Histrionic personality disorder and divorce

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Drama masks

According to the Cleveland Clinic, histrionic personality disorder (HPD) is a mental health condition marked by unstable emotions, a distorted self-image and an overwhelming desire to be noticed. People with HPD often behave dramatically or inappropriately to get attention.[1]

The 1990 journal article An epidemiological study of histrionic personality disorder published in the journal Psychological Medicine indicates: "The results indicate that this condition can be diagnosed reliably and that it is a valid construct. It has a prevalence of 2.1% in a general population. Males and females are equally affected, suggesting that prior reports of an increased prevalence in females was an expression of ascertainment bias found in hospital-based studies. The diagnosis is associated with clear evidence of disturbance in the emotional, behavioural, and social realms. Individuals with this disorder tend to use health care facilities more frequently than others."[2]

The abstract for the journal article Personality Disorder Symptoms Are Differentially Related to Divorce Frequency states:

"Divorce is associated with a multitude of outcomes related to health and well-being. Data from a representative community sample (N = 1,241) of St. Louis residents (ages 55–64) were used to examine associations between personality pathology and divorce in late midlife. Symptoms of the 10 DSM–IV personality disorders were assessed with the Structured Interview for DSM–IV Personality and the Multisource Assessment of Personality Pathology (both self and informant versions). Multiple regression analyses showed Paranoia and Histrionic personality disorder symptoms to be consistently and positively associated with number of divorces across all three sources of personality assessment. Conversely, Avoidant personality disorder symptoms were negatively associated with number of divorces. The present paper provides new information about the relationship between divorce and personality pathology at a developmental stage that is understudied in both domains."[3]

According to Susan Krauss Whitbourne PhD, ABPP:

By far, the strongest predictors of divorce likelihood were histrionic personality disorder symptoms...

In its present-day iteration, the symptoms of histrionic personality disorder are in some ways very similar to narcissism to the point that some researchers believe the two to be virtually indistinguishable. However, people who would have a high histrionic symptom index would, in addition to being self-centered, be sexually seductive in an indiscriminate manner, overly theatrical, capable only of superficial feelings and relations with others, and unhappy when they are not the center of attention.

Thus, it's the people with histrionic personality disorder who are most likely to qualify for the distinction "drama queen." Their additional quality of being overly impressionistic also adds to the mix, meaning that individuals with histrionic symptoms make decisions on the basis of limited evidence. In other words, they jump to conclusions, often basing their decisions on gut instincts rather than careful analysis.[4]

See also

References

  1. Histrionic Personality Disorder, Cleveland Clinic
  2. An epidemiological study of histrionic personality disorder, Psychological Medicine. 1990 May;20(2):413-22. doi: 10.1017/s0033291700017724.
  3. Personality Disorder Symptoms Are Differentially Related to Divorce Frequency by Krystle L., Disney, Yana Weinstein, and Thomas F. Oltmanns, Journal of Family Psychology. 2012 Dec; 26(6): 959–965.doi: 10.1037/a0030446
  4. [Two Warning Signs That Your Relationship May Not Last by Susan Krauss Whitbourne PhD, ABPP