Abstract:
:Organic personality disorder (OPD) is the traditional diagnostic category used to account for personality disturbances after traumatic brain injury (TBI). The recent use of Axis-II personality disorders, notably borderline personality disorder (BPD), has appeared in the TBI literature as an alternative to OPD. This would presumably offer a better description and understanding of the multiple clinical manifestations of these personality changes and disorders. This article offers a view that it is possible and fruitful to use both diagnoses in a complementary manner. An accurate recognition of the respective phenomenologies of both BPD and OPD is a key factor in achieving a differential diagnosis, including, if required, a dual diagnosis. The phenomenology of both conditions in reference to DSM-IV criteria is compared and illustrated through two clinical vignettes.
journal_name
Bull Menninger Clinjournal_title
Bulletin of the Menninger Clinicauthors
Gagnon J,Bouchard MA,Rainville Cdoi
10.1521/bumc.2006.70.1.1keywords:
subject
Has Abstractpub_date
2006-01-01 00:00:00pages
1-28issue
1eissn
0025-9284issn
1943-2828journal_volume
70pub_type
杂志文章,评审abstract::Obsessive-compulsive disorder (OCD) is a common and disabling disorder. The most effective psychological treatment for OCD is currently exposure with response prevention (ERP). Although ERP is an effective therapy, recovery rates are relatively modest, so there is room for improvement. Metacognitive therapy (MCT) for ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2018.82.4.375
更新日期:2018-10-01 00:00:00
abstract::Self-mutilative behavior is common among patients with multiple personality and other dissociative disorders. Nursing staff members face particular challenges in managing these patients because one act of self-mutilation can disrupt the entire inpatient milieu. The authors present an approach to nursing care that focu...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1993-07-01 00:00:00
abstract::The authors investigated the effectiveness of acceptance and commitment therapy (ACT) for the treatment of death anxiety and obsessive-compulsive disorder (OCD) with eight adult women in Iran. The ACT protocol was conducted in weekly solo sessions with each participant for 8 weeks (45 minutes each). The results were a...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2020.84.suppA.1
更新日期:2020-10-01 00:00:00
abstract::Effective evaluation and management of patients with anxiety disorders require an integrated theoretical model that predicts risk for the disorder as a consequence of constitutional vulnerability shaped by developmental experience and activated or influenced by environmental factors. From this perspective, the author ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1992-04-01 00:00:00
abstract::With maturity, the field of family therapy has shifted from its exclusive focus on the family's current interactional patterns to an increasing emphasis on the individuals who compose the family. This shift has been apparent in therapists' recognition of the impact of chronic mental disorders (e.g., schizophrenia, man...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1992-01-01 00:00:00
abstract::Psychiatric residency training faces an uncertain future related both to ongoing changes in the health care delivery system and to the current state of knowledge within psychiatry itself. The author discusses issues concerned with financing, models of training, clinical settings, generalist versus subspecialist traini...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1994-10-01 00:00:00
abstract::Many psychoanalysts have offered innovative ideas on the treatment of schizophrenic patients, but none on postpsychotic depression. The author presents a psychoanalytic conceptualization of postpsychotic depression based on Kohut's ideas regarding the development of normal and pathological grandiosity. The main premis...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2014.78.1.70
更新日期:2014-01-01 00:00:00
abstract::A woman was 3 years postmastectomy when she presented a dream whose manifest content suggested a new malignancy. A Pap smear showed carcinoma-in-situ. She lived another 8 years, during which time she had a number of new dreams that correctly raised the likelihood of an active cancer despite normal physical exams and n...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::Social phobia is a very frequent mental disorder characterized by an early onset, a chronic unremitting course, severe psychosocial impairments and high socioeconomic costs. To date, no manual for the psychodynamic treatment of social phobia exists. After a brief description of the disorder, a manual for a short-term ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2007.71.1.56
更新日期:2007-01-01 00:00:00
abstract::A substantial literature documents the psychological, medical, and economic benefits of attending to the emotional needs of parents whose children are hospitalized on the pediatric intensive care unit (PICU) or neonatal intensive care unit (NICU). Synthesizing the PICU/NICU literature with current findings from the fi...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:2000-04-01 00:00:00
abstract::Recent discharge from a psychiatric inpatient facility is associated with a high risk of suicide. There are multiple factors that may contribute to this increase in risk. Psychodynamic considerations about the patient's subjective experience of suicidality, hospitalization, and discharge are often overlooked but are c...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:10.1521/bumc.2016.80.1.80
更新日期:2016-01-01 00:00:00
abstract::The universality of anxiety-producing situations for professionals who conduct psychotherapy is evident from a survey of 88 practicing psychotherapists whose responses are summarized by the author. The therapist's anxieties are viewed in terms of threatened loss of control, loss of relationship, injury to or loss of c...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
abstract::Over the past decade the treatment of schizophrenia has changed in each of its biopsychosocial domains. Advances in neuroscience, particularly in the knowledge of the receptor site, led to increased effectiveness of antipsychotic medication. Development of more sophisticated psychoeducational and rehabilitative techni...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract::Caregiving is the act of attending to someone or of providing services to an individual in need. It is a complex activity, with ethical, psychosocial, and demographic dimensions, as well as clinical, technical, and community service components. The author describes the complexities of caregiving and the burdens on the...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00
abstract::The causes of therapist-patient sex are complex and multidetermined. Efforts to understand why psychotherapists transgress sexual boundaries are hampered by the lure of reductionism and oversimplification. Most of those who examine this issue would prefer to categorize all such therapists as "bad" and "corrupt" as a w...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::Based on an unusual clinical experience of a teenage boy in child psychotherapy, two conclusions are proposed: (1) that the extremely unhappy, early love affairs that occur in most men's lives serve a valuable function in helping them separate from their mothers sufficiently to be able to realistically relate to appro...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2011.75.4.344
更新日期:2011-12-01 00:00:00
abstract::In the literature on siblings of schizophrenic individuals, recurrent experiential themes include guilt feelings, a fear of madness in oneself, and a wish to escape the turbulence that surrounds the schizophrenic person. In psychotherapy conducted by the author with three siblings of schizophrenic individuals, the sib...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::The multifaceted nature of grief and the enormous variation in individual clients' responses to losses make it necessary for therapists to have wide background knowledge and well-developed skills in counseling and/or psychotherapy. The author describes an innovative method of facilitating grief resolution using precom...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract::Existing research indicates that anxiety disorders are three times as common in women as in men. Yet true gender-based research is still in its infancy. The author discusses key areas affecting the occurrence of anxiety disorders in women, including medical conditions, epidemiological and diagnostic perspectives, work...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1995-04-01 00:00:00
abstract::A psychoanalytically oriented combined treatment is considered beneficial for severely disturbed borderline patients, especially during an acute crisis. The proposed treatment comprises hospitalization and specialized psychotherapeutic inpatient treatment, individual psychoanalytic psychotherapy, and psychiatric manag...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.68.4.337.56640
更新日期:2004-10-01 00:00:00
abstract::The relation between attachment and personality features is an important field to explore in adolescent borderline personality disorder (BPD), and previous research has shown that personality features may be conceptualized within latent internalizing and externalizing dimensions. This cross-sectional study used a stru...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2016.80.3.213
更新日期:2016-07-01 00:00:00
abstract::Individuals with obsessive-compulsive-disorder (OCD) may have difficulties in using feedback from rewarding and punishing experiences to optimally guide future decisions. The current aim was to examine how adults with OCD use associative learning feedback to direct attention toward learned stimuli when the action-outc...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2019.83.2.128
更新日期:2019-04-01 00:00:00
abstract::Gender differences favoring women in relation to awareness of the subjective (internal) world are well demonstrated but their origins are poorly understood. We trained 173 12-month-olds to visually fixate a video image in response to an internal cue (opening own mouth), external cue (seeing a face open its mouth), or ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1521/bumc.2011.75.1.64
更新日期:2011-03-01 00:00:00
abstract::Infants' early self-knowledge is acquired most readily in social interactions, because others respond to infants in contingent ways. Recent findings are described, which indicate that infants are sensitive not only to social contingency early in life but also to particular levels of social contingency found in their p...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:10.1521/bumc.65.3.335.19852
更新日期:2001-07-01 00:00:00
abstract::This research was initiated by the remark that new technologies allow young adults (from 18 to 25 years old) to have a faster and more direct access to the world, as well as a social life that is both broader and hidden from parental view. The aim of this research is therefore to understand better the role of new tech...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2015.79.2.174
更新日期:2015-04-01 00:00:00
abstract::Obsessive-compulsive disorder (OCD) is a debilitating condition that does not always respond well to treatment. People with OCD often require a great deal of assistance from caregivers or family members, which is referred to as family accommodations. Caregivers may experience a great deal of stress, depression, and ot...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2015.79.1.1
更新日期:2015-01-01 00:00:00
abstract::This article explores the role of the primary clinician as an integral member of the modern inpatient psychiatric treatment team, as it is practiced on the Professionals in Crisis program at The Menninger Clinic. The modern inpatient team consists of individuals from multiple disciplines and acts as an embodiment of t...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.67.1.5.23448
更新日期:2003-01-01 00:00:00
abstract::Dualistic thinking continues to pervade psychoanalytic views of psychopathology. The author points out the shortcomings of this perspective as represented in Mark Swoiskin's article, "Psychoanalysis and Medication: Is Real Integration Possible?" She contends instead that the latest scientific evidence does not support...
journal_title:Bulletin of the Menninger Clinic
pub_type: 评论,杂志文章
doi:10.1521/bumc.65.2.160.19397
更新日期:2001-04-01 00:00:00
abstract::Munchausen syndrome by proxy, in which a seemingly caring and concerned mother is simultaneously harming her child, can best be understood in terms of the mother's need for a relationship with a physician that is rooted in a profound sense of early abandonment. This understanding broadens the definition of perversions...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1992-10-01 00:00:00
abstract::Four new antipsychotic medications--clozapine, risperidone, olanzapine, and quetiapine--have been introduced in the United States during the past decade. These new medications now account for the majority of antipsychotic prescriptions. The author reviews specific issues related to the use of traditional antipsychotic...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00