Miloš Židanik
Health centre Maribor
Sodna ulica 13
2000 Maribor

  Abstract: The diagnostics of personality disorders has many different theoretical approaches. Psychiatry is mainly symptomatically oriented, psychoanalysis has an idiografic approach toward individual inner conflicts and strengths of the personality structure. The aim of this article is the reunion of these two concepts in a unified theoretical model, that can serve for better diagnostics in clinical practice and for possible future explorations. In the setting of this model I did include the theoretical and also some empirical data that I got in the analysis of comorbidity of personality disorders in psychiatric ambulatory care. I compared only statistic relevant data. In his article I present a two-dimensional model of personality disorders between two basic personality dimensions – the dimension of psychosexual development and the dimension of the structural deficits of ego. Between these dimensions I set artificial borders for axis 1 comorbidity regarding each personality disorder. So, normally we do not see psychotic decompensation at histrionic and shizoid personality disorder; in depressive, dependent, passive-aggressive, obsessive-compulsive and avoidant personality disorder we can expect the deepest decompensation in depression with psychotic symptoms, at paranoid, narcissistic and dissocial personality disorder decompensation takes the form of delusional disorder; in borderline personality disorder the form of brief psychotic episodes, similar to schizophrenia; and in the schizotypal personality disorder we can expect a transition to schizophrenia.