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Results for “Histrionic Personality Disorder”

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[Childhood sexual abuse in the history of patients in high-frequency psychoanalytic long-term therapy--prevalence and diagnosis].

276 treatment records of patients who were undergoing high-frequent, outpatient, individual, psychoanalytic therapy were analysed with respect to the prevalence and patterns of childhood sexual abuse in the history of these patients. 22.8% of all patients experienced narrowly defined sexual abuse during childhood (the end of the 17th year); additionally, 35.2% of all patients reported minor forms of sexually abusive experiences. The gender distribution, the age at onset of sexual abuse, and the relationship to the perpetrator were analysed. Looking at psychoanalytic diagnoses, a significant correlation between a history of childhood sexual abuse and a diagnosis of hysterical neurosis was found.

Adult↗

Psychiatric evaluation of patients seeking rhinoplasty.

The number of people requesting cosmetic surgery has been increasing. Both objective and subjective motivational factors are involved. Since the face is the most important physical representative of our emotions and the nose isthe most prominent part of the face, not infrequently subconscious and unconscious personality factors are equated with some real or imaginary anatomical defect of the nose or face. Most commonly inadequacy feelings are involved in individuals with predominantly subjective complaints and are often intimately involved in the indivudual's sexuality and "identity." The nose may become a scapegoat for these confused feelings. Three categories of patients whose emotional state and personality should be recognized are: the hysterical personality, the depressed menopausal female, and the paranoid personality. Motivational patterns may be divided into two groups: (1) external motivations (including the need to please others), career or social ambitions, and the need to avoid cultural conflicts (e.g. avoidance of alien stereotype) and (2) internal motivation, including paranoid ideation, long standing feelings of deficiency in one's physical appearance, general inadequacy or low self-esteem in one's worth or ability, resentment of aging, or actual lack of a special identity due to conflicting parental identification. In selecting a patient for thinoplasty, an evaluation of medical, sociocultural, psychological, and environmental factors should be considered.

Adult↗

Hysterical personality and family: a clinical case.

Within the framework of family typology, the therapist can organize and orient his own observations, by confronting the characteristics of a particular family system, with the models of a "shared reality". Structural and organizational analysis of the family system, according to a general typology, can also be useful when the therapist has to deal with a defined and a not specific symptom or disease, and when a differential diagnosis is necessary for its pragmatic effects. This is often the case of hysteria, which according to many authors can show today various, confused shapes, as depression, general existential discomfort, anorexia and bulimia, and forms of exhibited addition. The authors present a clinical case, trying to point out how a "typology-oriented" observation of the family system, allowed the therapists to clarify an individual condition, otherwise difficult to understand.

Adult↗

[Hysteria in children: Briquet's syndrome (a case report)].

In this case report, the authors studied the difficulties to set up the diagnosis of hysteria in the Briquet's Syndrome. The description presented here is about an eleven years old girl patient without any particular family background and who, after her tonsils have been out against her will, presented a hysteria in the form of Briquet's Syndrome. All the explorations showed no abnormalities. It is the questioning, and the analysis of facts from informations by the patient and her family which allowed to conclude the diagnosis of hysteria. She received a chemotherapy, associated with a psychotherapy and a family guidance. The course was favourable after two months. The authors compare these findings with some data of the literature and underline the diagnostic and therapeutic difficulties they faced. How physicians should approach such form of hysteria to set up the diagnosis is to proceed by elimination because the disease can simulate all sorts of medical or psychiatrical affections.

Child↗

The predictive utility of the orthopedic examination in identifying the low back pain patient with hysterical personality features.

Physical examination of the patient with low back pain routinely includes a number of tests which are useful clinically to the orthopedist as suggestive of the presence of hysteria or malingering. These include tests of light touch differences medially and laterally in the same foot or leg, vibratory sensation in the lower extremities, forward flexion, straight-leg raising differences between the supine and sitting positions, and the Burns' bench test. The present study examined the specific predictive utility of these tests individually and as a composite battery in identifying low back pain patients with hysterical personality features. Twenty-five postoperative lumbar laminectomy and diskectomy patients were administered the MMPI and evaluated by physical examination. Silight to moderate correlations were found for each of the subtests with a Composite Hysteria Index derived from the MMPI. The predictability was improved by the use of a weighted combination of the individual tests obtained by multiple regression analysis. The results lend empirical support to: the predictive value of these clinical tests in definitively identifying 60% of those low back pain patients with hysterical personality features; decision rules for use in clinical practice were also developed.

Adult↗

[Susceptibility to suggestion in patients with hysterical neuroses].

It is common knowledge that patients with hysteric neurosis demonstrate selective suggestibility in respect of different methods of suggestion, namely from high to extremely low. To specify the nature of such selectivity, a study was made of the dependence of hysteric neurosis patients' suggestibility on their personality and typological traits and the clinical manifestations of neurosis. It has been shown that suggestibility of patients suffering from hysteric neurosis depends on the premorbid (hysteroid, excitable and inhibitory) types of the patients' personality and the clinical picture of neurosis. It has been also discovered that patients belonging to the premorbid hysteroid type are most suggestible whereas those belonging to the premorbid inhibitory type are least suggestible.

Adolescent↗

[Structure of the hypochondriacal and hysteroid personality].

Hypochondriacal and hysteroid personalities are considered the extreme variants of defined emotional and motivational dimensions. The hysteroid personality is mainly characterized by a strong need for social attention and respect as well as by a lack of emotional genuiness. For the diagnosis of hypochondriacal and hysteroid personality tendencies, a Hypochondria-Hysteria Inventory was developed and employed in 13 different samples with a total of 1206 persons. The index scores of the individual degrees of hypochondriacal and hysteroid tendencies were demonstrated to be of sufficient reliability. There was no important relationship between the individual degrees of hypochondriacal and hysteroid tendencies. Hypochondriacal tendencies are significantly correlated with general anxiety, neuroticism, depression, inhibition and psychasthenia as well as with a general negative self-concept. There is only a weak and partial significant relationship to the degree of introversion. The intensity of hypochondriacal tendencies increases with age. Hysteroid personality tendencies are significantly associated with extraversion, a certain degree of aggressiveness as well as with unconcern and sociability. The intensity of hysteroid tendencies in older adults is lower than in adolescents and young adults.

Adult↗

[Hysterical personality and sexuality of the female].

The investigation involved 30 hysterical women, who were interviewed and who completed four questionnaires relating to: psychosexual development; attitude towards sexuality; sexual activity; and reactivity. Dysharmonic sexual development, and low levels of activity and reactivity in their sexual life was revealed. Contrasted with other groupings of female psychiatric patients, from a sexual point of view the female hysterical personality presents a special psychological case.

Adult↗