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РАССТРОЙСТВА ЛИЧНОСТИ: ОТ ИСТОРИЧЕСКИХ АСПЕКТОВ К СОВРЕМЕННЫМ ПРЕДСТАВЛЕНИЯМ
This article presents a narrative review of the key theoretical and clinical approaches to understanding personality disorders. It traces the historical evolution of the concept, from early psychiatric descriptions to its current formulations in the DSM-5 and ICD-11 classifications. The review discusses differences in the definition of personality disorders and evaluates the advantages and disadvantages of categorical versus dimensional diagnostic systems. Special attention is given to comparing psychodynamic, cognitive-behavioral, and neurobiological models, including their influence on treatment strategies. The article provides a detailed analysis of neurobiological models of personality disorders, including data on structural and functional brain changes, neurochemical imbalances, and genetic factors, as well as their potential for the development of biomarkers and individualized therapies. Furthermore, it outlines the principles of psychotherapeutic interventions according to different theoretical frameworks-from psychoanalytically oriented therapy and schema therapy to dialectical behavior therapy. The review also examines the possibilities and limitations of pharmacotherapy, including current data on its efficacy and applicability across various types of personality pathology. This comprehensive overview aims to present the current state of the field and may be of interest to professionals in psychiatry and psychotherapy, as well as researchers exploring the development of integrative models for the diagnosis and treatment of personality disorders.