Abstract
This chapter covers theoretical, epidemiologic, and clinical aspects of the phenomenon of personality pathology in older adults. It presents a summary of the constructs of personality pathology and personality disorder in late life and considers the difficulties in using diagnostic criteria modeled on younger adults to evaluate symptoms in older adults. The chapter then summarizes competing models of Personality Disorder prevalence, with the conclusion that approximately one in ten older people suffers from a diagnosable personality disorder. It also discusses the broad stability in comorbid physical and psychiatric ailments across the lifespan among people with personality pathology. We review methods for accurate assessment and data gathering, and of existing diagnostic measures for the diagnosis of personality disorder in older adults. We also examine differential treatment responses of depressed older adults in relation to personality pathology and personality traits treated with a range of psychotherapeutic and psychopharmacological interventions.
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