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KMID : 0606519960010010053
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Journal of Korean Women s Psychiatric Association
1996 Volume.1 No. 1 p.53 ~ p.68
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Treatment of Personality Disorders
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Kim Sun-Ah
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Abstract
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Maladaptive character traits have been part of humans makeup since the dawn of time and their recognition as a mental illness termed personality disorder is relatively recent.
Ten distinct personality disorders are listed in DSM-IV, in addition to a residual category for the disorders with mixed or features traits that do not fit into the better-defined categories (personality disorder not otherwise specified). Further, the 10 disorders are grouped into three separate personality dusters according to their clinical similarity. These include cluster A(the eccentric disorders), cluster B(the dramatic disorders), duster C(the anxious disorders).
As with most mental disorders, the diagnosis of personality disorder rests on a thorough personal and social history, a careful mental status examination, and psychometric examinations. The topic of personality disorders and their treatment has aroused ever-increasing interest, especially since the publication of DSM- M.
A wide variety of modalities are currently used in the treatment of personality disorders. These include dyadic techniques such as supportive psychotherapy, exploratory analytically oriented) psychotherapy, and psychoanalysis. Newer dyadic approaches include cognitive therapy or behavior modification. therapy. Techniques involving the presence of more persons. than the therapist and patient can be subsumed under the heading of group therapy in the broadest sense.
Pharmacotherapy also has a place in the treatment of personality disorders, especially if these are characterized by aggressivity or impulsivity or are either accompanied or ignited by Axis I disorders(psychotic disorders, disorders of mood or anxiety, etc.).
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KEYWORD
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Personality disorder, Treatment
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