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More on the Challenge of Significantly Distressed Chronic Pain Patient

Do you still remember about personality disorders that may occur to chronic pain patients? If you are our regular reader, you would remember about them.

In our previous article, we have written about the causes that make challenge of significantly distressed chronic pain patient. The “dramatic” personality syndrome would be the most possible causes.

The personality disorder syndromes are:

  • Antisocial personality
  • Borderline personality
  • Histrionic personality
  • Narcissistic personality

Psychiatric treatment or psychological treatment is considered to be almost impossible, even when the patient does not suffer with chronic pain.

In term of general population, the incidence of personality disorder syndromes are stated as follows (American Psychiatric Association, 1994):

  • Antisocial Personality Disorder (2 percent)
  • Borderline Personality Disorder (2 percent)
  • Histrionic Personality Disorder (2 – 3 percent)
  • Narcissistic Personality Disorder (< 1 percent)

Among the chronic pain patients population, the above personality disorder syndromes known to be significantly over indicated.

  • 5 percent for Antisocial Personality Disorder (Polatin, Kinney, Gatchel, Lillo and Mayer, 1993)
  • 25 percent for Borderline Personality Disorder (Burton, Polatin and Gatchel, 1997)
  • 26 percent for Histrionic Personality Disorder (Burton, Polatin and Gatchel, 1997)
  • Narcissistic Personality Disorder Burton, Polatin and Gatchel, 1997)

Characteristics of Personality Disorder Syndromes
Each personality disorder syndromes has their characteristic.

  • Problems with authority is likely to be related with the Antisocial Personality Disorder
  • Manipulative tends to strong with the Borderline Personality Disorder
  • Remain “disabled” or “sick” is shown by the Histrionic and Narcissistic Personality Disorder in a bid to get attention they need

In relation with issues of obedience, chronic pain patients with personality disorder syndromes tend to have a profound effect to the therapeutic milieu. The truthfulness is compulsory for chronic pain patients to benefit from chronic pain management.

Chronic pain patients who also have antisocial personality disorder make the possibility for violence among the society. This may happen because the chronic pain patients with the Antisocial Personality act with a pervasive disrespect about the rights of others.

Chronic pain patients with Borderline Personality Disorder have impulsivity and anger problem.

Chronic pain patients with Histrionic Personality Disorder are likely to present problems for the therapeutic milieu due to their aggressive and high demands of attention.

Chronic pain patients with Narcissistic Personality Disorder are likely to greatly damaging the therapeutic milieu due to their needs of attention.

Therefore, an accurate identification of personality disorder syndromes in a chronic pain patient would be very compulsory in a bid to create the most appropriate chronic pain management and treatment.

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