1,721,172 research outputs found
Fossati Andrea
No full textFossati Andrea: biografia e impegno educativo nell'ambito dello scautismo italiano
Shut in or split up? A commentary on Dr. Nirestean and colleagues' ‘Schizoid personality disorder — the peculiarities of their interpersonal relationships and existential roles’.
No full textComments on an article by Aurel Nirestean et al. (see record 2012-03494-007). Nirestean et al. were very good at transmitting to the reader the complexity of Mr. P’s situation, unfortunately, they were not able to provide a description of the clinical course that could help the reader to rule out the possible pathoplastic effect of the Axis I disorders on Mr. P’s interpersonal and social and occupational problems. Nirestean et al. reported that Mr. P achieved lower than it was expected according to his potential, but they did not provide enough elements to let the reader understand what the cause of this underachievement was. Nirestean et al. vividly presented some alternative models of schizoid personality disorder (SPD). Nirestean et al. suggest that the Diagnostic and Statistical Manual (DSM-IV) models and other models of SPD may be interchangeably used in describing and understanding SPD. Nirestean et al. convincingly remind us that the use of constructs with the same name, but which were designed to describe very different clinical phenomena, may lead to diagnostic uncertainty and treatment impasse. Nirestean et al. convincingly showed that Mr. P suffered from SPD but frequently stressed his detachment from relationships
Adult attachment in the clinical management of Borderline Personality Disorder.
No full textBorderline personality disorder (BPD) is a commonpsychiatric disorder associated with severefunctional impairment, high rates of suicide andcomorbid psychiatric illness, intensive use oftreatment, and high costs to society. The etiologyand pathogenesis of BPD are still uncertain,although an interaction between biological andpsychosocial factors has been proposed to explainhow the condition develops. Attachment disturbancesrepresent one of the developmental riskfactors that have been most consistently found tobe associated with BPD, with a number of studiesreporting a significant strong association betweeninsecure attachment and BPD, notwithstandingthe variety of measures and attachment typesemployed in these studies. In this article, theauthor first reviews clinical descriptions andresearch findings concerning the associationbetween attachment disturbances and BPD andthen discusses how attachment theory may helpclinicians who work with patients with BPD betterunderstand the psychopathology of the illness andplan treatment
Diagnosing Borderline Personality Disorder During Adolescence: A Review of the Published Literature
Full text linkBorderline personality disorder (BPD) is a debilitating disorder that occurs in approximately 1% to 3% of the general population. BPD is not only relatively prevalent; it is also associated with significant public health and security concerns. The clinical and social burden of adult BPD diagnosis has resulted in the desire for early diagnosis and the implementation of early intervention programs. A qualitative review of the scientific literature suggested that adolescence is a critical point for the early identification and therapeutic treatment of BPD. Although findings are far from conclusive, the inter-rater reliability and internal consistency of the Diagnostic and Statistical Manual of Mental Disorders symptom criteria for BPD during adolescence seem adequate. Recent studies based on a rigorous methodology of BPD assessment and large community samples reported prevalence rates for BPD diagnosis during adolescence that were less suspect than previous findings. A number of research studies addressed the construct validity of BPD in adolescents (i.e., whether a BPD diagnosis during adolescence actually measures what is intending to measure) and reported consistent relationships between BPD and associated areas of dysfunction and distress as evidence of the validity of the BPD diagnosis. Research evidence indicates that there is no single symptom that is predictive of later BPD diagnosis during adolescence; rather, a pattern of two to three selected BPD symptoms that are evident during adolescence seemed to be highly predictive of later BPD diagnosis, particularly when measures that were specifically designed to assess for BPD during adolescence were used as part of the assessment process
Does being moody necessarily imply having a mood disorder rather than a personality disorder?
No full textEuropean perspectives on personality disorders: Knowing a complex history for a (hopefully) bright future
No full textA recent focus in Western European research on personality disorders (PDs) has been an attempt to generate an integrative perspective or at least a common framework that could be used by researchers with different theoretical orientation to exchange and integrate their findings. This article discusses 19th and 20th century Western European perspectives on PDs, which led to their conceptualization as separate entities. In particular, we focus on the contribution of three approaches: the psychiatric approach, the dynamic contribution and the individual difference perspective. European tradition suggests revising current PD classification systems to produce PD diagnoses that are close to clinical reality but also grounded in data from scientific studies and characterized by a high degree of transtheoretical acceptance
Natura facit saltus: discontinuities in the latent liability to schizophrenia and their implications for clinical psychiatry.
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