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Advances in Psychiatric Treatment (2004) 10: 100-106
© 2004 The Royal College of Psychiatrists

Management of personality disorders in acute in-patient settings. Part 2: Less-common personality disorders

Leonard Fagin

Leonard Fagin is a consultant psychiatrist and the Clinical Director of the North East London Mental Health NHS Trust. He also holds the post of honorary senior lecturer at University College London (South Forest Centre, 21 Thorne Close, Leytonstone, London E11 4HU, UK). Among his research interests he has studied the psychological effects of unemployment, occupational stress, standards of care in in-patient units and the effects of deinstitutionalisation.

Less-common personality disorders affecting patients admitted to in-patient units are discussed in some detail. These disorders are rarely a direct cause of admission, but they are often associated with other Axis I disorders and can therefore be obstacles to successful treatment. A knowledge of the clinical picture and underlying dynamics and an awareness of countertransference feelings that these patients are likely to provoke can enhance therapeutic alliances and improve the chance of effective care plans.




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