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Cluster B: histrionic PD Flashcards

(9 cards)

1
Q

Cluster B

A

Dramatic, emotional, erratic

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2
Q

Criteria

A

5 or more
* Uncomfortable when not the center of attention
* Interaction with others has inappropriate seductive or provocative behavior
* Rapidly shifting + Shallow expression of emotions
* Uses physical appearance to draw attention to themselves
* Speech is excessively impressionistic and shallow, lacking in detail
* Self-dramatization, theatricality, exaggerated expression of emotion
* Suggestible (easily influenced)
* Considers relationships more intimate than they actually are

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3
Q

Individual characteristics

A
  • Excessive emotionality and constant attention-seeking behavior
  • Feels uncomfortable or unappreciated when not the center of attention
  • Displays rapidly shifting and shallow expression of emotions
  • Often uses physical apperance to draw attention to self
  • Speech is excessively impressionistic and lacking in detail
  • Shows self-dramatization, theatricality, and exaggerated expression of emotion
  • Easily influenced by others or by circumstances
  • Considers relationtionships to be more intimate than they actually are
  • may be flirtatious, seductive, or overly charming
  • Craves excitement, novelyty, and stimulation, often growing bored easily
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4
Q

Diagnostic features

A
  • Core is pervasive and excessive emotionality and attention seeking behavior
  • Manifests through dramatic, lively, flirtatious, or exaggerated interpersonal behavior
  • Seeks to be center of attention
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5
Q

Differential diagnoses

A
  • Borderline PD: Also has attention-seeking and emotional lability, but includes self-destructiveness, chronic emptiness, and unstable identity.
  • Antisocial PD: Shares impulsivity and manipulativeness, but ASPD manipulates for gain or power, while HPD manipulates for nurturance or attention.
  • Narcissistic PD: Craves admiration and may exaggerate achievements; HPD is more willing to appear weak or dependent to gain attention.
  • Dependent PD: Dependent on others for guidance/praise, but lacks the emotional expressiveness of HPD.
  • Personality Change Due to Another Medical Condition: Must rule out that behaviors aren’t due to neurological or medical illness.
  • Substance Use Disorders: Ensure symptoms are not due to drug or alcohol effects.
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6
Q

Associated features

A
  • Struggles with emotional intimacy often using roles (victim, princess, etc) in relationships
  • Attempts to control others through emotional manipulation or seductiveness
  • Frequenty alienates same-sex friends due to provocative behavior or excessive need for attention
  • May become depressed or upset when not focus of attention
  • Trouble with long-term commitments
  • intolerant of delayed gratification
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7
Q

Gender and prevalence

A

Prevalence: 1.84%
More frequently diagnosed in females, thoigh this may reflect bias in clinical settings
No consistent significant difference in actual prevalence across genders in general population

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8
Q

Cultural consideration

A
  • Diagnostic thresholds must consider cultural norms:
    • Emotional expressiveness, physical appearance standards, and attention-seeking vary across cultures, genders, and age groups.
  • Behaviors like flirtation or dramatic expression may be culturally encouraged or normative in some contexts.
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9
Q

Early signs

A
  • Early tendecies toward dramatic behavior, exaggerated emotions, and need for attention
  • May show signs of suggestibility, overreliance on apperance, and discomfort outside the spotlight
  • Parenting that reinforces approval-seeking or emotional expression as a form of attention may contribute
  • Family history of similar traits, other PDs, or high emotional expressivity may increase risk
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