Psychosis in personality disorders

2020 ◽  
pp. 59-69
Author(s):  
K. Nidhi Kapil-Pair ◽  
Yulia Landa ◽  
Marie C. Hansen ◽  
Daniel H. Vaccaro ◽  
Marianne Goodman
Keyword(s):  
Social Behavior ◽  
Personality Disorders ◽  
Cognitive Behavioral ◽  
Visual Hallucinations ◽  
Obsessive Compulsive ◽  
Behavioral Domains

Psychotic presentations are discussed in context of ten personality disorders (PDs). The PDs were examined across the literature for associations with psychosis. Hallucinations and delusions are often symptoms of paranoid, schizoid, and schizotypal PDs. Patients with borderline PD present with both auditory and visual hallucinations, and range of delusional thinking. Hallucinations are generally absent among patients with antisocial, histrionic, and narcissistic PDs. Various delusions, however, are common symptoms of these disorders. Patients with avoidant, dependent, and obsessive-compulsive PDs present with delusional thinking, olfactory hallucinations (in cases of avoidant, obsessive-compulsive PDs), and possibly tactile hallucinations (in cases of avoidant PD). Approaching PDs from multiple disciplines across neurobiological and cognitive behavioral domains could further inform treatments of psychosis in PDs. Exploration of transdiagnostic domains of emotion, cognition, motivation, and social behavior could provide vital information for diagnostic and clinical purposes. More investigation is needed to draw further associations between psychosis, PDs, and co-occurring conditions.

Etiology and Treatment of Cluster C Personality Disorders

2005 ◽  
Vol 28 (1) ◽  
pp. 1-17 ◽  
Author(s):  
Glen A. Eskedal ◽  
Jamie M. Demetri
Keyword(s):  
Mental Health ◽  
Personality Disorders ◽  
Treatment Process ◽  
The Self ◽  
Cognitive Behavioral ◽  
Obsessive Compulsive ◽  
Treatment Interventions ◽  
Behavioral Group ◽  
Environmental Antecedents

Of challenge to mental health counselor's (MHCs) is the management and treatment of personality disorders. This article will elaborate on the etiological development of Cluster C personality disorders (avoidant, dependant, and obsessive-compulsive), review the self-maintenance functions they provide, and review the cognitive-behavioral, group, and psychodynamic treatments for each of the three Cluster C personality disorders. The central aim of this manuscript is to assist MHCs in better understanding biological and environmental antecedents, treatment interventions, and to ensure that personality dynamics are not overlooked in the treatment process.

Tools & Resources: Impairment and Disability Web Sites

1999 ◽  
Vol 4 (6) ◽  
pp. 5-6
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Interpersonal Relationships ◽  
Web Sites ◽  
Outpatient Psychotherapy ◽  
Obsessive Compulsive ◽  
Not Otherwise Specified ◽  
Cluster B Personality Disorders ◽  
Clinically Significant ◽  
And Behavior

Abstract Personality disorders are enduring patterns of inner experience and behavior that deviate markedly from those expected by the individual's culture; these inflexible and pervasive patterns reflect issues with cognition, affectivity, interpersonal functioning and impulse control, and lead to clinically significant distress or impairment in social, occupational, or other important areas of functioning. The AMA Guides to the Evaluation of Permanent Impairment, Fourth Edition, defines two specific personality disorders, in addition to an eleventh condition, Personality Disorder Not Otherwise Specified. Cluster A personality disorders include paranoid, schizoid, and schizotypal personalities; of these, Paranoid Personality Disorder probably is most common in the legal arena. Cluster B personality disorders include antisocial, borderline, histrionic, and narcissistic personality. Such people may suffer from frantic efforts to avoid perceived abandonment, patterns of unstable and intense interpersonal relationships, an identity disturbance, and impulsivity. Legal issues that involve individuals with cluster B personality disorders often involve determination of causation of the person's problems, assessment of claims of harassment, and assessment of the person's fitness for employment. Cluster C personality disorders include avoidant, dependent, and obsessive-compulsive personality. Two case histories illustrate some of the complexities of assessing impairment in workers with personality disorders, including drug abuse, hospitalizations, and inpatient and outpatient psychotherapy.

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