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- Title
Psychiatrists' Perspectives on Prescription Decisions for Patients With Personality Disorders.
- Authors
Sand, Peter; Dervisoski, Evelina; Kollia, Sofia; Strand, Jennifer; Di Leone, Flavio
- Abstract
There is currently insufficient evidence for the use of a specific pharmacological treatment for personality disorders (PD). The research literature lacks a systematic exploration of clinicians' experiences of pharmacological treatment of PD. The aim of the qualitative study was to examine how psychiatrists make decisions about pharmacological treatment for patients with PD. The interviews were analyzed using inductive thematic analysis. The results showed that ambiguous guidelines had the effect that the psychiatrists often relied on their own experience, or that of their colleagues. As a basis for decisions concerning drug treatment, an interpersonal component was also identified. Some of the psychiatrists in the current study argued that medications may be part of the alliance-building with the patient and that medications were a way of tying the patient to the clinic. Our findings show that it is important to work on how the clinical guidelines should be implemented in practice.
- Subjects
PSYCHOTHERAPY patients; PSYCHIATRISTS; QUALITATIVE research; INTERVIEWING; PERSONALITY disorders; DECISION making in clinical medicine; PHYSICIANS' attitudes; EMOTIONS; CONTINUUM of care; DESCRIPTIVE statistics; THEMATIC analysis; SOUND recordings; PHYSICIAN practice patterns; RESEARCH methodology; PHYSICIAN-patient relations; COMMUNICATION; DRUGS; DRUG prescribing; INTERPERSONAL relations; PSYCHOSOCIAL factors
- Publication
Journal of Personality Disorders, 2024, Vol 38, Issue 3, p225
- ISSN
0885-579X
- Publication type
Article
- DOI
10.1521/pedi.2024.38.3.225