Studying personality disorder: why are personality disorders difficult to treat?
Personality disorder is a diathesis-stress model — biological “diatheses” are inborn vulnerabilities, and environmental stressors interact with them. There are genetic predispositions that could be identified through family history. Within a family that carries the illness and possibly family dysfunction, it’s very likely to experience the toxic interpersonal relationships and also adapt the toxicity. Disturbance of early attachment formation is considered a key driver. 44-47% of the BPD patients in a study reported memories of childhood traumas. It’s like a net itself, that an inborn vulnerability with some genetic traits and meanwhile an environment that would reinforce those traits till it’s a formed disorder.
That explains why personality disorders are very challenging to treat, “because thoughts and behaviors are deeply rooted in a person's identity, patients often lack insight into their condition, and the patterns are resistant to change” (quoted by SOL mental health). People with personality disorder usually blame others for causing their problems rather than self reflecting on their behaviors.
The treatments have to be systematic, structured and long term. But many times even within a good treatment/ environment, patients still tend to drop out and refuse to seek help, by denying either their conditions or devaluing the therapists’ / professionals’ work.
Reference article: Why personality disorders are so difficult to treat? https://www.solmentalhealth.com/blog/why-personality-disorders-are-so-hard-to-treat
• 1 day, 2 hours ago
by Wei Wei