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October 7, 1974

Personality Disorders: Diagnosis and Management

JAMA. 1974;230(1):134. doi:10.1001/jama.1974.03240010092048

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The term "personality disorders" covers a wide range of conditions, practically all the subject of disagreement. In fact, there is even disagreement as to whether they are a proper subject of medical attention. Are the drunkards, the sex deviants, the chronically belligerent, the drug addicts, in need of punishment, therapy, or neglect? Are the compulsively neat, the chronic worriers, the self-effacing martyrs deserving of praise or treatment?

Perhaps the one area of agreement is that most people with personality disorders are difficult to treat and usually do not want to be treated, but their relatives and the community demand that something be done.

Psychiatrists, mainly from medical school faculties, wrote 24 contributions about the etiology, diagnosis, and treatment of many different types of personality problems. Nearly all the studies include a careful review of the relevant literature and a useful bibliography. Some report the author's particular experience. Kalogerakis describes the