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Current Perspectives

John M. Oldham, MD

JAMA. 1994;272(22):1770-1776.

Abstract
Personality disorders are estimated to occur in at least 10% of the population. They can be major sources of long-term disability, and they frequently exist in conjunction with other major psychiatric disorders or with general medical conditions. Not infrequently, patients with personality disorders seek help from primary care physicians for physical complaints, rather than seeking psychiatric help. When a personality disorder is present, treatment of other coexisting psychiatric or medical conditions is frequently more complicated, lengthier, or less successful, a pattern that may at times be due to lack of recognition of the personality disorder. When a personality disorder is diagnosed, more effective treatment may be prescribed, particularly in light of improved treatment strategies for these conditions.

(JAMA. 1994;272:1770-1776)

Author Affiliations
From Columbia University College of Physicians and Surgeons and the New York State Psychiatric Institute, New York.

Footnotes
Corresponding author: John M. Oldham, MD, New York State Psychiatric Institute, 722 W 168th St, New York, NY 10032.

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