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Hereditary Personality Disorder

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Performing personality disorder, known as histrination persoality disorder in English, also known as "Patient disorder" "seeking attention to personality" "dramatic personality." One of the types of personality disorder, with immature personality, excessive emotional, exaggerated behavior Characterized personality disorder.

Cause

Cause

The formation of performance personality disorder is related to the genetic and family environment. Studies have shown that children who grow up in a family that lacks care and expectation and sexual promiscuity are more likely to develop into performance personality disorder. In addition, there is a close relationship between performance personality disorder and antisocial personality disorder. Statistical studies in the United States have shown that two-thirds of patients with performance personality disorder have met the criteria for antisocial personality disorder. The potential personality traits of these two psychological barriers have similar aspects, but the expressions of men and women are different. More women are usually reflected in the phenotype type of personality and men are more likely to express this potential personality trait with anti-social violent personality.

Examine

an examination

Related inspection

Brain MRI examination of brain CT examination

According to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) in the United States, the diagnostic criteria are as follows:

An exaggerated mood and attention-attracting model that begins in early youth. Five or more of the following characteristics (including five) will be diagnosed as performance personality disorder.

1. If you are not the focus of attention, you will feel uncomfortable.

2. The process of interacting with others often shows sexual attraction and exaggerated behavioral characteristics.

3. The mood is changeable.

4. Continuous attention to your own appearance.

5. The way of speaking is impressive but the content is empty.

6. Demonstrate dramatic and exaggerated emotional expression.

7. Be implied.

8. Consider the degree of intimacy with others in relation to the actual situation.

Diagnosis

Differential diagnosis

Neurosis

In Europe, especially in Germany and the United Kingdom, psychiatrists believe that personality disorders are closely related to neurosis. They emphasize that "persons diagnosed with neurosis, we can completely find the characteristics of morbid personality, while in morbid personality People can also find the characteristics of neurosis." "The symptoms of neurosis and the behavior of morbid personality can be considered as a kind of reaction, depending on the quality tendency on the one hand and the pressure in the environment on the other hand"; It is impossible to distinguish the so-called morbid personality from the so-called neurotic personality." Tolle (1996) pointed out that "personal disorder can show a large number of neurotic reactions, and many patients with neurosis also have personality disorders. There is no clear boundary between personality disorder and neurosis." The so-called "neuropathy personality" comes from the theory of psychoanalysis. Horney thinks that patients with neurosis are those whose behaviors, emotions, mentality, and way of thinking are not normal. They are full of anxiety in the fierce competition and built up to fight anxiety. The defense mechanism, this is the personality of neurosis.

Jasper believes that the symptoms of neurosis are the reactions of people with abnormal personality to stress, that is, in normal cases, only behavior (personality) is abnormal, and in the case of stress, neurosis responds, showing symptoms of neurosis. "Personal neurosis" refers to those individuals who are similar to the cause of neurosis, and whose patients may have no neurological symptoms. Freud speculates that the factors that determine the process of personality development are the causes of neurosis. Kolb (1973) pointed out that each neurosis has its own unique personality structure, which is often called personality neurosis. At present, it is believed that although the relationship between personality disorder and neurosis is close, that is, personality disorder contributes to the occurrence of neurosis, and neurosis also contributes to the formation of personality disorder, and the chance of comorbidity is higher, but in essence, both Belong to different disease categories. The difference between personality disorder and neurosis is that most of the neurosis develops when the personality has been formed, that is, it has a disease course characteristic, and the personality disorder lasts for a lifetime from the early years. Neurosis patients have good ability to adapt to the environment, while personality disorders have obvious social adaptation disorders. Clinically, snoring and performance personality disorder can be seen, and obsessive-compulsive disorder and obsessive-compulsive personality disorder coexist.

2. Manic depression

Light mania can mainly be irritating, picky, irritating, arguing with others, arbitrarily arbitrarily, arbitrarily arbitrarily, arbitrarily arguing, attacking or invading surrounding behavioral disorders. If the past history is unknown, it may sometimes be misdiagnosed as a personality disorder. Although mild or atypical cases of mania may have similar personality disorder, careful observation can reveal symptoms such as high emotion, excitability, and increased speech. It is not difficult to distinguish between the disease course and the previous personality characteristics.

3. Schizophrenia

Early or anaplastic cases of schizophrenia are easily confused with personality disorders, and attention should be paid to identification. Early schizophrenia can be characterized by personality and behavioral changes, such as slack in labor discipline, emotional instability, easy quarreling with people, bad attitude towards family members, poor sense of responsibility, and reduced learning and work efficiency. Hoch and Donaif (1955) have proposed the concept of "pseudo-pathological personality schizophrenia", which is characterized by repeated deviant behaviors that are incompatible with social requirements, such as crime or sexual metamorphosis, etc., these early or pseudo-pathological personality If you examine the case carefully, you may find inappropriate emotions and behaviors as well as unreasonable delusions.

Schizophrenia may be incompletely relieved of personality defects. In the absence of a previous history of mental illness (or lack of attention), the distinction is often difficult, and can be diagnosed in combination with past personality traits and family history. In cases of schizophrenia remission, in addition to showing personality changes, there are also obstacles in terms of emotion, thinking, and will. They often lack spontaneous and natural nature, which is possessed by personality disorders.

Mild or quiescent paranoid schizophrenia can be misdiagnosed as paranoid personality disorder, but the latter mainly manifests misunderstanding of everyday things and interpersonal relationships on the basis of excessive sensitivity, thus creating certain implicatures, but generally not Hallucinations and delusions can be distinguished from schizophrenia.

4. Personality changes

Personality disorder needs to be differentiated from personality changes caused by brain organic diseases (cerebral arteriosclerosis, senile dementia, encephalitis, multiple sclerosis), also known as pseudo-pathological personality. Most patients with brain organic diseases have brain function (including intelligent) disorders and neurological signs, combined with EEG, computed tomography (CT) and other auxiliary examinations, identification is not difficult.

5. Differential diagnosis of paranoid personality disorder

Paranoid personality disorder does not have hallucinations, delusions and other psychotic symptoms, so it is not difficult to distinguish between paranoid psychosis and paranoid schizophrenia. Paranoid personality disorder lacks long-term antisocial behavior, which can be distinguished from antisocial personality disorder. This type has no self-harming behavior and no unstable characteristics, which can be distinguished from the edge type. Paranoid personality disorder seems to be associated with paranoid, paranoid schizophrenia (including late-onset delusional dementia). onoB (1961) has observed cases in which paranoid personality develops into paranoia. About half (45%) of patients with late-onset delusional dementia have a paranoid personality. The relationship between paranoid personality disorder and these two diseases remains to be further studied. The process of paranoid personality disorder is long, some of them are lifelong, and some may be a prelude to paranoid schizophrenia. With age, personality tends to mature or stress decreases, and paranoid features are mostly moderate. Such people are not difficult to distinguish from paranoid mental illness, the former lacks a fixed paranoia. Paranoid personality does not have hallucinations and delusions that can be distinguished from paranoid schizophrenia.

6. Differential diagnosis of antisocial personality disorder

First, we should rule out the personality changes associated with brain organic diseases, schizophrenia, and affective disorders. If you carefully understand the medical history, it is easier to distinguish. In addition, although anti-social personality disorder patients often have disciplinary behaviors, they are different from general crimes. Although both are fully responsible for crimes committed, judicial psychiatrists and judicial workers should distinguish between antisocial personality crimes. And criminals commit crimes: 1 The general criminals often have plans and premeditated crimes, and the anti-social personality can't; 2 the offenders have obvious illegal purposes, the anti-social personality is more dominated by emotional impulses, and the criminal motive is more vague; When others are victimized, the modusion is concealed and blackmailed in an attempt to evade guilt. The anti-social personality harms others and is especially harmful to themselves. 4 Those with anti-social personality are less likely to cause murder or other serious cases and sentenced to capital punishment; The general criminal's personality is flawed, but it does not reach the level of personality disorder, while antisocial personality has a heavy impact on all aspects of psychological activities, reflecting persistent and long-term behavioral disorders on all sides of life.

7. Differential diagnosis of impulsive personality disorder

It is mainly related to the anti-social personality disorder. In addition to the impulsive nature, the latter often has behaviors that are ruthless and often violate social norms.

8. Differential diagnosis of anxiety personality disorder

Identify with social phobia. Patients with anxiety disorder are characterized by persistent, extensive stress and anxiety experiences. Although patients often evade social behavior, there is no fear of avoidance.

9. Differential Diagnosis of Dependent Personality Disorders Some scholars believe that this type of submission seems to be due to social system bias against women and should not be classified as a type of personality disorder (Gelder, 1983). The main point of diagnosis is that these patients lack self-confidence, can't move independently, feel awkward, and are willing to subordinate themselves. What should be noted in the differential diagnosis is that in the patriarchal society, women are mostly subordinate, but not because of their wishes.