Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-6bf8c574d5-9nwgx Total loading time: 0 Render date: 2025-02-17T14:29:11.536Z Has data issue: false hasContentIssue false

Chapter 15 - Personality Disorder

from Section 1 - Psychological and Psychodynamic Approaches to Psychiatry

Published online by Cambridge University Press:  27 May 2021

By
Tennyson Lee
Edited by
Rachel Gibbons  and
Jo O'Reilly
Get access

Summary

Ms N, a 27-year-old woman has been urgently referred to the community psychiatric service by her General Practitioner. The psychiatrist Dr R feels anxious about the encounter as the receptionist says Ms N has been ‘abusive and challenging’. Ms N informs Dr R she saw her boyfriend Tom talking to his ex-girlfriend and has since had urges to take an overdose.

Type
Chapter
Information
Seminars in the Psychotherapies , pp. 190 - 206
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Solms, ML. The neurobiological underpinnings of psychoanalytic theory and therapy. Front Behav Sci 2018, 12: 294.Google Scholar
Kerberg, OF. What is personality? J Pers Disord 2016; 30(2): 145–56.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington DC: American Psychiatric Association, 2013.Google Scholar
Lewis, G, Appleby, L. Personality disorder: the patients psychiatrists dislike. Br J Psychiatry 1988; 153: 44–9.CrossRefGoogle Scholar
Chartonos, D, Kyratous, M, Dracass, S, Lee, T, Bhui, K. Personality disorder: still the patients psychiatrists dislike? BJPsych Bull 2017; 41(1): 12–17.CrossRefGoogle Scholar
Morgan, TA, Zimmerman, M. Epidemiology of personality disorders In Livesley, WJ, Larstone, R, eds., Handbook of Personality Disorders, Theory, Research, and Treatment, 2nd ed. New York: Guilford Press. 2018; pp. 173–96.Google Scholar
Volkert, J, Gablonski, TC, Rabung, S. Prevalence of personality disorders in the general adult population in Western countries: systematic review and meta-analysis. Br J Psychiatry 2018; 213(6): 709–15.CrossRefGoogle ScholarPubMed
Eaton, NR, Greene, AL. Personality disorders: community prevalence and socio-demographic correlates Curr Opin Psychol 2018; 21: 28–32.Google Scholar
Huang, Y, Kotov, R, de Girolamo, G et al. DSM-IV personality disorders in the WHO World Mental Health Survey Br J Psychiatry 2009; 195: 46–53.Google Scholar
Emerson, J, Pankratz, L, Joos, S, Smith, S. Personality disorders in problematic medical patients. Psychosomatics 1994; 35(5): 469–73.Google Scholar
Moran, P, Jenkins, R, Tylee, A, Blitzard, R, Mann, A. The prevalence of personality disorder among UK primary care attenders Acta Psychiatr Scand 2000; 102: 52–7.Google Scholar
Beckwith, H, Moran, PF, Reilly, JG. Personality disorder prevalence in psychiatric outpatients: a systematic literature review. Personal Ment Health 2014; 8(2): 91–101.Google Scholar
Girolamo, GD, Reich, JH. Epidemiology of Mental Disorders and Psychosocial Problems: Personality Disorders. Geneva: World Health Organization, 1993.Google Scholar
Coid, J, Yang, M, Tyrer, P, Roberts, A, Ulrich, S. Prevalence and correlates of personality disorder in Great Britain. Br J Psychiatry 2006; 188(5): 423–31.Google Scholar
Turner, BJ, Jin, HM, Anestis, MD et al. Personality pathology and intentional self-harm: cross-cutting insights from categorical and dimensional models. Curr Opin Psychol 2018; 21: 55–9.Google Scholar
Cristea, IA, Gentili, C, Cotet, CD et al. Efficacy of psychotherapies for borderline personality disorder: a systematic review and meta-analysis. JAMA Psychiatry 2017; 74(4): 319–28.Google ScholarPubMed
Chanen, AM, Sharp, C. Prevention and early intervention for borderline personality disorder: a novel public health priority. World Psychiatry 2017; 16(2): 215–16.CrossRefGoogle ScholarPubMed
Abrams, RC, Horowitz, SV. Personality disorders after age 50: a meta-analysis. J Pers Disord 1996; 10: 271–81.CrossRefGoogle Scholar
WHO. ICD-11 Clinical Descriptions and Diagnostic Guidelines for Mental and Behavioural Disorders. 2018. https://gcp.network/en/private/icd-11-guidelines/disorders.Google Scholar
McGilloway, A, Hall, R, Lee, T, Bhui, K. A systematic review of personality disorder, race and ethnicity: prevalence, aetiology and treatment. BMC Psychiatry 2010; 10: 33. doi:10.1186/1471-244X-10-33.Google Scholar
Hossain, A, Malkov, M, Lee, T, Bhui, K. Ethnic variation of personality disorder of 6 years of hospital admissions in East London Mental Health Services. BJPsych Bull 2018; 42: 157–61.CrossRefGoogle Scholar
Livesley, WJ. Integrated modular treatment. In Livesley, WJ, Larstone, R, eds., Handbook of Personality Disorders, Theory, Research, and Treatment, 2nd ed. New York: Guilford Press. 2018; pp. 645–75.Google Scholar
Larstone, RM, Craig, SG, Moretti, MM. An attachment perspective on callous and unemotional characteristics. In Livesley, WJ, Larstone, R, eds., Handbook of Personality Disorders, Theory, Research, and Treatment, 2nd ed. New York: Guilford Press. 2018; pp. 324–36.Google Scholar
Reed, GM, First, MB, Kogan, CS. Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders. World Psychiatry 2019; 18: 3–19.CrossRefGoogle ScholarPubMed
Bach, B, First, MB. Application of the ICD-11 classification of personality disorders. BMC Psychiatry 2018; 18: 351.CrossRefGoogle ScholarPubMed
Kerberg, OF. Severe Personality Disorders: Psychotherapeutic Strategies. New Haven: Yale University Press, 1984.Google Scholar
Hopwood, C, Malone, JC, Ansell, EB et al. Personality assessment in DSM-5: empirical support for rating severity, style, and traits. J Pers Disord 2011; 25(3): 305–20.Google Scholar
Moran, P, Leese, M, Lee, T et al. The Standardised Assessment of Personality – Abbreviated Scale (SAPAS): preliminary validation of a brief screen for personality disorder. Br J Psychiatry 2003; 183: 228–32.CrossRefGoogle ScholarPubMed
Stoffers, JM, Völlm, BA, Rücker, G et al. Psychological therapies for people with borderline personality disorder. Cochrane Database Syst Rev 2012; (8): CD005652.Google Scholar
Leishsenring, F. Borderline personality disorder Lancet 2011; 377: 74–84.Google Scholar
Lee, T. Stormy Lives A Journey Through Borderline Personality Disorder. London: Muswell Hill Press, 2016.Google Scholar
Blum, N, Black, DW, St John, D. Systems training for emotional predictability and problem solving In Livesley, WJ, Larstone, R, eds., Handbook of Personality Disorders, Theory, Research, and Treatment, 2nd ed. New York: Guilford Press. 2018; pp. 586–99.Google Scholar
Bateman, AW, Krawitz, R. Borderline Personality Disorder. An Evidence-Based Guide for Generalist Mental Health Professionals. Oxford: Oxford University Press, 2013.Google Scholar
Gunderson, JG, Links, PS. Handbook of Good Psychiatric Management for Borderline Personality Disorder. Arlington: American Psychiatric Publishing, Inc., 2014.Google Scholar
Paton, C, Crawford, MJ, Bhatti, SF et al. The use of psychotropic medication in patients with emotionally unstable personality disorder under the care of UK Mental Health Services. J Clin Psychiatry 2015; 76(4): 512–18.CrossRefGoogle ScholarPubMed
Tyrer, P, Bateman, A. Drug treatment for personality disorders Adv Psychiatr Treat 2004; 10:389–98.Google Scholar
Ellison, WD, Rosenstein, LK, Morgan, TA, Zimmerman, M. Community and clinical epidemiology of borderline personality disorder. Psychiatr Clin North Am 2018; 41: 561–73.CrossRefGoogle ScholarPubMed
Paris, J, Zweig-Frank, H. A 27-year follow-up of borderline patients. Compr Psychiatry 2001; 42: 482–7.CrossRefGoogle Scholar
Zanarini, MC, Frankenburg, FR, Reich, DB, Garrett, F. Time to attainment of recovery from borderline personality disorder and stability of recovery: a 10-year prospective follow-up study Am J Psychiatry 2012; 167: 663–7.Google Scholar
Paris, J. Diagnosis of borderline personality disorder. Psychiatr Clin North Am 2018; 41(4): 575–82.Google Scholar
Kernberg, OF. Borderline personality organization. J Am Psychoanal Assn 1967; 15: 641–85.Google Scholar
Maltsberger, JT, Buie, DH. Countertransference hate in the treatment of suicidal patients. Arch Gen Psychiatry 1974; 30(5): 625–33.CrossRefGoogle ScholarPubMed
Shah, R Zanarini, MC. Comorbidity of borderline personality disorder: current status and future directions. Psychiatr Clin North Am 2018; 41(4): 583–93.Google Scholar
Grilo, CM, Sanislow, CA, McGlashan, TH. Co-occurrence of DSM-IV personality disorders with borderline personality disorder. J Nerv Ment Dis 2002; 190(8): 552–4.Google ScholarPubMed
Sharp, C, Wright, AG, Fowler, JC et al. The structure of personality pathology: both general (‘g’) and specific (‘s’) factors? J Abnorm Psychol 2015; 124(2): 387–98.CrossRefGoogle ScholarPubMed
Shen, C, Hu, L, Hu, Y. Comorbidity study of borderline personality disorder: applying association rule mining to the Taiwan national health insurance research database. BMC Med Inform Decis 2017; 17: 8.CrossRefGoogle ScholarPubMed
Strunz, S, Westphal, L, Ritter, K et al. Personality pathology of adults with autism spectrum disorder without accompanying intellectual impairment in comparison to adults with personality disorders. J Autism Dev Disord 2015; 45: 4026–38.Google Scholar
Norcross, JC, Krebs, PM, Prochaska, JO. Stages of change. J Clin Psychol 2011; 67: 143–54.CrossRefGoogle ScholarPubMed
Roughley, M, Maguire, A, Wood, G, Lee, T. Referral of patients with emotionally unstable personality disorder for psychological therapy: why, when and how? BJPsych Bull 2020. http://dx.doi.org/10.1192/bjb.2020.48.Google Scholar
Rosenfeld, H. Afterthought: changing theories and changing techniques in psychoanalysis. In Rosenfeld, H, ed., Impasse and Interpretation. London: Tavistock. 1987; pp. 265–79.Google Scholar
Gabbard, GO. Two subtypes of narcissistic personality disorder. Bull Menninger Clin 1989; 53: 527–32.Google Scholar
Stoffers, JM, Ferriter, M, Völlm, BA et al. Psychological interventions for people with narcissisticpersonality disorder. Cochrane Library 2014. www.cochrane.org/CD009690/psychological-interventions-people-narcissistic-personality-disorder [Accessed 27/02/2019]CrossRefGoogle Scholar
Hare, RD. The Hare Psychopathy Checklist-Revised, 2nd ed. Toronto: Multi-Health Systems, 2003.Google Scholar
Gibbon, S, Duggan, C, Stoffers, J et al. Psychological interventions for antisocial personality disorder. Cochrane Database Syst Rev 2010; 16: CD007668.Google Scholar
Bateman, A, O’Connell, J, Lorenzini, N, Gardner, T, Fonagy, P. A randomised controlled trial of mentalization-based treatment versus structured clinical management for patients with comorbid borderline personality disorder and antisocial personality disorder. BMC Psychiatry 2016; 16: 304. doi: 10.1186/s12888-016-1000-9.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×