Personality: Hidden Face of psychiatry ?

Written by: Dr. Sergio Oliveros Calvo
Published: | Updated: 16/02/2018
Edited by: Top Doctors®

Personality analysis hardly aroused the interest of psychiatry until the 1980s. Before it was considered a marginal matter that lacked scientific interest. However, its modulatory role in mental disorders and, even in many medical diseases, has been progressively recognized. The personality affects the totality of the working areas of the human being, it is his spine. A patient with borderline features or personality limit shows impulsivity and instability that can lead to their job dismissal and isolation. A diabetic, hypertensive or epileptic patient will strictly comply with his medical treatment when he has obsessive personality traits. A dependent patient, on the contrary, will evolve worse by not being responsible for compliance. Narcissism in a schizophrenic patient will impoverish his prognosis as it generates denial of his own problems and the need for help. A phobic patient with incipient cancer will postpone the diagnosis and turn into a disease that, if treated early, could have been cured.

However, these traits can be severe and persistent and reach the category of personality disorder, diagnosis present in 40-60% of mental patients and the most frequent in current psychiatry. The factors that determine our way of being derive essentially from our genes, our biography, our cultural influence and the way we interpret the experiences we have. Overvaluing or underestimating any of these dimensions can lead to misconceptions as well as to dogmatic and sterile reductionisms.

Classification of disorders

Today we base the classification of personality disorders on the criteria of the DSM IV TR (American Society of Psychiatry) and the ICD10 (World Health Organization) which, although they show some differences among themselves, are very similar. We can group personality disorders into three major groups:

  • Group A: Includes "rare" or eccentric personalities (schizotypal, schizoid, and paranoid).
  • Group B: Includes the dramatizing, erratic and hyper-emotional personalities (antisocial, histrionic, limit and narcissistic).
  • Group C: Includes anxious and fearful personalities (avoidant, dependent and obsessive-compulsive).

Of them, the personalities of group A are those that have a greater severity for showing a poor response to treatments and those of group C are those that have fewer repercussions because they imply in general a better adaptation to the environment than the rest. Group B is the one that registers more changes in recent years (especially in antisocial, borderline and narcissistic personality disorders). On the one hand, the prevalence of these disorders in developed societies is growing, perhaps due to social and cultural factors and, on the other hand, research has achieved important achievements with respect to the pharmacological and psychotherapeutic tools that we have been incorporating.  

Advances in treatment

The deepening of the biological knowledge of these diseases today allows treatments that improve, among others, the emotional aspects, the impulse control, the violent behaviors and the stability of the mood of these patients, and also reduce the side effects.

The clinical stabilization and the improvement of the basal state of these patients has also increased the efficiency of psychotherapeutic techniques, which, overall, has significantly improved the quality of life in these patients, their social integration, their job and social stability as well as a stable and lasting restructuring of his personality.

be happy
Advances in psychology allow many patients with mental disorders to lead a normal life and integrate into society without problem 

Having a personality disorder today no longer assumes that the patient sees his own life or that of his loved ones broken. Recent advances allow us to see the problem now with greater optimism. We can say with confidence that the personality no longer constitutes or will constitute the hidden face of psychiatry.

*Translated with Google translator. We apologize for any imperfection

By Dr. Sergio Oliveros Calvo

Dr. Sergio Oliveros Calvo is a specialized oriented ego psychology, with special emphasis on personality disorders and somatization disorders Psychiatrist psychotherapy; It provides a comprehensive and integrated vision of mental illness thanks to its strong background in psychiatry and psychotherapy, and its more than 25 years of clinical experience and research. He has made part of his training in the United States and directed numerous scientific investigations. Their knowledge and career have allowed her to be taught at numerous centers, both in Spain and the United States.

*Translated with Google translator. We apologize for any imperfection

View Profile

Overall assessment of their patients

TOPDOCTORS utiliza cookies propias y de terceros para facilitar su experiencia como usuario de nuestra web y captar datos estadísticos mediante el análisis de sus datos de navegación. Si usted continúa con la navegación, entendemos que nos ofrece su consentimiento para el uso de cookies. Puede cambiar la configuración de cookies u obtener más información here.