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Histrionic personality disorder (or hysteria ) - Is a mental disorder in which the patient is very emotional, requires constant attention to himself and could not properly respond to the world around us. Such a person evaluates himself too high, not counting neurotic disorders Disease. In psychoanalysis, histrionic personality disorder is a condition a person with hysterical personality type, which is on the borderline level of personality organization.
Movement of a person suffering from hysteria, sharp, the voice is very loud, sometimes indistinct. Behavior - manipulative, unnatural. For example, a psychologist Kernberg calls the people suffering from such kind of personality disorder, impulsive and surface . And Jaspers says that hysterics feel the need to appear in front of others and himself more than he actually is. Symptoms of histrionic personality disorder are common to all patients.
These people feel that they are constantly "on the stage", when describing the most ordinary events they resort to active gestures, theatrical gestures. For them, the main thing - to be the center of attention, for this they are provocative and challenging, bright dress. However, they are easily influenced by others.
The main objective of these people - attract worldwide attention To achieve this, they are constantly changing, trying to impress. In fact, they may not realize that they are, they have their own views on life, lacks maturity and seriousness. Their main task - is to get the approval and praise of others, " thirst for attention ". They are selfish, vain and very intrusive, in fact can not be put off for a long time to have fun. Some even try to commit suicide, but only in order to manipulate others. These people are insipid, empty, for them the most important - is the outer impression they dramatize the most usual situation. If people suffering from this disease are not in the limelight, you feel uncomfortable.
Hysterical psychopathy is peculiar to a particular warehouse person, in the small age child psychology identifies several signs of the disease.
In the pre-school period for hysterics characterized by a penchant for imitation, imagination, imaginative . In adolescence manifested self-centeredness, frivolity, waste, participated in all sorts of adventures . Young people with histrionic personality disorder, is simply not able to work hard, do not fulfill the promise, get involved in all sorts of adventures . They lead an idle life, rich entertainment and new experiences . These people follow the fashion, often go on popular film and theater premieres, like the well-known artists and acclaimed books . At the young age of hysteria easy to fall in love, they give birth to numerous short-lived romances, very rapidly showing their feelings, but quickly loses interest in the subject of passion . The same thing happens in friendly terms, they have a lot of superficial acquaintances, and the deep affection they are not able . And normally in life they can not find someone who would understand them and to whom they could trust . These people often come in early and unhappy marriages .
Tantrums do not see the boundaries between reality and their fantasies, between the objective world and their dreams, and the world takes on bizarre shapes. According to analysts, hysterical disorders occur at the age of four to six years.
Histrionic personality disorder in women manifests itself in emotional lability. Such women can easily come into contact with others, different theatrical and emotional behavior. They are sexually inhibited, often crying, prone to romanticism, and are able to understand complex human reaction, despite the immaturity of their own personality and emotion. Some hysterical women look timid and shy, but at the same time exploring the eroticism and seduction. These women use as a manifestation of infantile protection adult Sexuality . Men suffering from hysteria prone to emotional dramatization, can behave impulsively, showing an explosion of emotions. Such men behave seductive, sexual behavior appears infantile, it shows a tendency to flirt, promiscuity.
Summarizing all the above, there are several signs suggesting the disease. With these 4 signs you can talk about histrionic personality disorder.
- if the person is not in the spotlight, then I felt uncomfortable;
- heightened emotion, emotions are deep and volatile;
- theatricality too extreme emotions, a dramatization of events;
- exposure to another's influence;
- provocative behavior, sexually provocative;
- very emotional speech, lack of attention to detail;
- increased attention to their appearance in order to draw attention to himself.
The disease occurs at an average of 2-5% of the adult population, equally in both men and women. Such disorders are common among relatives.
Symptoms of histrionic personality disorder
This disease is also called the scientific literature gistrionnym or hysteroid personality disorder . You can also find this name as demonstrative personality syndrome . Histrionic personality disorder refers to a psychopathic disorder characterized by the need of the individual in getting attention, feigned behavior, unstable self-esteem. People suffering from hysteria, divided into hysterical and gistrionnye personality. Both personality types tend to be always at the center of their social behavior and deliberately provocative to attract attention.
A distinctive feature of people with histrionic personality disorder is style of speech . Their speech is impressionistic, theater, with an emphasis on their own vivid emotions. Behavior isteroidov sexually provocative. Also, such people can attract attention by any means, as well as unconsciously overestimate the level at which they are relationships with other people. For example, they can be considered close friends of people who barely know.
According to the theory put forward by scientists psychodynamic, people with histrionic personality disorder in childhood are faced with unhealthy relationships within the family . In such a family, where they were debarred and power parents, children do not feel loved, afraid of being rejected. It is because of this fear of being rejected, and because of the fear of losing, these people began to dramatize every situation, to invent problems and crises that adults care about them.
Theorists of cognitive directions argue that due to the fact that people are becoming more emotional, they lose the opportunity to acquire new knowledge about the world. To understand what happens in the world, they have to rely on the knowledge of others. It is believed that people hold-isteroidy installation of their inability to take care of themselves and are looking for people who can satisfy their needs. Theorists of social and cultural areas believe that the causes of hysterical personality disorders are rooted in the norms of society, its requirements and expectations. In modern life, often need to seek the attention and admiration of others by theatrical behavior. It is these values and may be the cause of hysterical disorders personality.
Diagnosis of histrionic personality disorder
Diagnosis " histrionic personality disorder "Occurs according to ICD-10. Thus, the disorder is diagnosed in the presence of a person 3 or more criteria personality disorders, which include:
- theatricality, exaggerated expression of emotions, artificiality, exaggeration statements;
- superficiality, instability of the emotional state, the laughter gives way to tears easily, aggression. A person can be both sociable and closed;
- excessive concern their own appearance and attractiveness;
- ongoing commitment to being in the limelight;
- increased seductiveness and provocative behavior;
- easy suggestibility and influence the people around them and the circumstances on mood and emotional state. Such a person may act like heroes arrive in movies, books, advertising;
- self-centeredness, lust for recognition, the reluctance to notice the interests and needs of others;
- sexual temptation all potential partners;
- manipulative behavior to satisfy their desires and goals.
Treatment of histrionic personality disorder
People suffering from hysteria, often independently use the services of a physician, especially to attract the attention of the doctor to the person. Treatment of these patients can be quite a difficult task, because Patients capricious, trying to manage the treatment and seduce the doctor. Sometimes these patients may say something nice to your doctor, such as the fact that they have been major changes in the course of treatment, although in fact there were no changes.
The doctor must keep a certain distance in the treatment of such a patient, and to fix attention on complaints of the latter, on the form display needs. In this case, simplified diagnostics of histrionic personality disorder, as being at a distance more easily monitor the condition of the patient. Such patients are trying to move the process to the treatment of personal relationship, but in this case the doctor must maintain a balance between the benevolent attitude under certain distance.
Treatment of histrionic personality disorder is generally quite favorable prognosis under normal social and labor conditions, possible long-term compensation. Such people remain youthful graceful, their movement theater and plastic. Sometimes there are also creative people, but there are poseurs.
With age, they become more serious, however, some theatrics in behavior is still present. These people know how to make a good impression, to cause me to sympathy. Sometimes these people are concerned, especially when the symptoms of agitation, such as the histrionic personality disorder spasms . nausea . dizziness . vomiting . trembling fingers . Such people can properly adapt and live in the community, but there is a risk of decompensation in older age, which may be associated with physical illness, menopause .
Less favorable prognosis in people with histrionic personality disorder in the case of the latter tendency to fantasize and pathological Vrana ( pseudologist ). These people lie in early childhood, even without cause, and themselves begin to believe in what came up. Such people are incapable of long-term systematic work, instead of working in their imaginations fly. Pseudologist become swindlers, fraudsters involved in adventures.
Used in the treatment of both individual and group therapy.
Drug therapy is less effective and is used in the presence of severe depressive symptoms in a patient. Used MAO inhibitors and tetracyclic antidepressants .
Starting treatment histrionic personality disorder is necessary as soon as possible, immediately after the diagnosis. During the treatment of the disease manifestations of hysteria gradually reduced, improving interpersonal adaptation. If the treatment does not pass, the position of the patient is unstable, and the condition can get worse.
Psychiatrists trying to help people with histrionic personality disorder find themselves and use their abilities in any field of life, to succeed, and to develop a more rational ways of thinking. If the patient is aware of his problem, find ways to be pleased with themselves and become self-reliant. In each case, a specific approach should be used, which selects a professional doctor.
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