Personality disorders

Understanding and managing the difficult patient in neurology practice

Stephen J. Ferrando, Uchenwa Okoli

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

This article provides a background for understanding and managing maladaptive personality traits and personality disorders in neurology practice. These characteristics are commonplace in neurology patients and may cause diagnostic confusion, increased functional impairment, and complications in the doctor-patient 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. Maladaptive personality traits associated with key neurological illnesses are reviewed, as are the major personality disorders, maladaptive defense mechanisms, countertransference reactions, and how these combine to contribute to difficulty in patient management. Finally, basic clinical management strategies are suggested.

Original languageEnglish (US)
Pages (from-to)266-272
Number of pages7
JournalSeminars in Neurology
Volume29
Issue number3
DOIs
StatePublished - Jul 2009
Externally publishedYes

Fingerprint

Personality Disorders
Neurology
Personality
Confusion
Defense Mechanisms
Wounds and Injuries

Keywords

  • "Difficult patients"
  • Defense mechanisms
  • Maladaptive personality traits
  • Personality disorders

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Personality disorders : Understanding and managing the difficult patient in neurology practice. / Ferrando, Stephen J.; Okoli, Uchenwa.

In: Seminars in Neurology, Vol. 29, No. 3, 07.2009, p. 266-272.

Research output: Contribution to journalArticle

Ferrando, Stephen J. ; Okoli, Uchenwa. / Personality disorders : Understanding and managing the difficult patient in neurology practice. In: Seminars in Neurology. 2009 ; Vol. 29, No. 3. pp. 266-272.
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