947 resultados para borderline personality disorder
Resumo:
Background The aims of this study were threefold. First, to ascertain whether personality disorder (PD) was a significant predictor of disability (as measured in a variety of ways) over and above that contributed by Axis I mental disorders and physical conditions. Second, whether the number of PD diagnoses given to an individual resulted in increasing severity of disability, and third, whether PD was a significant predictor of health and mental health consultations with GPs, psychiatrists, and psychologists, respectively, over the last 12 months. Method Data were obtained from the National Survey of Mental Health and Wellbeing, conducted between May and August 1997. A stratified random sample of households was generated, from which all those aged 18 and over were considered potential interviewees. There were 10 641 respondents to the survey, and this represented a response rate of 78%. Each interviewee was asked questions indexing specific ICD-10 PD criteria. Results Five measures of disability were examined. It was found that PD was a significant predictor of disability once Axis I and physical conditions were taken into account for four of the five disability measures. For three of the dichotomously-scored disability measures, odds ratios ranged from 1.88 to 6.32 for PD, whilst for the dimensionally-scored Mental Summary Subscale of the SF-12, a beta weight of -0.17 was recorded for PD. As regards number of PDs having a quasi-linear relationship to disability, there was some indication of this on the SF-12 Mental Summary Subscale and the two role functioning measures, and less so on the other two measures. As regards mental consultations, PD was a predictor of visits to GPs, psychiatrists and psychologists, over and above Axis I disorders and physical conditions. Conclusion The study reports findings from a nationwide survey conducted within Australia and as such the data are less influenced by the selection and setting bias inherent in other germane studies. However, it does support previous findings that PD is a significant predictor of disability and mental health consultations independent of Axis I disorders and physical conditions.
Resumo:
Histrionic Personality Disorder is one of the most ambiguous diagnostic categories in psychiatry. Hysteria is a classical term that includes a wide variety of psychopathological states. Ancient Egyptians and Greeks blamed a displaced womb, for many women's afflictions. Several researchers from the 18th and 19th centuries studied this theme, namely, Charcot who defined hysteria as a "neurosis" with an organic basis and Sigmund Freud who redefined "neurosis" as a re-experience of past psychological trauma. Histrionic personality disorder (HPD) made its first official appearance in the Diagnostic and Statistical Manual of Mental Disorders II (DSM-II) and since the DSM-III, HPD is the only disorder that kept the term derived from the old concept of hysteria. The subject of hysteria has reflected positions about health, religion and relationships between the sexes in the last 4000 years, and the discussion is likely to continue.
Resumo:
Personality Disorder: A Diagnosis for Inclusion - The Northern Ireland Personality Disorder Strategy - The Way Forward - June 2010
Resumo:
The assimilation of problematic experiences has been studied as change processes in psychotherapies of different client populations. Several theory-building case studies using the assimilation model have shown how important a meaning bridge is in such change processes. In a client presenting schizoid personality disorder the creation of meaning as an affect-evoking process may be a particularly important stage in the change process. The present case study aims to apply the assimilation model to a psychotherapy process with a highly disturbed client and focuses on the creation of a meaning bridge in the process. Moreover, the assimilation analysis focuses on the effect of an external person, i.e. the partner or the therapist, when responding to the client's unassimilated problematic experiences. Their effects on the client's assimilation processes are discussed.
Resumo:
Dans Creep show, un narrateur prsente ses creeps, les malades de son entourage, des schizophrnes inadquatement nomms, afin de les ramener la vie par ses mots. En se souvenant de certains moments o la folie se manifestait lui, il veut dterrer ses ensevelis, les faire parler en leur prtant son criture. Dans un rcit morcel pouvant voquer une galerie de portraits en mouvement, les protagonistes sont prsents comme des monstres, des rveurs ou des sources dinspiration selon le moment relat par un narrateur affect qui se replonge littralement dans un pass schelonnant entre lenfance et lge de dix-huit ans. Portant autant sur la maladie mentale que sur la honte et la peur des mots, Creep show est un texte sur le silence et limpuissance, sur lincapacit de nommer adquatement la folie ; il sagit dun court rcit de dix-sept scnes encadres par un prologue et un pilogue o lcriture dun traumatisme se vit comme une histoire damour. Lessai intitul Je est des autres. De lesthtique borderline chez Marie-Sissi Labrche dcrit la gense dune esthtique borderline . Dans une approche la fois psychanalytique et narratologique, fonde sur les concepts de la mlancolie, du kitsch et de la crypte, lanalyse tente de montrer quel type de construction thmatique et formelle soutient cette esthtique. partir dlments reprsentatifs de lunivers de Marie-Sissi Labrche (la question de la limite, la pulsion de mort, le rapport au corps et linstabilit), lessai sintresse la faon dont la narratrice de Borderline (2000) donne lire une identit sdimentaire, un autoportrait masqu-fl, o Je est [des] autre[s] . En regard de ces lments, lhypothse dune machine textuelle fonctionnant thmatiquement et formellement dans et par linstabilit et laltrit oriente la rflexion vers lide dune criture du trauma qui pourrait reprsenter une tentative de rappropriation identitaire passant par lesthtique dite borderline .
Resumo:
La psychopathie et le trouble de personnalit antisociale sont deux syndromes relis qui ont t identifis comme prdicteurs importants de comportements violents et de criminalit. Cependant, la recherche indique que les facteurs de la psychopathie centrs sur la personnalit ne sont pas des prdicteurs fiables de rcidive violente chez les personnes atteintes de maladies mentales. Toutefois, peu dtudes se sont centres sur lidentification des facteurs associs au patron des antcdents criminels. Les 96 hommes de ltude ont t dclars non criminellement responsables en raison de troubles mentaux. Ils ont t valus quant au trouble de la personnalit antisociale ainsi qu la psychopathie. Les dossiers criminels de la Gendarmerie Royale du Canada ont galement t consults afin de reconstituer lhistoire criminelle. Les rsultats suggrent que ni les traits de personnalit antisociaux, ni les facteurs de la psychopathie ne dmontrent une validit prdictive incrmentielle les uns sur les autres quant au nombre ou la svrit des dlits. La prsence dun grand nombre de traits antisociaux est associe un plus grand nombre et une plus importante svrit dactes criminels non-violents. Les rsultats sont discuts en termes de lutilit dune classification du trouble de personnalit antisociale, et de la pertinence du construit de la psychopathie pour les personnes atteintes de maladies mentales graves.
