ◽  
Axis I Disorders ◽  
Axis I ◽  
Overall Functioning

IntroductionAmong personality disorders (PDs), antisocial and borderline personality disorder are well-studied. However, the remaining PDs (in the following called “minor PDs”) pose major problems in everyday-health care settings. People affected often present with additional axis-I disorders such as substance-related, mood or anxiety disorders, and are among those most difficult to treat.ObjectivesTo systematically review the current evidence of psychotherapeutic treatments for “minor” personality disordersMethodsIn the context of Cochrane Collaboration reviews for Cluster A, B and C PDs, exhaustive literature searches were done to identify the current RCT evidence for PD treatments. The electronic search strategies were extended to identify also non-RCT evidence for minor PD treatments. Retrievals were assessed and evaluated by two reviewers independently.ResultsThe current evidence for psychotherapeutic treatments of minor PDs is sparse and based on mixed PD samples with co-morbid axis-I disorders in the majority of cases. Reported outcomes focus on specific axis-I disorders or general measures such as overall functioning.ConclusionsThe current evidence is scarce and does not allow for distinct treatment recommendations but undermines the importance of meeting special demands of PD patients by PD-specific treatments. Possible reasons for the paucity of research in this regard will be discussed, also in the light of future developments after DSM-V.

Axis I disorders and personality disorders as risk factors for suicide

2005 ◽  
Vol 256 (1) ◽  
pp. 17-27 ◽  
Author(s):  
B. Schneider ◽  
T. Wetterling ◽  
D. Sargk ◽  
F. Schneider ◽  
A. Schnabel ◽  
...  
Keyword(s):  
Risk Factors ◽  
Personality Disorders ◽  
Axis I Disorders ◽  
Axis I ◽  
Risk Factors For Suicide
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