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She provided a delightful, detailed impressive discussion of her past which was in no way connected to her present situation. She discussed irrelevant topics in a cute and charming manner and if the psychiatrist expressed irrelevance and changed the topic, she would become irritated and petulant. Another feature characteristic of histrionic personality disorder in Hilde was her attitude of putting the blame and responsibility of her present difficulties on some one else, other than herself. For example, Hilde stated that her husband was indifferent to her and that she suspected that he was seduced by one of his secretaries.
She attributed her somatic symptoms to her husband's indifference towards her. Persons with histrionic personality disorder have interpersonal relationships that are often disrupted, shallow and insincere and emotionally, they overreact to even ordinary situations (Bienenfeld, 2009). When Hilde was pressed hard about her husband's interactions, she could not provide any meaningful account of his relationship with the suspected secretary or the indifference attitude with her. Persons with histrionic personality disorder are excessively emotional and the emotions are labile.
They exhibit attention-seeking behaviour. They are very dramatic and are frequently seductive or sexually provocative. They often suffer from somatoform disorders (Bienenfeld, 2009). Hilde suffered from frequent headaches and the physician has found it difficult to diagnose and treat the disorders Persons with histrionic personality disorder are usually emphatic and also socially perceptive. Hence, they tend to elicit new relationships easily. However, due to their emotionally insensitive nature, they lack the insight of their role in their own relationships and hence to do accept any blame for the inevitable problems in their relationships.
Thus, they are closer to the defense mechanism of paranoid patterns of personality. In a parallel interview with Hilde's husband, he admitted that originally, he was attracted towards Hilde because of her physical attractiveness, social status and lively nature. However, over a period of few years, he realized that her love towards him was just a chronic flamboyance and that she never had an integrated personality. It was clear to him that her liveliness was not exuberance and her physical attractiveness was declining naturally, although, Hilde was spending enormous time and money to keep it up.
Hilde's husband felt that Hilde was childish and superficial Individuals with this personality are often flirtatious and seduce others sexually (Bienenfeld, 2009). But, for those who follow such clues from these individuals, they do not get paid off much. Histrionic personality is more common in females and in males and infact, they appear ultrafeminine. Intellectual accomplishment is very low in these individuals. As far as analysis thought is concerned, there is deemphasis and hence these individuals are gullible, dramatic and impressionable.
While Hilde described her children as wonderful and exceptionally bright and happy, Hilde's husband provided a picture that their behaviour was analogous to that of Hilde and they were spoilt and had academic difficulties. Biological, psychological, and social factors involved in the case Several factors probably contributed to the development of histrionic person
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