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Personality disorders: Understanding and managing the difficult patient in neurology practice
Seminars in Neurology, 06/29/09

Ferrando SJ et al. – A review summarizes the current understanding of and basic clinical management strategies for maladaptive personality traits and personality disorders in neurology practice.

Methods

Review of maladaptive personality traits and personality disorders in neurology practice
Review of major personality disorders, maladaptive defense mechanisms, countertransference reactions, and how these combine to contribute to difficulty in pt management

Results

Maladaptive personality traits and personality disorders are commonplace in neurology pts
These findings may cause diagnostic confusion, increased functional impairment, and complications in the physician-pt relationship
Maladaptive personality traits and personality disorders may precede neurological illness, may contribute to circumstances that lead to neurological injury, and may be caused by neurological illness, or some combination of these factors

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