Information



HPD
Legacy Name: HPD


The Spectrum Illumis
Owner: POURRITURE

Age: 14 years, 5 months, 1 week

Born: May 27th, 2012

Adopted: 14 years, 5 months, 1 week ago

Adopted: May 27th, 2012

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  • Speed: 10
     
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  • HP: 10/10
     
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  • Job: Unemployed


{ Histrionic personality disorder }

The Spectrum Illumis POURRITURE

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Typically dramatic and often seductive, histrionics make every attempt to impress with witty remarks and suggestive behaviors. Their interactions with others involve frequent interrupting or reframing of discussions to sustain themselves as the focus. Anything falling short of others' admiration or reverence toward themselves would inevitably invoke feelings of resentment and depression. Yet, these negative moods are fleeting when their relentless striving for approval prompts a more suitable affect. Once in conversation, they communicate with flamboyant headlines at the expense of substantive details. This bold pattern of expression is usually perpetuated by their physical appearance, whether it was their hairstyle, make-up, clothing, or a memorable combination of the sort. In the end, these people come across as the “life of the party.” - Millon et al., 2004 [3]
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Alternative diagnoses:

Hysterical personality disorder; psychoinfantile personality disorder [8]

Common comorbidities:

Anxiety disorders; dissociative disorders; mood disorders; somatoform disorders; substance abuse [3]

Five-factor model profile:

↑ Neuroticism; openness
↓ Agreeableness; conscientiousness; extraversion [4]

Evolutionary strengths and weaknesses:

Emotionally extreme personality; diminished capacity for emotional pleasure or pain; socially passive [7]
Enhancement ↓
Preservation ↓

Pleasure/pain

Accommodation ↑
Modification ↓

Passive/active

Individuation -
Nuturance ↓

Self/other

Diagnostic criteria:

DSM-IV-TR Criteria
A. A pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:
  • 1. Neither desires nor enjoys close relationships, including being part of a family.
  • 2. Almost always chooses solitary activities.
  • 3. Has little, if any, interest in having sexual experiences with another person.
  • 4. Takes pleasure in few, if any, activities.
  • 5. Lacks close friends or confidants other than first-degree relatives.
  • 6. Appears indifferent to the praise or criticism of others.
  • 7. Shows emotional coldness, detachment, or flattened affectivity.
B. Does not occur exclusively during the course of Schizophrenia, a Mood Disorder With Psychotic Features, another Psychotic Disorder, or a Pervasive Developmental Disorder and is not due to the direct physiological effects of a general medical condition.

Note: If criteria are met prior to the onset of Schizophrenia, add "Premorbid," e.g., "Schizoid Personality Disorder (Premorbid)."

DSM-5 Criteria
A pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
    1. Is uncomfortable in situations in which he or she is not the center of attention.
  • 2. Interaction with others is often characterized by inappropriate sexually seductive or provocative behavior.
  • 3. Displays rapidly shifting and shallow expression of emotions.
  • 4. Consistently uses physical appearance to draw attention to self.
  • 5. Has a style of speech that is excessively impressionistic and lacking in detail.
  • 6. Shows self-dramatization, theatricality, and exaggerated expression of emotion.
  • 7. Is suggestible (i.e., easily influenced by others or circumstances).
  • 8. Considers relationships to be more intimate than they actually are. [2]

ICD-10 Criteria
Personality disorder characterized by:
  • a. self-dramatization, theatricality, exaggerated expression of emotions;
  • b. suggestibility, easily influenced by others or by circumstances;
  • c. shallow and labile affectivity;
  • d. continual seeking for excitement and activities in which the patient is the centre of attention;
  • e. inappropriate seductiveness in appearance or behaviour;
  • f. over-concern with physical attractiveness.
Associated features may include egocentricity, self-indulgence, continuous longing for appreciation, feelings that are easily hurt, and persistent manipulative behaviour to achieve own needs. [9]

Personality functioning and structure:

Functional Domains

Expressive Behavior: DramaticIs overreactive, volatile, provocative, and engaging, as well as intolerant of inactivity, resulting in impulsive, highly emotional, and theatrical responsiveness;describes penchant for momentary excitements, fleeting adventures, and shortsighted hedonism.
Interpersonal Conduct: Attention SeekingActively solicits praise and manipulates others to gain needed reassurance, attention, and approval; is demanding, flirtatious, vain, and seductively exhibitionistic, especially when wishing to be the center of attention.
Cognitive Style: FlightyAvoids introspective thought, is overly suggestible, attentive to fleeting external events, and speaks in impressionistic generalities; integrates experiences poorly, resulting in scattered learning and thoughtless judgments.
Regulatory Mechanism: DissociationRegularly alters and recomposes self-presentations to create a succession of socially attractive but changing facades; engages in self-distracting activities to avoid reflecting on and integrating unpleasant thoughts and emotions. Sexualization is used to influence relationships, projection to deny this influence. Both are examples of massive repression.

Structural Domains

Self-Image: GregariousViews self as sociable, stimulating, and charming; enjoys the image of attracting acquaintances by physical appearance and by pursuing a busy and pleasure-oriented life.
Object-Representations: ShallowInternalized representations are composed largely of superficial memories of past relations, random collections of transient and segregated affects and conflicts, as well as insubstantial drives and mechanisms.
Morphologic Organization: DisjointedThere exists a loosely knit and carelessly united morphologic structure in which processes of internal regulation and control are scattered and unintegrated, with ad hoc methods for restraining impulses, coordinating defenses, and resolving conflicts, leading to mechanisms that must, of necessity, be broad and sweeping to maintain psychic cohesion and stability, and, when successful, only further isolate and disconnect thoughts, feelings, and actions.
Mood/ Temperament: FickleDisplays rapidly shifting and shallow emotions; is vivacious, animated, impetuous, and exhibits tendencies to be easily enthused and as easily angered or bored. [6]

Relation to psychopathy:

Hamburger et al. postulate that similar histories contribute to different results, noting that the research literature shows higher than expected rates of comorbidity between the histrionic and antisocial personalities and that histrionic males show a high rate of antisocial behavior. Moreover, both personalities show an interaction between gender and prevalence rate, with the histrionic personality being identified more frequently in females and the antisocial more frequently in males. Because the disorders share a number of characteristics, particularly lack of impulse control, stimulus-seeking behavior, and a deficient conscience, these authors assert that both personalities represent different expressions of the same underlying problem:psychopathy. If so, females with psychopathic genes would be disposed to develop a histrionic personality, and males with psychopathic genes would be disposed to develop an antisocial personality.[3]

Subtypes of the histrionic personality:

Appeasing (with dependent and compulsive features) histrionics seeks to placate, mend, patch up,and smooth over troubles. They possess a knack for settling differences, moderating tempers by yielding, compromising, and conceding. They sacrifice themselves for commendation; fruitlessly placating the unplacatable.

Disingenuous (with antisocial features) histrionics are underhanded, double-dealing, scheming, contriving, plotting, crafty, and false-hearted. They are egocentric, insincere, deceitful, calculating and guileful.

Infantile (with borderline features) histrionics are labile and high-strung, experiencing volatile emotions.They have a childlike hysteria and nascent pouting. Demanding and overwrought, they fasten and clutch toanother. They are overly attached, hang on, staying fused to and clinging.

Tempestuous (with negativistic features) histrionics are impulsive and out of control. Moody complaints are common, along with sulking. They experience precipitous emotion, and are stormy, impassioned, easily wrought-up, periodically inflamed, and turbulent.

Theatrical histrionics are affected, mannered, and put-on. Marketing their self-appearance, their postures are striking, eyecatching, and graphic. They are synthesized, stagy, constantly simulating desirable and dramatic poses.

Vivacious (with narcissistic features) histrionics are vigorous, charming, bubbly, brisk, spirited, flippant, and impulsive; seeking momentary cheerfulness and playful adventures. They are animated, energetic, and ebullient. [5]

Differential diagnoses:

Sites and Sources
1. American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.). Washington, DC: American Psychiatric Association.

2. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.) Washington, DC: American Psychiatric Association.

3. Millon, T., Grossman, S., Millon, C., Meagher, S., & Ramnath, R. (2004). Personality Disorders in Modern Life (2nd ed.). New Jersey: John Wiley & Sons, Inc.

4. Kelly, D. (2012). Histrionic Personality Disorder. Retrieved from http://www.ptypes.com/histrionicpd.html

5. Millon, T. (2006). Personality Subtypes. Retrieved from http://www.millon.net/taxonomy/summary.htm

6. Millon, T. (2006). Sociable/Histrionic Personality. Retrieved from http://www.millon.net/taxonomy/histrionic.htm

7. Millon, T. (2012). Disorders of Personality: DSM-IV and Beyond (3rd ed.). New Jersey: John Wiley & Sons, Inc.

8. World Health Organization. (2010). International Statistical Classification of Diseases and Related Health Problems 10th Revision. Retrieved from http://apps.who.int/classifications/icd10/browse/2010/en#/F60.4

9. World Health Organization. (2010). The ICD-10 Classification of Mental and Behavioural Disorders. Retrieved from http://www.who.int/classifications/icd/en/bluebook.pdf

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