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PSYD32H3 (14)


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Anthony Ruocco

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2012-11-08 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. Diagnostic Criteria: • 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 following: • (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 provocative behaviour. • (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. Prevalance: • Has high prevelance,APAestimates 2-3% and much higher in clinical settings. Historical Perspective: • 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 personality disorder. 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%
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