Personality Disorder in Perspective

1991 ◽  
Vol 159 (4) ◽  
pp. 463-471 ◽  
Author(s):  
Peter Tyrer ◽  
Patricia Casey ◽  
Brian Ferguson
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Mental State ◽  
Clinical Symptoms ◽  
Psychiatric Practice ◽  
The Past

Personality disorders have for many years been on the fringe of psychiatry, with considerable doubts expressed about the usefulness, implications and validity of the concept. It is argued here that developments in the past few years have brought personality disorders into the mainstream of psychiatric practice. In particular, the recognition that personality function can be separated usefully from clinical symptoms, and that both mental state and personality can be disordered simultaneously, has led to better assessment and understanding. Advances in the classification, epidemiology, treatment and prognosis of personality disorders show that these conditions are common, extensive in their pathology, and cause much suffering. They cannot be ignored or dismissed as peripheral to psychiatry for they are an essential part of good psychiatric practice.

scholarly journals Drug treatment of personality disorder

1998 ◽  
Vol 22 (4) ◽  
pp. 242-244 ◽  
Author(s):  
Peter Tyrer
Keyword(s):  
Personality Disorder ◽  
Drug Treatment ◽  
Personality Disorders ◽  
Mental State ◽  
Psychiatric Practice ◽  
The Subject ◽  
Considerable Body

For many involved in the management of people with personality disorders the title of this article may appear to be a contradiction; drugs may alter mental state but intrinsically seem unlikely to alter personality. Nevertheless, drugs are available for treating personality disorders (even though none of them are licensed for these conditions). So it is hardly surprising that there is now a considerable body of literature on the subject which has recently been extensively reviewed (Stein, 1992) but which has attracted more attention since personality disorders have achieved greater prominence in all parts of psychiatric practice.

scholarly journals Troubles de la personnalité et viol : implications théoriques et cliniques

Criminologie ◽  
2005 ◽  
Vol 27 (2) ◽  
pp. 33-53 ◽  
Author(s):  
Jean Proulx ◽  
Jocelyn Aubut ◽  
Lise Perron ◽  
André McKibben
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Antisocial Personality Disorder ◽  
French Translation ◽  
Antisocial Personality ◽  
The Past ◽  
Schizoid Personality ◽  
Millon Clinical Multiaxial Inventory ◽  
Behavioral Theories ◽  
Troubles De La Personnalité

During the past 30 years, behavioral and cognitive-behavioral theories of rape have evolved considerably. The influence of etio-logic factors related to personality, however, is limited to antisocial traits. The aim of the current study was, therefore, to investigate the presence of personality disorders in rapists. Forty-nine incarcerated rapists answered a French translation of the Millon Clinical Multiaxial Inventory questionnaire. On the basis of the Avery-Clark and Laws criteria (1983), 31 rapists were classified as less physically violent and 18 as more physically violent. Among the less physically violent rapists, we encountered most frequently avoidant, dependant, passive-aggressive and schizoid personality disorders. Among the more physically violent rapists, an antisocial personality disorder was predominant. The implications of these results concerning rape theories are being discussed.

Established and Novel Pharmacological Approaches to the Treatment of Personality Disorders

2018 ◽  
Author(s):  
S. Charles Schulz ◽  
Robert O. Friedel
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Current Knowledge ◽  
Mechanisms Of Action ◽  
Drug Form ◽  
The Past ◽  
New Findings ◽  
Psychotropic Agents

In the past few decades, the widely held belief of personality disorder patients being unresponsive to medication has been challenged. This chapter first reviews the current knowledge on medication for patients with personality disorders and then considers a number of novel pharmacological approaches that may yield additional beneficial results in the treatment of these disorders. It utilizes the neuroscience-based nomenclature for psychotropic agents, in which the presumptive modes and mechanisms of action of each drug form the basis of the nomenclature. A special emphasis of the chapter is laid on the role of clozapine in the treatment of personality disorders as well as new findings in the areas of pharmacogenetics and epigenetics.

Belle De Jour: A Case of Hysteria

2016 ◽  
Vol 33 (S1) ◽  
pp. S506-S506
Author(s):  
C. Noval Canga ◽  
S. Gómez Sánchez ◽  
S. Cepedello Pérez ◽  
R. Hernández Antón ◽  
I. Sevillano Benito ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Interpersonal Relationships ◽  
Clinical Symptoms ◽  
Treatment Options ◽  
Daily Routine ◽  
High Tendency ◽  
Histrionic Personality Disorder ◽  
Competing Interest ◽  
Depressive Episodes

IntroductionHistrionic Personality Disorder is one of the most common personality disorders diagnosed in Psychiatry. This disorder has been known to be present in more than 40% of patients. There is also a high tendency for those diagnosed with this disorder to be female.ObjectivesThe case is to show all the difficulties caused by this pathology, differencial diagnosis with other personality disorders, groups of characteristics from different clusters and also, complications produced in daily routine.MethodsThe purpose is to study a clinical case of a 27-year-old woman, with a degree in journalism, who began with a depressive episode after a failed relationship. After being diagnosed of infertility, she debuted with dissociative episodes and somatization symptoms. After that, she suffered several depressive episodes. At the moment, all the clinical symptoms support the diagnosis of histrionic personality disorder.ResultsHistrionic Personality Disorder can be found in the cluster B group of personality disorders. They often present in an overly dramatic, erratic or emotional manner. They may fulfil their need for attention through speech and behaviour that draws one's focus of attention toward themselves, and also demanding and manipulative in interpersonal relationships. There are high comorbidity rates in those who suffer from HPD with other diagnoses.ConclusionsHistrionic Personality Disorder appears to be one of the least threatening diagnosis among personality disorders as those affected are high functioning and do not seek relief for the disorder itself. There is also very little research on HPD which makes treatment options limitless.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The Garry David Case

1991 ◽  
Vol 25 (3) ◽  
pp. 371-374 ◽  
Author(s):  
Neville Parker
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Antisocial Personality Disorder ◽  
Antisocial Personality ◽  
Public Concern ◽  
Attempted Murder ◽  
The Past ◽  
The Many

A prisoner with an antisocial personality disorder had almost completed his sentence for attempted murder and there was considerable public concern over his imminent release. The article discusses the many attempts made by the Victorian Government during the past six months to detain him. A recommendation was made to change the Mental Health Act 1986 by including personality disorders as a form of “mental illness”. The outcome of such advice has enormous implications for the practice of psychiatry in Victoria.

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.

Test-Retest Reliability of a Self-Report Questionnaire for DSM-IV and ICD-10 Personality Disorders

2000 ◽  
Vol 16 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Hans Ottosson ◽  
Martin Grann ◽  
Gunnar Kullgren
Keyword(s):  
Personality Disorder ◽  
Anxiety Disorders ◽  
Personality Disorders ◽  
Clinical Sample ◽  
Self Report ◽  
Anxiety State ◽  
Short Term ◽  
Retest Reliability ◽  
Axis I ◽  
Test Retest Reliability

Summary: Short-term stability or test-retest reliability of self-reported personality traits is likely to be biased if the respondent is affected by a depressive or anxiety state. However, in some studies, DSM-oriented self-reported instruments have proved to be reasonably stable in the short term, regardless of co-occurring depressive or anxiety disorders. In the present study, we examined the short-term test-retest reliability of a new self-report questionnaire for personality disorder diagnosis (DIP-Q) on a clinical sample of 30 individuals, having either a depressive, an anxiety, or no axis-I disorder. Test-retest scorings from subjects with depressive disorders were mostly unstable, with a significant change in fulfilled criteria between entry and retest for three out of ten personality disorders: borderline, avoidant and obsessive-compulsive personality disorder. Scorings from subjects with anxiety disorders were unstable only for cluster C and dependent personality disorder items. In the absence of co-morbid depressive or anxiety disorders, mean dimensional scores of DIP-Q showed no significant differences between entry and retest. Overall, the effect from state on trait scorings was moderate, and it is concluded that test-retest reliability for DIP-Q is acceptable.

Suicidal Behavior in Patients with Adjustment Disorders

Crisis ◽  
2001 ◽  
Vol 22 (3) ◽  
pp. 125-131 ◽  
Author(s):  
Ludmila Kryzhanovskaya ◽  
Randolph Canterbury
Keyword(s):  
Personality Disorder ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Adjustment Disorder ◽  
Adjustment Disorders ◽  
Involuntary Hospitalization ◽  
Axis Ii ◽  
The Past ◽  
Substance Abuse Disorders ◽  
Axis I

Summary: This retrospective study characterizes the suicidal behavior in 119 patients with Axis I adjustment disorders as assessed by psychiatrists at the University of Virginia Hospital. Results indicated that 72 patients (60.5%) had documented suicide attempts in the past, 96% had been suicidal during their admission to the hospital, and 50% had attempted suicide before their hospitalization. The most commonly used method of suicide attempts was overdosing. Of the sample group with suicide attempts in the past, 67% had Axis II diagnoses of borderline personality disorder and antisocial personality disorder. Adjustment disorder diagnosis in patients with the suicide attempts was associated with a high level of suicidality at admission, involuntary hospitalization and substance-abuse disorders. Axis II diagnoses in patients with adjustment disorders constituted risk factors for further suicidal behavior. Additional future prospective studies with reliability checks on diagnosis of adjustment disorders and suicidal behavior are needed.

Machiavellianism and personality disorder: their relationship in the mirror of interpersonal attitudes

2014 ◽  
Vol 155 (40) ◽  
pp. 1584-1588
Author(s):  
András Láng
Keyword(s):  
Personality Disorder ◽  
Personality Traits ◽  
Personality Disorders ◽  
Interpersonal Problems ◽  
Self Report ◽  
Callous Unemotional ◽  
Personality Dysfunction ◽  
Medium Strength

Introduction: Social and personality psychologists have described Machiavellianism as a pragmatic, callous-unemotional, exploitative and manipulative attitude towards others. Several former studies linked Machiavellian personality traits and interpersonal problems or personality dysfunction. Aim: The aim of this study was to reveal the connection between Machiavellianism and interpersonal problems that are characteristic of personality disorders. Method: 252 participants (146 females and 106 males, aged 32.46±5.39 years, mean±SD) filled out self-report measures of Machiavellianism and personality disorder related interpersonal problems. Results: There was a medium strength relationships between Machiavellianism and several interpersonal problems. Aggression and ambivalence proved to be significant predictors of Machiavellian personality traits. Conclusions: Results are discussed in relation to the patient–therapist bond. Orv. Hetil., 2014, 155(39), 1584–1588.

The Kinds of Personality Disorders of The Main Character in Inside Out Movie Script

CALL ◽  
2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Firman Nur Zaman ◽  
Udayani Permanaludin
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Psychoanalytic Theory ◽  
Point Of View ◽  
Main Character ◽  
Moral Value ◽  
Dsm V ◽  
Movie Script ◽  
Inside Out

Movie script is a narrative literary wok that has intrinsic elements in it, that the intrinsic elements are theme, setting, point of view, plot, moral value, and last but not least are character and characterization. Movie script that are visualized into movies are categorized as modern dramas. Nowdays, the movie is used as a medium of entertainment and as a medium for delivering messages. This research aims to find two things, that is the personality disorders experienced by the main character in “Inside Out” movie script by Pete Docter. In this research, the researcher uses Sigmun Freud’s psychoanalytic theory (1923), and assisted by other supporting theories. The result of the research found that there were eight types of personality disorders of ten types of personality disorders. This research uses DSM-V (2013) as a reference for discussion of personality disorders.Keywords: Personality Disorder, Main Character, Inside Out Movie, Riley, Author, Dialogue, Narration.

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