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5 Cards in this Set
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Histrionic Personality Disorder: Def
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Histrionic personality disorder (HPD) is categorized as a Cluster B personality disorder (dramatic,emotional or erratic) characterized by enduring patterns of self-centeredness, seductiveness, shiftingemotional expressiveness, over- dramatization, superficial expressions of intimacy, excessivesuggestibility, and over-generalizations of speech.
Traits such as gregariousness, manipulativeness, lowfrustration tolerance, pseudo-hypersexuality, suggestibility, and somatizing tendencies have also beenidentified |
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HPD: Sx and Dx
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DSM5.pages DSM-5TM lists eight symptoms that form the diagnostic criteria for HPD:
Center of attention: Patients with HPD experience discomfort when they are not the center ofattention. Sexually seductive or provocative: Patients with HPD display inappropriate sexually seductiveor provocative behaviors towards others. Shifting emotions: Their expressions of emotions tend to be shallow and to shift rapidly. Physical appearance: They consistently employ physical appearance to gain attention tothemselves. Speech style: Their speech patterns lack detail as they tend to generalize and try to please andimpress others. Dramatic behaviors: Patients with HPD display self-dramatization and exaggerated emotionalexpressiveness. Suggestibility: They are easily influenced by others and by circumstances. Overestimation of intimacy: Patients with HPD tend to overestimate the level of intimacy theyhave established in relationships. (p. 667) |
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HPD: Subtypes
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Theatrical histrionic - especially dramatic, romantic, and attention seeking.
Infantile histrionic - including borderline features. Vivacious histrionic - synthesizes the seductiveness of the histrionic with the energy level typical ofhypomania. Appeasing histrionic - including dependent and compulsive features. Tempestuous histrionic - including negativistic (passive-aggressive) features, out-of control, stormy,impassioned, and turbulent manner. Disingenuous histrionic - egocentric, antisocial features, a coating of friendliness and sociability,impulsive tendencies, and relationships are shallow. |
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HPD: Instruments
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The Shedler-Westen Assessment Procedure-
Shedler-Westen Assessment Procedure The MMPI Millon Clinical Multiaxial Inventory Psychopathic Personality Inventory Personality Diagnostic Questionnaire Coolidge Axis II Inventory |
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HPD: Treatments
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CBT
Psychodynamic-oriented Analytic Psychotherapy Cognitive Analytic Therapy (CAT) *The therapist should avoid responding to his/her emotional and seductive behaviors. Psychotherapeutic effectiveness is enhanced when therapists adhere to the following guidelines: Listen with respect. Help the client become more logical and focused on problem solving. Empathize with emotional pain or distress but remain clinically objective about the client’sdescriptions of alleged injustice/abuse. Avoid over-reacting to intense emotions. |
