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Personality disorders.

M C Miller1

  • 1Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.

The Medical Clinics of North America
|May 15, 2001
PubMed
Summary
This summary is machine-generated.

Primary care physicians can manage diverse patient personalities by tolerating affect, accepting coping styles, and treating underlying disorders. Flexible application of guidelines and collaboration with mental health professionals improve patient care.

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Area of Science:

  • Internal Medicine
  • Psychiatry
  • Behavioral Science

Background:

  • Managing patients with complex personality traits presents challenges for internists.
  • Accurate psychiatric diagnosis is not the primary goal in general medical settings.

Purpose of the Study:

  • To provide general recommendations for internists interacting with patients exhibiting various personality characteristics.
  • To offer strategies for effective physician-patient relationships in primary care.

Main Methods:

  • Subjective descriptions of personality types were analyzed.
  • Generalizable recommendations for physician approach were formulated.
  • Guidelines for managing patient affect, coping styles, and demands were developed.

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Main Results:

  • Key recommendations include tolerating patient affect, accepting coping styles, and educating patients about medical illness.
  • Physicians should identify and treat underlying symptom disorders and document patient responses.
  • Collaboration with mental health professionals is advised for complex cases.

Conclusions:

  • A flexible, empathetic approach, combined with appropriate referrals, can help internists manage diverse patient personalities effectively.
  • Understanding personality traits as functional coping mechanisms is crucial.
  • These guidelines aim to make managing patient character variation less troubling and more interesting for primary care physicians.