Skip to main content
SpringerLink
Log in
Book cover

Handboek Persoonlijkheidspathologie pp 387–402Cite as

Verslaving en persoonlijkheidspathologie

  • Chapter

  • 2436 Accesses

Abstract

Sinds de invoering van de DSM-III in 1980 met een aparte as (as II) voor persoonlijkheidsstoornissen is er steeds meer belangstelling gekomen voor het onderzoek naar comorbiditeit van as-II-stoornissen bij patiënten met verslavingsproblemen. De drijvende kracht achter deze belangstelling waren en zijn nog steeds de problemen die zorgprofessionals ervaren in het omgaan met en de behandeling van patiënten met deze vorm van comorbiditeit. Hoewel persoonlijkheidsstoornissen al langer het onderwerp zijn van talloze verslavingsonderzoeken, hebben onderzoekers op dit gebied nog maar heel weinig aandacht besteed aan het tegelijkertijd optreden van verslaving en persoonlijkheidspathologie. Deze stand van zaken is moeilijk te begrijpen als men bedenkt dat de combinatie van middelengebruik en persoonlijkheidsstoornissen een van de meest voorkomende vormen van psychiatrische comorbiditeit is. In de meeste boeken over persoonlijkheidsstoornissen wordt het onderwerp middelengebruik maar zelden aan de orde gesteld. Hiervoor zijn verschillende redenen aan te dragen. Ten eerste is het onderzoek naar persoonlijkheidsstoornissen nog maar betrekkelijk kort geleden, in de jaren tachtig van de vorige eeuw, op gang gekomen. In het verslavingsonderzoek werd daarentegen het verband met persoonlijkheidsstoornissen al langer erkend. Zo brachten de eerste twee uitgaven van de DSM de verslavingsstoornissen onder bij sociopathie. Ten tweede hebben instituten en therapeuten, die gespecialiseerd waren in de behandeling van persoonlijkheidsstoornissen, patiënten met een comorbide verslavingsstoornis stelselmatig van hun programma's uitgesloten. De belangrijkste reden hiervoor was ongetwijfeld dat werd aangenomen dat deze patiënten weinig mogelijkheden hadden om te veranderen, niet geanalyseerd konden worden en een hoog risico liepen om het programma voortijdig te verlaten. Ten slotte zijn de financieringsmogelijkheden voor onderzoek naar persoonlijkheidsstoornissen beperkt geweest, tenminste vergeleken bij de financiering van onderzoek naar as-I-stoornissen. Daarom is het merendeel van de studies die zich richten op as-II-pathologie in feite uitgevoerdmet patiënten die voor behandeling van as-I-stoornissen zijn verwezen.

This is a preview of subscription content, log in via an institution.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatuur

  • Ball, S.A. (1998). Manualized treatment for substance abusers with personality disorders: Dual Focus Schema Therapy. Addictive Behaviors, 23, 883–891.

    Article  PubMed  CAS  Google Scholar 

  • Ball, S.A., Rounsaville, B.J, Tennen, H. e.a. (2001). Reliability of personality disorder symptoms and personality traits in substance-dependent inpatients. Journal of Abnormal Psychology, 110, 341–352.

    Article  PubMed  CAS  Google Scholar 

  • Ball, S.A., Young, J.E,., Rounsaville, B.J. e.a. (1999). Dual Focus Schema Therapy vs. 12-Step Drug Counseling for personality disorders and addiction: Randomized pilot study. Paper presented at the ISSPD 6th International Congress of the Disorders of Personality, Geneva, Switzerland.

    Google Scholar 

  • Ball, S.A. & Young, J.E. (2000). Dual focus schema therapy for personality disorders and substance dependence: Case study results. Cognitive and Behavioral Practice, 7, 270–281.

    Article  Google Scholar 

  • Bernstein, D.P. & Handelsman, L. (1995). The neurobiology of substance abuse and personality disorders. In: J. Ratey (ed.). Neuropsychiatry of personality disorders. Cambridge: Blackwell Science.

    Google Scholar 

  • Bernstein, D.P., Stein, J.A. & Handelsman, L. (1998). Predicting personality pathology among adult patients with substance use disorders: effects of childhood maltreatment. Addictive Behaviors, 23, 855–868.

    Article  PubMed  CAS  Google Scholar 

  • Bosch, L.M.C. van den (2005). Dialectische gedragstherapie bij Nederlandse vrouwen met een borderline persoonlijkheidsstoornis, met en zonder verslavingsproblemen. Tijdschrift voor Psychiatrie, 47(3), 127–137.

    Google Scholar 

  • Bosch, L.M.C. van den, Koeter, M., Stijnen, T., Verheul, R. & Brink, W. van den (2005). Sustained efficacy of Dialectical Behavior Therapy for Borderline Personality Disorder. Behaviour Research and Therapy, 43(9), 1231–1241.

    Article  PubMed  Google Scholar 

  • Cacciola, J.S., Alterman, A.I., Rutherford, M.J. e.a. (1995). Treatment response of antisocial substance abusers. Journal of Nervous and Mental Disease, 183, 166–171.

    Article  PubMed  CAS  Google Scholar 

  • Cacciola, J.S., Alterman, A.I., Rutherford, M.J. e.a. (1996). Personality disorders and treatment outcome in methadone maintenance patients. Journal of Nervous and Mental Disease, 184, 234–239.

    Article  PubMed  CAS  Google Scholar 

  • Cannon, D.S., Keefe, C.K. & Clark, L.A. (1997). Persistence predicts latency to relapse following inpatient treatment for alcohol dependence. Addictive Behaviors, 22, 535–543.

    Article  PubMed  CAS  Google Scholar 

  • Caspi, A., Begg, D., Dickson, N. e.a. (1998). Personality differences predict health-risk behaviors in young adulthood: evidence from a longitudinal study. Journal of Personality and Social Psychology, 73, 1052–1063.

    Article  Google Scholar 

  • Cloninger, C.R., Sigvardsson, S. & Bohman, M. (1988). Childhood personality predicts alcohol abuse in young adults. Alcoholism: Clinical and Experimental Research, 12, 494–505.

    Article  CAS  Google Scholar 

  • Coccaro, E.F. & Kavoussi, R.J. (1997). Fluoxetine and impulsive aggressive behavior in personality-disordered subjects. Archives of General Psychiatry, 54, 1081–1088.

    PubMed  CAS  Google Scholar 

  • Conrod, P.J., Pihl, R.O. & Vassileva, J. (1998). Differential sensitivity to alcohol reinforcement in groups of men at risk for distinct alcoholism subtypes. Alcoholism: Clinical and Experimental Research, 22, 585–597.

    Article  CAS  Google Scholar 

  • Cornelius, J.R., Salloum, I.M., Ehler, J.G. e.a. (1997). Fluoxetine in depressed alcoholics. A double-blind, placebo-controled trial. Archives of General Psychiatry, 54, 691–694.

    Google Scholar 

  • Cowdry, R.W. & Gardner, D.L. (1988). Pharmacotherapy of borderline personality disorder: alprazolam, carbamazepine, trifluoperazine and tranylcypromine. Archives of General Psychiatry, 45, 111–119.

    PubMed  CAS  Google Scholar 

  • Dackis, C.A. & O'Brien, C.P. (2002). Cocaine dependence: the challenge for pharmacotherapy. Current Opinion in Psychiatry, 15, 261–267.

    Article  Google Scholar 

  • Dorus,W., Ostrow, D. & Anton, R. e.a. (1989). Lithium treatment of depressed and non-depressed alcoholics. JAMA, 262, 1646–1652.

    Article  PubMed  CAS  Google Scholar 

  • Finn, PR, Sharkansky, E.J. & Brandt, K.M. e.a. (2000). The effects of familial risk, personality, and expectancies on alcohol use and abuse. Journal of Abnormal Psychology, 109, 122–33.

    Article  PubMed  CAS  Google Scholar 

  • Fischer, L.A., Elias, J.W. & Ritz, K. (1998). Predicting relapse to substance abuse as a function of personality dimensions. Alcoholism: Clinical and Experimental Research, 22, 1041–1047.

    Article  Google Scholar 

  • Fu, Q., Heath, A.C., Bucholz, K.K. e.a. (2002). Shared genetic risk of major depression, alcohol dependence, and marijuana dependence: contribution of antisocial personality disorder in men. Archives of General Psychiatry, 59, 1125–1132.

    Article  PubMed  Google Scholar 

  • Gawin, F.H., Allen, D. & Humblestone, B. (1989). Outpatient treatment of crack cocaine smoking with flupenthoxol decanoate: a preliminary report. Archives of General Psychiatry, 46, 322–325.

    PubMed  CAS  Google Scholar 

  • Gerstley, L., McLellan, A.T., Alterman, A.I. e.a. (1989). Ability to form an alliance with the therapist: a possible marker of prognosis for patients with antisocial personality disorder. American Journal of Psychiatry, 146, 508–512.

    PubMed  CAS  Google Scholar 

  • Griengl, H., Sendera, A. & Dantendorfer, K. (2001). Naltrexone as a treatment of self-injurious behavior a case report. Acta Psychiatrica Scandinavica, 103, 234–6.

    Article  PubMed  CAS  Google Scholar 

  • Janowsky, D.S., Boone, A., Morter, S. e.a. (1999). Personality and alcohol/substance-use disorder patient relapse and attendance at self-help group meetings. Alcohol, 34, 359–369.

    CAS  Google Scholar 

  • Justus, A.N., Finn, P.R. & Steinmetz, J.E. (2001). P300, disinhibited personality, and early onset alcohol problems. Alcoholism: Clinical and Experimental Research, 25, 1457–1466.

    Article  CAS  Google Scholar 

  • Kokkevi, A., Stefanis, N., Anastasopoulou, E. e.a. (1998). Personality disorders in drug abusers: prevalence and their association with AXIS I disorders as predictors of treatment retention. Addictive Behaviours, 23, 841–853.

    Article  CAS  Google Scholar 

  • Kranzler, H.R., Burleson, J.A., Del Boca, F.K. e.a. (1994). Buspirone treatment of anxious alcoholics. A placebo-controled trial. Archives of General Psychiatry, 51, 720–31.

    PubMed  CAS  Google Scholar 

  • Krueger, R.F., Caspi, A., Moffit, T.E. e.a. (1996). Personality traits are differentially linked to mental disorders: a multitrait-multidiagnosis study of an adolescent birth cohort. Journal of Abnormal Psychology, 105, 299–312.

    Article  PubMed  CAS  Google Scholar 

  • Krueger, R.F., Hicks, B.M., Patrick, C.J. e.a. (2002). Etiologic connections among substance dependence, antisocial behavior, and personality: modeling the externalizing spectrum. Journal of Abnormal Psychology, 111, 411–24.

    Article  PubMed  Google Scholar 

  • Linehan, M.M., Schmidt, H., Dimeff, L.A. e.a. (1999). Dialectical behaviour therapy for patients with borderline personality disorder and drug-dependence. American Journal on Addictions, 8, 279–292.

    Article  PubMed  CAS  Google Scholar 

  • Loranger, A.W. & Tulis, E.H. (1985). Family history of alcoholism in borderline personality disorder. Archives of General Psychiatry, 42, 153–157.

    PubMed  CAS  Google Scholar 

  • Marlowe, D.B., Kirby, K.C., Festinger, D.S. e.a. (1997). Impact of comorbid personality disorders and personality disorder symptoms on outcomes of behavioral treatment for cocaine dependence. Journal of Nervous and Mental Disease, 185, 483–490.

    Article  PubMed  CAS  Google Scholar 

  • Masse, L.C. & Tremblay, R.E. (1997). Behavior of boys in kindergarten and the onset of substance use during adolescence. Archives of General Psychiatry, 54, 62–68.

    PubMed  CAS  Google Scholar 

  • Meszaros, K., Lenzinger, E., Hornik, K. e.a. (1999). The Tridimensional Personality Questionnaire as a predictor of relapse in detoxified alcohol dependents. Alcoholism: Clinical and Experimental Research, 23, 483–486.

    CAS  Google Scholar 

  • Morgenstern, J., Langenbucher, J., Labouvie, E. e.a. (1997). The comorbidity of alcoholism and personality disorders in a clinical population: prevalence rates and relation to alcohol typology ariables. Journal of Abnormal Psychology, 106, 74–84.

    Article  PubMed  CAS  Google Scholar 

  • Pettinati, H.M., Pierce, J.D., Belden, P.P. e.a. (1999). The relationship of Axis II personality disorders to other known predictors of addiction treatment outcome. American Journal on Addictions, 8, 136–147.

    Article  PubMed  CAS  Google Scholar 

  • Reich, J.H. & Vasile, R.G. (1993). Effect of personality disorders on the treatment outcome of Axis I conditions: an update. Journal of Nervous and Mental Disease, 181, 475–484.

    Article  PubMed  CAS  Google Scholar 

  • Ridgely, M.S., Goldman, H.H. & Willenbring, M. (1990). Barriers to the care of persons with dual diagnoses: organizational and financing issues. Schizophrenia Bulletin, 16, 123–132.

    PubMed  CAS  Google Scholar 

  • Rinne, T, Brink, W. van den, Wouters, L. e.a. (2002). SSRI treatment of borderline personality disorder: a randomized, placebo-controled clinical trial for female patients with borderline personality disorder. American Journal of Psychiatry, 159, 2048–2054.

    Article  PubMed  Google Scholar 

  • Robinson, T.E. & Berridge, K.C. (1993). The neural basis of craving: an incentive-sensitization theory of addiction. Brain Research Review, 18, 247–291.

    Article  CAS  Google Scholar 

  • Rocca, P., Marchiaro, L., Cocuzza, E. e.a. (2002). Treatment of borderline personality disorder with risperidone. Journal of Clinical Psychiatry, 63, 241–244.

    PubMed  CAS  Google Scholar 

  • Rounsaville, B.J., Kranzler, H.R., Ball, S. e.a. (1998). Personality disorders in substance abusers: relation to substance use. Journal of Nervous and Mental Disease, 186, 87–95.

    Article  PubMed  CAS  Google Scholar 

  • Schuckit, M.A., Klein, J., Twitchell, G. e.a. (1994). Personality test scores as predictors of alcoholism almost a decade later. American Journal of Psychiatry 151, 1038–1043.

    PubMed  CAS  Google Scholar 

  • Sellman, J.D., Muldert, R.T., Sullivan, P.F. e.a. (1997). Low persistence predicts relapse in alcohol dependence following treatment. Journal of Studies on Alcohol, 58, 257–263.

    PubMed  CAS  Google Scholar 

  • Sher, K.J. & Trull, T.J. (1994). Personality and disinhibitory psychopathology: alcoholism and antisocial personality disorder. Journal of Abnormal Psychology, 103, 92–102.

    Article  PubMed  CAS  Google Scholar 

  • Siever, L.J. & Davis, K.L. (1991). A psychological perspective on the personality disorders. American Journal of Psychiatry, 148, 1647–1658.

    PubMed  CAS  Google Scholar 

  • Silva deLima, M., Garcia de Oliveira Soares, B., Alves Pereira Reisser, A. e.a. (2002). Pharmacological treatment of cocaine dependence: a systematic review. Addiction, 97, 931–949.

    Article  Google Scholar 

  • Skodol, A.E., Oldham, J.M. & Gallaher, P.E. (1999). Axis II comorbidity of substance use disorders among patients referred for treatment of personality disorders. American Journal of Psychiatry, 156, 733–738.

    PubMed  CAS  Google Scholar 

  • Slutske, W.S., Heath, A.C., Madden, P.A. e.a. (2002). Personality and the genetic risk for alcohol dependence. Journal of Abnormal Psychology 111, 124–33.

    Article  PubMed  Google Scholar 

  • Soloff, P.H. (1993). Pharmacological therapies in borderline personality disorder. In: J. Paris (ed.). Borderline personality disorder: Etiology and treatment, p. 319–348. Washington DC: American Psychiatric Press.

    Google Scholar 

  • Soloff, P.H. (1998). Algorithms for pharmacological treatment of personality dimensions: symptomspecific treatments for cognitive-perceptual, affective, and impulsive-behavioral dysregulation. Bulletin of the Menninger Clinic, 62, 195–214.

    PubMed  CAS  Google Scholar 

  • Stein, G. (1992). Drug treatment of the personality disorders. Br J Psychiatry, 161, 167–184.

    Article  PubMed  CAS  Google Scholar 

  • Tarter, R.E. & Vanyukov, M. (1994). Alcoholism: a developmental disorder. Journal of Consulting and Clinical Psychology, 62, 1096–1107.

    Article  PubMed  CAS  Google Scholar 

  • Thomas, V.H., Melchert, T.P. & Banken, J.A. (1999). Substance dependence and personality disorders: comorbidity and treatment outcomein an inpatient treatment population. Journal of Studies on Alcohol, 60, 271–277.

    PubMed  CAS  Google Scholar 

  • Verheul, R., Ball, S.A. & Brink, W. van den (1998a). Substance abuse and personality disorders. In: H.R. Kranzler & B.J. Rounsaville (eds.). Dual diagnosis and treatment. Substance abuse and comorbid medical and psychiatric disorders, p. 317–363. New York, NY: Marcel Dekker.

    Google Scholar 

  • Verheul, R., Bosch, L.M.C. van den, Koeter, M.W.J. e.a. (2003). Efficacy of Dialectical Behavior Therapy: a Dutch randomized controled trial. British Journal of Psychiatry, 182, 135–140.

    Article  PubMed  Google Scholar 

  • Verheul, R. & Brink, W. van den (2000). The role of personality pathology in the etiology and treatment of substance use disorders. Current Opinion in Psychiatry, 13, 163–169.

    Article  Google Scholar 

  • Verheul, R., Brink, W. van den, Hartgers, C. (1995). Prevalence of personality disorders among alcoholics and drug addicts: an overview. European Addiction Research, 1, 166–177.

    Article  Google Scholar 

  • Verheul, R., Brink, W. van den & Hartgers, C. (1998b). Personality disorders predict relapse in alcoholic patients. Addictive Behaviours, 23, 869–882.

    Article  CAS  Google Scholar 

  • Verheul, R., Brink, W. van den, Koeter, M.W.J. e.a. (1999). Antisocial alcoholics show as much improvement at 14-month follow-up as non-antisocial alcoholics. American Journal on Addictions, 8, 24–33.

    Article  PubMed  CAS  Google Scholar 

  • Verheul, R., Kranzler, H.R., Poling, J., Tennen, H., Ball, S.A. & Rounsaville, B.J. (2000). Axis I and Axis II disorders in substance abusers: fact or artifact? Journal of Studies on Alcohol, 61, 101–110.

    PubMed  CAS  Google Scholar 

  • Wills, T.A., Windle, M. & Cleary, S.D. (1998). Temperament and novelty seeking in adolescent substance use: convergence of dimensions of temperament with constructs from Cloninger's theory. Journal of Personality and Social Psychology, 74, 387–406.

    Article  PubMed  CAS  Google Scholar 

  • Woody, M.E., McLellan, T., Luborsky, L. e.a. (1985). Sociopathy and psychotherapy outcome. Archives of General Psychiatry, 42, 1081–1086.

    PubMed  CAS  Google Scholar 

  • Zanarini, M.C. (1993). Borderline personality disorder as an impulse spectrum disorder. In: J. Paris (ed.). Borderline personality disorder: Etiology and treatment, p. 67–86. Washington DC: American Psychiatric Press.

    Google Scholar 

  • Zanarini, M.C., Frankenburg, F.R., Dubo, E.D. e.a. (1998). Axis I comorbidity of borderline personality disorder. American Journal of Psychiatry 155, 1733–1739.

    PubMed  CAS  Google Scholar 

  • Zimmerman, M. & Coryell, W.H. (1989). DSM-III personality disorder diagnoses in a nonpatient sample: demographic correlates and comorbidity. Archives of General Psychiatry, 46, 682–689.

    PubMed  CAS  Google Scholar 

  • Zimmerman, M. (1994). Diagnosing personality disorders: a review of issues and research methods. Archives of General Psychiatry, 51, 225–245.

    PubMed  CAS  Google Scholar 

  • Zuckerman, M. (1999). Vulnerability to psychopathology: a biosocial model. Washington DC: American Psychological Association, p. 255–317.

    Google Scholar 

  • Zwier, K.J. & Rao, U. (1994). Buspirone use in an adolescent with social phobia and mixed personality disorder (cluster A type). Journal of the American Academy of Child and Adolescent Psychiatry, 33, 1007–1011.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. Roel Verheul
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Wies van den Bosch
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Samuel Ball
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

E.H.M. Eurelings-Bontekoe R. Verheul W.M. Snellen

Copyright information

© 2007 Bohn Stafleu van Loghum

About this chapter

Cite this chapter

Verheul, R., van den Bosch, W., Ball, S. (2007). Verslaving en persoonlijkheidspathologie. In: Eurelings-Bontekoe, E., Verheul, R., Snellen, W. (eds) Handboek Persoonlijkheidspathologie. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-313-6404-6_22

Download citation

  • DOI: https://doi.org/10.1007/978-90-313-6404-6_22

  • Publisher Name: Bohn Stafleu van Loghum, Houten

  • Print ISBN: 978-90-313-4660-8

  • Online ISBN: 978-90-313-6404-6

  • eBook Packages: Dutch language eBook collection

Publish with us

Policies and ethics

Search

Navigation