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Characteristics of in-patients without psychosis

Implications for service provision and the recognition of personality disorder

Published online by Cambridge University Press:  02 January 2018

Jonathan H. Dowson ,
Pamela Sussams  and
Adrian T. Grounds
Jonathan H. Dowson*
Affiliation:
Department of Psychiatry, Level E4, Addenbrooke's Hospital, Cambridge CB2 2QQ
Pamela Sussams
Affiliation:
Department of Psychiatry, University of Cambridge
Adrian T. Grounds
Affiliation:
Department of Psychiatry, University of Cambridge
*
∗Correspondence
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Abstract

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In a study of a population over 13 months, ratings were made from medical records of adults who were admitted to short-stay, non-secure (acute) psychiatric beds. Of 197 patients, 126 fulfilled DSM-IV criteria for specified psychoses; 57 of the 71 remaining non-psychotic patients had a history of repeated self-harm, or threats of self-harm, and/or a substance-related disorder. Both these behaviours can be a manifestation of, and be associated with, personality disorder. It was considered that personality disorder made an important contribution to the psychopathology in the non-psychotic patients. The findings suggest a need to evaluate the alternative to in-patient care in a standard acute unit for such patients.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 21 , Issue 9 , September 1997 , pp. 553 - 556
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1997 The Royal College of Psychiatrists

References

Breslow, R. E., Klinger, B. I. & Erickson, B. J. (1993) Crisis hospitalization on a psychiatric emergency service. General Hospital Psychiatry, 15, 307–315.Google Scholar
Cutting, J., Cowen, P. J., Mann, A. H., et al (1986) Personality and psychosis: use of the standardised assessment of personality. Acta Psychiatrica Scandinavica, 73, 87–92.CrossRefGoogle Scholar
Dowson, J. H. (1992) Associations between self-induced vomiting and personality disorder in patients with a history of anorexia nervosa. Acta Psychiatrica Scandinavica, 86, 399–404.Google Scholar
Dowson, J. H. (1995a) Personality disorders: basic concepts and clinical overview. In Personality Disorders: Recognition and Clinical Management (eds Dowson, J. H. & Grounds, A. T.), pp. 3–42. Cambridge: Cambridge University Press.Google Scholar
Dowson, J. H. (1995b) Personality disorders: less specific clinical presentations and epidemiology. In Personality Disorders: Recognition and Clinical Management (eds Dowson, J. H. & Grounds, A. T.), pp. 128–158. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Kurian, M., George, S., Ballard, C. G., et al (1994) Audit of new longstay patients in a district general hospital. Irish Journal of Psychological Medicine, 11, 42–43.Google Scholar
Linehan, M. M., Heard, H. L., & Armstrong, H. E. (1993) Naturalistic follow-up of a behavioural treatment for chronically parasuicidal borderline patients. Archives of General Psychiatry, 50, 971–974.CrossRefGoogle ScholarPubMed
Merikangas, K. R. & Weisman, M. H. (1986) Epidemiology of DSM-III Axis II personality disorders. In APA Annual Review, vol. 5 (eds Frances, A. J. & Hales, R. E.), pp.258–278. Washington, DC: American Psychiatric Press.Google Scholar
Nace, E. P., David, O. W. & Gaspari, J. P. (1991) Axis II comorbidity in substance abusers. American Journal of Psychiatry, 148, 118–120.Google ScholarPubMed
Norusis, M. J. (1988) SPSS/PC* Advanced Statistics for the IBM PC/XT/AT and PS/2. Chicago, IL: SPSS.Google Scholar
Russ, M. T. (1992) Self-injurious behaviour in patients with borderline personality disorder: biological perspectives. Journal of Personality Disorders, 6, 64–81.Google Scholar
Silk, K. R., Eisner, W., Allport, C., et al (1994) Focused time-limited inpatient treatment of borderline personality disorder. Journal of Personality Disorders, 8, 268–278.CrossRefGoogle Scholar
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