Skip to main content
Top
Gepubliceerd in: Tijdschrift voor Psychotherapie 3/2009

01-06-2009 | Artikelen

Persoonlijkheidsstoornissen bij adolescenten

Auteurs: Dineke Feenstra, Joost Hutsebaut

Gepubliceerd in: Tijdschrift voor Psychotherapie | Uitgave 3/2009

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

Persoonlijkheidsstoornissen kunnen betrouwbaar gediagnosticeerd worden bij adolescenten. In de klinische praktijk lijkt er echter nog veel weerstand te bestaan tegen de diagnose persoonlijkheidsstoornis bij een adolescent. Met dit artikel willen we de discussie over dit onderwerp stimuleren.
Aan de hand van een casus illustreren we een diagnostisch proces bij vermoeden van persoonlijkheidspathologie. Dat leidt tot een dynamisch-diagnostische formulering, waarin we de interactie tussen ontwikkelingsgeschiedenis, persoonlijkheidsstoornis, omgeving en ontwikkelingsfase proberen aan te tonen.
Voetnoten
1
Bij de dynamische formulering wordt geprobeerd een verband te formuleren tussen de symptomen en de mentale toestanden die ermee verweven zijn. Dynamisch wordt dan bedoeld in de zin van veranderlijk. Met ‘dynamisch’ verwijzen wij niet naar de methode-Eurelings.
 
Literatuur
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders text revision (4th ed.). Washington, DC: American Psychiatric Association. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders text revision (4th ed.). Washington, DC: American Psychiatric Association.
go back to reference Bateman, A.W., & Fonagy, P. (2004). Psychotherapy for borderline personality disorder: Mentalization-based treatment. Oxford: Oxford University Press. Bateman, A.W., & Fonagy, P. (2004). Psychotherapy for borderline personality disorder: Mentalization-based treatment. Oxford: Oxford University Press.
go back to reference Bleiberg, E. (2001). Treating personality disorders in children and adolescents: A relational approach. New York: Guilford Press. Bleiberg, E. (2001). Treating personality disorders in children and adolescents: A relational approach. New York: Guilford Press.
go back to reference Braun-Scharm, H. (1996). Suicidality and personality disorders in adolescence. Crisis: Journal of Crisis Intervention & Suicide, 17, 64-68. Braun-Scharm, H. (1996). Suicidality and personality disorders in adolescence. Crisis: Journal of Crisis Intervention & Suicide, 17, 64-68.
go back to reference Chen, H., Cohen, P., Kasen, S., & Johnson, J.G. (2006a). Adolescent axis I and personality disorders predict quality of life during young adulthood. Journal of Adolescent Health, 39, 14-19. Chen, H., Cohen, P., Kasen, S., & Johnson, J.G. (2006a). Adolescent axis I and personality disorders predict quality of life during young adulthood. Journal of Adolescent Health, 39, 14-19.
go back to reference Chen, H., Cohen, P., Kasen, S., Johnson, J.G., Berenson, K., & Gordon, K. (2006b). Impact of adolescent mental disorders and physical illnesses on quality of life 17 years later. Archives of Pediatrics & Adolescent Medicine, 160, 93-99. Chen, H., Cohen, P., Kasen, S., Johnson, J.G., Berenson, K., & Gordon, K. (2006b). Impact of adolescent mental disorders and physical illnesses on quality of life 17 years later. Archives of Pediatrics & Adolescent Medicine, 160, 93-99.
go back to reference Crick, N.R., Woods, K., Murray-Close, D., & Han, G. (2007). The development of borderline personality disorder: Current progress and future directions. In A. Freeman & M.A. Reinecke, M.A. (Eds.). Personality Disorders in Childhood and Adolescence (pp. 341-384). Hoboken: Wiley & Sons. Crick, N.R., Woods, K., Murray-Close, D., & Han, G. (2007). The development of borderline personality disorder: Current progress and future directions. In A. Freeman & M.A. Reinecke, M.A. (Eds.). Personality Disorders in Childhood and Adolescence (pp. 341-384). Hoboken: Wiley & Sons.
go back to reference Daley, S.E., Hammen, C., Burge, D., Davilla, J., Paley, B., Lindberg, N., & Herzberg, D.S. (1999). Depression and Axis II symptomatology in an adolescent community sample: Concurrent and longitudinal associations. Journal of Personality Disorders, 13, 47-59. Daley, S.E., Hammen, C., Burge, D., Davilla, J., Paley, B., Lindberg, N., & Herzberg, D.S. (1999). Depression and Axis II symptomatology in an adolescent community sample: Concurrent and longitudinal associations. Journal of Personality Disorders, 13, 47-59.
go back to reference Daley, S.E., Rizzo, C.J., & Gunderson, B.H. (2006). The longitudinal relation between personality disorder symptoms and depression in adolescence: The mediating role of interpersonal stress. Journal of Personality Disorders, 20, 352-368. Daley, S.E., Rizzo, C.J., & Gunderson, B.H. (2006). The longitudinal relation between personality disorder symptoms and depression in adolescence: The mediating role of interpersonal stress. Journal of Personality Disorders, 20, 352-368.
go back to reference Derksen, J.J.L., Meij, H.R.A. de, Sloore, H., & Hellenbosch, G. (1995). MMPI-2TM, Handleiding bij afname, scoring en interpretatie (2e druk). Nijmegen: PEN Test Publishers. Derksen, J.J.L., Meij, H.R.A. de, Sloore, H., & Hellenbosch, G. (1995). MMPI-2TM, Handleiding bij afname, scoring en interpretatie (2e druk). Nijmegen: PEN Test Publishers.
go back to reference Freeman, A., & Reinecke, M.A. (2007). Personality disorders in childhood and adolescence. Hoboken: Wiley & Sons. Freeman, A., & Reinecke, M.A. (2007). Personality disorders in childhood and adolescence. Hoboken: Wiley & Sons.
go back to reference Grilo, C.M., McGlashan, T.H., Quinlan, D.M., Walker, M.L., Greenfeld, D., & Edell, W.S. (1998). Frequency of personality disorders in two age cohorts of psychiatric inpatients. American Journal of Psychiatry, 155, 140-142. Grilo, C.M., McGlashan, T.H., Quinlan, D.M., Walker, M.L., Greenfeld, D., & Edell, W.S. (1998). Frequency of personality disorders in two age cohorts of psychiatric inpatients. American Journal of Psychiatry, 155, 140-142.
go back to reference Groenestijn, M.A.C. van, Akkerhuis, G.W., Kupka, R.W., Schneider, N. & Nolen, W.A. (1998). SCID-I: Gestructureerd klinisch interview voor de vaststelling van DSM-IV as I stoornissen. Lisse: Swets & Zeitlinger. Groenestijn, M.A.C. van, Akkerhuis, G.W., Kupka, R.W., Schneider, N. & Nolen, W.A. (1998). SCID-I: Gestructureerd klinisch interview voor de vaststelling van DSM-IV as I stoornissen. Lisse: Swets & Zeitlinger.
go back to reference Hutsebaut, J., Catthoor, K.C.E.E.R., Op ’t Veld, N.J.M., & Hartman-Faber, S.H. (2007). Borderlinepersoonlijkheidsstoornis bij jeugdigen. In F. Verheij, F.C. Verhulst & R.F. Ferdinand (red.). Kinder- en jeugdpsychiatrie. Behandeling en begeleiding (pp. 371-396). Assen: van Gorcum. Hutsebaut, J., Catthoor, K.C.E.E.R., Op ’t Veld, N.J.M., & Hartman-Faber, S.H. (2007). Borderlinepersoonlijkheidsstoornis bij jeugdigen. In F. Verheij, F.C. Verhulst & R.F. Ferdinand (red.). Kinder- en jeugdpsychiatrie. Behandeling en begeleiding (pp. 371-396). Assen: van Gorcum.
go back to reference Hutsebaut, J. (in voorbereiding). Persoonlijkheidsstoornissen in de adolescentie. In E.H.M. Eurelings-Bontekoe, R. Verheul & W.M. Snellen (red.). Handboek persoonlijkheidspathologie (nieuwe te verschijnen druk). Houten: Bohn Stafleu van Loghum. Hutsebaut, J. (in voorbereiding). Persoonlijkheidsstoornissen in de adolescentie. In E.H.M. Eurelings-Bontekoe, R. Verheul & W.M. Snellen (red.). Handboek persoonlijkheidspathologie (nieuwe te verschijnen druk). Houten: Bohn Stafleu van Loghum.
go back to reference Johnson, J.G., Chen, H., & Cohen, P. (2004). Personality disorders traits during adolescence and relationships with family members during the transition to adulthood. Journal of Consulting and Clinical Psychology, 72, 923-932. Johnson, J.G., Chen, H., & Cohen, P. (2004). Personality disorders traits during adolescence and relationships with family members during the transition to adulthood. Journal of Consulting and Clinical Psychology, 72, 923-932.
go back to reference Johnson, J.G., Cohen, P., Skodol, A.E., Oldham, J.M., Kasen, S., & Brooks, J.S. (1999). Personality disorders in adolescence and risk of major mental disorders and suicidality during adulthood. Archives of General Psychiatry, 56, 805-811. Johnson, J.G., Cohen, P., Skodol, A.E., Oldham, J.M., Kasen, S., & Brooks, J.S. (1999). Personality disorders in adolescence and risk of major mental disorders and suicidality during adulthood. Archives of General Psychiatry, 56, 805-811.
go back to reference Johnson, J.G., Cohen, P., Smailes, E., Kasen, S., Oldham, J.M., Skodol, A.E., & Brooks, J.S. (2000). Adolescent personality disorders associated with violence and criminal behavior during adolescence and early adulthood. American Journal of Psychiatry, 157, 1406-1412. Johnson, J.G., Cohen, P., Smailes, E., Kasen, S., Oldham, J.M., Skodol, A.E., & Brooks, J.S. (2000). Adolescent personality disorders associated with violence and criminal behavior during adolescence and early adulthood. American Journal of Psychiatry, 157, 1406-1412.
go back to reference Johnson, J.G., First, M.B., Cohen, P., Skodol, A.E., Kasen, S., & Brook, J.S. (2005). Adverse outcomes associated with personality disorder not otherwise specified in a community sample. American Journal of Psychiatry, 162, 1926-1932. Johnson, J.G., First, M.B., Cohen, P., Skodol, A.E., Kasen, S., & Brook, J.S. (2005). Adverse outcomes associated with personality disorder not otherwise specified in a community sample. American Journal of Psychiatry, 162, 1926-1932.
go back to reference Kasen, S., Cohen, P., Skodol, A.E., First, M.B., Johnson, J.G., Brooks, J.S. & Oldham, J.M. (2007). Comorbid personality disorder and treatment use in a community sample of youths: A 20-year follow-up. Acta Psychiatrica Scandinavica, 115, 56-65. Kasen, S., Cohen, P., Skodol, A.E., First, M.B., Johnson, J.G., Brooks, J.S. & Oldham, J.M. (2007). Comorbid personality disorder and treatment use in a community sample of youths: A 20-year follow-up. Acta Psychiatrica Scandinavica, 115, 56-65.
go back to reference Kernberg, P.F., Weiner, A.S., & Bardenstein, K.K. (2000). Personality disorders in children and adolescents. New York: Basic Books. Kernberg, P.F., Weiner, A.S., & Bardenstein, K.K. (2000). Personality disorders in children and adolescents. New York: Basic Books.
go back to reference Landelijke Stuurgroep Richtlijnontwikkeling in de GGZ. (2008). Multidisciplinaire Richtlijn Persoonlijkheidsstoornissen. Utrecht: Trimbos-instituut. Landelijke Stuurgroep Richtlijnontwikkeling in de GGZ. (2008). Multidisciplinaire Richtlijn Persoonlijkheidsstoornissen. Utrecht: Trimbos-instituut.
go back to reference Lavan, H., & Johnson, J.G. (2002). The association between axis I and II psychiatric symptoms and high-risk sexual behavior during adolescence. Journal of Personality Disorders, 16, 73-94. Lavan, H., & Johnson, J.G. (2002). The association between axis I and II psychiatric symptoms and high-risk sexual behavior during adolescence. Journal of Personality Disorders, 16, 73-94.
go back to reference Levy, K.N., Becker, D.F., Grilo, C.M., Mattanah, J.J., Garnet, K.E., Quinlan, D.M., Edell, W.S., & McGlashan, T.H. (1999). Concurrent and predictive validity of the personality disorder diagnosis in adolescent inpatients. American Journal of Psychiatry, 156, 1522-1528. Levy, K.N., Becker, D.F., Grilo, C.M., Mattanah, J.J., Garnet, K.E., Quinlan, D.M., Edell, W.S., & McGlashan, T.H. (1999). Concurrent and predictive validity of the personality disorder diagnosis in adolescent inpatients. American Journal of Psychiatry, 156, 1522-1528.
go back to reference McCloskey, G., Kane, P., Champ Morera, C., Gipe, K., & McLaughlin, A. (2007). Assessment of personality disorders in childhood. In A. Freeman & M.A. Reinecke (red.), Personality disorders in childhood and adolescence (pp. 183-227). Hoboken: Wiley & Sons. McCloskey, G., Kane, P., Champ Morera, C., Gipe, K., & McLaughlin, A. (2007). Assessment of personality disorders in childhood. In A. Freeman & M.A. Reinecke (red.), Personality disorders in childhood and adolescence (pp. 183-227). Hoboken: Wiley & Sons.
go back to reference Miller, A.L., Rathus, J.H., & Linehan, M.M. (2007). Dialectical behavior therapy with suicidal adolescents. New York: Guilford Press. Miller, A.L., Rathus, J.H., & Linehan, M.M. (2007). Dialectical behavior therapy with suicidal adolescents. New York: Guilford Press.
go back to reference Oldham, J.M., Gabbard, G.O., Goin, M.K., Gunderson, J., Soloff, P., Spiegel, D., Stone, M., & Phillips, K.A. (2001). Practice guideline for the treatment of patients with borderline personality disorder. American Journal of Psychiatry, 158, 1-52. Oldham, J.M., Gabbard, G.O., Goin, M.K., Gunderson, J., Soloff, P., Spiegel, D., Stone, M., & Phillips, K.A. (2001). Practice guideline for the treatment of patients with borderline personality disorder. American Journal of Psychiatry, 158, 1-52.
go back to reference Serman, N., Johnson, J.G., Geller, P.A., Kanost, R.E., & Zacharapoulou, H. (2002). Personality disorders associated with substance abuse among American and Greek adolescents. Adolescence, 37, 841-854. Serman, N., Johnson, J.G., Geller, P.A., Kanost, R.E., & Zacharapoulou, H. (2002). Personality disorders associated with substance abuse among American and Greek adolescents. Adolescence, 37, 841-854.
go back to reference Tyrer, P., Casey, P., & Ferguson, B. (1991). Personality disorders in perspective. British Journal of Psychiatry, 159, 463-471. Tyrer, P., Casey, P., & Ferguson, B. (1991). Personality disorders in perspective. British Journal of Psychiatry, 159, 463-471.
go back to reference Verhulst, F.C., Ende, J. van der, & Koot, H.M. (1996). Handleiding voor de CBCL/ 4-18. Rotterdam: EUR/ AZR/ Sophia Kinderziekenhuis: afd. Kinder- en jeugdpsychiatrie. Verhulst, F.C., Ende, J. van der, & Koot, H.M. (1996). Handleiding voor de CBCL/ 4-18. Rotterdam: EUR/ AZR/ Sophia Kinderziekenhuis: afd. Kinder- en jeugdpsychiatrie.
go back to reference Verhulst, F.C., Ende, J. van der, & Koot, H.M. (1997). Handleiding voor de Youth Self Report (YSR). Rotterdam: afd. Kinder- en jeugdpsychiatrie, Sophia Kinderziekenhuis/ AZR/ EUR. Verhulst, F.C., Ende, J. van der, & Koot, H.M. (1997). Handleiding voor de Youth Self Report (YSR). Rotterdam: afd. Kinder- en jeugdpsychiatrie, Sophia Kinderziekenhuis/ AZR/ EUR.
go back to reference Weertman, A., Arntz, A., & Kerkhofs, M.L.M. (2000). SCID-II: Gestructureerd klinisch interview voor DSM-IV as II persoonlijkheidsstoornissen. Lisse: Swets & Zeitlinger Weertman, A., Arntz, A., & Kerkhofs, M.L.M. (2000). SCID-II: Gestructureerd klinisch interview voor DSM-IV as II persoonlijkheidsstoornissen. Lisse: Swets & Zeitlinger
go back to reference Westen, D., Shedler, J., Durrett, C., Glass, S., & Martens, A. (2003). Personality diagnoses in adolescence: DSM-IV axis II diagnoses and an empirically derived alternative. American Journal of Psychiatry, 160, 952-966. Westen, D., Shedler, J., Durrett, C., Glass, S., & Martens, A. (2003). Personality diagnoses in adolescence: DSM-IV axis II diagnoses and an empirically derived alternative. American Journal of Psychiatry, 160, 952-966.
Metagegevens
Titel
Persoonlijkheidsstoornissen bij adolescenten
Auteurs
Dineke Feenstra
Joost Hutsebaut
Publicatiedatum
01-06-2009
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Psychotherapie / Uitgave 3/2009
Print ISSN: 0165-1188
Elektronisch ISSN: 1876-5637
DOI
https://doi.org/10.1007/BF03080493

Andere artikelen Uitgave 3/2009

Tijdschrift voor Psychotherapie 3/2009 Naar de uitgave

Persbericht

Persbericht