Histrionic personality disorder - Causes, Symptoms and Treatment .MF .
People with histrionic personality disorder are extremely emotional and constantly seek attention.As a rule, they are described as "emotionally charged".Excessive quickly changing moods can be quite complicate their lives, they are always "on stage": even describing daily events, they have resorted to theatrical gestures and elaborate speech.These people are constantly changing, trying to attract the attention of others, and to impress them;it seems that they do not have the feeling that they are actually present.Their speech is rather poor in essential details, and they are often followed by the rage, trying to arouse the admiration of others.
approval and praise make sense of the lives of these individuals;they should make others witnessed his emotional elation and manifestations of his mood.They are unable to save for a long term enjoyment.Vain, self-centered and persevering, they too rapidly react to any slight event, which gets in the way of their search of attention.Some commit suicide attempts,
Until recently it was believed that the disorder is more common in women than in men.Recent studies suggest that this is a personality disorder occurs in 2-3% of adults, with males and females exposed to it equally (APA, 1994;. Nestadt et al, 1990).
Symptoms of histrionic personality disorder
peculiarity of the hysterical psyche is the lack of clear boundaries between the products of his own imagination and reality.The real world is for the person with hysterical psyche becomes a kind of fantastic shapes;objective criterion is lost for him, which often gives rise to others accuse such a man in the best of lying and hypocrisy.Just wrong hysteric perceives and processes in your own body and your own psyche.Some people experience a completely escape his attention, while others, on the contrary, are estimated extremely thin.Because of the brightness of certain images and ideas, and the pallor of other people with a hysterical psyche quite often do not see the difference between fantasy and reality, between the reality and the vision occurred in a dream, or rather speaking, I am not able to do it.
They are unable to systematic, hard work, the choice of an occupation prefer amateurish activities and are baffled by the tasks that require persistence, thorough knowledge and solid training.Most of all, they like the idle life on the outside, ostentatious splendor, diverse entertainment, frequent change of impressions.They willingly and selflessly perform ritual celebrations and banquets, in all tend to follow the fashion, enjoying success attend performances, "worship" of popular artists, discussing the sensational books and t. N.
Most of them are gullible, easily attached to people.It is often observed tendency to erotization interpersonal relations;fall quickly, setting the stage for numerous, often short-lived romance, accompanied by first stormy manifestation of feelings.However, being fickle in their enthusiasm, they also cool down quickly.In more rare cases, form stable ecstatic attachment formed by the type of overvalued entities.
People with this personality disorder can draw attention to themselves, exaggerating their physical ailments or a feeling of weakness.In addition, they tend to exaggerate their relationship - for example, can consider themselves close friends of people who actually see them as just casual acquaintances.
Causes of histrionic personality disorder
Most psychodynamic theorists believe that, as children, people with this disorder are faced with unhealthy relationships, in which the cold and imperious parents made them feel unloved and caused fear of being rejected.To guard against the latent fear of loss, these individuals began to dramatize the situation, inventing crises that would encourage others to exercise care for them.
cognitive explanations, in turn, pay special attention to the lack of consistency and extreme suggestibility, is found among people with hysterical disorder.According to the theorists of cognitive areas, where people are becoming more and more self-centered and emotional, they have little opportunity for learning about world events.Since they do not have detailed memories of what they had never studied, they have to rely on intuition, or on other people.Some cognitive theorists also believe that a person with this disorder generally follow the installation that they can not take care of themselves, and therefore constantly strive to find other people that will satisfy their needs.
Sociocultural theorists hypothesize that histrionic personality disorder may be rooted in the norms and expectations of society.Modern society often encourages people to attract attention, give theatrical features of their appearance and seek admiration from others.Social and cultural theorists argue that these values can also be a prerequisite for the emergence of a hysterical and narcissistic disorders.
prognosis of hysterical psychopathy
prognosis of hysterical psychopathy in general can not be considered unfavorable.In adulthood, with good social conditions and working environment in most cases can be long-term and stable compensation.With age, they become smoother and more seriously, they have the necessary work skills, but a theatrical element in behavior remain;first of all it affects the ability to make a good, favorable impression for yourself, arouse sympathy and, if necessary, and sympathy.The most complete with hysterical psychopathy compensation processes take place in the case of the predominance of the manifestations of psychotic tendency among different vegetative and hysterical paroxysm (cramps, feeling of suffocation when agitated, nausea, vomiting, aphonia, tremor of the fingers, numbness and other disorders of sensation).By 30-35 years of age are psychopathic personality sufficiently adapted to the real situation can be corrected their behavior.In life, it is emphasized binding people, diligent, successfully coping with their professional duties, preserving family ties are strong enough.However, in such embodiments, hysterical psychopathy is more likely the risk of decompensation in old age, which is often associated with the deterioration of physical health (hypertension, ischemic heart disease and other diseases) and menopause.Along with growing depression, fatigue, tearfulness, anxiety fears for his health to the forefront can be extended more resistant hypochondriac symptoms, accompanied by diverse pain, conversion, and autonomic disorders.
less favorable prognosis in the case of the prevalence in the structure of the hysterical personality tendency to pathological fantasy.Such psychopathic personality distinguished by some authors as a separate group - the pathological swindlers and pseudologist, mifomany, liars and deceivers.These people are lying at a young age, sometimes without any reason and meaning.Some are so get used to the situation created by their imagination that they themselves believe in them.One can enthusiastically talk about travel in the taiga as a part of a geological expedition in which they never participated;others without medical training, described as if made of complex surgical operations.Fantasies sometimes turn into self-incriminating confessions from the fictional crimes and even murders.Decompensation, usually quite frequent, occur either in the school years, or a little later, with the transition to self-employment.For the first time after joining or transferring to a new place, they make an impression on others thoughtful, conscientious, enthusiastic, talented professionals.However, it soon found their complete failure.They are extremely serious concern to the assigned work, unable to work systematically, instead of the real problems are busy fantastic inventions.Compared with conventional tantrums pseudologist more active in an effort to realize their dreams.It is not always an innocent lie.Most pursues selfish ends, leading to a clash with the law.Among pseudologist formed a motley gallery of small scams, soothsayers, marriage scams, charlatans posing as doctors, or extortion, receiving prizes and cash advances for services, which could never have.
Diagnostics histrionic personality disorder
Personality disorder characterized by:
- samodramatizatsiey, theatricality, exaggerated expression of emotions;
- suggestibility, easily influenced by others or circumstances;
- superficiality and emotional lability;
- constant quest for excitement, recognition from others and activities in which the patient is the focus;
- inadequate seduction in appearance and behavior;
- concern over physical attractiveness.
- Additional features may include egocentricity, indulgence towards themselves, the constant desire to be recognized, ease grievances and constant manipulative behavior to meet their needs.
- hysterical personality;
- gistrionnaya personality.
Treatment hysterical personality disorders
People with this disorder, as opposed to those with most other personality disorders, turning frequently for help.However, working with them can be very difficult, because these customers can bring in their treatment process requirements, moods and techniques of seduction.Another problem is the following: a person with histrionic personality disorder may claim that they have done for themselves, or important discoveries that have changed with them during treatment, just to please the therapist.
Cognitive therapists try to help people with this disorder to change their view of the helplessness and develop them better, more rational ways of thinking and problem solving.
used as psychodynamic and group therapy.
In all these approaches, physicians rely on the fact that people are aware of their excessive dependence, find a way to get inner satisfaction and become more self-reliant.Clinical reports show that each of these approaches is useful in certain situations.
Drug therapy helps to a lesser extent, except in cases of depressive symptoms observed in some patients.