SOA01-01 State of the art “personality disorders” - 17/03/09
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Résumé |
Personality disorders have high prevalence rates of approx. 8% in the general population and up to 40% among psychiatric patients. The increasing amount of empirical and experimental research within the last ten years challenges our concept of personality disorders (PDs) with the following most prominent findings:
• | Longitudinal studies indicate much less stability than expected. |
• | The DSM classification system hypothesis of a fundamental difference between axis I and axis II disorders has not been empirically affirmed. |
• | Some of the current categories of disorders cover highly heterogeneous individuals and have low therapeutic implications. |
• | The detection of neurobiological underpinnings of personality dysfunctioning points to a close interaction between nature and nurture in etiology. |
• | Psychotherapeutic approaches developed for specific disorders have been proven to be efficacious; they rather favour a limited focus on maladaptive behaviors and attitudes instead of targeting a fundamental change of personality structure. |
• | There is no empirical basis for polypharmacy; classes of psychotropic agents act on a rather broad spectrum of symptoms with no convincing database to suggest the combination of several drugs with respect to different targets. |
Vol 24 - N° S1
P. S41 - 2009 Retour au numéro
Article précédent
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