Academic literature on the topic 'Histrionic personality disorder'

Several types of perceptual distortions of two anxiety-arousing visual stimuli are coded as repression in the Defense Mechanism Test, a tachistoscopic, percept-genetic technique. Given the well-established correspondence between hysteria and repression, the study included a clinical validation of these variants of repression against the diagnosis of histrionic personality disorder. 41 subjects with evidence of this disorder on the Millon Clinical Multiaxial Inventory-II were compared with 41 nonhistrionic controls. Significantly more histrionics were coded for the type of repression in which the threatening figure is transformed into a harmless object (code 1:42), while animal- and statue-repressions, when combined (codes 1:1 and 1:2), were significantly more characteristic of the nonhistrionic group. As an unpredicted finding, significantly more histrionic subjects employed defensive strategies, currently coded as reaction formations (code 4:). Histrionic subjects without concomitant compulsive features were coded more frequently for introaggression (code 6:) compared both with nonhistrionic controls and with histrionic-compulsive subjects. The findings are discussed within the context of the available percept-genetic literature. It is suggested that the Defense Mechanism Test may be further employed to objectify and investigate the defense mechanisms of the DSM-III—R disorders.

Background: We aim at presenting a clinical case of a 37-year-old patient, who has been a nun for several years and at the moment can no longer adapt to the environment in which she lives and to the requirements of everyday life. The perspective of this analysis is both a psychiatric one, explaining the diagnosis of Axis II of Histrionic Immature Personality Disorder, but also the overlap with dissociative conversion disorder, and explanatory from a psychodynamic perspective, by addressing the regression issues and the presence of the Oedipus Complex. Histrionic Immature Personality Disorder and its overlap with Dissociative/Conversion Disorder are conditions with negative effects in terms of adaptation to the social environment and assuming professional responsibilities. Also, the particularities in the sphere of immaturity make it difficult to relate to those around. Method: Hospitalization, psychiatric interview, psychodynamic interview, psychological tests - CAQ Personality Questionnaire and the Szondi Test, psychodynamic interpretations. Results: The results highlight aspects of an immature premorbid personality, characterized by a high degree of sensitivity. Currently, the patient's ego is fragile and cannot adapt to the emotional meanings in the environment in which she lives, which leads to functional crises and manifestations such as dissociative fugue. Conclusions: Dissociative manifestations are associated with immaturity and reduced ability to adapt to professional requirements. On a personal level, the same immaturity leads to the denial of one's sexuality and projection.

This study examines psychopathology and clinical characteristics of patients with borderline personality disorder (BPD) and comorbid narcissistic personality disorder (NPD) from two international randomized controlled trials. From a combined sample of 188 patients with BPD, 25 also fulfilled criteria for a comorbid diagnosis of NPD according to DSM-IV. The BPD patients with comorbid NPD, compared to the BPD patients without comorbid NPD, showed significantly more BPD criteria (M = 7.44 vs. M = 6.55, p < .001), fulfilled more criteria of comorbid histrionic (M = 3.84 vs. M = 1.98, p < .001), paranoid (M = 3.12 vs. M = 2.27, p = .014), and schizotypal (M = 1.64 vs. M = 1.02, p = .018) personality disorders, and were more likely to meet criteria for full histrionic PD diagnosis (44.0% vs. 14.2%, p < .001). The BPD-NPD group also reported significantly fewer psychiatric hospitalizations in the previous year (M = 0.40 vs. M = 0.82, p = .019) and fewer axis I disorders (M = 2.68 vs. M = 3.75, p = .033). No differences could be found in general functioning, self-harming behavior, and suicide attempts.

This study conducted convergent validation on participant’s identification with the prototypical values of histrionic personality disorder repertoire, an important part of acceptance and commitment psychotherapy (ACT). The Multiaxial Inventory of Personality (MCMI – III) was administered to two mixed groups of participants (cases versus controls). Participants were also interviewed using the SCID- II,and a structured interview The content analysis of the structured interviews showed that participants with the disorder had the highest mean in the “A-R-VP self-report identification” at all the 12 values examined on a 0 to 5 point scale, with scores closer to 5. Meanwhile, those without the disorder had scores of identification between 0 and 1. The results of the Student t test confirmed the findings. People with histrionic personality disorder identify themselves with a repertoire of twelve characteristic values of this disorder.
El presente estudio validó  convergentemente, tras un análisis de contenido de entrevistas estructuradas, a un grupo de participantes “casos” versus un grupo equivalente de “controles” mixto su identificación con un repertorio de valores prototípicos del trastorno histriónico de la personalidad. Se aplicó la entrevista SCID-II, el  Inventario Multiaxial  de Personalidad MCMI-III  y la entrevista estructurada. Se halló que los participantes con el trastorno mostraron las medias más altas en su reporte de identificación con  un conjunto de 12 valores examinados  una escala de 0-5 en oposición a quienes no tenían dicho trastorno, los cuales tuvieron puntajes de identificación entre 0 y 1. Los resultados de la prueba t de student confirmaron lo anterior. Se concluye  que  las personas evaluadas con trastorno histriónico de la personalidad  se identifican con un repertorio de doce valores característicos de este trastorno.
La présente étude a validé de manière convergente l’identification que les participants de deux groupes mixtes équivalents, l’un de cas et l’autre de contrôles, ont fait sur un répertoire de valeurs prototypiques du trouble de personnalité histrionique, en tenant compte de son importance dans la diffusion et l’acceptation dans la thérapie d’acceptation et d’engagement (ACT). L’interview SCID-II, l’Inventaire Multiaxial de Personnalité MCMI-III et une entretien structurée ont été appliquées. Après avoir analysé le contenu des entretiens structurés et l’auto-rapport (A-R-VP) des identifications avec les valeurs du trouble en question, il a été constaté que les participants avec le trouble de la personnalité histrionique montraient les moyens les plus élevés sur une échelle de 0 -5, avec des valeurs plus proches de 5, alors que celles sans trouble présentaient des scores d’identification entre 0 et 1 sur la même échelle. Les résultats du test t de Student ont confirmé ce qui précède. On conclut que les personnes évaluées avec un trouble de la personnalité histrionique sont identifiées avec un répertoire de douze valeurs caractéristiques de ce trouble
O presente estudo validou a identificação com um repertório de valores prototípicos do transtorno de personalidade histriônica de um grupo de participantes com esse distúrbio em oposição a outro grupo de participantes sem este trastorno de personalidade que são importantes na defusão e na deliteração no Terapia de aceitação e compromisso (ACT). Desta forma, formaram-se um grupo de casos e outro grupo de controles. Ambos os grupos foram misturados. A entrevista SCID-II, o Inventário de Personalidade Multiaxial MCMI-III e a entrevista estruturada foram aplicadas. Os participantes com o transtorno tiveram os meios mais elevados em seu relatório “A-R-VP de identificação com um conjunto de 12 valores con escores perto de 5, examinados em uma escala de 0 a 5, em oposição àqueles que não tinham o referido transtorno, que apresentavam escores entre 0 e 1. Os resultados do teste de Student t confirmaram o acima. Conclui-se que as pessoas avaliadas com transtorno de personalidade histriônica são identificadas com um repertório de doze valores característicos desta desordem.

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Personality can be defined as a set of relatively long traits that influence the interactions of the subject with the environment and adaptations to the intrapsychic, physical and social. Thus, only when inflexible and maladaptive do personality traits cause significant functional impairment or subjective suffering, which constitutes Personality Disorder (PD). According to the definition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), PDs begin in adolescence or early adulthood, are stable over time and lead to losses and are characterized by the following types: Paranoid; Schizoid; Schizotypal; Antisocial; Borderline; Histrionic; Narcissist; Evitative; Dependent and Obsessive-Compulsive. Recently, with regard to the measurement of PD, the Personality Disorders Assessment Instrument (IATP) was built and validated, which is part of the general evaluation of all the PT groups, but there were no psychometric Consonant with the literature, capable of interpreting the disorder of the Histrionic personality. Therefore, this dissertation had, as a general objective, to obtain evidence of validity of the modified and reduced version of the Inventory for Evaluation of Personality Disorders - IATP-R, including histrionic TP items. The present study had a total sample of 373 participants, of which 343 were university students (non-clinical sample) selected for convenience and 30 patients attended by psychologists and / or psychiatrists who used psychotropic medication, which characterized the clinical sample , Selected using the Simple Random Sampling technique (AAS). The investigation verified the unidimensionality of each set of items in the disorders through analysis. The factorial analysis (PA), using the factorial main axes method (PAF) and direct oblimin rotation, resulted in a final matrix composed by 8 factors that were organized as representative of the following personality disorders: Paranoid; Schizoid; Schizotypal; Narcissist; Evitative; Dependent and Obsessive-Compulsive. For the Anti-Social and Borderline factors, there were no psychometrically satisfactory items and in agreement with the literature capable of interpreting these TPs. The structure indicated a total explained variance of 50.2%, regarding the reliability index, which was calculated through Cronbach's alpha, scored between 0.70 and 0.83, presenting acceptable indexes for this measure. Regarding the TRI analysis, the factors that obtained the best discrimination and difficulty parameters were the TP: Histrionic; Narcissist; Dependent; Paranoid and Schizotypal; All medium to extremely difficult. It should be noted that, in the TRI, seven factors were analyzed, leaving out the schizoid TP factor, because it presented only two items after the FA. The value of the theta (ability) of subjects estimated from the TRI are presented in this investigation as a possible tool for decision making regarding the presence or absence of a specific TP. The results are generally considered satisfactory and the validated instrument can be used as a tool for research purposes in the evaluation of personality disorders.
A personalidade, pode ser definida como um conjunto de traços relativamente duradouros e que influencia as interações do sujeito com o ambiente e adaptações ao intrapsíquico, físico e social. Deste modo, somente quando inflexíveis e mal adaptativos, os traços de personalidade causam significativos prejuízos funcionais ou sofrimentos subjetivos, o que configura o Transtorno da Personalidade (TP). Segundo a definição do Manual Diagnóstico e Estatístico de Transtornos Mentais (DSM-5), os TP tem início na adolescência ou início da idade adulta, é estável ao longo do tempo e leva a prejuízos e são caracterizados pelos seguintes tipos: Paranoide; Esquizoide; Esquizotípica; Antissocial; Borderline; Histriônica; Narcisista; Evitativa; Dependente e Obsessivo-compulsiva. Recentemente, no que se refere à medida dos TP, foi construído e validado o Instrumento Avaliação dos Transtornos da Personalidade (IATP ) que se enquadra nos instrumentos voltados para a avaliação geral de todos os grupos de TP, porém não houve itens psicometricamente satisfatórios e em consonância com a literatura, capazes de interpretar o transtorno da personalidade Histriônica. Diante disso, esta dissertação teve, como objetivo geral, obter evidências de validade da versão modificada e reduzida do Inventário para Avaliação dos Transtornos da Personalidade – IATP-R, incluindo os itens do TP histriônica. O presente estudo contou com uma amostra total de 373 participantes, da qual 343 era de estudantes universitários (amostra não clínica) selecionados por conveniência e 30 pacientes atendidos por psicólogos e/ou psiquiatras que faziam uso de medicação psicotrópica, a qual caracterizou a amostra clínica, selecionada por meio da técnica de Amostragem Aleatória Simples (AAS). A investigação verificou a unidimensionalidade de cada conjunto de itens nos transtornos através de análises. A Análise fatorial (AF), realizada pelo método dos eixos principais fatoriais (PAF) e rotação direct oblimin, resultou em uma matriz final composta por 8 fatores que se organizaram como representativos dos seguintes transtornos da personalidade: Paranoide; Esquizoide; Esquizotípica; Narcisista; Evitativa; Dependente e Obssessivo-compulsiva. Para os fatores Antissocial e Borderline, não houve itens psicometricamente satisfatórios e em consonância com a literatura capazes de interpretar esses TP. A estrutura apontou uma variância total explicada de 50,2%, quanto ao índice de confiabilidade, que foi calculado através do alfa de Cronbach, pontuou entre 0,70 e 0,83, apresentando índices aceitáveis para esta medida. Quanto à análise da TRI, os fatores que obtiveram os melhores parâmetros de discriminação e dificuldade foram os TP: Histriônico; Narcisista; Dependente; Paranoide e Esquizotípica; todos entre medianos e extremamente difíceis. Cabe destacar que, na TRI, foram analisados sete fatores, ficando de fora o fator TP esquizoide, por apresentar apenas dois itens após a AF. O valor do teta (habilidade) dos sujeitos estimados a partir da TRI são apresentados nesta investigação como uma possível ferramenta para tomada de decisão quanto à presença ou ausência de um TP específico. Os resultados de modo geral são considerados satisfatórios e o instrumento validado pode ser utilizado como ferramenta para fins de pesquisa na avaliação dos transtornos da personalidade.

In this chapter essential aspects of personality disorder will be reviewed including paranoid personality disorder, schizoid personality disorder, schizotypal personality disorder, borderline personality disorder, histrionic personality disorder, narcissistic personality disorder, Avoidant personality disorder, dependent personality disorder, obsessive-compulsive personality disorder and antisocial personality disorder

This chapter discusses the personality disorders. Patients with personality disorders exhibit enduring patterns of behavior that are maladaptive, inflexible, and pervasive. These patients experience difficulty in three core domains of personality functioning: sense of self, interpersonal relationships, and affect regulation. Patients with the cluster A personality disorders (paranoid, schizoid, and schizotypal) tend to suffer profound compromise of functioning. Features that are shared by many patients with the cluster B disorders (borderline, narcissistic, antisocial, and histrionic) include emotional reactivity, poor impulse control, and an unclear sense of identity. Patients with borderline, narcissistic, and antisocial personality disorders are also often characterized by high levels of aggression, whereas patients with histrionic personality disorder share a more favorable prognosis with the cluster C personality disorders (avoidant, dependent, and obsessive-compulsive). Psychotherapy is the backbone of treatment for the personality disorders.