The role of ego mechanisms of defense in the diagnosis of personality disorders.

2004 ◽  
pp. 139-158 ◽  
Author(s):  
George E. Vaillant ◽  
Leigh McCullough
Keyword(s):  
Personality Disorders

Managing Countertransference in the Treatment of Personality Disorders

2021 ◽  
Vol 49 (2) ◽  
pp. 339-360
Author(s):  
Monica Carsky
Keyword(s):  
Object Relations ◽  
Personality Disorders ◽  
Emotional Reactions ◽  
Personality Pathology ◽  
Clinical Process ◽  
Internal Object ◽  
Personality Disordered ◽  
Representational World ◽  
Transference Focused Psychotherapy

The clinical and technical difficulties presented by patients with personality disorders are well documented. This article focuses on the challenges faced by therapists when managing their emotional reactions, that is, their countertransferences, to patients with personality disorders. While leaving room for therapists' unique and idiosyncratic countertransferences to the patient with personality pathology, Kernberg emphasized the role of a more general form of countertransference, one reflective largely of the patient's conflicts and defenses, in the treatments of personality disordered individuals. Here, the nature of the patient's internal and external functioning can be seen to lead to similar reactions among different therapists, opening the possibility of utilizing countertransference to better understand the patient's difficulties. In transference-focused psychotherapy (TFP), countertransferences arising in the patient–therapist interaction are first identified and contained by the therapist and then utilized to clarify and explore how the patient's internal object relations are being enacted in the clinical process. This article describes this process and how TFP therapists work with their countertransference to help illuminate the patient's split representational world, paving the way for interpretation and integration.

Does Childhood Trauma Cause Personality Disorders in Adults?

1998 ◽  
Vol 43 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Joel Paris
Keyword(s):  
Personality Disorders ◽  
Childhood Trauma ◽  
Personality Pathology ◽  
Traumatic Experiences ◽  
Review Of The Literature ◽  
Gene Environment ◽  
Research Findings ◽  
The Relationship

Objective: To examine the relationship between trauma in childhood and personality disorders in adulthood. Method: A review of the literature was conducted. Results: The reported associations between trauma and personality pathology are illuminated by the following research findings: 1) personality is heritable; 2) only a minority of patients with severe personality disorders report childhood trauma; and 3) children are generally resilient, and traumatic experiences do not consistently lead to psychopathology. Conclusions: The role of trauma in the personality disorders is best understood in the context of gene–environment interactions.

The Role of Personality Disorders and Characterological Tendencies in Procrastination

1995 ◽  
pp. 169-186
Author(s):  
Joseph R. Ferrari ◽  
Judith L. Johnson ◽  
William G. McCown
Keyword(s):  
Personality Disorders

The Role of Defense Mechanisms in Emerging Personality Disorders in Clinical Adolescents

Psychiatry ◽  
2019 ◽  
Vol 82 (2) ◽  
pp. 128-142 ◽  
Author(s):  
Mariagrazia Di Giuseppe ◽  
Alessandro Gennaro ◽  
Vittorio Lingiardi ◽  
J. Christopher Perry
Keyword(s):  
Personality Disorders ◽  
Defense Mechanisms

scholarly journals The role of identity in the DSM-5 classification of personality disorders

2013 ◽  
Vol 7 (1) ◽  
pp. 27 ◽  
Author(s):  
Klaus Schmeck ◽  
Susanne Schlüter-Müller ◽  
Pamela A Foelsch ◽  
Stephan Doering
Keyword(s):  
Personality Disorders ◽  
Dsm 5

Chronic pain and the psychiatrist

2001 ◽  
Vol 13 (1) ◽  
pp. 21-28
Author(s):  
B. Van Houdenhove
Keyword(s):  
Substance Abuse ◽  
Chronic Pain ◽  
Differential Diagnosis ◽  
Mental Disorders ◽  
Personality Disorders ◽  
Essential Role ◽  
Point Of View ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual

SUMMARYChronic pain is a phenomenon with important psychiatric aspects from a diagnostic as well as a therapeutic point of view. The place of chronic pain in the different versions of the Diagnostic and Statistical Manual of Mental Disorders, and the differential-diagnosis are critically discussed. The comorbidity with depression, anxiety disorders, substance abuse and personality disorders is extensively treated. Finally, the essential role of the psychiatrist in the multidisciplinary therapeutic approach of these patients is emphasised.

scholarly journals Suicidality and Personality Pathology in Adolescence: A Systematic Review

2021 ◽  
Author(s):  
Marta Moselli ◽  
Maria Pia Casini ◽  
Camilla Frattini ◽  
Riccardo Williams
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Borderline Personality ◽  
Personality Pathology ◽  
Suicidal Risk ◽  
Research Papers ◽  
Mediating Role ◽  
Identity Diffusion ◽  
Predictive Role

AbstractThis work presents a review of research papers examining the role of emerging personality pathology in suicidal ideation and behaviours in adolescence. Initially, 226 studies were selected in line with PRISMA guidelines, and 33 articles were finally included in this review. The data show percentages of any personality disorder diagnosis ranging from 19.5 to 22.8% in suicide attempters, while in autopsy studies, the rate of personality disorder diagnosis varied between 29.6 and 42.1%. The overwhelming majority of the studies focus on the role of borderline personality disorder (BPD) in suicidal behaviours, also highlighting its predictive role at a longitudinal level. Furthermore, the literature review shows that personality traits supposed to underlie BPD, such as affective instability, impulsivity and identity diffusion, have specific predictive links with suicidal conduct. Other personality pathology dimensions, such as aggressiveness, sadism and perfectionism that are associated with other personality disorders, namely, antisocial and narcissistic personality disorders, have also shown a significant mediating role for suicidal risk. Overall, these results seem to parallel the role of personality pathology in predicting suicide in adulthood and point to the relevance of assessing the presence of emerging patterns of personality disorders for the clinical management of suicidal risk in adolescence.

scholarly journals The prevalence of personality disorders in nurses: role of the workplace environment

2017 ◽  
Vol 3 (2) ◽  
pp. 59-63 ◽  
Author(s):  
Sahar Mirbaha ◽  
Parvin Kashani ◽  
Ali Arhami Dolatabadi1 ◽  
Afshin Amini ◽  
Farahnaz Meschi ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Workplace Environment ◽  
Nurses Role

Psychopharmacological Treatment of Personality Disorders

2015 ◽  
Author(s):  
M. Mercedes Perez-Rodriguez ◽  
Larry J. Siever
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Borderline Personality ◽  
Mood Stabilizers ◽  
Omega 3 ◽  
Psychopharmacological Treatment ◽  
Limited Effectiveness ◽  
Second Generation Antipsychotics

Despite the lack of approval by the U.S. Food & Drug Administration, drugs are used widely to treat personality disorders, particularly borderline personality disorder, based on their effects known from clinical trials in other psychiatric disorders (off-label use). The role of medications in personality disorders is limited to moderate effects on some but not all of the symptom domains. There are no medications available that improve the global severity of any personality disorder as a whole. In borderline personality disorder, evidence is strongest for second-generation antipsychotics and mood stabilizers, while dietary supplements like omega-3 fatty acids hold some promise. However, medications have limited effectiveness and are still viewed as adjunctive to other forms of treatment, particularly psychotherapy.

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