The symptoms of these patients presented their thoughts and behaviors as if an outside intervention was taking place, that is, as if they were happening outside their will. They were people who tended to use large exaggerated and dramatic gestures, as well as having strong and dramatic speeches. Among cognitive and behavioral theorists, Beck introduced the cognitive conceptualization of hysteria, but examined hysteria as conversion hysteria rather than Histrionic Personality Disorder.
One of the underlying assumptions of individuals with Histrionic Personality Disorder is "I am inadequate and I cannot survive on my own." is the thought. Individuals with different personality disorders may have similar ways of dealing with assumptions, but histrionic individuals tend to take a more pragmatic approach that leaves nothing to chance. Since they feel inadequate to care for themselves, they need to find various ways to care for others. By giving the key to other people's difficulties in life, he harbors the belief that he should be loved by everyone. This situation creates a very strong fear of rejection. Even thinking that rejection is possible frightens people with this structure because it reminds them of the unhealthy foundations of the outside world. For them, even the sign of rejection leaves a devastating mark. Acting to gain approval despite feeling inadequate is a way of salvation for them. They do not leave approval to chance. In order to keep such a situation alive, they feel pressure to overload and seek attention by using sexual role patterns. Female histrionics think that they are rewarded for their physical attractiveness, rather than for work that requires adequate, systematic thought and planning, based on the events and situations of their age. Male histrionics, on the other hand, have learned to play the overly masculine role, which is called the more masculine "man of spades", and they think that they are rewarded for their masculinity, endurance, and strength.
The concerns of people with this structure about eliciting external approval are fueled and they focus on internal evaluation of external evaluation. experiment They learned to do it through their knowledge. In fact, their own inner experiences escape them in a very different way and they do not know how to deal with them. The cognition of Histrionic Personality Disorder is general and lacking in detail, leading to an impressionistic perception of the self rather than being based on obvious success.
Treatment
These people have cognitive and behavioral approaches based on their specific problem structure. therapy techniques can be used. Various treatment techniques should be used according to the patient's goals. Challenging automatic thoughts, organizing behavioral assignments and experiments related to testing thoughts, activity calendar, relaxation exercises, problem solving and initiative exercises help the person. The first priority in cognitive therapy is the layer that is open to change, automatic thoughts. It is easier to change instantaneous evaluations that a person makes about a particular situation. Since automatic thoughts consist of images in certain areas that pass through the person's mind, the problem addressed in the therapy process must be defined in a specific example situation. For example, it is aimed to identify the symptoms experienced by the patient by asking questions such as when was the last time you experienced this problem. The problems addressed in cognitive therapy should be specific and concrete. Another important initiative that should be made in therapy after concretely addressing the problems experienced is the identification of feelings, thoughts and situations. The patient can be informed about the detection of automatic thoughts and explained through the emotions experienced by the patient. For example, you are upset or angry about this situation. One of the best ways to explain what automatic thoughts are is to ask the patient questions during the session that may lead to the emergence of automatic thoughts, that is, to express his feelings at that moment. Another way to get automatic thoughts is to ask direct questions.
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