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Hysterical frustration of the personality
Hysterical frustration of the personality (or hysteria) is a mental disorder at which the patient is extremely emotional, requires constant attention to the person and cannot correctly react to world around. Such person overrates himself, apart from neurotic frustration by a disease. In psychoanalysis hysterical frustration of the personality this such condition of the person possessing hysterical type of the personality which is at the boundary level of the personal organization.
The movements of the person having hysteria, sharp, a voice very loud, sometimes muffled. Behavior — affected, unnatural. For example, the psychologist Kernberg calls the people suffering from such look frustration of the personality, impulsive and superficial. And Jaspers says that the hysteric feels need to seem before others and by itself more, than he is actually. Such symptoms of hysterical frustration of the personality are inherent in all patients.
These people feel constantly "on a scene", at the description of the most ordinary events they resort to active gesticulation, theatrical gestures. For them the basic — to be the focus of attention, for this purpose they behave provocatively and provocatively, brightly put on. At the same time they easily come under influence of people around.
The main objective of these people — to draw general attention to itself, for achievement of it they constantly change, trying to make impression. Actually, they can just not understand that they represent, they have no own outlooks on life, there is not enough maturity and gravity. Their main objective is to get approval and a praise of people around, "thirst of attention". They are selfish, vain and very importunate, cannot postpone receiving pleasure for a long time. Some even try to make a suicide, but only to manipulate people around. These people empty, empty, for them the most important are external impressions, they dramatize the most usual situations. If the people having this disease are not in the center of general attention, then feel uncomfortably.
A certain warehouse of the personality is inherent to a hysterical psychopathy, at small age the children's psychology allocates several symptoms of a disease.
During the preschool period inventions, the rich imagination are characteristic of hysterics tendency to imitation. During the youthful period the egocentrism, levity, squandering, participation in any adventures is shown. The young people suffering from hysterical frustration of the personality simply are not able to work hard, do not carry out promised, are got involved in any adventures. They conduct the idle life rich with entertainments and new impressions. Such people follow the fashion, often go to more popularly movies and theatrical prime ministers, love known actors and sensational books. At young age of a hysterics easily fall in love, get numerous short novels, very violently show the feelings, however and quickly grow cold to a passion subject. The same occurs also in the friendly relations, they have many superficial acquaintances, and they are not capable of deep attachment. And usually they cannot find the person who would understand them and in whom they could trust in life. Such people often enter early and unhappy marriages.
Hysterics do not see border between reality and the imaginations, between the objective world and the dreams, and the world around gets fancy outlines. According to data psychoanalysts, hysterical frustration are shown at the age of four-six years.
Hysterical frustration of the personality at women is shown in emotional lability. Such women easily come to people around into contacts, differ in theatricality and emotionality of behavior. They are slowed sexually down, often cry, are inclined to romanticism, and are capable to understand composite human reactions, despite immaturity of their own personality and emotionality. Some hysterical women look shy and constraining, but at the same time study eroticism and seducement. Such women use infantilism manifestations as protection against adult sexuality. The men having hysteria are inclined to emotional dramatization, can impulsively behave, showing explosions of emotions. Such men behave the tempting, their sexual behavior looks infantile, tendency to flirtation, chaotic sexual bonds is shown.
Summing up the result of all aforesaid, it is possible to allocate several signs testimonial of a disease. In the presence of these 4 signs it is possible to speak about hysterical frustration of the personality.
- if the person not in the center attention, then is felt discomfort;
- the increased emotionality, emotions are not deep and changeable;
- theatricality, too strong expressiveness of emotions, dramatization of events;
- exposure to others influence;
- the behavior is provocative, sexual provocatively;
- very emotional speech, inattention to details;
- special attention to own appearance to pay attention to itself.
The disease occurs on average at 2-5% of adult population of the earth, equally both at men, and at women. Such frustration often occur among relatives.
Symptoms of hysterical frustration of the personality
This disease in scientific literature still is called gistrionny or isteroidny frustration of the personality. It is also possible to meet such name as a syndrome of the demonstrative personality. Hysterical frustration of the personality belongs to the psychopathic diseases which are characterized by need of the individual for receiving attention, affected behavior, an unstable self-assessment. The people having hysteria are divided on hysterical and gistrionny persons. Both types of the personality aim to be always in the center, their behavior in society the provocative and deliberately drawing attention.
Distinctive feature of people with hysterical frustration of the personality, is style of the speech. Their speech impressionistic, theatrical, with an accent on own bright emotions. Behavior of isteroid sexual and provocative. Also such people can draw attention to themselves in any available ways, and also unconsciously overestimate the level at which there are their relations with other people. For example, they can consider as the close friends of people who are hardly known.
According to the theory which is put forward by scientists of the psychodynamic direction, people with hysterical frustration of the personality in the childhood faced the unhealthy relations in a family. In such family where there were detached and imperious parents, children did not feel like darlings, were afraid to be rejected. Because of it, being afraid to be rejected, and because of fear of loss, such people began to dramatize each situation, thought out to themselves problems and crises that adults cared for them.
Theorists of the cognitive direction claim that because people becoming more emotional, they lose opportunities for acquisition of new knowledge of world around. To understand, what occurs in the world they are forced to rely on knowledge of other people. It is considered that people-isteroidy adhere to installation about the inability to take care of itself independently, and are in search of people who will be able to satisfy their requests. Theorists of the sociocultural direction consider that the reasons of hysterical frustration of the personality are covered in norms of society, in its requirements and expectations. In modern life often it is necessary to try to obtain to himself attention and admiration from people around by theatrical behavior. Such values can also be the reasons of hysterical frustration of the identity of the person.
Diagnosis of hysterical frustration of the personality
Statement of the diagnosis "hysterical frustration of the personality" happens according to MKB-10. Thus, this frustration is diagnosed in the presence for the person of 3 and more criteria of frustration of the personality which treat:
- theatricality, the exaggerated expression of the emotions, affectedness, hyperbolization of statements;
- superficiality, instability of an emotional state, laughter is easily replaced by tears, aggression. The person can be at the same time sociable and closed;
- excessive concern in own outward and attractiveness;
- constant aspiration being in the center of general attention;
- the raised obolstitelnost and edginess of behavior;
- easy suggestibility and influence of surrounding people and circumstances on mood and an emotional condition of the person. Such person can arrive as heroes in movies, books, advertizing arrive;
- egocentricity, thirst of recognition, unwillingness to notice interests and needs of other people;
- sexual temptation of all potential partners;
- manipulative behavior for satisfaction of the desires and achievement of goals.
Treatment of hysterical frustration of the personality
The people having hysteria often independently resort to services of the doctor, especially for drawing attention of the doctor to the person. Treatment of such patients can be quite difficult occupation since patients are capricious, try to manage treatment and to seduce the attending physician. And such patients can sometimes say something, pleasant to the doctor, for example the fact that to them there were serious changes in treatment process though actually changes were not.
The doctor has to keep a certain distance at treatment of such patient and fix attention on complaints of the last, as on a form of manifestation of requirements. In that case diagnosis of hysterical frustration of the personality as being at a distance becomes simpler it is easier to watch a condition of the patient. Such patients try to transfer process treatment to the personal relations, however in this case the doctor has to maintain balance between the benevolent relation at observance of a certain distance.
Treatment of hysterical frustration of the personality in general has quite favorable forecast, under normal social and labor conditions long compensation is possible. Such people remain youthfully graceful, their movements of a teatralna also are plastic. Sometimes creative persons occur among them, but there are also poseurs.
With age they become more serious, however some theatricality all the same is present at behavior. Such people are able to impress favourably, to summon sympathy. Sometimes such people are disturbed, especially at nervousness such symptoms of hysterical frustration of the personality as spasms, nausea, dizziness, vomiting, trembling of fingers of hands. Such people can normally adapt and live in society, however there is a risk of a decompensation at advanced age that can be connected with somatopathies, a climax.
Less favorable forecast at the people suffering from hysterical frustration of the personality in case of tendency of the last to imagination and pathological lies (pseudologia). Such people lie since the early childhood, even without the reason, and begin to believe that they thought up. Such people are incapable of long systematic work, instead of work fly in the imaginations. Psevdolog become speculators, swindlers, participate in adventures.
At treatment are used both individual, and group therapy.
Medicamentous therapy is less effective, and is used in the presence of serious depressive symptoms at the patient. MAO inhibitors and tetracyclic antidepressants are used.
It is necessary to begin treatment of hysterical frustration of the personality as soon as possible, at once after statement of the diagnosis. When carrying out treatment of hysteria of display of a disease gradually decrease, interpersonal adaptation improves. If not to receive medical treatment, then position of the patient is unstable, and the state can only worsen.
Psychiatrists try to help to find to people with hysterical frustration of the personality themselves and use to the abilities in any vital area, to achieve success, and also to develop more rational receptions of thinking. If the patient realizes the problem, then will find ways to be happy with himself and will become independent. In each case have to be used a certain approach which is chosen by the professional doctor.
Section: Mental, depressive disorders