Personality disorders: from scientific data to theoretical models and clinical practice. Workshop onder leiding van John Clarkin en John Livesley. Amersfoort, 26 en 27 maart 2003

2004 ◽  
Vol 30 (1) ◽  
pp. 39-41 ◽  
Author(s):  
Eline Brood ◽  
Anne Lindenborn ◽  
Milo Oudenhoven
2018 ◽  
Vol 59 (1) ◽  
pp. 26-47 ◽  
Author(s):  
Paul H. Lysaker ◽  
Aieyat B. Zalzala ◽  
Nicolai Ladegaard ◽  
Benjamin Buck ◽  
Bethany L. Leonhardt ◽  
...  

Humanistic psychology has made us aware that any understanding of schizophrenia must see persons diagnosed with this condition as whole persons who are making sense of what wellness and recovery mean to them. This has raised questions about what the diagnosis of schizophrenia means and whether the diagnostic label of schizophrenia is helpful when we try to conceptualize the actions and aims of treatment. To examine this issue we propose it is essential to consider what is systematically occuring psychologicaly in recovery when persons experience, interpret and agentically respond to emerging challenges. We then review how the integrated model of metacognition provides a systematic, person-centered, evidence-based approach to understanding psychological processes which impact recovery, and discuss how this guides a form of psychotherapy, metacognitive reflection and insight therapy, which promotes metacognitive abilities and support recovery. We suggest this work indicates that metacognitive capacity is something that can be diagnosed without stigmatizing persons. It can be used to meaningfully inform clinical practice across various theoretical models and offers concrete implications for rehabilitation.


2002 ◽  
Vol 8 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Sophie E. Davison

The management of individuals with personality disorder is one of the most challenging and sometimes controversial areas of psychiatry. This paper describes the principles involved in identifying the clinical problems and formulating a management plan for patients with personality disorder in everyday clinical practice. It demonstrates that the principles of assessing and managing personality disorders and the clinical skills required are no different from those of treating any other chronic mental disorder.


2011 ◽  
Vol 17 (3) ◽  
pp. 191-200 ◽  
Author(s):  
Sagari Sarkar ◽  
Ben S. Clark ◽  
Quinton Deeley

SummaryICD-10 and DSM-IV-TR diagnostic guidelines do not list psychopathy as a distinct psychiatric entity. However, there are significant overlaps between psychopathy and DSM-IV-TR Cluster B personality disorders. Neuroimaging studies implicate deficits in structure and function of frontal and limbic regions in this group of personality disorders, while highlighting both distinctions and overlaps between syndromes. Here, these data are reviewed and implications for diagnosis and clinical practice are discussed.


Phainomenon ◽  
2008 ◽  
Vol 16-17 (1) ◽  
pp. 235-246
Author(s):  
Victor Amorim Rodrigues

Abstract Personality disorders are among the most intriguing and fascinating mental disorders. As they are characterized by pathological traits, not signs and symptoms, they are unsuitable for treatment with psychotropic drugs or other biological treatments. A psychological understanding of these disorders is possible based on cognitive or psycho-dynamic explanations but the author argues that these theoretical models miss the essential point, as they Jack a foundational ground on what is specifically human in human beings, their humanitas. Any deviation from this ground might lead to the so called de-humanization of medicine or other clinical disciplines. This paper proposes an existential understanding of personality disorders grounded on the being of man. A clinical practice oriented towards the phenomenological method conceives human beings as an “opening of meaning” where the entities of the world can show themselves. The “opening” however is structured and if one revealed content (for instance a biographical event) is misunderstood as a structural component that might generate a set of interrelated pathological personality traits. A clinical case is presented to illustrate this process.


Author(s):  
A. G. Kulikov ◽  
T. N. Zaitseva ◽  
D. D. Voronina

Authors on the basis of available scientific data and their own clinical observations summarized information concerning the use of peloidotherapy. The historical aspects of mud treatment are described, the classification of the main types of mud is given, indications and contraindications to peloidotherapy are presented. The principles of the purpose and application of resource-saving mud treatment technologies are described in detail. The characteristic of mud preparations of the "TOMED" series is given.


Author(s):  
Matthias Brand ◽  
Marc N. Potenza

Abstract. Aims: In this narrative position paper, we will summarize some examples of theoretical models of behavioral addictions. We will then make some suggestions for how theoretical models may inspire both research and clinical practice in the context of behavioral addictions. Results: Current theoretical models typically distinguish between general and specific risk factors. It is commonly argued that based on conditioning processes, affective responses to specific stimuli (cue-reactivity and craving) develop within the course of behavioral addictions. Diminished control over the behavior is reflected in reductions in inhibitory control and executive functioning. Cognitive distortions, attentional biases, and behavior-related expectancies are also considerable mechanisms. Theoretical models have been used to inspire advances not only in research but also in clinical practice. For example, theoretical models have inspired the development of standardized treatment protocols. Conclusions: If theoretical models contributed more consistently to scientific studies, a better understanding of the processes underlying specific mental disorders could be facilitated, which could then promote updates and modifications of the theoretical models and improvements in clinical practice. Close connections and stimulating discussions between theorists and therapists are very important and beneficial for advances over time.


2021 ◽  
Vol LIII (1) ◽  
pp. 13-18
Author(s):  
Mikhail L. Zobin

The analytical review touches on clinical, neurobiological and philosophical problems of the relationship between brain and mind. With regard to the needs of clinical practice, the ontological aspects of consciousness and free will are considered, and some theoretical models of behavioral psychopathology are analyzed. A conclusion is made about the priority in psychiatry of the neurobiological paradigm while maintaining interest in modern forms of interactionist and property dualism.


2020 ◽  
Vol 4 (38) ◽  
pp. 23-26
Author(s):  
Z. M. Galeeva ◽  
O. F. Galiullin ◽  
E. G. Yeziukova ◽  
R. G. Tukhbatullina

The article presents scientific data on the role of ammonia in the human body, examines in detail the mechanism of formation and utilization of ammonia in the body. The questions of etiology and separate forms of pathogenesis of hyperammonemia, and its influence on the processes of fibrosis in the liver and the role of stellate liver cells in it are highlighted separately. The data on the influence of hyperammonemia on cognitive functions of the brain with the development of encephalopathy are presented, which is of great importance in clinical practice, during medical examination. The data of own observations are given, the questions of drug therapy are highlighted.


2020 ◽  
Vol 53 (5-6) ◽  
pp. 239-253
Author(s):  
Sara R. Masland ◽  
Tanya V. Shah ◽  
Lois W. Choi-Kain

Difficulty with boredom was eliminated from the formal diagnostic criteria for borderline personality disorder (BPD) in 1994 based on significantly limited, unpublished data. However, it is apparent in clinical practice that boredom remains relevant to BPD. This review synthesizes empirical research, with consideration of theoretical accounts, to critically examine the relevance of boredom to BPD. We first briefly review issues in defining and measuring boredom and offer an expanded conceptualization for BPD, which includes the notion of boredom reactivity, before turning to boredom’s differentiation from and overlap with feelings of emptiness, with which it was paired prior to its removal from the DSM. We then discuss perspectives on boredom’s significance in BPD, briefly touching on its relevance in other personality disorders. We propose a Boredom Cascade Model that articulates how boredom and boredom reactivity interact with identity disturbance and chronic emptiness to create escalating patterns of behavioral dysregulation and make recommendations for research and treatment.


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