Abstract
The physician should consider diagnosis of a personality disorder when observing in an adult a persistent pattern of maladaptive behavior that causes the patient distress or impairment in social or occupational function.1 There is a continuum from normal personality variant (trait) to dysfunctional extreme (disorder) that makes it difficult at times to distinguish them based on limited observation. Assessment of patient behavior over time and in multiple settings is often necessary to diagnose a personality disorder. Each of these disorders can lead to ineffective doctor-patient relationships and result in poor health care for other medical problems. Accurate diagnoses can aid in establishing strategies for patient management.
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References
American Psychiatric Association: Diagnostic and statistical manual of mental disorders. 3rd rev. ed. Washington, DC: APA, 1987.
Beresin E, Gordon C. Emergency ward management of the borderline patient. Gen Hosp Psychiatry 1981;3:237–43.
Gardner DL, Cowdry RW. Suicidal and parasuicidal behavior in borderline personality disorder. Psychiatr Clin North Am 1985;8:389–403.
Magill MK, Berkowitz E. Borderline personality. In: Taylor RB, editor. Difficult medical management. Philadelphia: Saunders, 1991:120–5.
Searight HR. Borderline personality disorder: diagnosis and management in primary care. J Fam Pract 1992;34:605–12.
Smith RC. A clinical approach to the somatizing patient. J Fam Pract 1985;4:294–301.
Morrison J. Managing somatization disorder. Dis Mon 1990;36: 537–91.
DeGruy F, Columbia L, Dickinson P. Somatization disorder in a family practice. J Fam Pract 1987;25:45–51.
DeGruy F, Crider J, Hashimi DK, Dickinson P, Mullins HC, Troncale J. Somatization disorder in a university hospital. J Fam Pract 1987;25:579–84.
Escobar JI, Manu P, Matthews D, Lane T, Swartz M, Canino G. Medically unexplained physical symptoms, somatization disorder and abridged somatization: studies with the diagnostic interview schedule. Psychiatr Dev 1989;7:235–45.
Lipowski ZJ. Somatization: the concept and its clinical application. Am J Psychiatry 1988;145:1358–68.
Lloyd G. Somatization: a psychiatrist’s perspective. J Psychosom Res 1989;33:665–9.
Comerci GD. Eating disorders in adolescents. Pediatr Rev 1988; 10:37–47.
Yanovski SZ. Bulimia nervosa: the role of the family physician. Am Fam Physician 1991;44:1231–8.
Agras WS, Kramer HC. The treatment of anorexia nervosa: do different treatments have different outcomes? Psychiatr Ann 1983; 13:928–35.
Murray RM, Harvey I. The congenital origins of schizophrenia. Psychiatr Ann 1989;19:525–9.
Caroff SN, Mann SC, Lazarus A, Sullivan A, McFadden W. Neuroleptic malignant syndrome: diagnostic issues. Psychiatr Ann 1991;21:130–47.
Sakkas P, Davis JM, Hua J, Wang Z. Pharmacotherapy of neuroleptic malignant syndrome. Psychiatr Ann 1991;21:157–64.
Bernstein JF. Handbook of drug therapy in psychiatry. 2nd ed. Littleton, MA: PSG Publishing, 1988:323–9.
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Magill, M.K., Berkowitz, E.K. (1994). Selected Behavioral and Psychiatric Problems. In: Taylor, R.B. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4005-9_30
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DOI: https://doi.org/10.1007/978-1-4757-4005-9_30
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