Cluster B: histrionic PD Flashcards
(9 cards)
Cluster B
Dramatic, emotional, erratic
Criteria
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
Individual characteristics
- 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
Diagnostic features
- 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
Differential diagnoses
- 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.
Associated features
- 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
Gender and prevalence
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
Cultural consideration
- 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.
Early signs
- 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