Understanding Personality Disorders

824 Words2 Pages

I. Basics A. Description 1. A condition with onset at or before adolescence characterized by persistent patterns of dysfunctional behavior (excessive emotionality & attention seeking) deviating from one's culture and social environment that lead to functional impairment and distress to the individual and those who have regular interaction with the individual. 2. Behaviors are perceived by the patient to be "normal" and "right" and they have little insight as to their responsibility for these behaviors. 3. Condition is classified based on the predominant symptoms and their severity. 4. Cluster B Personality Disorder (inclusive of antisocial, borderline, histrionic and narcissistic personality disorders) characterized by a pervasive pattern of excessive emotionality and attention seeking, present in a variety of contexts B. Symptoms 1. Uncomfortable in situations where not the center of attention 2. Interaction with others is often seen as inappropriate and sexually seductive 3. Overly concerned with physical appearance 4. Shows self-dramatizations, theatrical behavior, and exaggerated emotions 5. Shifts emotions rapidly 6. Constantly seeking reassurance 7. Excessively sensitive to criticism or disapproval 8. Considers relationships to be more intimate than they actually are C. Complications Involved 1. Unstable relationships with family, friends and coworkers 2. May be characterized by separations and divorces 3. Disruptive work patterns such as absenteeism, frequent job changes and decreased productivity 4. Increased demand for outpatient medical visits due to psychological condition and attention seeking behavior D. Prevalence 1. Affects 2-3% general population 2. Tends to be identified more frequently in females 3. Starts in adolescence and early twenties and persists throughout one's life in the absence of treatment 4. 10 – 15% inpatient and outpatient mental institutions II. Etiology A. There is a lack of research for the exact causes of histrionic personality disorder; however it is thought that HPD may be caused by biological, developmental, cognitive, and social factors. 1. Neurochemical/physiological causes: Studies show that patients with HPD have highly responsive noradrenergic systems, the mechanisms surrounding the release of a neurotransmitter called norepinephrine. 2. Developmental causes: Most psychoanalysts agree that a traumatic childhood contributes towards the development of HPD. Some theorists suggest that the more severe forms of HPD derive from disapproval in the early mother-child relationship. 3. Biosocial learning causes: Biosocial learning models of HPD suggest that individuals may acquire HPD from inconsistent interpersonal reinforcement offered by parents. Proponents of biosocial learning models indicate that individuals with HPD have learned to get what they want from others by drawing attention to themselves. 4. Sociocultural causes: Studies of specific cultures with high rates of HPD suggest social and cultural causes of HPD.

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