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PubMed1995

[Hysterical psychoses revisited].

The author, after reviewing the literature about hysterical psychosis, briefly presents some of the surveys made in this area. The point of departure are the Hollender and Hirsh criteria for hysterical psichosis defined in 1964. These authors assumed that the clinical picture responds to a psychopathological entity which results from a single process. The other surveys presented try to prove this concept through case report and epidemiological research. The author concludes leaving this concept as an open question, suggesting that this could be a pathway for further research.

Conversion Disorder↗
PubMed2000

Associations between plasma glucose and DSM-III-R cluster B personality traits in psychiatric outpatients.

Associations between personality traits, measured with the Karolinska Scales of Personality, the Impulsiveness subscale from the Impulsiveness, Venturesomeness and Empathy (IVE) Inventory, and with self-assessed personality traits and disorders (SCID-II Screen Questionnaire), and plasma insulin, glucagon and glucose, respectively, were explored in a sample of 101 psychiatric outpatients of both sexes. No relationships between the peptide hormones and personality measures were found. However, fasting glucose values, which were all essentially within the normal biological variation, were significantly related to several personality measures. For males, a low blood glucose was associated with low stable general level of functioning, with high IVE Impulsiveness, and with self-assessed histrionic and narcissistic traits. High number of self-assessed personality traits for all cluster B personality disorders was strongly associated with high IVE Impulsiveness. The results of the present study support the generalizability of earlier findings from alcoholic impulsive offenders: in males, low blood glucose is associated with an extrovert and impulsive, acting-out behavior that includes the breaking of societal norms and rules. In contrast, for females a positive relationship between fasting glucose and self-assessed histrionic personality traits was found. Because no association between global level of functioning and glucose was found in women, these personality traits may not necessarily be maladaptive, as was the case for males.

Adult↗
PubMed1990

Gender weighting of DSM-III-R personality disorder criteria.

This study explored the gender weighting of the diagnostic criteria for personality disorders. Gender weighting was defined in terms of how 33 female and 17 male nonclinicians ranked the diagnostic criteria along a male-female dimension. Although the a priori expectation was that antisocial would be the prototypically masculine personality disorder and histrionic the feminine, the subjects ranked criteria from the sadistic category as the most masculine and those from the dependent category as the most feminine. These results and the subjects' gender weighting of criteria for borderline, obsessive-compulsive, and self-defeating personality disorders are analyzed in detail.

Adolescent↗
PubMed1981

The personality of clinical types: an empirically derived taxonomy.

Studied the development of a theory of multivariate personality styles that are considered to correspond to the character of specific diagnostic types. Theoretical descriptions of the personality styles of the hysteric, compulsive, character disorder, manic, and depressive were operationalized by predicting specific combinations of personality dimensions measured by previously validated personality measures. A test battery composed of scales hypothesized to operationalize these characteristics was administered to samples of male and female college students (N = 95). A short scale, the Multivariate Personality Inventory, was devised to measure these styles and was found to be reliable and to exhibit concurrent validity with the full test battery. A cluster analysis methodology isolated clusters of males and females who corresponded to the predicted profiles of the hypothesized personality styles. Strongest support was found for the female hysteric, the male and female compulsive, the female character disorder, and the male manic personality style.

Adult↗
PubMed1985

The clinical spectrum of panic attacks.

Current psychiatric nosologies associate recurrent panic attacks mainly with panic disorder, and agoraphobia with panic attacks, circumscribing their clinical relevance to the anxiety group of diagnosis. Through selected clinical presentations and a literature review the authors propose the existence of a cross-syndromal panic-anxiety represented by the recurrent panic attack that crosses the borders of any single group of diagnosis. This concept is of relevance for clinical psychiatry and may also constitute an important source of variance in psychiatric research.

Adult↗
PubMed1996

Reliability of the Portuguese version of the structured clinical interview for DSM-III-R (SCID) in a Brazilian sample of psychiatric outpatients.

The objective of the present study was to determine the reliability of psychiatric diagnoses using a translation and adaptation of Portuguese of the "Structured Clinical Interview for DSM-III-R-patient version" (SCID-P) and the "Structured Clinical Interview for DSM-III-R Personality Disorders" (SCID-II), using the joint interviews methodology. Thirty-nine subjects were evaluated using the SCID-P and 20 of them using the SCID-II. Interrater reliability was analyzed statistically by means of the Kappa Coefficient. Agreement between results obtained with SCID-P was statistically significant for the major diagnostic categories of DSM-III-R and for 10 of the 12 specific diagnostic categories studied (a minimum of 4 subjects per diagnosis). Agreement was not statistically significant for Psychotic Disorder Not Otherwise Specified (NOS) and for Other Bipolar Disorder. The Weighted Kappa for the main diagnoses and the Overall Kappa for the entire set of 25 specific diagnostic categories proposed by the SCID-P were statistically significant. The general agreement for Personality Disorders with SCID-II was statistically significant. The Kappa Coefficient was determined for the Avoidant, Paranoid, Histrionic and Borderline Personality Disorders and for the Conduct Disorder. The remaining Personality Disorders were not analyzed statistically because of their low prevalence in the sample. Agreement was not significant only for the Histrionic Personality Disorder. These data suggest that the translation and adaptation of the SCID-P and SCID-II to Portuguese presents, in general, good reliability indices, and thus its use is recommended.

Adult↗
PubMed1980

The oral, obsessive, and hysterical personality syndromes. A study of hereditary and environmental factors by means of the twin method.

Lazare et al have demonstrated a factor structure similar to the oral, obsessive, and hysterical personality syndromes in a female patient population. The factor structure has been replicated in a sample of 99 predominantly "normal" females and male twin pairs. Furthermore, it was found that hysterical traits in female subjects and oral traits in male subjects seemed to have a genetic component. The study also indicated that environmental factors from an early age influence the development of the personality structure.

Adult↗
PubMed1982

Overview: narcissistic personality disorder.

The authors trace the evolution of narcissistic personality disorder as a nosological entity in a critical survey of the literature, considering and comparing differing theoretical viewpoints regarding the genesis of this disorder. They review its various descriptions, including the one in DSM-III, and develop a composite picture of the syndrome. The disorder consists of characteristic deficits in six broad areas of functioning: 1) self-concept, 2) interpersonal relationships, 3) social adaptation, 4) ethics, standards, and ideals, 5) love and sexuality, and 6) cognitive style. The authors identify guidelines for distinguishing the narcissistic personality from other personality disorders as well as areas needing continued research.

Aggression↗
PubMedDate not supplied

Use of the MMPI in the prediction of dangerous behavior.

The prediction of violent behavior can be an important aspect in the diagnostic work-up of a patient. Can the Minnesota Multiphasic Personality Inventory (MMPI) be of any help in predicting dangerous behavior? DSM-III disorders in which violent behavior has a high probability to occur, and the corresponding MMPI profiles are discussed.

Antisocial Personality Disorder↗
PubMed1978

[Brain potentials evoked by stimuli of different intensities in normal subjects and in hysterical psychopathy].

The author studied evoked potentials of 5 different intensitities to electroskin stimula in normals and psychopathic personalities of a hysterical type. It was established that different in their genesis the components of evoked potentials change differently in a change of the stimula intensity. The highest intensity of the stimula is reflected in the early sensory component of evoked potentials, the amplitude of which in normals in an increase of intensity successionaly rises. In hysterical personalities the amplitude of early sensorial components of evoked potentials in an increase of stimula intensity increases only to a certain limit, after which it begins to drop. This phenomenon called "reducing" indicates to a weakness of the sensory systems and relative prevalence of nonspecific brain systems in hysterical psycopathy.

Antisocial Personality Disorder↗
PubMed1978

The hysterical personality--I. The healthy hysteric.

This paper examines the meaning and validity of 'hysterical personality disorders'. Theories and descriptions of hysterical personalities have been conflicting and often mutually incompatible, leading to a vague and imprecise nosology. No generally accepted specific inclusion criteria or follow-up studies are available; consequently, the diagnosis of 'hysterical personality disorder' has reflected adaptive as well as maladaptive traits. This paper critically examines the healthy dimension of Lazare's continuum of personality pathologies exhibiting hysterical traits. The continuum, in an attempt to reconcile the inconsistencies of this diagnosis, ranges from the relatively healthy (good, genital, true) hysteric, to the sick (bad, oral, 'so-called good') hysteric. But this paper concludes that here, too, evidence for diagnostic legitimacy is lacking. Women at the healthy end of the hysterical personality spectrum are best regarded as healthy and do not meet criteria for the diagnosis of a personality disorder.

Female↗