WestIndianMedJ2013;62(5):431 TheTreatmentofPersonalityDisorderinJamaicawithPsychohistoriographic Brief Psychotherapy FWHickling ABSTRACT Objective: Toassesstheclinicaloutcomeofpatientswithpersonalitydisorder,receivingtreatmentwith psychohistoriographic brief psychotherapy (PBP). Method: Patients seen in the author’s private practice from 1974 – 2010 with a Diagnostic and Statistical Manual of Mental Disorders, 4 th edition, text revision (DSM-IV-TR) personality disorder diagnosis were treated with PBP. Demographic, clinical responses and one-year clinical outcome measures were disaggregated and analysed, using SPSS, version 17. Results: OnehundredpatientscompletedtreatmentwithPBP,male:female34:64;meanageof35.86± 10.28 (range 16 – 66) years. Forty-five per cent were married, 73% were of predominantly African racial origin, with 59% from socio-economic class (SEC) I and 39% from SEC II and III. The presenting complaints were interpersonal conflict (35%), anxiety (21%) and depressed mood (20%). Majordepression(30%),substanceabusedisorder(18%)andgeneralizedanxietydisorder(13%)were the most common Axis I diagnoses. Histrionic personality disorder (39%) and avoidant personality disorder(35%)werethemainAxisIIdiagnoses. Psychohistoriographywascompletedwithallpatients, andchartedby96%. Transferencevariantswereexperiencedbyallpatientsandworkedthroughwith 87%. The quadranting process was completed by 42% with goal setting instituted by 96% and actualization scoring fully completed by 34%. A continuous exercise programme was instituted by all patients,andwasmaintainedby56%atone-yearfollow-up. Ninety-fourpercentreportedfair(10%), good (68%) to very good/excellent (16%) improvement on completion of PBP, with 72% assessed as maintaining fair to good clinical improvement by the therapist at one-year follow-up. Conclusion: Patients with personality disorders showed clinical improvement one year after being treated with psychohistoriographic brief psychotherapy. Keywords: Jamaica, personality disorder, psychohistoriographic brief psychotherapy ElTratamientodeTrastornosdelaPersonalidadenJamaicaconPsicoterapiaBreve Psicohistoriográfica FWHickling RESUMEN Objetivo: Evaluar el resultado clínico de pacientes con trastorno de la personalidad, que reciben tratamiento con Psicoterapia Breve Psicohistoriográfica (PBP). Método: Pacientes vistos en la práctica privada del autor desde 1974–2010 con diagnóstico de trastorno de la personalidad sobre la base del Manual Diagnóstico y Estadístico de los Trastornos Mentales, cuarta edición revisada (DSM-IV-TR), fueron tratados con PBP. Las respuestas demográficas, clínicas y las medidas de resultado clínicas de un año, fueron desglosadas y analizadas utilizando SPSS, versión 17. Resultados: Cien pacientes completaron el tratamiento con PBP, 34:64 hombres: mujeres; edad promedio 35.86 ± 10.28 años (rango 16–66). El cuarenta y cinco por ciento eran casados, 73% eran From: Caribbean Institute of Mental Health and Substance Abuse (CARIMENSA), Faculty of Medical Sciences, The University of the West Indies, Kingston 7, Jamaica. Correspondence: Professor FW Hickling, Caribbean Institute of Mental HealthandSubstanceAbuse(CARIMENSA),FacultyofMedicalSciences, The University of the West Indies, Kingston 7, Jamaica. E-mail: frederick.hickling@uwimona.edu.jm; fred@fredhickling.com