Dependent Personality Disorder
Borderline Personality Disorder
Schizotypal Personality Disorder
Antisocial Personality Disorder
Alcoholism and personality disorders: an exploratory study. (1/7)
AIMS: To define the most frequent personality disorders related to alcohol dependence. METHODS: Using the International Personality Disorder Examination and the Millon Clinical Multiaxial Inventory-II for personality disorders, 30 consecutively recruited alcohol-dependent patients attending an outpatient clinic were compared with 30 consecutively recruited psychiatric patients with non-addictive disorders and 31 subjects from the general population chosen to match the patient samples for age, gender and socio-economic level. RESULTS: Forty percent of the alcohol-dependent patients and 16.6% of the general clinical sample (vs 6.4% of the normative sample) showed at least one personality disorder. Dependent personality disorders were most prevalent (13.3%), followed by paranoid and obsessive-compulsive personality disorders (10% each). (+info)Bond disorders of a patient with asthma: a case study. (2/7)
The issue of treatment and providing preventive activities in bronchial asthma is still not fully investigated. Besides the medical aspect, psychiatrists and psychologists point to psychosomatic aspects, since psycho-social factors can evoke intensification of asthma symptoms, and also become the consequences of that disease. Previous psychosomatic investigations show that chronic illness makes the patients reveal extended dependence on others. Patients may also tend to perceive other people as being responsible for their health problems. Such an attitude is usually caused by the disease process and the feeling of threat related to disease symptoms. In the present article I discuss the case of a patient with diagnosed bronchial asthma who was in the course of psychodynamic therapy. The aim of therapy was to help the patient in an interpersonal sphere and, when a therapeutic alliance is already established, to support individualization and separation in his previously disordered process of development, and finally to support the process of recovery. The case presented below is one of many others, when patients with chronic diseases, including bronchial asthma, apply for therapy. The adult patients usually complain about discomfort in social situations, sometimes about difficulties with keeping work that they have just got, or, like in this case, about bond disorders which reveal as intrusiveness and adhesiveness. (+info)The Northwestern-UCLA youth emotion project: Associations of cognitive vulnerabilities, neuroticism and gender with past diagnoses of emotional disorders in adolescents. (3/7)
(+info)A population-based longitudinal study of risk factors for suicide attempts in major depressive disorder. (4/7)
(+info)The heritability of avoidant and dependent personality disorder assessed by personal interview and questionnaire. (5/7)
(+info)Attainment and stability of sustained symptomatic remission and recovery among patients with borderline personality disorder and axis II comparison subjects: a 16-year prospective follow-up study. (6/7)
OBJECTIVE: The purposes of this study were to determine time to attainment of symptom remission and to recovery lasting 2, 4, 6, or 8 years among patients with borderline personality disorder and comparison subjects with other personality disorders and to determine the stability of these outcomes. METHOD: A total of 290 inpatients with borderline personality disorder and 72 comparison subjects with other axis II disorders were assessed during their index admission using a series of semistructured interviews, which were administered again at eight successive 2-year follow-up sessions. For inclusion in the study, patients with borderline personality disorder had to meet criteria for both the Revised Diagnostic Interview for Borderlines and DSM-III-R. RESULTS: Borderline patients were significantly slower to achieve remission or recovery (which involved good social and vocational functioning as well as symptomatic remission) than axis II comparison subjects. However, by the time of the 16-year follow-up assessment, both groups had achieved similarly high rates of remission (range for borderline patients: 78%-99%; range for axis II comparison subjects: 97%-99%) but not recovery (40%-60% compared with 75%-85%). In contrast, symptomatic recurrence and loss of recovery occurred more rapidly and at substantially higher rates among borderline patients than axis II comparison subjects (recurrence: 10%-36% compared with 4%-7%; loss of recovery: 20%-44% compared with 9%-28%). CONCLUSIONS: Our results suggest that sustained symptomatic remission is substantially more common than sustained recovery from borderline personality disorder and that sustained remissions and recoveries are substantially more difficult for individuals with borderline personality disorder to attain and maintain than for individuals with other forms of personality disorder. (+info)Continuous ambulatory peritoneal dialysis: an option in the developing world? (7/7)
OBJECTIVE: To evaluate specified biomedical, socio-economic, and psychosocial criteria as predictors of therapeutic success to optimize patient selection for continuous ambulatory peritoneal dialysis (CAPD) in a developing country. DESIGN: A retrospective cohort study investigating the relationship between episodes of peritonitis and exitsite infection, and predetermined biomedical, socioeconomic, and psychosocial data. SETTING: A CAPD unit in a large tertiary care teaching hospital. PATIENTS: All 132 patients entering the CAPD program between 1987 and 1991. RESULTS: Overall mean survival time on CAPD was 17.3 months. Peritonitis rates were high, especially among blacks. Multivariate analysis demonstrated that increased peritonitis rates were associated with age, black race, diabetes, and strongly so with several psychosocial factors. Because being black was strongly linked to poor socioeconomic conditions, repeat analysis excluding blacks showed the same associations with the above variables, but, additionally, several socioeconomic factors were associated with high peritonitis rates. No significant explanatory variables were shown for exit-site infections. CONCLUSIONS: The association of biomedical, socioeconomic, and psychosocial variables with high peritonitis rates has important implications for the selection of patients for CAPD in this setting. (+info)Dependent Personality Disorder (DPD) is a mental health condition in which an individual has an extreme fear of being abandoned or rejected, leading them to rely excessively on others for support and decision-making. According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), to be diagnosed with DPD, an individual must exhibit at least five of the following symptoms:
1. Difficulty making everyday decisions without excessive advice and reassurance from others.
2. Need for others to assume responsibility for most major areas of their life.
3. Has difficulty expressing disagreement with others due to fear of loss of support or approval.
4. Has difficulty initiating projects or doing things on their own due to a lack of self-confidence in judgment or abilities.
5. Goes to excessive lengths to obtain nurturance and support from others, including volunteering to do things that are not enjoyable.
6. Feels uncomfortable or helpless when alone because of exaggerated fears of being unable to care for themselves.
7. Urgently seeks another relationship as a source of care and support when a close relationship ends.
8. Is unrealistically preoccupied with fears of being left to take care of themselves.
These symptoms must be present for an extended period, typically lasting for at least two years or more, and cause significant distress or impairment in social, occupational, or other areas of functioning. Additionally, the symptoms cannot be better explained by another mental health condition, such as bipolar disorder or major depressive disorder.
It is important to note that seeking help from a mental health professional is essential for an accurate diagnosis and treatment plan if you suspect you may have DPD.
Personality disorders are a class of mental health conditions characterized by deeply ingrained, inflexible patterns of thinking, feeling, and behaving that deviate significantly from the norms of their culture. These patterns often lead to distress for the individual and/or impairments in personal relationships, work, or social functioning.
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), identifies ten specific personality disorders, which are grouped into three clusters based on descriptive similarities:
1. Cluster A (Odd or Eccentric) - characterized by odd, eccentric, or unusual behaviors:
* Paranoid Personality Disorder
* Schizoid Personality Disorder
* Schizotypal Personality Disorder
2. Cluster B (Dramatic, Emotional, or Erratic) - marked by dramatic, emotional, or erratic behaviors:
* Antisocial Personality Disorder
* Borderline Personality Disorder
* Histrionic Personality Disorder
* Narcissistic Personality Disorder
3. Cluster C (Anxious or Fearful) - featuring anxious, fearful behaviors:
* Avoidant Personality Disorder
* Dependent Personality Disorder
* Obsessive-Compulsive Personality Disorder
It is important to note that personality disorders can be challenging to diagnose and treat. They often require comprehensive assessments by mental health professionals, such as psychologists or psychiatrists, who specialize in personality disorders. Effective treatments typically involve long-term, specialized psychotherapies, with some cases potentially benefiting from medication management for co-occurring symptoms like anxiety or depression.
Borderline Personality Disorder (BPD) is a mental health disorder characterized by a pervasive pattern of instability in interpersonal relationships, self-image, affect, and mood, as well as marked impulsivity that begins by early adulthood and is present in various contexts.
Individuals with BPD often experience intense and fluctuating emotions, ranging from profound sadness, anxiety, and anger to feelings of happiness or calm. They may have difficulty managing these emotions, leading to impulsive behavior, self-harm, or suicidal ideation.
People with BPD also tend to have an unstable sense of self, which can lead to rapid changes in their goals, values, and career choices. They often struggle with feelings of emptiness and boredom, and may engage in risky behaviors such as substance abuse, reckless driving, or binge eating to alleviate these feelings.
Interpersonal relationships are often strained due to the individual's fear of abandonment, intense emotional reactions, and difficulty regulating their emotions. They may experience idealization and devaluation of others, leading to rapid shifts in how they view and treat people close to them.
Diagnosis of BPD is typically made by a mental health professional using criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is published by the American Psychiatric Association. Treatment for BPD may include psychotherapy, medication, and support groups to help individuals manage their symptoms and improve their quality of life.
In the context of medicine and psychology, personality is a complex concept that refers to the unique patterns of thoughts, behaviors, and emotions that define an individual and differentiate them from others. It is the set of characteristics that influence how we perceive the world, how we relate to other people, and how we cope with stress and challenges.
Personality is thought to be relatively stable over time, although it can also evolve and change in response to life experiences and maturation. It is shaped by a combination of genetic factors, environmental influences, and developmental experiences.
There are many different theories and models of personality, including the Five Factor Model (FFM), which identifies five broad domains of personality: openness, conscientiousness, extraversion, agreeableness, and neuroticism. Other approaches to understanding personality include psychoanalytic theory, humanistic psychology, and trait theory.
It's important to note that while the term "personality" is often used in everyday language to describe someone's behavior or demeanor, in medical and psychological contexts it refers to a more complex and multifaceted construct.
Schizotypal Personality Disorder is defined by the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a pervasive pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships, as well as by cognitive or perceptual distortions and eccentricities of behavior. The disorder is often characterized by individuals having difficulty with expressing emotions and relating to others. They may also experience unusual perceptions, such as hearing voices or seeing things that aren't there, but these are not as severe as in Schizophrenia. It is important to note that this disorder can cause significant distress and impairment in social, occupational, and other areas of functioning.
Antisocial Personality Disorder (ASPD) is a mental health condition characterized by a pervasive pattern of disregard for the rights of others, lack of empathy, and manipulative behaviors. It is defined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), as follows:
A. A consistent pattern of behavior that violates the basic rights of others and major age-appropriate societal norms and rules, as indicated by the presence of at least three of the following:
1. Failure to conform to social norms and laws, indicated by repeatedly performing acts that are grounds for arrest.
2. Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure.
3. Impulsivity or failure to plan ahead; indication of this symptom may include promiscuity.
4. Irritability and aggressiveness, as indicated by repeated physical fights or assaults.
5. Reckless disregard for safety of self or others.
6. Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations.
7. Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another.
B. The individual is at least 18 years of age.
C. There is evidence of conduct disorder with onset before the age of 15 years.
D. The occurrence of antisocial behavior is not exclusively during the course of schizophrenia or bipolar disorder.
E. The individual's criminal behavior has not been better explained by a conduct disorder diagnosis or antisocial behavior that began before the age of 15 years.
It's important to note that ASPD can be challenging to diagnose, and it often requires a comprehensive evaluation from a mental health professional with experience in personality disorders.
An encyclopedia is a comprehensive reference work containing articles on various topics, usually arranged in alphabetical order. In the context of medicine, a medical encyclopedia is a collection of articles that provide information about a wide range of medical topics, including diseases and conditions, treatments, tests, procedures, and anatomy and physiology. Medical encyclopedias may be published in print or electronic formats and are often used as a starting point for researching medical topics. They can provide reliable and accurate information on medical subjects, making them useful resources for healthcare professionals, students, and patients alike. Some well-known examples of medical encyclopedias include the Merck Manual and the Stedman's Medical Dictionary.