Romero-Cabello R, González-Salas IC, Sánchez CJ

Language: Spanish
References: 18
Page: 155-159
PDF size: 244.53 Kb.

ABSTRACT

Patients with limit personality disorder or affective disorders often hinder the doctor-patient relationship due to their emotional conflicts. It is important that the Family Physician recognized in a timely manner such disorders and develop skills for communication and empathy; in order to promote a proper doctor-patient relationship and promptly refer the patient to a specialist. Thus this will prevent chronicity, iatrogenic and stigmatization of the patient, as well as frustration and a sense of helplessness of the medical team.

REFERENCES

1. Beckwith H, Moran PF, Reilly J. Personality disorder prevalence in psychiatric outpatients: a systematic literature review. Personal Ment Health. 2014 May;8(2):91-101.

2. Fuentes J, Quiroga E, Theodore Millon. Personólogo y psicopatólogo: la importancia crítica de los trastornos de la personalidad para la psicología. Revista de Historia de la Psicología. 2002;23(3-4):353-62.

3. Cardenal V, Sánchez P, Ortíz-Tallo M. Los trastornos de la personalidad según el modelo de Millon: una propuesta integradora. Clínica y salud. 2007;18(3):305-24.

4. Kaplan, Sadock. Sinopsis de Psiquiatría. Barcelona, España: Lippincott Williams & Wilkins; 2008.

5. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. dsm-5. 5a edición. Arlington, United States of America: American Psychiatric Association; 2013.

6. Gelder M, López-Ibor J, Andreasen N, Tratado de Psiquiatría. Barcelona, España: Ars Medica; 2004.

7. Hughes AE, Crowell SE, Uyeji L, Coan JA. A developmental neuroscience of borderline pathology: emotion dysregulation and social baseline theory. J Abnorm Child Psychol [Internet]. 2012 Jan;40(1):21-33. Disponible en: doi: 10.1007/s10802-011-9555-x.

8. Minzenberg MJ, Poole JH, Vinogradov S. A neurocognitive model of borderline personality disorder: effects of childhood sexual abuse and relationship to adult social attachment disturbance. Dev Psychopathol [Internet]. 2008;20(1):341-68. Disponible en: doi: 10.1017/S0954579408000163.

9. Huber JD, Pukall CF, Boyer SC, Reissing ED, Chamberlain SM. “Just relax”: physicians’ experiences with women who are difficult or impossible to examine gynecologically. J Sex Med. 2009 Mar;6(3):791-9.

10. Steinmetz D, Tabenkin H. The ‘difficult patient’ as perceived by family physicians. Family practice. 2001;18:495-500.

11. Kapfhammer HP. Somatoform and factitious disorders in clinical medicine. Wien Med Wochenschr. 2005;155:524-36.

12. Vedsted P, Christensen MB. Frequent attenders in general practice care: a literature review with special reference to methodological considerations. Public Health. 2005;119:118-37.

13. Sansone RA, Farukhi S, Wiederman MW. Utilization of primary care physicians in borderline personality. Gen Hosp Psychiatry. 2011;33(4):343-6.

14. Sansone RA, Farukhi S, Wiederman MW. Disruptive behaviors in the medical setting and borderline personality. Int J Psychiatry Med. 2011;41(4):355-63.

15. Sansone RA, Leung JS, Wiederman MW. Externalized aggressive behaviors in patients with borderline personality symptomatology. South Med J. 2013 Feb;106(2):136-40.

16. Yaphe J. Difficult patients, difficult doctors, and difficult relationships: How do we cope? Rev Port Med Geral Fam. 2012;28:334-5.

17. Shapiro SM, Lancee WJ, Richards-Bentley CM. Evaluation of a communication skills program for first-year medical students at the University of Toronto. bmc Med Educ. 2009;9:11.

18. García-Vera E, Robles-Rodríguez A, Villegas- Bernabé ML, Mota-Cumpean AE. La comunicación médico paciente ¿reto para el paciente geriátrico o para el médico familiar? Aten Fam. 2016;23(2):63-6.