Histrionic Personality Disorder

People with Histrionic Personality Disorder always want the attention and attention of the people in their environment and social relations with them, and they make great efforts to ensure this situation (American Psychiatric Association, 2013).

The main feature of individuals diagnosed with histrionic personality disorder is that they experience extreme emotionality in almost all areas and are in need of extreme attention. These people generally cooperate during the treatment process and have an attitude of waiting to be helped. Its incidence is 2-3% in general and 10-15% in psychiatry clinics. It is reported that histrionic personality disorder is more common in women, but it is thought to be less diagnosed in men (Köroğlu-Bayraktar, 2011).

When people with Histrionic Personality Disorder are in the same environment with other people, they draw attention to themselves and can attract everyone’s attention. The reason for this is that they do not have difficulty in expressing their feelings and thoughts and they perform it comfortably as if they are acting on a stage (Köroğlu-Bayraktar, 2011). While exhibiting such behaviors, they usually use their bodies and facial expressions, and they can increase the dose of these (American Psychiatric Association, 2013).

Histrionic people are often capricious and vulnerable to frustration and frustration. The words they use when communicating with people do not have deep meanings and usually the other person notices the shallow situation in the conversation. (American Psychiatric Association, 2013). They can quickly establish social relationships that require friendship and intimacy, but may be rejected by people due to the shallowness of their approach (American Psychiatric Association, 2013).

Histrionic people have trouble maintaining long-term impressions on other people. Despite having a crowded social environment, the low number of friends is striking (Köroğlu-Bayraktar, 2011).

Considering the general population of individuals with Histrionic Personality Disorder, many have deep sexual fears or thoughts of limitation. (American Psychiatric Association, 2013). These people have a very flirty attitude and an excess of seduction-oriented behaviors on other people, which leaves a very noticeable effect (Öztürk, Uluşahin, 2016).

Histrionic people are incapable of observing their own feelings and thoughts. Events in the outer world are more striking to them than their inner world. They keep the value they give themselves dependent on the judgments other people make for them (Köroğlu-Bayraktar, 2011).

As stated in the DSM-5 Diagnostic Criteria Reference Manual, a person must have at least five or more of the following items in order to be diagnosed with Borderline Personality Disorder (American Psychiatric Association, 2013).

It is possible to state the diagnostic criteria listed in the DSM-5 Diagnostic Criteria Reference Manual for individuals with Narcissistic Personality Disorder as follows;

  1. Individuals with Histrionic Personality Disorder want to get all the attention in the environments they are involved in and become unhappy when they cannot provide this (American Psychiatric Association, 2013).

  2. Individuals with Histrionic Personality Disorder do not avoid exhibiting sexually unacceptable attitudes and behaviors (Öztürk, Uluşahin, 2016).

  3. Individuals with Histrionic Personality Disorder have shallow and superficial feelings towards other people, and these feelings can change at any time (American Psychiatric Association, 2013).

  4. Individuals with Histrionic Personality Disorder attach great importance to their appearance and spend a lot of time and energy on this issue. One of the reasons for this is to receive the attention and interest they see as their right by their social circles (Öztürk, Uluşahin, 2016).

  5. It is striking that the content of the conversations of individuals with Histrionic Personality Disorder with the people they are in contact with has a shallow structure (American Psychiatric Association, 2013).

  6. People diagnosed with Histrionic Personality Disorder have attitudes as if they are acting on the stage, and these attitudes are usually noticed by other people as excessive of these attitudes (Öztürk, Uluşahin, 2016)

  7. People diagnosed with Histrionic Personality Disorder can be easily influenced by other people (American Psychiatric Association, 2013).

  8. These people demand more than the relationships they have established with other people (Öztürk, Uluşahin, 2016).

  9. It should be kept in mind that Histrionic Personality Disorder has similarities with other personality disorders in the DSM-5 Book, and care should be taken in the diagnosis phase (American Psychiatric Association, 2013).

When Narcissistic Personality Disorder and Histrionic Personality Disorder are compared, while people want to be the center of attention in both diagnoses, they do not feel uncomfortable to demand it, thinking that they deserve it (Öztürk, Uluşahin, 2016). When the conditions that distinguish Narcissistic Personality Disorder and Histrionic Personality Disorder are examined, the individual in Narcissistic Personality Disorder sees himself as superior to other people (American Psychiatric Association, 2013). In Histrionic Personality Disorder, on the other hand, people do not hesitate to stage their elegant, vulnerable, weak character and dependent personality roles in order to attract the attention of the public (Öztürk, Uluşahin, 2016). It will be easier to distinguish between Narcissistic Personality Disorder and Histrionic Personality Disorders at these points (American Psychiatric Association, 2013).

When Borderline Personality Disorder and Histrionic Personality Disorders are examined, it is seen that they can easily use the people around them to reach the places and situations they desire (Öztürk, Uluşahin, 2016). The important point to be considered in order to distinguish between Borderline Personality Disorder and Histrionic Personality Disorders is that individuals with Histrionic Personality Disorder do not have suicidal thoughts or attempts (Şenyuva, 2007).

When Borderline Personality Disorder and Histrionic Personality Disorders are examined, another point as a differential diagnosis is the feeling of being in a vacuum that people generally complain about (American Psychiatric Association, 2013). Individuals diagnosed with Borderline Personality Disorder frequently express that they are in a vacuum and that they are uncomfortable with this situation (Öztürk, Uluşahin, 2016). Individuals diagnosed with Histrionic Personality Disorder do not express discomfort from such a condition (AmericanPsychiatric Association, 2013).

Individuals diagnosed with Histrionic Personality Disorder used role-playing as a problem-solving mechanism in childhood. When the parents of these people are examined, a provocative mother and an intolerant and cold father figure are encountered (Köroğlu-Bayraktar, 2011).

It is seen that these individuals often play a role in relations with people. It is known that they have fantasies while acting (Köroğlu-Bayraktar, 2011). The defense mechanisms frequently used in histrionic personality disorder are regression, somatization, conversion, suppression, regression, denial, externalization and identification. These individuals tend to decrease with advancing age. However, since the energy they have during their youth is not the same, this difference may become more pronounced. People diagnosed with histrionic personality disorder are not aware of their true feelings. For this reason, therapeutic approaches are very important in revealing these feelings. They expect support and guidance from their therapist. People have a desire to use drugs for temporary emotional states (Köroğlu-Bayraktar, 2011).

It is seen that individuals with Histrionic Personality Disorder are more likely to have experienced some form of sexual abuse or sexual harassment during their childhood (Öztürk, Uluşahin, 2016). In addition to this point, it is known that somatoform disorders can also be seen in these people (Öztürk, Uluşahin, 2016).

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