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The Age of Onset of Personality Disorders

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Age of Onset of Mental Disorders

Abstract

Personality disorder occurs when an individual’s personality structure prevents them from achieving adaptive solutions to universal life tasks. Although increases in maladaptive personality traits can be observed during childhood, clinically significant personality disorder usually appears during the transition between childhood and adulthood, when individuals become emotionally, socially, and cognitively prepared for the developmental task of integrating knowledge and experience about themselves and others into a coherent whole. Childhood and adolescent traits across the normal-abnormal range show continuity with those in adulthood, but traits remain dynamic across the lifespan. The dimensional nature of personality pathology means that simple notions of onset/offset of categorical disorders are uninformative. Specific confusion arises with regard to adolescents and emerging adults because of the spurious distinction between personality and mental state pathology when describing many of the common mental disorders among this age group, which are underpinned by traits such as impulsivity, affective instability, or hyper-aggression. Despite strong scientific evidence supporting the validity of personality disorder in childhood and adolescence, the diagnosis remains taboo in this age group among many clinicians and clinical service cultures. In common with other mental disorders, early clinical phenotypes for personality disorder are overlapping and non-specific. This means that real progress in prevention and early intervention for personality disorder can only occur when such efforts are integrated with prevention programmes for the full range of mental disorders.

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Authors and Affiliations

  1. Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia

    Andrew M. Chanen & Katherine N. Thompson

  2. Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia

    Andrew M. Chanen & Katherine N. Thompson

  3. Orygen Youth Health, Melbourne, VIC, Australia

    Andrew M. Chanen

Authors
  1. Andrew M. Chanen
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  2. Katherine N. Thompson
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Corresponding author

Correspondence to Andrew M. Chanen .

Editor information

Editors and Affiliations

  1. Unit of Psychiatric Epidemiology and Evaluation, IRCCS St John of God Clinical Research Center, Brescia, Italy

    Giovanni de Girolamo

  2. Orygen The National Centre of Excellence, University of Melbourne, Victoria, Australia

    Patrick D. McGorry

  3. Association for the Improvement of Mental Health Programmes, Geneva, Switzerland

    Norman Sartorius

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Chanen, A.M., Thompson, K.N. (2019). The Age of Onset of Personality Disorders. In: de Girolamo, G., McGorry, P., Sartorius, N. (eds) Age of Onset of Mental Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-72619-9_10

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  • DOI: https://doi.org/10.1007/978-3-319-72619-9_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72618-2

  • Online ISBN: 978-3-319-72619-9

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