
Published online:
20 January 2025
Published in print:
20 February 2025
Online ISBN:
9780191964343
Contents
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Introduction Introduction
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Why personality disorders are less commonly diagnosed in later life Why personality disorders are less commonly diagnosed in later life
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Life courses of personality disorders and relevance to later life Life courses of personality disorders and relevance to later life
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Clinical features of personality disorders in older people Clinical features of personality disorders in older people
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Negative Affectivity Negative Affectivity
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Detachment Detachment
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Dissociality Dissociality
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Disinhibition Disinhibition
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Anankastia Anankastia
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Borderline pattern specifier Borderline pattern specifier
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Diagnosis Diagnosis
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Assessment Assessment
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Screening and assessment tools Screening and assessment tools
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Diagnosis by clinical consensus Diagnosis by clinical consensus
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Do the ICD-11 requirements apply to older people? Do the ICD-11 requirements apply to older people?
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When personality changes are not due to personality disorders When personality changes are not due to personality disorders
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Brain dysfunction Brain dysfunction
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Dementia Dementia
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Parkinson’s disease Parkinson’s disease
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Autism spectrum disorder Autism spectrum disorder
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What is normal for a personality What is normal for a personality
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Clinical management Clinical management
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Psychosocial interventions Psychosocial interventions
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Negative Affectivity Negative Affectivity
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Dissociality Dissociality
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Anankastia Anankastia
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Detachment Detachment
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Disinhibition Disinhibition
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Borderline pattern specifier Borderline pattern specifier
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Psychotherapy approaches Psychotherapy approaches
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Supportive therapy Supportive therapy
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Dialectical behavior therapy Dialectical behavior therapy
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Schema therapy Schema therapy
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Cognitive behavioral therapy Cognitive behavioral therapy
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Pharmacological treatment Pharmacological treatment
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Antidepressants Antidepressants
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Antipsychotics and mood stabilizers Antipsychotics and mood stabilizers
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Concluding comments Concluding comments
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References References
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Chapter
31 Application to Older People
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Pages
617–642
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Published:January 2025
Cite
Bangash, Ayesha, 'Application to Older People', in Bo Bach (ed.), ICD-11 Personality Disorders: Assessment and Treatment (Oxford , 2025; online edn, Oxford Academic, 20 Jan. 2025), https://doi.org/10.1093/9780191964343.003.0035, accessed 3 May 2025.
Abstract
With an aging population, the number of older adults with personality disorders is expected to increase in the near future. There is a clinical need for adequate assessment of this group. Previous diagnostic manuals have used a categorical approach to diagnosing personality disorders with little evidence to support their use in older people. The ICD-11 is the current diagnostic manual which makes use of a dimensional model. This chapter discusses the presentation and management of late life personality disorders with relevance to the dimensional model. It also examines the applicability of the personality disorder features of the ICD-11 in later life.
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