Developmental issues

Early psychoanalysts thought that histrionic personality disorder was determined by a fixation on the genital phase of infantile development, associated with an incestuous attachment. Later, this idea was challenged,(76) and pregenital oral fixations were considered to be more important. The conflict between oral and genital determinants would be solved if the continuum of hysterical psychopathology mentioned above was shown to exist.

Histrionic individuals, especially those at the sicker end of the continuum, have often had deprived and traumatic childhoods, similar to those of antisocial personalities. Zetzel(79> pointed out that the developmental history of hysterical individuals reveals significant separations in the first four years of life, serious parental psychopathology, much physical illness during childhood, and absence of meaningful sustained relations with either sex.

Clinical features and diagnosis

Lazare et al.(89 were the first to use factor analysis to examine the clustering of traits in hysterical personality. A hysterical factor emerged that included emotionality, oral aggression, exhibitionism, egocentricity, and sexual provocativeness. Diagnosis should not be difficult if behavioural expression, affectivity, love and sexuality, cognitive style, and interpersonal relations(32) are carefully assessed.

Do Not Panic

Do Not Panic

This guide Don't Panic has tips and additional information on what you should do when you are experiencing an anxiety or panic attack. With so much going on in the world today with taking care of your family, working full time, dealing with office politics and other things, you could experience a serious meltdown. All of these things could at one point cause you to stress out and snap.

Get My Free Ebook


Post a comment