Personality and personality disorder

2017 ◽  
pp. 391-414
Author(s):  
Paul Harrison ◽  
Philip Cowen ◽  
Tom Burns ◽  
Mina Fazel
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
Diagnostic Criteria ◽  
Personality Development ◽  
Management Strategies ◽  
Ethical Problems ◽  
Wide Range ◽  
The Impact

‘Personality and personality disorders’ covers how personality influences and is influenced by psychiatric disorders, and also the disorders of personality. Personality refers to the wide range of ensuring qualities and behaviours that characterize an individual and that we generally use to recognize them. This chapter covers the varied theories of personality, both of personality types and personality development. It covers the classification of abnormal personalities and the range of personality disorders, along with their diagnostic criteria and how this classification is currently being subject to potentially radical reorganization. While the diagnosis of personality disorders remains controversial it is an essential tool in clinical psychiatry. Its course, impact, and treatment and management strategies are outlined, with particular attention paid to the impact of personality disorders on the outcome of other psychiatric and medical conditions and the ethical problems such disorders present.

A comparison of DSM-III-R and ICD-10 personality disorder criteria in an out-patient population

1996 ◽  
Vol 26 (1) ◽  
pp. 151-160 ◽  
Author(s):  
G. Sara ◽  
P. Raven ◽  
A. Mann
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Diagnostic Criteria ◽  
Equivalent Form ◽  
Primary Diagnosis ◽  
Individual Personality ◽  
Diagnostic Threshold ◽  
Icd 10 ◽  
Dsm Iv

SynopsisThis study reports the results of a comparison of DSM-III-R and ICD-10 personality disorder criteria by application of both sets of criteria to the same group of patients. Despite the clinical relevance of these disorders and the need for reliable diagnostic criteria, such a comparison has not previously been reported. DSM-III-R and ICD-10 have converged in their classification of personality disorders, but some important differences between the two systems remain. Personality disorder diagnoses from both systems were obtained in 52 out-patients, using the Standardized Assessment of Personality (SAP), a brief, informant-based interview which yields diagnoses in both DSM-III-R and ICD-10. For individual personality disorder diagnoses, agreement between systems was limited. Thirty-four subjects received a personality disorder diagnosis that had an equivalent form in both systems, but only 10 subjects (29%) received the same primary diagnosis in each system. There was a difference in rate of diagnosis, with ICD-10 making significantly more personality disorder diagnoses. The lower diagnostic threshold of the ICD-10 contributed most of this effect. Further modifications in ICD-10 Diagnostic Criteria for Research (DCR) and DSM-IV to the personality disorder category have been considered. The omission in DSM-IV of three categories unique to that system and the raising of the threshold in ICD-10 DCR, do seem to have been helpful in promoting convergence.

Association Between Peptic Ulcer and Personality Disorders in a Nationally Representative us Sample

2011 ◽  
Vol 26 (S2) ◽  
pp. 1043-1043
Author(s):  
J.-P. Schuster ◽  
F. Limosin ◽  
S. Levenstein ◽  
Y. Le Strat
Keyword(s):  
Peptic Ulcer ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
The United States ◽  
Stomach Ulcer ◽  
Obsessive Compulsive ◽  
Epidemiologic Survey ◽  
Wide Range ◽  
The Relationship

IntroductionThe peptic ulcer disease (PUD) is a paradigm of the mind body interaction. This model has been a source of much research until the rise of an infectious etiologic model and improvement in pharmacotherapy. To the best of our knowledge, there is no epidemiological data investigating the co-occurrence of PUD with personality disorders based on DSM-IV criteria.ObjectiveTo assess the association between peptic ulcer and a wide range of personality disorders in a large sample representative of the general population in the United States.MethodsData were drawn from the National Epidemiologic Survey on Alcohol and Related Conditions, on the basis of a face-to-face interview of more than 43,000 adults. Univariate and multivariate logistic regression were used to examine the relationship between self-reported “stomach ulcer” and personality disorders.ResultsAll seven personality disorders assessed in the National Epidemiologic Survey on Alcohol and Related Conditions (i.e., avoidant, dependent, obsessive-compulsive, paranoid, schizoid, histrionic, and antisocial personality disorders) were associated with stomach ulcer, with odds ratio ranging from 2.26 (obsessive compulsive personality disorder) to 5.54 (dependent personality disorder). Participants with ulcer were five times more likely to have more than three personality disorders than participants without ulcer. The relationship between ulcer and personality disorders was only slightly attenuated after adjusting for sociodemographic conditions, physical and psychiatric disorders, and addictions.ConclusionsSelf-reported peptic ulcer is associated with increased rates of personality disorders, beyond the influence of psychiatric disorders or addictions.Psychosom Med. 2010 Aug 17. [Epub ahead of print]

Personality and personality disorder

2012 ◽  
pp. 129-152
Author(s):  
Philip Cowen ◽  
Paul Harrison ◽  
Tom Burns
Keyword(s):  
Personality Disorder ◽  
General Population ◽  
Personality Disorders ◽  
Diagnostic Criteria ◽  
Historical Development ◽  
Personality Types ◽  
Ethical Problems ◽  
Treatment Management

Chapter 7 discusses personality and personality disorder, and covers personality types, the origin and assessment of personality, historical development about ideas of the disorder, classification, diagnostic criteria, rates in the clinic and general population, aetiology, course, treatment, management of specific personality disorders, and ethical problems.

ICD-11 and DSM-5 personality trait domains capture categorical personality disorders: Finding a common ground

2017 ◽  
Vol 52 (5) ◽  
pp. 425-434 ◽  
Author(s):  
Bo Bach ◽  
Martin Sellbom ◽  
Mathias Skjernov ◽  
Erik Simonsen
Keyword(s):  
Personality Disorder ◽  
Mental Disorders ◽  
Personality Disorders ◽  
International Classification Of Diseases ◽  
International Classification ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Classification Of Diseases ◽  
Domain Models

Objective: The five personality disorder trait domains in the proposed International Classification of Diseases, 11th edition and the Diagnostic and Statistical Manual of Mental Disorders, 5th edition are comparable in terms of Negative Affectivity, Detachment, Antagonism/Dissociality and Disinhibition. However, the International Classification of Diseases, 11th edition model includes a separate domain of Anankastia, whereas the Diagnostic and Statistical Manual of Mental Disorders, 5th edition model includes an additional domain of Psychoticism. This study examined associations of International Classification of Diseases, 11th edition and Diagnostic and Statistical Manual of Mental Disorders, 5th edition trait domains, simultaneously, with categorical personality disorders. Method: Psychiatric outpatients ( N = 226) were administered the Structured Clinical Interview for DSM-IV Axis II Personality Disorders Interview and the Personality Inventory for DSM-5. International Classification of Diseases, 11th edition and Diagnostic and Statistical Manual of Mental Disorders, 5th edition trait domain scores were obtained using pertinent scoring algorithms for the Personality Inventory for DSM-5. Associations between categorical personality disorders and trait domains were examined using correlation and multiple regression analyses. Results: Both the International Classification of Diseases, 11th edition and the Diagnostic and Statistical Manual of Mental Disorders, 5th edition domain models showed relevant continuity with categorical personality disorders and captured a substantial amount of their information. As expected, the International Classification of Diseases, 11th edition model was superior in capturing obsessive–compulsive personality disorder, whereas the Diagnostic and Statistical Manual of Mental Disorders, 5th edition model was superior in capturing schizotypal personality disorder. Conclusion: These preliminary findings suggest that little information is ‘lost’ in a transition to trait domain models and potentially adds to narrowing the gap between Diagnostic and Statistical Manual of Mental Disorders, 5th edition and the proposed International Classification of Diseases, 11th edition model. Accordingly, the International Classification of Diseases, 11th edition and Diagnostic and Statistical Manual of Mental Disorders, 5th edition domain models may be used to delineate one another as well as features of familiar categorical personality disorder types. A preliminary category-to-domain ‘cross walk’ is provided in the article.

scholarly journals Coping with abrupt environmental change: the impact of the coastal El Niño 2017 on artisanal fisheries and mariculture in North Peru

2018 ◽  
Vol 76 (4) ◽  
pp. 1122-1130 ◽  
Author(s):  
Lotta Clara Kluger ◽  
Sophia Kochalski ◽  
Arturo Aguirre-Velarde ◽  
Ivonne Vivar ◽  
Matthias Wolff
Keyword(s):  
El Niño ◽  
El Nino ◽  
Management Strategies ◽  
Small Scale ◽  
Artisanal Fisheries ◽  
Economic Activities ◽  
Economic Sectors ◽  
Wide Range ◽  
The Impact ◽  
Coastal El Niño

Abstract In February and March 2017, a coastal El Niño caused extraordinary heavy rains and a rise in water temperatures along the coast of northern Peru. In this work, we document the impacts of this phenomenon on the artisanal fisheries and the scallop aquaculture sector, both of which represent important socio-economic activities for the province of Sechura. Despite the perceived absence of effective disaster management and rehabilitation policies, resource users opted for a wide range of different adaptation strategies and are currently striving towards recovery. One year after the event, the artisanal fisheries fleet has returned to operating almost on a normal scale, while the aquaculture sector is still drastically impacted, with many people continuing to work in different economic sectors and even in other regions of the country. Recovery of the social-ecological system of Sechura likely depends on the occurrence of scallop seed and the financial capacity of small-scale producers to reinitiate scallop cultures. Long-term consequences of this coastal El Niño are yet to be studied, though the need to develop trans-local and trans-sectoral management strategies for coping with disturbance events of this scale is emphasized.

Germination Biology of Sesbania (Sesbania cannabina): An Emerging Weed in the Australian Cotton Agro-environment

Weed Science ◽  
2018 ◽  
Vol 67 (1) ◽  
pp. 68-76 ◽  
Author(s):  
Nadeem Iqbal ◽  
Sudheesh Manalil ◽  
Bhagirath S. Chauhan ◽  
Steve W. Adkins
Keyword(s):  
Seed Germination ◽  
Management Strategies ◽  
Moisture Stress ◽  
Integrated Weed Management ◽  
Burial Depth ◽  
Weed Species ◽  
Physical Dormancy ◽  
Sesbania Cannabina ◽  
Wide Range ◽  
The Impact

AbstractSesbania [Sesbania cannabina(Retz.) Pers.] is a problematic emerging weed species in Australian cotton-farming systems. However, globally, no information is available regarding its seed germination biology, and better understanding will help in devising superior management strategies to prevent further infestations. Laboratory and glasshouse studies were conducted to evaluate the impact of various environmental factors such as light, temperature, salt, osmotic and pH stress, and burial depth on germination and emergence of two Australian biotypes ofS. cannabina. Freshly harvested seeds of both biotypes possessed physical dormancy. A boiling-water scarification treatment (100±2 C) of 5-min duration was the optimum treatment to overcome this dormancy. Once dormancy was broken, the Dalby biotype exhibited a greater germination (93%) compared with the St George biotype (87%). The nondormant seeds of both biotypes showed a neutral photoblastic response to light and dark conditions, with germination marginally improved (6%) under illumination. Maximum germination of both biotypes occurred under an alternating temperature regime of 30/20 and 35/25 C and under constant temperatures of 32 or 35 C, with no germination at 8 or 11 C. Seed germination of both biotypes decreased linearly from 87% to 14% with an increase in moisture stress from 0.0 to −0.8 MPa, with no germination possible at −1.0 MPa. There was a gradual decline in germination for both biotypes when imbibed in a range of salt solutions of 25 to 250 mM, with a 50% reduction in germination occurring at 150 mM. Both biotypes germinated well under a wide range of pH values (4.0 to 10.0), with maximum germination (94%) at pH 9.0. The greatest emergence rate of the Dalby (87%) and St George (78%) biotypes was recorded at a burial depth of 1.0 cm, with no emergence at 16.0 cm. Deep tillage seems to be the best management strategy to stopS. cannabina’s emergence and further infestation of cotton (Gossypium hirsutumL.) fields. The findings of this study will be helpful to cotton agronomists in devising effective, sustainable, and efficient integrated weed management strategies for the control ofS. cannabinain cotton cropping lands.

Development of diagnostic criteria for headache syndromes: Lessons from psychiatry

Cephalalgia ◽  
1993 ◽  
Vol 13 (12_suppl) ◽  
pp. 34-38 ◽  
Author(s):  
Kathleen Ries Merikangas ◽  
Allen Frances
Keyword(s):  
Psychiatric Disorders ◽  
Diagnostic Criteria ◽  
Classification System ◽  
Psychiatric Classification ◽  
Headache Classification ◽  
Future Developments

This paper reviews the development of diagnostic criteria for the psychiatric disorders in order to provide a model for the development of classification of headache. The strengths and weaknesses of the current psychiatric classification system, and procedures that have been instituted to strengthen the next version of the classification are described. The problems that characterized the successive versions of the criteria are highlighted in order to stimulate future developments of diagnostic criteria for headache syndromes. Recommendations for application of these principles to headache classification are presented.

Personality Disorders

2014 ◽  
Author(s):  
Yosefa A. Ehrlich ◽  
Amir Garakani ◽  
Stephanie R Pavlos ◽  
Larry Siever
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Traits ◽  
Personality Disorders ◽  
Diagnostic Criteria ◽  
Early Adulthood ◽  
Borderline Personality ◽  
Clinical Population ◽  
Organizational System ◽  
Medical Disorders

Personality can be defined as an organizational system of self that shapes the manner in which a person interacts with his or her environment. Personality traits develop in adolescence or early adulthood and are thought to be shaped by early childhood experiences and enduring throughout a lifetime. Personality traits that prevent an individual from being able to function in society or that cause significant distress are diagnosed as personality disorders. A thorough history is needed to rule out other psychiatric and medical disorders. This chapter reviews the diagnostic criteria, differential diagnosis, comorbidity, prevalence, etiology (including genetics and neurobiology), prognosis, and treatment of paranoid, schizoid, schizotypal, borderline, antisocial, narcissistic, histrionic, avoidant, obsessive-compulsive, and dependent personality disorders. A discussion of the relevance of personality disorders to primary care practices and approaches to managing such patients is also included. Tables describe the diagnostic criteria of each personality disorder. Figures illustrate the prevalence of personality disorders in the general and psychiatric populations; schizotypal personality disorder in the community, general population, and clinical population; childhood trauma in individuals with personality disorder; and comorbid disorders in individuals with borderline personality disorder. A model of brain processing in borderline personality disorder is also featured. This chapter contains 5 highly rendered figures, 10 tables, 230 references, and 5 MCQs.

Diagnosis and classification of personality disorders

2012 ◽  
pp. 855-860
Author(s):  
James Reich ◽  
Giovanni de Girolamo
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Assessment Methods ◽  
Icd 10 ◽  
Diagnosis And Classification ◽  
Dsm Iv ◽  
Similarities And Differences ◽  
Different Cultures

There has been considerable interest in the study of personality and personality disorder (PD) since early times and in many different cultures. This chapter covers definitions of personality disorders, ICD and DSM classifications of personality disorders, similarities and differences between ICD-10 and DSM-IV, recent changes in the conceptualization of DSM personality disorders, categorical versus dimensional styles of classification, and assessment methods for personality disorders.

scholarly journals Threading a pathway through the forest of mood and personality disorders

2019 ◽  
Vol 26 (1) ◽  
pp. 58-60
Author(s):  
Peter Tyrer
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Borderline Personality ◽  
The Will

SUMMARYThe classification of mood and personality disorders has become unnecessarily complicated. It has become bogged down by well-meaning but unhelpful subcategories that puzzle the will of clinicians to make useful judgements. The answer is to think of bipolar, depressive and personality disorders as each constituting a spectrum of severity and not to be too preoccupied with individual labels. It would also be useful to avoid the diagnostic chimera of borderline personality disorder, a condition that defies proper classification.

Sign in / Sign up

Export Citation Format

Share Document