1. CENTRE FOR CONVERGING TECHNOLOGIES
UNIVERSITY OF RAJASTHAN
CASE STUDY ON
HISTRIONIC PERSONALITY DISODER
Submitted to: submitted by:
Dr.Sushila Pareek Uttam Krishan Sharma
Cognitive Neuroscience
sem- IX
2.
3. What is personality disorder?
• Personality disorders are a group of mental
health conditions in which a person has a long-term
pattern of behaviors, emotions, and thoughts that is
very different from his or her culture's expectations.
These behaviors interfere with the person's ability
to function in relationships, work, or other settings.
• The American Psychiatric Association (APA)
describes a personality disorder as: "An enduring
pattern of inner experience and behavior that
deviates markedly from the expectations of the
culture of the individual who exhibits it.”
4. Histrionic Personality Disorder
(HPD):
• The essential feature of this disorder is
described by the DSM-IV-TR as a “pervasive
pattern of excessive emotionality and attention-
seeking behavior,” (DSM-IV-TR, 2000, pg. 711).
Symptoms include exaggerated expressions of
emotions, incessant drawing of attention to
oneself, overreaction to minor events,
constantly seeking approval from others,
egocentricity, vain and demanding behavior,
extreme concern with physical appearance, and
inappropriately sexually seductive appearance
or behavior.
5. Patient detail :-
• Name: Regina George
• Source: Mean Girls (movie, 2004)
• Back ground information:
• Regina George is a sixteen year old Caucasian female. She is a junior in high school
at North Shore High School. Regina George has a preoccupation with her looks. She
is constantly talking about how she is either too fat or that she is not pretty enough
and also seeks confirmation about her body and looks through others. She does
not have a regular drinking problem or drug abuse issue since she is so preoccupied
with her appearance and that would definitely tarnish her ideal reputation.
• Regina George is an attention junkie.
• Regina often wears seductive clothing that most girls and women would not walk
out the front door in, let alone wear to school.
• Regina displays extreme variances in her emotions.
• The diagnosis that seems to fit into most appropriately for Regina George is HPD
(301.50).
• HPD person show various symptoms which are given to below:-
8. Statistical Facts:
• HPD is estimated in approximately 2-3%
of the American adult population
• HPD is more common in women, although
doctors believe men do not report the
disorder as much as women.
• Symptoms usually surface in late teen or
early adulthood
9. Throughout time and history
as Personality disorders have
progressed and become more
apparent, so have the
acknowledgement of
celebrities, thought to be
diagnosed with HPD. This
includes such people as:
10. •Anna Nicole Smith
•Marilyn Monroe
•Julie Roberts
•Courtney Love
•Drew Barrymore
•Richard Simmons
•Robin Williams
•Angelina Jolie
•Mariah Carey
•Princess Diana
•Nicole Ritchie
•Paris Hilton
•Madonna
•Micheal Jackson
•Joan Crawford
•Kathie Lee Gifford
•Sharon Stone
•Naomi Campbell
•Christina Aguilera
•Lindsay Lohan
•Star Jones
•Pamela Anderson
•Carmen Electra
•Miley Cyrus
11.
12. There were even fictional
characters created, based
upon such diagnoses:
• Scarlett O’Hara
• Jessica Rabbit
• Austin Powers
• Don Juan
13.
14. Causes of HPD:
• Lack of research on the causes of HPD
• Causes that are thought to be part of HPD
include: biological, developmental,
cognitive, and social factors
• Most psychoanalysts agree that a
traumatic childhood contributes towards
the development of HPD
15. Symptoms of HPD:
DSM-IV-TR lists eight symptoms that form the
diagnostic criteria for HPD: PRAISE ME
• Center of attention: Patients with HPD
experience discomfort when they are not the
center of attention.
• Sexually seductive: Patients with HPD
displays inappropriate sexually seductive or
provocative behavior towards others.
• Shifting emotions: The expression of
emotions of patients with HPD tends to be
shallow and to shift rapidly.
• Physical appearance: Individuals with HPD
consistently employ physical appearance to
gain attention for themselves.
16. Symptoms of HPD continued…
• Speech style: The speech style of patients with
HPD lacks detail. Individuals with HPD tend to
generalize, and when these individuals speak,
they aim to please and impress.
• Dramatic behaviors: Patients with HPD display
self-dramatization and exaggerate their
emotions.
• Suggestibility: Other individuals or
circumstances can easily influence patients with
HPD.
• Overestimation of intimacy: Patients with
HPD overestimate the level of intimacy in a
17. Diagnosis
• If signs of this personality disorder are present, the doctor will begin
an evaluation by performing a complete medical and psychiatric
history.
• If physical symptoms are present, a physical exam and laboratory
tests (such as neuroimaging studies or blood tests) may also be
recommended to assure that a physical illness is not causing any
symptoms that may be present
• If the doctor finds no physical reason for the symptoms, he or she
might refer the person to a psychiatrist or psychologist, health care
professionals who are specially trained to diagnose and treat mental
illnesses
18. Treatments of HPD:
• Psychodynamic therapy: treatment of choice
with most professionals, as it helps the patients
become aware of their own feelings. May require
several years of therapy and it may affect the
patient throughout their life.
• Cognitive therapy: will help patients with
reducing the dysfunctional thoughts of patients
with HPD.
• Group therapy: this type of therapy will allow the
patient to work on interpersonal relationships.
• Family therapy: can help other members of the
family to avoid supporting histrionic behavior but
knowing how to support the patient in a positive
19. Prognosis:
• Personality characteristics of individuals with
HPD are long-lasting.
• Will often seek hospital services but will not
stick with the programs in order to make
changes.
• Treatment can take a minimum of 1 to 3
years and often it will take longer.
• As HPD individuals age, they will typically
show less symptoms.
