Mental health articles

OF mental health care and mentally ill

personality disorders

Prevalence of personality disorders

Measuring the prevalence of personality disorders is difficult. There is no consensus on the definition, diagnosis or classification of the specific disorders. There is also much debate on operational definitions of psychological traits inherent in personality disorder, but little agreement. As such varied estimates of the prevalence are published due to the variation in definition […]

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Diagnosis and classification of personality disorders

Currently personality disorders are diagnosed by the recognition of a set of diagnostic criteria. Within both DSM-IV  and ICD-10 personality disorders are described as a mixture of both psychological traits and overt behaviours. Each diagnostic system describes the concept of personality disorder upon which subsequent specific diagnoses should be based. DSM-IV describes a personality disorder […]

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A cognitive model of personality disorders

Although there are ten personality disorders (or personality types), Beck et al. attempted to develop a single, unitary, explanatory model for the development of them all. In doing so, they adopted an evolutionary perspective. They suggested that key neuro-cognitive responses, including those affecting perception, mood and behaviour, are genetically pre-programmed and that these responses may […]

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Principles of Cognitive Therapy with Personality Disorders

Because of the rigidity and primacy of dysfunctional schemas in individuals with personality disorders, cognitive therapy goes beyond the cognitive and behavioral interventions used in the treatment of Axis I disorders and includes strategies to increase collaboration and confront schemas. Specifically, cognitive therapy for personality disorders integrates cognitive, behavioral, interpersonal, and experiential techniques. Compared to […]

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Tests of the Cognitive Theory of Personality Disorders

According to cognitive theory, the essence of a personality disorder is revealed in the dysfunctional beliefs that characterize and perpetuate it (Beck et al., 1990; Pretzer & Beck, 1996). Early investigations of the association between dysfunctional cognitions and personality disorders provide general support for the cognitive model. O’Leary et al. (1991) found that scores on […]

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Assessment Instruments for Personality Disorders

Cognitive therapy uses both categorical and dimensional measures for the assessment of normal and abnormal personalities. Categorical measures, such as structured clinical interviews to determine and document the presence or absence of an Axis II disorder (e.g., SCID-II; First, Spitzer, Gibbon, Williams, & Benjamin, 1994), are often required in clinical and research settings (Beck et […]

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A Proposed Definition of Personality-Related Disorders

All individuals have personalities that can be characterized in terms of the fi ve basic factors, and they are likely to encounter characteristic kinds of life problems, especially when there are confl icts between their dispositions and their life circumstances. To take a relatively benign example, individuals high in O (who value variety) may be […]

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Personality Disorders and taxometric research

The categorical versus dimensional status of the Diagnostic and Statistical Manual of Mental Disorders’s (DSM-IV; APA, 1994) axis II is a particularly important question, which taxometric research should play a major role in resolving. Although the DSM-IV represents PDs as distinct categories and diagnoses them as simply present or absent, dimensional models of PDs are […]

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