Personality disorders: etiologies and diagnostic challenges
DOI:
https://doi.org/10.33448/rsd-v11i14.36223Keywords:
Personality disorders; Psychiatry; Diagnosis.Abstract
Personality disorders (PD) are not properly diseases, but anomalies of psychic development, being considered, in forensic psychiatry, as a mental health disorder. These disorders involve the disharmony of affectivity and excitability with deficient integration of impulses, attitudes and behaviors, manifesting itself in interpersonal relationships. Personality disorders, like other psychiatric diagnoses, are etiologically complex, being probably the result of the interaction of multiple genetic and environmental factors. The ICD, in its eleventh revision, describes eight types of specific personality disorders: paranoid, schizoid, schizotypal, antisocial, borderline, histrionic, avoidant, dependent, and obsessive-compulsive. Although the diagnosis of PD can be considered, it is important to avoid diagnosing patients who present themselves as difficult to manage, arouse anger or other intense emotions and demand a lot of attention, in critical situations, emergency care and from a single assessment, since there is evidence of a disparity in the diagnosis made in these circumstances compared to that established from an appropriate systematized interview.
References
Bassit, D. P., et al. (2009). Transtornos de Personalidade. Psiquiatria básica. 2ed. Artmed Editora.
Beckwith, H. (2014). Personality disorder prevalence in psychiatric outpatients: a systematic literature review. Personal Ment Health, 8 (5), 91-101.
Boysen, G. A., et al. (2013). A review of published research on adult dissociative identity disorder, 2000-2010. The Journal of Nervous and Mental Disease, 201(1), 5-11.
Brenner, I. (2018). Catching a Wave: The Hypnosis-Sensitive Transference-Based Treatment of Dissociative Identity Disorder (DID). American Journal of Clinical Hypnosis, 60 (1), 279–295.
Campos, R. N., et al. (2010). A evolução histórica dos conceitos de transtorno de humor e transtorno de personalidade: problemas no diagnóstico diferencial. Rev Psiq Clín., 37 (6),162-166.
Foote, B., et al. (2016). Adapting Dialectical Behavior Therapy for the Treatment of Dissociative Identity Disorder. American Journal of Psychotherapy, 70(4).
Ganslev, C. A., et al. (2020). Psychosocial interventions for conversion and dissociative disorders in adults. Cochrane Database of Systematic Reviews, 3 (7).
Gask, L., et al. (2013). Clinical Review. Personality disorder. BMJ, 10 (5), 347-367.
Gentile, J. P., et al. (2013). Psychotherapy and Pharmacotherapy for Patients with Dissociative Identity Disorder. Clinical Neuroscience, 10(2), 22–29.
Hawton, K., et al. (2013). Psychiatric disorders in patients presenting to hospital following selfharm: a systematic review. J Affect Disord., 151 (8).
Lanier, P., et al. (2013). Advances in the Conceptualization of Personality Disorders: Issues Affecting Social Work Practice and Research. Clin Soc Work J., 41 (5), 155-62.
Macintosh, H. B. (2015). Clinical Exploration of the Integration of Trauma Model and Relational Psychoanalytic Approaches to the Treatment of Dissociative Identity Disorder. Psychoanalytic Psychology, 32(3), 517–538.
Malcolm, L. S. (2003). A study on dissociative identity disorder in Japan (Tese de doutorado). Graduação em Psicologia, Universidade John F. Kennedy, Pleasant Hill, CA, Estados Unidos.
Maraldi, E. D. O. (2019). Transtorno dissociativo de identidade: aspectos diagnósticos e implicações clínicas e forenses. Fronteiras Interdisciplinares do Direito, 1(2).
Maraldi, E. O., et al. (2017). Dissociationfrom a cross-cultural perspective: implications of studies in Brazil. Journal of Nervous and Mental Disease, 205(7), 558-567.
Mari, J. J., et al. (2013). Psiquiatria na prática clínica. Manole.
Moran, M. (2013). DSM Section Contains Alternative Model for Evaluation of PD. Psychiatr News, 48 (11).
Pervin, L. A., et al. (2015). Personality: Theory and Research. 9a. ed.: Editora Wiley.
Reichborn-Kjennerud, T. (2018). Genetics of personality disorders. Psychiatr Clin N Am., 31 (5), 421-440.
Tyrer, P., et al. (2015). Classification, assessment, prevalence, and effect of personality disorder. Lancet, 38 (5), 717-26.
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Copyright (c) 2022 Priscila Gomes Ribeiro Naves; Bárbara Queiroz de Figueiredo; Lorranny Silva Nascimento; Talita Marques da Silva; Luciana de Almeida França; Yasmin Justine Borges; Nurya Gabrielly Araújo Silva
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