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The Treatment Of Psychiatric Disorders, 3rd Edition by Beverly J. Sutton, George U. Balis, William H. Reid

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CHAPTER 27

 

PERSONALITY DISORDERS

 

 

 

GENERAL PRINCIPLES

The nature of personality disorders suggests that treatment is unlikely to alter them in any significant way. Restructuring psychotherapy (generally psychoanalysis, often after extended preparatory therapy) has been successful for selected patients seen by highly specialized therapists; however, there is no evidence that biological, behavioral, or other psychotherapeutic modalities affect the core disorder. This refractoriness is in part a reflection of the ego-syntonic nature of the disorders, but probably is primarily due to their roots in very early development—personal, familial, and perhaps physiological.

This is not to say that the accompanying behaviors and affects, and to some ...

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