TY  - CHAP
M1  - Book, Section
TI  - Personality Disorders
A1  - Young, John Q.
A1  - Kreider, Timothy R.
A2  - Feldman, Mitchell D.
A2  - Christensen, John F.
A2  - Satterfield, Jason M.
A2  - Laponis, Ryan
Y1  - 2019
N1  - 
T2  - Behavioral Medicine: A Guide for Clinical Practice, 5e
AB  - Patients  with  personality  disorders  are  common  in  medical  practice  and  have  worse  medical  outcomes  than  patients  without  personality  disorders.  A  personality  disorder  interferes  with  the  therapeutic  alliance  between  patient  and  clinician  and  as  a  result,  clinicians  face  challenges  in  multiple  critical  dimensions  of  patient  care:  eliciting  an  accurate  symptom  history,  explaining  the  assessment,  reaching  agreement  over  a  treatment  plan,  and  motivating  behavior  change.  As  a  consequence  of  this  impairment  in  the  patient–clinician  relationship,  patients  with  personality  disorders  often  experience  suboptimal  utilization  of  medical  care  (both  over-  and  under-use)  leading  to  worse  medical  outcomes  and  higher  hospitalization  rates.  Furthermore,  such  patients  are  often  experienced  as  “difficult”  by  clinicians,  who  in  turn,  may  feel  increasingly  unsatisfied  and  frustrated  themselves,  leading  to  risk  of  burnout  (see  Chapter  4).  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1167757937
ER  -