Monday, July 14, 2014


Dictionary Meaning -
(according to Dorland's pocket medical Dictionary)

A Term Formerly Used Widely In Psychiatry. Its Meanings Have Included :-
(1) Classical Hysteria (Now Somatization Disorder):
(2) Hysterical Neurosis (Now Divided Into Conversion Disorder And Dissociative Disorders);
(3) Anxiety Hysteria; And
(4) Hysterical Personality (Now Histrionic Personality).

Fixation Hysteria - Conversion Disorder With Symptoms Based On An Existing Or Previous Organic Disease Or Injury.

Hysterics - Popular Term For An Uncontrollable Emotional Outburst.


Pathological Point Of View -

  • Histrionic Personality Disorder (HPD) Is Defined By The American Psychiatric Association As A Personality Disorder Characterized By A Pattern Of Excessive Emotions And Attention-Seeking, Including Inappropriately Seductive Behaviour And An Excessive Need For Approval, Usually Beginning In Early Adulthood.
  • People Affected By HPD Are Lively, Dramatic, Vivacious, Enthusiastic, And Flirtatious.
  • HPD Affects Four Times As Many Women As Men.
  • It Has A Prevalence Of 2–3% In The General Population And 10–15% In Inpatient And Outpatient Mental Health Institutions.
  • People With HPD Have A High Need For Attention, Make Loud And Inappropriate Appearances, Exaggerate Their Behaviours And Emotions, And Crave Stimulation.
  • They May Exhibit Sexually Provocative Behaviour, Express Strong Emotions With An Impressionistic Style, And Can Be Easily Influenced By Others.
  • Associated Features Include Egocentrism, Self-Indulgence, Continuous Longing For Appreciation, And Persistent Manipulative Behaviour To Achieve Their Own Needs.

Diagnosis -

  • The Person's Appearance, Behaviour, And History, Along With A Psychological Evaluation, Are Usually Sufficient To Establish A Diagnosis.

A Pervasive Pattern Of Excessive Emotionality And Attention-Seeking, Beginning By Early Adulthood And Present In A Variety Of Contexts, As Indicated By Five (Or More) Of The Following :
  • Is Uncomfortable In Situations In Which He Or She Is Not The Centre Of Attention.
  • Interaction With Others Is Often Characterized By Inappropriate Sexually Seductive Or Provocative Behaviour.
  • Displays Rapidly Shifting And Shallow Expression Of Emotions.
  • Consistently Uses Physical Appearance To Draw Attention To Self.
  • Has A Style Of Speech That Is Excessively Impressionistic And Lacking In Detail.
  • Shows Self-Dramatization, Theatricality, And Exaggerated Expression Of Emotion.
  • Is Suggestible, i.e., Easily Influenced By Others Or Circumstances.
  • Considers Relationships To Be More Intimate Than They Actually Are.

The World Health Organization's ICD-10 Lists Histrionic Personality Disorder As:

A Personality Disorder Characterized By:
  • Shallow And Labile Affectivity,
  • Self-Dramatization,
  • Theatricality,
  • Exaggerated Expression Of Emotions,
  • Suggestibility,
  • Egocentricity,
  • Self-Indulgence,
  • Lack Of Consideration For Others,
  • Easily Hurt Feelings, And
  • Continuous Seeking For Appreciation, Excitement And Attention.

Millon's subtypes

Theodore Millon Identified Six Subtypes Of Histrionic Personality Disorder. Any Individual Histrionic May Exhibit None Or One Of The Following:
SubtypeDescriptionPersonality Traits
AppeasingIncluding Dependent And Compulsive FeaturesSeeks To Placate, Mend, Patch Up, Smooth Over Troubles; Knack For Settling Differences, Moderating Tempers By Yielding, Compromising, Conceding; Sacrifices Self For Commendation; Fruitlessly Placates The Unplacatable.
VivaciousThe Seductiveness Of The Histrionic Mixed With The Energy Typical Of Hypomania. Some Narcissistic Features Can Also Be PresentVigorous, Charming, Bubbly, Brisk, Spirited, Flippant, Impulsive; Seeks Momentary Cheerfulness And Playful Adventures; Animated, Energetic, Ebullient.
TempestuousIncluding Negativistic FeaturesImpulsive, Out Of Control; Moody Complaints, Sulking; Precipitous Emotion, Stormy, Impassioned, Easily Wrought-Up, Periodically Inflamed, Turbulent.
DisingenuousIncluding Antisocial FeaturesUnderhanded, Double-Dealing, Scheming, Contriving, Plotting, Crafty, False-Hearted; Egocentric, Insincere, Deceitful, Calculating, Guileful.
TheatricalVariant Of “Pure” PatternAffected, Mannered, Put-On; Postures Are Striking, Eye Catching, Graphic; Markets Self-Appearance; Is Synthesized, Stagy; Simulates Desirable/Dramatic Poses.
InfantileIncluding Borderline FeaturesLabile, High-Strung, Volatile Emotions; Childlike Hysteria And Nascent Pouting; Demanding, Overwrought; Fastens And Clutches To Another; Is Overly Attached, Hangs On, Stays Fused To And Clinging.

 For More Details :-

Management :-
  • Talk Confidently And Assure That You Will Definitely Cure Him Or Her.
  • Give Placebo Injection Or I.V. Drip.
  • Change The Environment. Admit The Patient And Do Not Allow Any Relative To Meet.

Psychotherapy :-
  • Interviews And Self-Report Methods.
  • Functional Analytic Psychotherapy.
  • Coding Client And Therapist Behaviours.

Role Of Allopathy :-
  • Anti-Psychotic Drugs.
  • Anti-Depressant Drugs.

Role Of Homoeopathy :-

Constitutional Remedy Along With The Counselling Will Help The Patient To Be Adapt With The Reality.

Here, List Of Useful Remedies (According To REPERTORY
by Oscar E. BOERICKE, M.D.) Are As Below-

HYSTERIA -- Acon., Agn., Ambra, Am. val., Apis, Aquil., Asaf., Aster., Bell., Cact., Cajup., Camph. monobr., Can. ind., Castor., Caul., Cham., Cim.Cocc., Con., Croc.Eup. ar.Gels., Hyos.,Ign.Kali p., Lil. t., Mag. m., Mosch., Myg., Nux m., Orig., Phos. ac., Phos.Plat., Poth., Puls., Scutel., Senec., Sep., Stram., Strych. p., Sumb.Tar. h., Ther., Val.Zinc. v.

 For Detail Study Of Above Mentioned Individual Remedy From HOMŒOPATHIC MATERIA MEDICA by William BOERICKE, M.D.:-

Special Thanks To Dipti Varma, Damini Rathwa & Dhwani Gamit.

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