IntroductionA frequently observed fact in clinical practice is the relationship between Substance Abuse Disorders and Personality Disorders (PD). Epidemiological investigations have found that diagnoses of PD seem to increase vulnerability to other pathologies, including substance abuse and addiction, and it is possible to speak of comorbidity or dual pathology.ObjectiveTo describe the comorbidity between PD and substance abuse disorders.MethodsSystematic review of the literature on the subject. The databases consulted were Dialnet, Pubmed and Cochrane.ResultsThe various studies allow estimating that between 65% and 90% of subjects treated for substance abuse or dependence have at least one concomitant PT. Studies show a higher prevalence of Cluster C for alcohol consumption and Histrionic, Narcissistic, Boundary and Antisocial Disorders (Cluster B) for illegal drugs, mainly cocaine. Cluster B is the one that the literature has most related to substance use. It is also the group in which there is a greater predominance of impulsivity, which would be worth remembering its role as a vulnerability factor for addictions.ConclusionsWhat the research has shown is that a good deal of the problems that accompany substance use come from dysfunctional patterns of behavior that are maintained over time with high stability and can justify, in part, both the persistence of The addictive behavior as the difficulty of handling the patients who present them. At present, although the high comorbidity between TP and substance use is sufficiently documented, many questions still remain to be solved.Disclosure of interestThe authors have not supplied their declaration of competing interest.
IntroductionPathological gambling, as behavioural addiction, is always related with psychosocial important problems. In this case, everything is even more difficult due to grave mental disease associated, Paranoid Schizophrenia. Man, 26 years old, single. He was diagnosed of psychotic disease at the beginning due to his grave addiction to THC and others stimulant drugs. His outpatient treatment was complicated and he needed to be hospitalised once (being diagnosed of Schizophrenia). After that, he improved till he got a standardised job. He was able to have his medical treatment (Aripriprazol 15 mgs per day and Biperidene 4 mgs per day) although he kept his isolation. Then, the patient could talk about his pathological gambling. He suffered from slot machine addiction, and he also suffered from depression symptoms closely related to family and economic problems due to pathological gambling. This patient was in contemplation state and he accepted to start with antidepressant (Mirtazapine 15 mgs per day) and psychological treatment. We agreed to make a record of his gambling uses (with regular self-reports). His salary would be administered by his parents and he only could take a little money every week. The treatment was useful; it increased the capacity of economic self-management and the recovery of depression disease related.ConclusionsIn our opinion, he used gambling as filling a need for activity, and as a way of connecting with society/world. These findings suggest the need for improved prevention and treatment efforts related to problem/pathological gambling in individuals with psychotic disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.
IntroductionThere is a higher incidence of borderline personality disorder (BPD) in families and offspring of people with the disorder, suggesting that both genetic and environmental factors are vulnerable to the condition that is passed from generation to generation.ObjectivesIdentify the parenting strategies used by these mothers as potential targets for psychological intervention.MethodLiterature review of the scientific literature.ResultsThe literature shows that mothers with BPD often have very characteristic parenting practices and that they are conditioned by what is inherent to BPD – oscillations between a search for excessive control of the other person for fear of abandonment and neglect behaviors, attachment insecure or disorganized. They are between extremes of over-involvement and lack of involvement with the child, that is, mothers who show themselves in some cold, avoidant and rejecting moments and in others that are excessively demanding, invasive and over-involved with the child, consistently denoting a pattern. Of relationship that goes from one end to the other.ConclusionsAttachment-based interventions work through corrective experiences in the therapeutic relationship, work on their attachment style, giving the mother an opportunity to reflect on her own childhood experiences with her caregivers and how they led her to Have an insecure or disorganized attachment, while being encouraged to connect these reflections with your current experiences with your child.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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