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Personality disorder: still the patients psychiatrists dislike?
Aims and method In 1988, Lewis and Appleby demonstrated that psychiatrists hold negative attitudes towards patients with personality disorder. We assessed the attitudes of psychiatry trainees towards patients with borderline personality disorder and depression, expecting an improvement. 166 trainees...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Royal College of Psychiatrists
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5288087/ https://www.ncbi.nlm.nih.gov/pubmed/28184311 http://dx.doi.org/10.1192/pb.bp.115.052456 |
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author | Chartonas, Dimitrios Kyratsous, Michalis Dracass, Sarah Lee, Tennyson Bhui, Kamaldeep |
author_facet | Chartonas, Dimitrios Kyratsous, Michalis Dracass, Sarah Lee, Tennyson Bhui, Kamaldeep |
author_sort | Chartonas, Dimitrios |
collection | PubMed |
description | Aims and method In 1988, Lewis and Appleby demonstrated that psychiatrists hold negative attitudes towards patients with personality disorder. We assessed the attitudes of psychiatry trainees towards patients with borderline personality disorder and depression, expecting an improvement. 166 trainees were block randomised to receive one of four case vignettes that varied by diagnosis and ethnic group. We used Lewis and Appleby's original questionnaire and the Attitudes to Personality Disorder Questionnaire (APDQ). Results We received 76 responses. Lewis and Appleby's questionnaire showed more negative attitudes towards personality disorder than depression, with no significant patient ethnic group effects, and the APDQ also showed a (weak) trend towards more negative attitudes to personality disorder. In subgroup analysis, only in the White British patient group were there significantly more negative attitudes to personality disorder. Factor analysis showed significantly less sense of purpose when working with personality disorder. Clinical implications The perceived greater lack of purpose in working with personality disorder should be the target of clinical training and intervention. Targeted interventions that include training in managing personality disorder, supervision and practice in non-specialist, general psychiatry settings are important. |
format | Online Article Text |
id | pubmed-5288087 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Royal College of Psychiatrists |
record_format | MEDLINE/PubMed |
spelling | pubmed-52880872017-02-09 Personality disorder: still the patients psychiatrists dislike? Chartonas, Dimitrios Kyratsous, Michalis Dracass, Sarah Lee, Tennyson Bhui, Kamaldeep BJPsych Bull Original Papers Aims and method In 1988, Lewis and Appleby demonstrated that psychiatrists hold negative attitudes towards patients with personality disorder. We assessed the attitudes of psychiatry trainees towards patients with borderline personality disorder and depression, expecting an improvement. 166 trainees were block randomised to receive one of four case vignettes that varied by diagnosis and ethnic group. We used Lewis and Appleby's original questionnaire and the Attitudes to Personality Disorder Questionnaire (APDQ). Results We received 76 responses. Lewis and Appleby's questionnaire showed more negative attitudes towards personality disorder than depression, with no significant patient ethnic group effects, and the APDQ also showed a (weak) trend towards more negative attitudes to personality disorder. In subgroup analysis, only in the White British patient group were there significantly more negative attitudes to personality disorder. Factor analysis showed significantly less sense of purpose when working with personality disorder. Clinical implications The perceived greater lack of purpose in working with personality disorder should be the target of clinical training and intervention. Targeted interventions that include training in managing personality disorder, supervision and practice in non-specialist, general psychiatry settings are important. Royal College of Psychiatrists 2017-02 /pmc/articles/PMC5288087/ /pubmed/28184311 http://dx.doi.org/10.1192/pb.bp.115.052456 Text en © 2017 The Royal College of Psychiatrists http://creativecommons.org/licenses/by/4.0 This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Papers Chartonas, Dimitrios Kyratsous, Michalis Dracass, Sarah Lee, Tennyson Bhui, Kamaldeep Personality disorder: still the patients psychiatrists dislike? |
title | Personality disorder: still the patients psychiatrists dislike? |
title_full | Personality disorder: still the patients psychiatrists dislike? |
title_fullStr | Personality disorder: still the patients psychiatrists dislike? |
title_full_unstemmed | Personality disorder: still the patients psychiatrists dislike? |
title_short | Personality disorder: still the patients psychiatrists dislike? |
title_sort | personality disorder: still the patients psychiatrists dislike? |
topic | Original Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5288087/ https://www.ncbi.nlm.nih.gov/pubmed/28184311 http://dx.doi.org/10.1192/pb.bp.115.052456 |
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