My Freudian Slip

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Location: Marilao, Bulacan, Philippines

Thursday, September 15, 2005

Paris Hilton??


Histrionic Personality Disorder....People with this disorder have established a pattern of excessive drama, and drawing attention to themselves. The behavior is established in early adulthood. The condition is indicated by a combination of the following behaviors;

Must be the center of attention.
Displays inappropriate sexually provocative behavior.
Expressions of emotions that are shallow and unbelievable.
Come across as fakes and phonies.
Great emphasis on physical appearance to attract attention.
Theatrical, exaggerates, and uses speech that is vague and lacking in detail.
Easily swayed by others.
Considers friendships and relationships to be far more intimate than they are.
People with the condition do not generally appear for treatment unless the "wheels have fallen off", or the behavior is severely limiting their ability to operate in a self supporting way. Because they are so needy, they are reluctant to cut off the therapy since they have a captive audience.
Psychotherapy is the chosen route, generally on a one to one basis, since the group environment may just accentuate the behavior that creates the problem in the first place.
Establishing good rapport and trust is important, but avoiding a dependent situation with a needy patient is also important. Therapy should emphasize that the goal is not to cure, but rather to alleviate the worst elements of the behavior that is causing the problem.
Suicidal behavior is often present with this condition and threats should be taken seriously.
The gross exaggerations should be met with some skepticism, by attempting to take a histrionic presentment to it illogical conclusion, and involving the person in their own unrealistic fears, anxieties, and expectations.
Deep cognitive approaches are not particularly helpful since people with condition have little ability to examine unconscious motives to a extent that is helpful.
Rather, helping a client view interaction objectively with a view to alternative explanations for behavior and events can be effective. Exploring emotions can also be helpful.

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