What triggers Hysterical personality disorder
Disorder associated with education an “idol of the family” or as a result of cultivation of demonstrative traits in families where parents are trying to implement the Children’s own claims to leadership. It is more common in women.
The symptoms of hysterical personality disorder:
Since childhood there is the desire to be in the center of attention of children and adults, the thirst for praise, and evaluation. Refusal of adults to fulfill the desires of the child encounters a reaction of protest with a demonstration of the fall, rolling eyes, irregular breathing. Character differs by demonstrativeness, theatricality, extroverted behavior in excitable, emotional personalities. Patients are unable to maintain a deep long-term attachment. It is characterized by frequent bouts of irritability demonstration, tears and accusations, if the person is not the center of attention or does not receive praise or approval. There is increased suggestibility and orientation to authority, easy to form the influence of others or circumstances. Typical is preoccupation of physical attractiveness, and the constant manipulative behavior to meet their needs. Mimicry is characterized by excessive liveliness, it is possible paramimia, expansive gesture. In the clothing and cosmetics, it is dominated by bright colors and extravagance. There is desire for classes that meet the need for a demonstration. It manifests high exposure to dissociative disorders, including disorders of consciousness and motor, as well as alcohol and other drugs. Many mental phenomena in hysterical personalities resemble paroxysmal, so they are close to the epileptic circle.
Patient T., age 23, is observed for 9 years. At the age of 4 years distinguished living restless character, was brought up by her mother and grandmother, who had unrealized claims for poetry. Grandmother during sleep read her poems, and T. began the day speaking only in verse. She grew up, and made demanding tantrums at every turn. Her interest in poetry, was supported by her mother and grandmother, which was intended for her unprecedented future. At age 6 she actually won first prize at an international poetry contest. Her acquaintance with the great poets, emphasizes the importance of reinforcing talent. When reading the poem she walks, raises her arms up, rolls her eyes and stretches out her neck. However, in this age, she sometimes complained of feeling in the throat chopping, making inappropriate demands. For example, she was dissatisfied with the color of sunset. Because of poetry in school was of a formal nature, grandmother and mother played the role of servants who must obey her wishes. At age 14, began drinking alcohol and lead promiscuous sex life. At 16 years, married 72-year old writer from the United States, however, being abroad, she felt useless and life was meaningless. She continued to use alcohol and marijuana, two years later divorced and returned home. She does no longer write poem, but collects a large company, leads the life of “confused”.
Diagnosis of hysterical personality disorder
Should be distinguished from the organic dissociative disorders specific to certain endocrine diseases, such as hyperthyroidism and organic disorders as a result of head injuries. These disorders are characterized by, besides the hysterical performance, dysphoric and asthenic states, as well as typical data of additional studies (neurology, EEG, CT).