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Diagnosis of personality disorders in learning disability

  • Regi Alexander (a1) and Sherva Cooray (a2)
Abstract
Background

Though contentious, the diagnosis of personality disorders in persons with learning disability is clinically relevant because it affects many aspects of management.

Aims

To examine published literature on the diagnosis of personality disorders in learning disability.

Method

Selective review with computerised (Medline, Embase and PsychInfo) and manual literature searches.

Results

The variation in the cooccurrence of personality disorder in learning disability, with prevalence ranging from less than 1% to 91% in a community setting and 22% to 92% in hospital settings, is very great and too large to be explained by real differences.

Conclusions

The diagnosis of personality disorders in learning disability is complex and difficult, particularly in those with severe disability Developing consensus diagnostic criteria, specific for various developmental levels, is one way forward. Such criteria may need to include objective proxy measures such as behavioural observations and informant accounts.

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Copyright
Corresponding author
Dr Regi Alexander, Leicester Frith Hospital, Mansion House, Groby Road, Leicester LE3 9QF, UK
Footnotes
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Paper presented at the second conference of the British and Irish Group for the Study of Personality Disorders (BIGSPD), University of Leicester, UK, 31 January to 3 February 2001.

Declaration of interest

None.

Footnotes
References
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Diagnosis of personality disorders in learning disability

  • Regi Alexander (a1) and Sherva Cooray (a2)
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