Severe Personality Disorders. Everyday Issues in Clinical Practice

2008 ◽  
Vol 20 (4) ◽  
pp. 236-237
Author(s):  
Richard Balon
Keyword(s):  
Clinical Practice ◽  
Personality Disorders

scholarly journals Principles of managing patients with personality disorder

2002 ◽  
Vol 8 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Sophie E. Davison
Keyword(s):  
Clinical Practice ◽  
Personality Disorder ◽  
Mental Disorder ◽  
Personality Disorders ◽  
Clinical Skills ◽  
Management Plan ◽  
Everyday Clinical Practice ◽  
Clinical Problems

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.

scholarly journals Differences between psychopathy and other personality disorders: evidence from neuroimaging

2011 ◽  
Vol 17 (3) ◽  
pp. 191-200 ◽  
Author(s):  
Sagari Sarkar ◽  
Ben S. Clark ◽  
Quinton Deeley
Keyword(s):  
Clinical Practice ◽  
Personality Disorders ◽  
Structure And Function ◽  
Cluster B Personality Disorders ◽  
Icd 10 ◽  
Dsm Iv ◽  
And Function ◽  
Limbic Regions

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.

scholarly journals Boredom in Borderline Personality Disorder: A Lost Criterion Reconsidered

2020 ◽  
Vol 53 (5-6) ◽  
pp. 239-253
Author(s):  
Sara R. Masland ◽  
Tanya V. Shah ◽  
Lois W. Choi-Kain
Keyword(s):  
Clinical Practice ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Diagnostic Criteria ◽  
Empirical Research ◽  
Borderline Personality ◽  
Cascade Model ◽  
Identity Disturbance ◽  
Behavioral Dysregulation

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.

Something Doesn’t Seem Right

2021 ◽  
pp. 35-42
Author(s):  
Daniel M. Doleys ◽  
Nicholas D. Doleys
Keyword(s):  
Chronic Pain ◽  
Clinical Practice ◽  
Borderline Personality Disorder ◽  
Pain Management ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Borderline Personality ◽  
Residential Placement ◽  
Controlled Substances ◽  
Female Patients

This case depicts a situation wherein the facts do not seem to fit. In a hurried and busy clinical practice, one is glad to encounter what seems to be a pleasant patient. Patients with personality disorders, especially those with a borderline personality disorder (BPD), can be very deceptive. Their overall manner is often very congenial, until their expectations or requests are not met. Their presentation may be very different to the staff versus the clinician. Self-destructive (mutilation) behavior can be seen in the more severe cases. Female patients can be very disarming. Their objective, in the chronic pain setting, relates more to issues of control and manipulation than to receiving effective pain management. Treatment can be intensive and involve residential placement. Use of controlled substances can be very dangerous. Patient with BPD are best referred to a specialist.

Normative data for PID-5 domains, facets, and personality disorder composites from a representative sample and comparison to community and clinical samples

2021 ◽  
Author(s):  
Josh Miller ◽  
Christopher James Hopwood ◽  
Leonard Simms ◽  
Donald Lynam
Keyword(s):  
Clinical Practice ◽  
Personality Disorders ◽  
Representative Sample ◽  
Alternative Model ◽  
Normative Data ◽  
Clinical Sample ◽  
Clinical Samples ◽  
Dsm 5 ◽  
Lack Of Information ◽  
Sum Score

The introduction of the Alternative Model of Personality Disorders (AMPD) in the fifth edition of the Diagnostic and Statistical Model of Mental Disorders (DSM-5, APA, 2013) represented a substantive change in how personality disorders (PDs) are diagnosed. One barrier to its adoption (among several) in clinical practice, however, is a lack of information as to what constitutes an elevated score on the 25 domains and facets that comprise Criterion B. Unique sets of facets can be configured to assess any one of six PDs retained in the AMPD; each of these facets can in turn be added to create a PD sum score. In the current study, using the Personality Inventory for DSM-5 (PID-5; Krueger et al., 2012), we report mean scores using this instrument that align with 1.0, 1.5, and 2.0 standard deviation elevations for each of these six PDs on the basis of Krueger and colleagues (2012) representative sample, and compare these to those obtained from a community and a clinical sample. These normative data may be useful to clinicians in determining whether a client has elevated scores on pathological personality domains, facets, or PDs.

scholarly journals Problems of Psychopathy Concept in the Modern Domestic and Foreign Psychology

2016 ◽  
Vol 8 (1) ◽  
pp. 114-127 ◽  
Author(s):  
J.A. Atadjikova ◽  
S.N. Enikolopov
Keyword(s):  
Clinical Practice ◽  
Social Behavior ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Psychopathic Personality ◽  
Legal Practice ◽  
Psychological Mechanisms ◽  
The Subject ◽  
Definition Of ◽  
Terminological Confusion

The article raises the problem of the heterogeneity of the group of persons with antisocial behavior and the need for dividing it into subgroups. This problem can be solved by adopting psychology of the subject and his identity specifically as mediating process. Psychopathy as a personal anomaly acts as a link enables a clear assessment of anti-social behavior mechanisms in a particular group of individuals. We describe the understanding of psychopathy concept also known as antisocial (dissocial, psychopathic) personality disorder by domestic and foreign authors. The article discusses the main debating points of psychopathy role in clinical practice, definition of the diagnostic criteria, terminological confusion caused by the concept of antisocial (dissocial) personality disorders, as well as the search for the reasons and psychological mechanisms of psychopathy emergence and developing. Analysis of psychopathy relations with such constructs as aggression, violence and anti-social behavior, allows examining applied problems and the prospects of using the psychopathy construct in medical and legal practice.

Trainee experience in diagnosis and management of personality disorders

2018 ◽  
Vol 37 (2) ◽  
pp. 136-140
Author(s):  
R. Wallace ◽  
G. Rush
Keyword(s):  
Clinical Practice ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Diagnostic System ◽  
Psychiatry Training ◽  
Linear Fashion ◽  
Diagnosis And Management ◽  
Training Structure ◽  
Trainee Experience

The diagnosis and management of personality disorders continues to evolve and develop alongside psychiatry internationally, however, not always in a linear fashion. Trainees working in a variety of clinical areas have regular exposure to personality disorder presentations. Psychiatry training bodies continue to adapt their training structure and curriculum, however, there seems to be a lack of sufficient emphasis with regards this area. We are now embarking on a new diagnostic system for personality disorders; this may impact on our clinical practice and perspective of these patients. The role of psychiatrists in diagnosing and managing personality disorders can be unclear at times and may benefit from on-going reflection and standardization.

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