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Clinical approaches to axis II comorbidity: commentary
1Weill Medical College of Cornell University, USA. jclarkin@med.cornell.edu
Journal of Clinical Psychology
|January 5, 2008
Summary
Treating patients with multiple personality disorders requires careful consideration of assessment, treatment focus, and the therapeutic relationship. Key decisions impact the complex treatment construction for these individuals.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Patients with multiple personality disorders present complex clinical challenges.
- Effective treatment requires a nuanced understanding of comorbid personality disorders.
Purpose of the Study:
- To identify key treatment decisions for patients with two or more personality disorders.
- To analyze the impact of these decisions on therapeutic outcomes.
Main Methods:
- Review of six clinical cases of patients diagnosed with multiple personality disorders.
- Comparative analysis of treatment approaches based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Text Revision (DSM-IV).
Main Results:
- Five critical treatment decisions emerged from the case reviews.
- Factors influencing treatment included personality disorder characteristics, assessment scope, treatment sequencing, and the patient-therapist dynamic.
Conclusions:
- Careful, individualized treatment construction is essential for patients with comorbid personality disorders.
- Understanding the interplay of personality disorder features and therapeutic relationship is crucial for successful management.
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