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Personality disorder: Still the patients psychiatrists dislike?

  • Dimitrios Chartonas (a1), Michalis Kyratsous (a2), Sarah Dracass (a3), Tennyson Lee (a3) and Kamaldeep Bhui (a4)...
Abstract
Aims and method

In 1988, Lewis and Appleby demonstrated that psychiatrists hold negative attitudes towards patients with personality disorder. We assessed the attitudes of psychiatry trainees towards patients with borderline personality disorder and depression, expecting an improvement. 166 trainees were block randomised to receive one of four case vignettes that varied by diagnosis and ethnic group. We used Lewis and Appleby's original questionnaire and the Attitudes to Personality Disorder Questionnaire (APDQ).

Results

We received 76 responses. Lewis and Appleby's questionnaire showed more negative attitudes towards personality disorder than depression, with no significant patient ethnic group effects, and the APDQ also showed a (weak) trend towards more negative attitudes to personality disorder. In subgroup analysis, only in the White British patient group were there significantly more negative attitudes to personality disorder. Factor analysis showed significantly less sense of purpose when working with personality disorder.

Clinical implications

The perceived greater lack of purpose in working with personality disorder should be the target of clinical training and intervention. Targeted interventions that include training in managing personality disorder, supervision and practice in non-specialist, general psychiatry settings are important.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Tennyson Lee (Tennyson.Lee@elft.nhs.uk)
Footnotes
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Declaration of interests

None.

Footnotes
References
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BJPsych Bulletin
  • ISSN: 2056-4694
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Personality disorder: Still the patients psychiatrists dislike?

  • Dimitrios Chartonas (a1), Michalis Kyratsous (a2), Sarah Dracass (a3), Tennyson Lee (a3) and Kamaldeep Bhui (a4)...
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