chapter  4
33 Pages

Delivering integrated treatment to people with personality disorder

ByJACQUI SARADJIAN, NAOMI MURPHY AND DES McVEY

Many texts devoted to the treatment of personality disorder offer guidance specific to each personality disorder defined within the two international classification systems. However, many people with personality disorder exhibit difficulties that do not conform to one discrete diagnosis but are representative of multiple diagnoses. This causes difficulties for clinicians in deciding which treatment pathway to follow. Attempts to treat may be further thwarted when clinicians become absorbed in managing presenting behavioural difficulties by psychological or pharmacological interventions, but fail to address psychopathology underpinning the disorder. In such cases, ‘treatment’ is often unsuccessful; the individual is deemed to have ‘failed’, and is subsequently labelled ‘untreatable’. Treatment failure often occurs because the ‘treatment’ does not truly address the aetiological factors that have contributed to the development of that condition within that specific individual.