Selected Behavioral and Psychiatric Problems

  • Michael K. Magill
  • Ellen K. Berkowitz


The physician should consider diagnosis of a personality disorder when observing in an adult a persistent pattern of maladaptive behavior that causes the patient distress or impairment in social or occupational function.1 There is a continuum from normal personality variant (trait) to dysfunctional extreme (disorder) that makes it difficult at times to distinguish them based on limited observation. Assessment of patient behavior over time and in multiple settings is often necessary to diagnose a personality disorder. Each of these disorders can lead to ineffective doctor-patient relationships and result in poor health care for other medical problems. Accurate diagnoses can aid in establishing strategies for patient management.


Anorexia Nervosa Eating Disorder Family Physician Personality Disorder Tardive Dyskinesia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    American Psychiatric Association: Diagnostic and statistical manual of mental disorders. 3rd rev. ed. Washington, DC: APA, 1987.Google Scholar
  2. 2.
    Beresin E, Gordon C. Emergency ward management of the borderline patient. Gen Hosp Psychiatry 1981;3:237–43.PubMedCrossRefGoogle Scholar
  3. 3.
    Gardner DL, Cowdry RW. Suicidal and parasuicidal behavior in borderline personality disorder. Psychiatr Clin North Am 1985;8:389–403.PubMedGoogle Scholar
  4. 4.
    Magill MK, Berkowitz E. Borderline personality. In: Taylor RB, editor. Difficult medical management. Philadelphia: Saunders, 1991:120–5.Google Scholar
  5. 4a.
    Searight HR. Borderline personality disorder: diagnosis and management in primary care. J Fam Pract 1992;34:605–12.PubMedGoogle Scholar
  6. 5.
    Smith RC. A clinical approach to the somatizing patient. J Fam Pract 1985;4:294–301.Google Scholar
  7. 6.
    Morrison J. Managing somatization disorder. Dis Mon 1990;36: 537–91.PubMedGoogle Scholar
  8. 7.
    DeGruy F, Columbia L, Dickinson P. Somatization disorder in a family practice. J Fam Pract 1987;25:45–51.PubMedGoogle Scholar
  9. 8.
    DeGruy F, Crider J, Hashimi DK, Dickinson P, Mullins HC, Troncale J. Somatization disorder in a university hospital. J Fam Pract 1987;25:579–84.PubMedGoogle Scholar
  10. 9.
    Escobar JI, Manu P, Matthews D, Lane T, Swartz M, Canino G. Medically unexplained physical symptoms, somatization disorder and abridged somatization: studies with the diagnostic interview schedule. Psychiatr Dev 1989;7:235–45.PubMedGoogle Scholar
  11. 10.
    Lipowski ZJ. Somatization: the concept and its clinical application. Am J Psychiatry 1988;145:1358–68.PubMedGoogle Scholar
  12. 11.
    Lloyd G. Somatization: a psychiatrist’s perspective. J Psychosom Res 1989;33:665–9.PubMedCrossRefGoogle Scholar
  13. 12.
    Comerci GD. Eating disorders in adolescents. Pediatr Rev 1988; 10:37–47.PubMedCrossRefGoogle Scholar
  14. 13.
    Yanovski SZ. Bulimia nervosa: the role of the family physician. Am Fam Physician 1991;44:1231–8.PubMedGoogle Scholar
  15. 14.
    Agras WS, Kramer HC. The treatment of anorexia nervosa: do different treatments have different outcomes? Psychiatr Ann 1983; 13:928–35.Google Scholar
  16. 15.
    Murray RM, Harvey I. The congenital origins of schizophrenia. Psychiatr Ann 1989;19:525–9.Google Scholar
  17. 16.
    Caroff SN, Mann SC, Lazarus A, Sullivan A, McFadden W. Neuroleptic malignant syndrome: diagnostic issues. Psychiatr Ann 1991;21:130–47.Google Scholar
  18. 17.
    Sakkas P, Davis JM, Hua J, Wang Z. Pharmacotherapy of neuroleptic malignant syndrome. Psychiatr Ann 1991;21:157–64.Google Scholar
  19. 18.
    Bernstein JF. Handbook of drug therapy in psychiatry. 2nd ed. Littleton, MA: PSG Publishing, 1988:323–9.Google Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Michael K. Magill
  • Ellen K. Berkowitz

There are no affiliations available

Personalised recommendations