Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-23T20:18:57.225Z Has data issue: false hasContentIssue false
  • English
  • Français

Trainee experience in diagnosis and management of personality disorders

Published online by Cambridge University Press:  26 July 2018

R. Wallace  and
G. Rush
R. Wallace*
Affiliation:
St Patrick’s University Hospital, Dublin, Ireland
G. Rush
Affiliation:
St Patrick’s University Hospital, Dublin, Ireland
*
*Address for correspondence: R. Wallace, Jonathon Swift Clinic, Department of Psychiatry, St James’s Hospital, Dublin 8, Ireland. (Email: [email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

The diagnosis and management of personality disorders continues to evolve and develop alongside psychiatry internationally, however, not always in a linear fashion. Trainees working in a variety of clinical areas have regular exposure to personality disorder presentations. Psychiatry training bodies continue to adapt their training structure and curriculum, however, there seems to be a lack of sufficient emphasis with regards this area. We are now embarking on a new diagnostic system for personality disorders; this may impact on our clinical practice and perspective of these patients. The role of psychiatrists in diagnosing and managing personality disorders can be unclear at times and may benefit from on-going reflection and standardization.

Keywords

Personality disorderICDtraineeborderlineDSM
Type
Perspective Piece
Information
Irish Journal of Psychological Medicine , Volume 37 , Issue 2 , June 2020 , pp. 136 - 140
Copyright
© College of Psychiatrists of Ireland 2018

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

American Psychiatric Association (1996). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Association: Washington, DC.Google Scholar
American Psychiatric Publishing (2014). Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Publishing: Washington, DC.Google Scholar
Beckwith, H, Moran, P, Reilly, J (2014). Personality disorder prevalence in psychiatric outpatients: a systematic literature review. Personality and Mental Health 8, 91–101.CrossRefGoogle ScholarPubMed
Bodner, E, Cohen-Fridel, S, Iancu, I (2011). Staff attitudes toward patients with borderline personality disorder. Comprehensive Psychiatry 52, 548–555.10.1016/j.comppsych.2010.10.004CrossRefGoogle ScholarPubMed
Burns, T (2013). Our Necessary Shadow. Allen Lane: London, 254 pp.Google Scholar
College of Psychiatrists of Ireland (2017a). BST Learning Outcomes Attainment Grid, 1st edn. College of Psychiatrists of Ireland: Dublin, p. 15 (http://elearning.irishpsychiatry.ie/course/view.php?id=312). Accessed 22 September 2017.Google Scholar
College of Psychiatrists of Ireland (2017b). Curriculum for Basic and Higher Specialist Training in Psychiatry, 5th edn. College of Psychiatrists of Ireland: Dublin, p.10 (http://irishpsychiatry.ie). Accessed 22 September 2017.Google Scholar
College of Psychiatrists of Ireland (2017c). Foundation Year Learning Outcomes Attainment Grid, 1st edn. College of Psychiatrists of Ireland: Dublin, pp. 4–5 (http://elearning.irishpsychiatry.ie/course/view.php?id=312). Accessed 22 September 2017.Google Scholar
Crawford, M, Koldobsky, N, Mulder, R, Tyrer, P (2011). Classifying personality disorder according to severity. Journal of Personality Disorders 25, 321–330.CrossRefGoogle ScholarPubMed
Crumlish, N, Kelly, B (2009). How psychiatrists think. Advances in Psychiatric Treatment 15, 72–79.CrossRefGoogle Scholar
Department of Health and Human Services, Public Health Service, Health Care Financing Administration (1991). The International Classification of Diseases. U.S. Department of Health and Human Services, Public Health Service, Health Care Financing Administration: Washington, DC.Google Scholar
Fok, M, Hayes, R, Chang, C, Stewart, R, Callard, F, Moran, P (2012). Life expectancy at birth and all-cause mortality among people with personality disorder. Journal of Psychosomatic Research 73, 104–107.CrossRefGoogle ScholarPubMed
Hopwood, C, Malone, J, Ansell, E, Sanislow, C, Grilo, C, McGlashan, T, Pinto, A, Markowitz, J, Shea, M, Skodol, A, Gunderson, J, Zanarini, M, Morey, L (2011). Personality assessment in DSM-5: empirical support for rating severity, style, and traits. Journal of Personality Disorders 25, 305–320.CrossRefGoogle ScholarPubMed
Krueger, R, Derringer, J, Markon, K, Watson, D, Skodol, A (2011). Initial construction of a maladaptive personality trait model and inventory for DSM5. Psychological Medicine 42, 1879–1890.CrossRefGoogle Scholar
Moran, P, Leese, M, Lee, T, Walters, P, Thornicroft, G, Mann, A (2003). Standardised Assessment of Personality - Abbreviated Scale (SAPAS): preliminary validation of a brief screen for personality disorder. British Journal of Psychiatry 183, 228–232.10.1192/bjp.183.3.228CrossRefGoogle ScholarPubMed
Newton-Howes, G, Tyrer, P, Anagnostakis, K, Cooper, S, Bowden-Jones, O, Weaver, T (2009). The prevalence of personality disorder, its comorbidity with mental state disorders, and its clinical significance in community mental health teams. Social Psychiatry and Psychiatric Epidemiology 45, 453–460.CrossRefGoogle ScholarPubMed
Rosenhan, D (1974). On being sane in insane places. Clinical Social Work Journal 2, 237–256.CrossRefGoogle Scholar
Schneider, K (1929). Die psychopathischen Persönlichkeiten. Archives of Neurology And Psychiatry 22, 1318.Google Scholar
Shorter, E (2008). History of psychiatry. Current Opinion in Psychiatry 21, 593–597.CrossRefGoogle ScholarPubMed
Tyrer, P, Crawford, M, Mulder, R, Blashfield, R, Farnam, A, Fossati, A, Kim, Y, Koldobsky, N, Lecic-Tosevski, D, Ndetei, D, Swales, M, Clark, L, Reed, G (2011). The rationale for the reclassification of personality disorder in the 11th revision of the International Classification of Diseases (ICD-11). Personality and Mental Health 5, 246–259.CrossRefGoogle Scholar
Tyrer, P, Reed, G, Crawford, M (2015). Classification, assessment, prevalence and effect of personality disorder. The Lancet 385, 717–726.CrossRefGoogle ScholarPubMed