Suchergebnisse

Recent research on the relationship between borderline personality disorder (BPD) and suicidal behavior is reviewed. Risk factors for attempted and completed suicide as well as the effect of the comorbidity of BPD with other Axis I and II disorders are considered. Explanations for suicidality in BPD are discussed. General assessment strategies are offered, along with treatment recommendations. Specifically, research has shown that borderline patients improve in the long-term, decreasing in suicidality, self-destructiveness, and interpersonal maladjustment, if survival is effectively managed during the turbulent years of youth. Clinical lore at times can lead clinicians to disregard the danger of suicide completion among chronically parasuicidal patients, which can prevent effective intervention during suicidal crises and result in unfortunate outcomes.

Background: Worldwide mental health professionals have negative attitude towards personality disorder. Aim of this study was to assess the attitudes toward personality disorder among Nepalese psychiatrists. Methods: A cross-sectional survey study was done. Survey questionnaire was developed which consisted of 10 questions to explore the feeling and views regarding personality disorder. It was distributed via e-mail to 80 registered psychiatrist who were randomly selected and responses were analyzed.Results: Results showed only 50% of psychiatrist assessed for personality disorders whereas only 55.6% diagnosed it. Cluster 'B'personality disorders were most commonly diagnosed personality disorder, 36.1% felt helpless for those patients, 75% felt overall treatment for personality disorder was very difficult and 50% reported they were not competent to care for personality disorder patients. Conclusions: Nepalese psychiatrists were not optimistic towards personality disorder in terms of its recognition, diagnosis and its overall management. Thus, future researches are needed to explore such attitudes in depth in same population.

Narcissistic personality disorder is a severance mental health issue, and affect person from both biological and social aspects. The article reviewed the latest international researches about the etiology, subtypes of narcissistic personality disorder, and related treatment strategies of narcissistic personality disorder. Narcissistic personality disorder is defined by an inflated self-importance, eagerness for admiration, and lack of compassion. It encompasses two subtypes, grandiose and vulnerable. Impact of narcissism on individuals' self-esteem, Self Control was examined through reviewing prior research on Chinese population. Moreover, correlation between parenting style, narcissistic personality and parent child relationship was also discussed. The result revealed that the formation of narcissistic personality disorder was influenced by environmental and social factors. Long-term psychological therapy is the main treatment for narcissistic personality disorder. Medication is not a primary treatment option, and certain antidepressants may exacerbate symptoms. The challenge and study directions have been identified in the end, abundant clinical trails on biological study of narcissistic personality disorder are needed, and the further researches on subtypes of narcissistic personality disorder are expected

As Personality Disorder continues to be a subject of intense public and professional debate, this study has explored by means of an in-depth interview the views of fifty people to whom this diagnosis has been attributed, to include: demographic data, type of personality disorder and other diagnoses; its meaning for them; how they found out about the diagnosis; its impact; related life events, and value of different types of support. The interviewers were also people with the same diagnosis, who have been trained specifically for this purpose. The findings highlight the mainly negative impact of the label, and the gap between the users' perception of the problems they face in the context of having this diagnosis, and professional perspectives. The likely implications of the findings for the validity and usefulness of the diagnosis are outlined. The methodological innovation of engaging service users with personality disorder is looked at in terms of usefulness and feasibility.