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Case reports: Using Good Psychiatric Management (GPM) conceptualizations in the dimensional assessment and treatment of personality disorders

Good Psychiatric Management (GPM) is a generalist clinical management approach for borderline personality disorder that incorporates common ingredients of good standard care for any psychiatric diagnosis with what works from prevailing specialist psychotherapies. Similar to all validated therapies f...

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Autores principales: Blay, Martin, Benmakhlouf, Ines, Duarte, Miguel, Perroud, Nader, Greiner, Christian, Charbon, Patrick, Choi-Kain, Lois, Speranza, Mario
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10410145/
https://www.ncbi.nlm.nih.gov/pubmed/37564248
http://dx.doi.org/10.3389/fpsyt.2023.1186524
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author Blay, Martin
Benmakhlouf, Ines
Duarte, Miguel
Perroud, Nader
Greiner, Christian
Charbon, Patrick
Choi-Kain, Lois
Speranza, Mario
author_facet Blay, Martin
Benmakhlouf, Ines
Duarte, Miguel
Perroud, Nader
Greiner, Christian
Charbon, Patrick
Choi-Kain, Lois
Speranza, Mario
author_sort Blay, Martin
collection PubMed
description Good Psychiatric Management (GPM) is a generalist clinical management approach for borderline personality disorder that incorporates common ingredients of good standard care for any psychiatric diagnosis with what works from prevailing specialist psychotherapies. Similar to all validated therapies for BPD, it relies on a specified formulation of the disorder' symptoms as arising from interpersonal hypersensitivity, to dynamically describe typical patterns of daily self- and interpersonal issues that drive the instability that defines the general personality dysfunction characteristic of the disorder. Recent adaptations of GPM have been proposed for narcissistic personality disorder and obsessive-compulsive personality disorder, with development of similar dynamic models for both (intrapsychic coherence model and model of overcontrol). New dimensional models of personality disorder diagnosis have been developed to address limitations of categorical approach, but the incorporation of these models into usage in the delivery of clinical services (where categorical approach remains the most used) is limited. This paper describes an adaptation of GPM to two cases of personality disorder that illustrate the usefulness of GPM models for dynamic representation of complex daily fluctuations in internal psychic coherence and interpersonal functioning. Specialist psychotherapies will never meet the demands of public health needs to treat personality dysfunction, and incorporation of new dimensional models of diagnosis are needed for treatments that can provide a minimal standard of care for providers and patients.
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spelling pubmed-104101452023-08-10 Case reports: Using Good Psychiatric Management (GPM) conceptualizations in the dimensional assessment and treatment of personality disorders Blay, Martin Benmakhlouf, Ines Duarte, Miguel Perroud, Nader Greiner, Christian Charbon, Patrick Choi-Kain, Lois Speranza, Mario Front Psychiatry Psychiatry Good Psychiatric Management (GPM) is a generalist clinical management approach for borderline personality disorder that incorporates common ingredients of good standard care for any psychiatric diagnosis with what works from prevailing specialist psychotherapies. Similar to all validated therapies for BPD, it relies on a specified formulation of the disorder' symptoms as arising from interpersonal hypersensitivity, to dynamically describe typical patterns of daily self- and interpersonal issues that drive the instability that defines the general personality dysfunction characteristic of the disorder. Recent adaptations of GPM have been proposed for narcissistic personality disorder and obsessive-compulsive personality disorder, with development of similar dynamic models for both (intrapsychic coherence model and model of overcontrol). New dimensional models of personality disorder diagnosis have been developed to address limitations of categorical approach, but the incorporation of these models into usage in the delivery of clinical services (where categorical approach remains the most used) is limited. This paper describes an adaptation of GPM to two cases of personality disorder that illustrate the usefulness of GPM models for dynamic representation of complex daily fluctuations in internal psychic coherence and interpersonal functioning. Specialist psychotherapies will never meet the demands of public health needs to treat personality dysfunction, and incorporation of new dimensional models of diagnosis are needed for treatments that can provide a minimal standard of care for providers and patients. Frontiers Media S.A. 2023-07-26 /pmc/articles/PMC10410145/ /pubmed/37564248 http://dx.doi.org/10.3389/fpsyt.2023.1186524 Text en Copyright © 2023 Blay, Benmakhlouf, Duarte, Perroud, Greiner, Charbon, Choi-Kain and Speranza. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Blay, Martin
Benmakhlouf, Ines
Duarte, Miguel
Perroud, Nader
Greiner, Christian
Charbon, Patrick
Choi-Kain, Lois
Speranza, Mario
Case reports: Using Good Psychiatric Management (GPM) conceptualizations in the dimensional assessment and treatment of personality disorders
title Case reports: Using Good Psychiatric Management (GPM) conceptualizations in the dimensional assessment and treatment of personality disorders
title_full Case reports: Using Good Psychiatric Management (GPM) conceptualizations in the dimensional assessment and treatment of personality disorders
title_fullStr Case reports: Using Good Psychiatric Management (GPM) conceptualizations in the dimensional assessment and treatment of personality disorders
title_full_unstemmed Case reports: Using Good Psychiatric Management (GPM) conceptualizations in the dimensional assessment and treatment of personality disorders
title_short Case reports: Using Good Psychiatric Management (GPM) conceptualizations in the dimensional assessment and treatment of personality disorders
title_sort case reports: using good psychiatric management (gpm) conceptualizations in the dimensional assessment and treatment of personality disorders
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10410145/
https://www.ncbi.nlm.nih.gov/pubmed/37564248
http://dx.doi.org/10.3389/fpsyt.2023.1186524
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