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Psychiatric Bulletin (2004) 28: 105. doi: 10.1192/pb.28.3.105
© 2004 The Royal College of Psychiatrists
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Psychiatric Bulletin (2004) 28: 105
© 2004 The Royal College of Psychiatrists

Correspondence

Re: Unpacking Personality Disorder

Michael Fitzgerald

Henry Marsh Professor Child & Adolescent Psychiatry T.C.D. Child and Family Centre, Ballyfermot Road (Beside Health Centre), Ballyfermot, Dublin 10, Ireland

I read with interest Peter Snowden and Eddie Kane’s Editorial on personality disorder (Psychiatric Bulletin, November 2003, 27, 401-403). It appears to me that personality disorder will be broken down into multiple subtypes in the future. The two particular subtypes I have become aware of are those with personality disorder who also meet the criteria for adult attention-deficit hyperactivity disorder (ADHD) and have had childhood ADHD. This type will need the underlying ADHD to be treated. The second type is an autistic psychopathy which was described by Hans Asperger. It appears to me that a small number of patients with personality disorder meet the criteria for autistic psychopathy or Asperger syndrome, and these will require treatments focusing more on theory of mind skills and empathy deficits (Fitzgerald, 2001).

References

FITZGERALD, M. (2001) Autistic psychopathy. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 870 .[Medline]





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