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首页> 外文期刊>Seminars in neurology >Personality disorders: understanding and managing the difficult patient in neurology practice.
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Personality disorders: understanding and managing the difficult patient in neurology practice.

机译:人格障碍:在神经病学实践中理解和处理困难的患者。

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摘要

This article provides a background for understanding and managing maladaptive personality traits and personality disorders in neurology practice. These characteristics are commonplace in neurology patients and may cause diagnostic confusion, increased functional impairment, and complications in the doctor-patient relationship. Maladaptive personality traits and personality disorders may precede neurological illness, may contribute to circumstances that lead to neurological injury, and may be caused by neurological illness, or some combination of these factors. Maladaptive personality traits associated with key neurological illnesses are reviewed, as are the major personality disorders, maladaptive defense mechanisms, countertransference reactions, and how these combine to contribute to difficulty in patient management. Finally, basic clinical management strategies are suggested.
机译:本文提供了在神经病学实践中理解和处理适应不良的人格特质和人格障碍的背景。这些特征在神经病学患者中很常见,并可能导致诊断混乱,功能障碍增加以及医患关系复杂化。适应不良的人格特质和人格障碍可能先于神经系统疾病,可能导致导致神经系统损伤的情况,也可能是由神经系统疾病或这些因素的某种组合引起的。综述了与主要神经系统疾病相关的适应不良人格特征,以及主要的人格障碍,适应不良的防御机制,反转移反应以及这些因素如何组合导致患者管理困难。最后,提出了基本的临床管理策略。

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