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Results for “Histrionic Personality Disorder”

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PubMedDate not supplied

[The association of psychotherapists. A new chance for hysteric patients (author's transl)].

The diagnosis of hysterical personality is frequently charged by a negative counter-transference, and relies partly on it. In most of cases, treatment is difficult and includes many zones of conflict, who endanger the relationship between patient and therapist. The aim of the association of two psychotherapists is to exploit the therapeutic possibilities created by the inducted triangular relationship, by using positively certain zones of conflict. It seems to us that this procedure has advantages for both patients and therapists.

Conflict, Psychological↗
PubMed1995

[Psychogenic pseudo-asthmatic syndrome].

The authors present a case of a 42-year-old patient treated for severe attacks of dyspnoea and wheezing of 12 years duration. She was hospitalized 8 times in medical or pneumonology wards and underwent treatment in a sanatorium 6 times. Since 5 years she has been periodically and recently permanently on oral glucocorticosteroids. Dyspnoea was accompanied by diffuse wheezing and prolongs expiration. It was also observed that her mode of respiration during an attack consisted in forced expiration at small air volumes in the lungs. Theatrical behaviour of the patient was striking. Bronchial challenge with acetylcholine and metacholine was negative. Bronchoscopy revealed profound intussusception of the membraneous part of the trachea and bronchi. Psychiatric diagnosis confirmed hysterical personality. The demonstrated case proves that the value of bronchial challenge is difficult to overestimate in diagnosing asthma. It concerns not only cases where symptoms are scanty but also patients with the so-called troublesome treatment-resistant asthma.

Adult↗
PubMed1993

[Psychogenic dysuria].

Psychogenic urinary retention is not uncommon. Urodynamic studies demonstrate the absence of organicity allowing us to concentrate and define psychological causes. Sexual abuse is the most frequent but also, depression, hysteria and numerous inhibitory factors of educational origin.

Adolescent↗
PubMedDate not supplied

Recognition of factitial hand injuries.

Facitial injuries with various presentations occur with some frequency to the hand because it is a body part that is easily accessible. Methods used to produce wounds included insertion of porcupine quills, application of constrictive rubber bands, mascara injections and excoriation of healing wounds. It is important to recognize the factitial origin in order to avoid needless repetitive surgery and permanent hand disability. No specific pattern of psychopathology was found in our cases. The patients' attitude toward their lesions was one of bland unconcern and stoicism. The patients were resistant to psychiatric referral and persisted in seeking medical responsibility for cure. Successful management requires early suspicion and prompt recognition as well as establishment of non-accusatory relationship with the primary physician. Confrontation should be avoided if possible. Even if reinforced with collaborative evidence, such confrontation will have limited effect on the patient's subsequent behavior.

Adolescent↗
PubMed1996

'How can we know the dancer from the dance?': hyperbole in hysteria.

In this paper the author discusses histrionic or hyperbolic behaviour, which she regards as specific to a certain type of hysterical character. Histrionic hysteria she sees as a pathological organisation. With the use of two clinical examples she examines the phenomenon of hyperbole or exaggeration and suggests that they convey a picture of the patient's internal objects and his relationship to them. Exaggeration can also be used by the patient to distance himself from what is going on in his mind and yet to make the object--the analyst in the session--aware of unrecognised emotions. To study hyperbolic behaviour the author constructs a model in which she divides manifestations of this type of behaviour into three parts; 'the observing self, the acting self and the audience' and examines the different identifications that are at the basis of each part. She considers that these areas of the personality encapsulate fragmenting processes that are continually active and threatening the patient. An exploration of this division into three areas should facilitate and deepen understanding of the processes involved in histrionic behaviour.

Female↗
PubMedDate not supplied

Comorbidity of personality disorders with bipolar mood disorders.

The aim of the study was to assess the prevalence of personality disorders in a group of outpatients with bipolar I disorder. The Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II) was administered to 90 bipolar outpatients who met the DSM-III-R criteria and 58 control subjects. Of the patients and controls, 47.7% and 15.5%, respectively, had at least one personality disorder. At least one personality disorder in clusters A, B, and C and obsessive-compulsive, paranoid, histrionic, and borderline personality disorders were significantly more prevalent in bipolars. Suicide attempts were more frequent in patients with a history of personality disorder.

Adult↗