Delivering integrated treatment to people with personality disorder
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.