- Subject index
Dual Diagnosis presents a model that integrates theory and research from substance abuse and mental health as well as proposing simultaneous integrated treatment in a single setting. Building upon a solid theoretical and research foundation, the book discusses the unique problems and treatment methods tailored for specific mental illnesses when combined with substance abuse, including schizophrenia, bipolar disorder, major depression, major personality disorders, and anxiety disorders.
Chapter 7: Severe Personality Disorders
Severe Personality Disorders
Treatment personnel generally consider clients who have personality disorders in addition to substance abuse problems to be the most troublesome in treatment programs in either mental health or substance abuse treatment settings. These clients also tend to have a poor prognosis. Some research findings support this negative view (Seivewright & Daly, 1997). Fully 42% of persons with antisocial personality disorders have or have had a drug use disorder (Onken, Blaine, Genser, & Horton, 1997). Substance abusers with personality disorders are more likely than non-personality disordered clients to use illegal drugs, to have more severe psychopathology, to have lower levels of life satisfaction, and to be depressed (Nace, Davis, & Gaspari, 1997). On the other hand, some researchers have found this ...