PERSONALITY DISORDERS – LEC 08
Histrionic Personality Disorder
Pen State Coach: Sandusky trial; example where the media suggest histrionic personality
disorder. Overdramatized close bonds with people around them. They can be seductive.
• Often mixed up with BPD because of attention seeking behaviour. Often more common
in latin american cultures...why?
• Apervasive pattern of excessive emotionality and attention seeking, beginning by early
adulthood and present in a variety of contexts, as indicated by five (or more) of the
• (1) Uncomfortable in situations in which he or she is not the center of attention.
• (2) Interaction with others is often characterized by inappropriate sexually seductive or
• (3) Displays rapidly shifting and shallow expression of emotions.
• (4) onsistently uses physical appearance to draw attention to self.
• (5) Has a style of speech that is excessively impressionistic and lacking in detail.
• (6) Shows self-dramatization, theatricality, and exaggerated expression of emotion.
• (7) Is suggestible, i.e., easily influenced by others or circumstances.
• (8) Considers relationships to be more intimate than they actually are.
• Has high prevelance,APAestimates 2-3% and much higher in clinical settings.
• Shares a history with Axis I disorders:
o Conversion Disorder: sensory or motor deficit due to psychological causes that
mimics neurological disorder. For example, in Freud’s time when people had
paralysis in parts of their body. o Somatization Disorder: recurring clnically significant somatic complaints (body)
other than pain not fully explained by general medical condition.
• People who have the symptoms from their body, tend to be over-dramatized in the show
emotions just like in Histrionic PD.
• Also holds a tie to old notions of hysteria: used to denote a variety of conditions
including extreme reactions to stress, isolated conversion symptoms, somatization, and
o Often reflected an anti-woman sentiment: Freud days. However this is not true
since men too can act this way.
Comorbidity: HPD and Somatization & More History:
• Estimates of patients with somatization who also have HPD range from 7.4% to 81.8%.
• In another study, 12.8%