Historical roots of histrionic personality disorder

Исторические корни истерического расстройства личности
Filipa Novais, A. M. de Araújo, Paula Godinho
2015-09-25

Diagnostic and Statistical Manual of Mental DisordersHistrionic personality disorderHysteriaPsychiatric diagnosisPsychological trauma
Histrionic Personality Disorder is one of the most ambiguous diagnostic categories in psychiatry. Hysteria is a classical term that includes a wide variety of psychopathological states. Ancient Egyptians and Greeks blamed a displaced womb, for many women's afflictions. Several researchers from the 18th and 19th centuries studied this theme, namely, Charcot who defined hysteria as a "neurosis" with an organic basis and Sigmund Freud who redefined "neurosis" as a re-experience of past psychological trauma. Histrionic personality disorder (HPD) made its first official appearance in the Diagnostic and Statistical Manual of Mental Disorders II (DSM-II) and since the DSM-III, HPD is the only disorder that kept the term derived from the old concept of hysteria. The subject of hysteria has reflected positions about health, religion and relationships between the sexes in the last 4000 years, and the discussion is likely to continue.
1
Charcot conceptualized hysteria as a neurosis with an organic basis, whereas Freud reinterpreted neurosis as re-experienced psychological trauma.
2
HPD first appeared officially in DSM-II and has retained a term derived from hysteria since DSM-III.
3
Histrionic Personality Disorder remains one of psychiatry’s most ambiguous diagnostic categories.
4
The historical concept of hysteria encompassed diverse psychopathological states and was attributed in antiquity to a displaced womb.
5
The history of hysteria reflects changing views on health, religion, and gender relations over approximately 4,000 years, with debate continuing.

Histrionic personality disorder and its historical precursor, hysteria

The historical evolution and changing conceptualization of hysteria and histrionic personality disorder in psychiatry

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2015-09-25
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Filipa Novais
A. M. de Araújo
Paula Godinho
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