Case reports: Using Good Psychiatric Management (GPM) conceptualizations in the dimensional assessment and treatment of personality disorders

Frontiers in Psychiatry

Psychiatry

Ines Benmakhlouf¹  Martin Blay²  Christian Greiner³  Miguel Duarte⁴  Patrick Charbon⁴  Nader Perroud⁵  Lois Choi-Kain⁶  Mario Speranza⁷ 

[1] ADDIPSY, Outpatient Addictology and Psychiatry Center, Santé Basque Développement Group, Lyon, France;ADDIPSY, Outpatient Addictology and Psychiatry Center, Santé Basque Développement Group, Lyon, France;Lyon Est Faculty of Medicine, Claude Bernard University Lyon 1, Lyon, France;Consultative Psychiatry and Crisis Intervention Department, University Hospitals of Geneva, Geneva, Switzerland;Department of Mental Health and Psychiatry, Service of Psychiatric Specialties, University Hospitals of Geneva, Geneva, Switzerland;Department of Mental Health and Psychiatry, Service of Psychiatric Specialties, University Hospitals of Geneva, Geneva, Switzerland;Department of Psychiatry, University of Geneva, Geneva, Switzerland;McLean Hospital, Gunderson Personality Disorders Institute, Belmont, MA, United States;Department of Psychiatry, Harvard Medical School, Boston, MA, United States;Versailles Hospital Center, University Department of Child and Adolescent Psychiatry, Le Chesnay, France;Centre de recherche en Epidémiologie et Santé des Populations Team “DevPsy”, Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), INSERM, Université Paris-Saclay, Villejuif, France;

关键词: case report;    Good Psychiatric management;    GPM;    borderline personality disorder;    narcissistic personality disorder;    obsessive-compulsive personality disorder;    personality assessment;   

DOI  :  10.3389/fpsyt.2023.1186524

 received in 2023-03-14, accepted in 2023-07-06,  发布年份 2023

来源: Frontiers

【 摘 要 】

Good Psychiatric Management (GPM) is a generalist clinical management approach for borderline personality disorder that incorporates common ingredients of good standard care for any psychiatric diagnosis with what works from prevailing specialist psychotherapies. Similar to all validated therapies for BPD, it relies on a specified formulation of the disorder' symptoms as arising from interpersonal hypersensitivity, to dynamically describe typical patterns of daily self- and interpersonal issues that drive the instability that defines the general personality dysfunction characteristic of the disorder. Recent adaptations of GPM have been proposed for narcissistic personality disorder and obsessive-compulsive personality disorder, with development of similar dynamic models for both (intrapsychic coherence model and model of overcontrol). New dimensional models of personality disorder diagnosis have been developed to address limitations of categorical approach, but the incorporation of these models into usage in the delivery of clinical services (where categorical approach remains the most used) is limited. This paper describes an adaptation of GPM to two cases of personality disorder that illustrate the usefulness of GPM models for dynamic representation of complex daily fluctuations in internal psychic coherence and interpersonal functioning. Specialist psychotherapies will never meet the demands of public health needs to treat personality dysfunction, and incorporation of new dimensional models of diagnosis are needed for treatments that can provide a minimal standard of care for providers and patients.

【 授权许可】

Unknown   
Copyright © 2023 Blay, Benmakhlouf, Duarte, Perroud, Greiner, Charbon, Choi-Kain and Speranza.