Abstract
The categories of histrionic and dependent personality disorders have two major themes in common. First, both have their origins in early psychoanalytic writings on character structure. Second, both concepts have been associated with women. This chapter provides a historical review of the psychoanalytic ideas associated with these personality disorder categories, discusses the recent empirical studies relevant to the DSM-III/ DSM-III-R definitions of the categories, and concludes with comments on the possible sex bias in the diagnosis of the categories.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Abraham, K. (1979). Selected papers of Karl Abraham, M.D. New York: Brunner/Mazel.
American Psychiatric Association. (1952). Diagnostic and statistical manual of mental disorders (1st ed.) Washington, DC: Author.
American Psychiatric Association. (1968). Diagnostic and statistical manual of mental disorders (2nd ed.) Washington, DC: Author.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.) Washington, DC: Author.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.) Washington, DC: Author.
Beck, A. T., & Freeman, A. (1990). Cognitive Therapy of Personality Disorders. New York: Guilford Press.
Blashfield, R. K., & Breen, M. J. (1989). Face validity of the DSM-III-R personality disorders. American Journal of Psychiatry, 146, 1575–1579.
Blashfield, R. K., & Haymaker, D. (1988). A prototype analysis of the diagnostic criteria for DSM-III-R personality disorders. Journal of Personality Disorders, 2, 272–280.
Chodoff, P. (1976). Psychotherapy of the hysterical personality disorder. Journal of the American Academy of Psychoanalysis, 6, 497–510.
Chodoff, P., & Lyons, H. (1958). Hysteria, the hysterical personality and “hysterical” conversion. American Journal of Psychiatry, 114, 734–740.
Clark, L. A. (1990). Toward a consensual set of symptom clusters for assessment of personality disorder. In J. N. Butcher & C. D. Spielberger (Eds.), Advances in personality assessment (Vol. 8, pp. 243–266). Hillsdale, NJ: Lawrence Erlbaum.
Dahl, A. (1986). Some aspects of DSM-III personality disorders illustrated by a consecutive sample of hospitalized patients. Acta Psychiatrica Scandinavica, 7J(Suppl. 22), 61–66.
Eaton, W. W., Reiger, D. A., Locke, B. Z., & Taube, C. A. (1981). The Epidemiological Catchment Area program of the National Institute of Mental Health. Public Health Reports, 96, 319–325.
Ford, M. R., & Widiger, T. A. (1989). Sex bias in the diagnosis of histrionic and antisocial personality disorder. Journal of Consulting and Clinical Psychology, 57, 301–305.
Frances, A. J. (1982). Categorical and dimensional systems of personality diagnosis: A comparison. Comprehensive Psychiatry, 23, 516–527.
Frances, A., Clarkin, J., & Gilmore, M. (1984). Reliability of criteria for borderline personality disorder: A comparison of DSM-III and the diagnostic interview for borderline patients. American Journal of Psychiatry, 141, 1080–1084.
Frances, A. J., & Katz, S. E. (1986). Treating a young woman with a mix of affective and personality disorders. Hospital and Community Psychiatry, 37, 331–333.
Freeman, P. S. & Gunderson, J. G. (1989). Treatment of personality disorders. Psychiatric Annals, 19, 147–153.
Fuller, A. K., & Blashfield, R. K. (1989). Masochistic personality disorder: A prototype analysis of diagnosis and sex bias. Journal of Nervous and Mental Disease, 177, 168–172.
Gartner, A. F, Marcus, R. N., Halmi, K., & Loranger, A. W. (1989). DSM-III-R personality disorders in patients with eating disorders. American Journal of Psychiatry, 146, 1585–1591.
Goldsmith, S. J., Jacobsberg, L. B., & Bell, R. (1989). Personality disorder assessment. Psychiatric Annals, 19, 139–142.
Gorton, G., & Akhtar, S. (1990). The literature on personality disorders, 1985–88: Trends, issues and controversies. Hospital and Community Psychiatry, 41, 39–51.
Greenberg, R. P., & Bornstein, R. F. (1988a). The dependent personality: I. Risk for physical disorders. Journal of Personality Disorders, 2, 126–135.
Greenberg, R. P., & Bornstein, R. F (1988b). The dependent personality: II. Risk for psychological disorders. Journal of Personality Disorders, 2, 136–143.
Gunderson, J., Kolb, J., & Austin, V. (1981). The Diagnostic Interview for Borderline Patients (DIB). American Journal of Psychiatry, 138, 896–903.
Hamilton, S., Rothbart, M., & Dawes, R. (1986). Sex bias diagnosis in DSM-III. Sex Roles, 15, 269–274.
Hare, R. D. (1985). The psychopathy checklist. Unpublished manuscript, University of British Columbia, Vancouver.
Horowitz, M., Marmar, C., Krupnick, G., Wilner, N., Kaltreider, N., & Wallerstein, R. (1984). Personality Styles and Psychotherapy. New York: Basil Books.
Hyler, S., Rieder, R., Spitzer, R. L., & Williams, J. B. W. (1982). The Personality Diagnostic Questionnaire (PDQ). New York: New York State Psychiatric Institute.
Kaplan, M. (1983). A woman’s view of DSM-III. American Psychologist, 38, 786–792.
Kass, E, Skodol, A. E., Charles, E., Spitzer, R. L., & Williams, J. B. W. (1985). Scaled ratings of DSM-III personality disorders. American Journal of Psychiatry, 142, 627–630.
Kass, F, Spitzer, R. L., & Williams, J. B. W. (1983). An empirical study of sex bias in the diagnostic criteria of DSM-III Axis II personality disorders. American Psychologist, 38, 799–801.
Kazdin, A. E. (1980). Research design in clinical psychology, New York: Harper & Row.
Kernberg, O. (1984). Object-relations theory and clinical psychoanalysis. New York: Jason Aronson.
Kline, P., & Storey, R. (1977). A factor analytic study of the oral character. British Journal of Social and Clinical Psychology, 16, 317–328.
Lazare, A., Klerman, G. L., & Armor, D. J. (1966). Oral, obsessive, and hysterical personality patterns: An investigation of psychoanalytic concepts by means of factor analysis. Archives of General Psychiatry, 14, 624–630.
Lazare, A., Klerman, G. L., & Armor, D. J. (1970). Oral, obsessive and hysterical personality patterns: Replication of factor analysis in an independent sample. Journal of Psychiatric Research, 7, 275–290.
Lilienfeld, S. O., Van Valkenburg, C., Larntz, K., & Akiskal, H. S. (1986). The relationship of histrionic personality disorder to antisocial personality and somatization disorders. American Journal of Psychiatry, 143, 718–722.
Livesley, W. J., Schroeder, M. L., & Jackson, D. N. (1990). Dependent personality disorder and attachment problems. Journal of Personality Disorders, 4, 131–140.
Loranger, A. W., Susman, V. L., Oldham, J. M., & Russakoff, L. M. (1985). Personality Disorder Examination (PDE). Unpublished manuscript, New York Hospital-Cornell Medical Center, White Plains.
Loranger, A. W., Susman, V. L., Oldham, J. M., & Russakoff, L. M. (1987). The Personality Disorder Examination: A preliminary report. Journal of Personality Disorders, 1, 1–13.
Maser, J. D., & Cloninger, C. R. (Eds.). (1990). Comorbidity of mood and anxiety disorders. Washington, DC: American Psychiatric Press.
Mavissakalian, M., & Hamann, M. S. (1986). DSM-III personality disorder in agoraphobia. II: Changes with treatment. Comprehensive Psychiatry, 27, 471–479.
Mavissakalian, M., & Hamann, M. S. (1988). Correlates of DSM-III personality disorder in panic disorder and agoraphobia. Comprehensive Psychiatry, 29, 535–544.
Millon, T. M. (1981). Disorders of personality: DSM-III. Axis II. New York: Wiley.
Millon, T. M. (1983). Millon Clinical Multiaxial Inventory manual (3rd ed.). Minneapolis: National Computer Systems.
Morey, L. C. (1988a). Personality disorders in DSM-III and DSM-III-R: Convergence, coverage, and internal consistency. American Journal of Psychiatry, 145, 573–577.
Morey, L. C. (1988b). A psychometric analysis of the DSM-III-R personality disorder criteria. Journal of Personality Disorders, 2, 109–124.
Morey, L. C. (1988c). The categorical representation of personality disorder: A cluster analysis of DSM-III-R personality features. Journal of Abnormal Psychology, 97, 314–321.
Morey, L. C., & Ochoa, E. S. (1989). An investigation of adherence to diagnostic criteria: Clinical diagnosis of the DSM-III personality disorders. Journal of Personality Disorders, 3, 180–192.
Nestadt, G., Romanovski, A. T., Merchant, A., Folstein, M. F, Gruenberg, E. M., &McHugh, P R. (1990). Anepidemiological study of histrionic personality disorder. Psychological Medicine, 20, 413–422.
Pfohl, B., Coryell, W., Zimmerman, M., & Stangl, D. (1986). DSM-III personality disorders: Diagnostic overlap and internal consistency of individual DSM-III criteria. Comprehensive Psychiatry, 27, 21–34.
Pfohl, B., Stangl, D., & Zimmerman, M. (1983). Structured Interview for DSM-III Personality Disorders (SIDP) (2nd ed.). Unpublished manual, University of Iowa College of Medicine, Iowa City.
Pfohl, B., Stangl, D., & Zimmerman, M. (1984). The implications of DSM-III personality disorders for patient with major depression. Journal of Affective Disorders, 7, 309–318.
Pilkonis, P. A., & Frank, E. (1988). Personality pathology in recurrent depression: Nature, prevalence, and relationship to treatment response. American Journal of Psychiatry 145, 435–441.
Pope, H. G., Jonas, J. M., Hudson, J. I., Cohen, B. M., & Gunderson, J. G. (1983). The validity of DSM-III borderline personality disorder: A phenomenologic, family history, treatment response, & long term follow-up study. Archives of General Psychiatry, 40, 23–30.
Prichard, J. C. (1837). A treatise on insanity and other disorders affecting the mind. Philadelphia: Has well, Barrington, & Haswell.
Raskin, R., & Hall, C. S. (1981). The narcissistic personality interview: Alternate form reliability and further construct validity. Journal of Personality Assessment, 45, 159–162.
Reich, J. H. (1987). Sex distribution of DSM-III personality disorders in psychiatric outpatients. American Journal of Psychiatry, 144, 485–488.
Reich, J. H., & Troughton, E. (1988). Frequency of DSM-III personality disorders in patients with panic disorders: Comparison with psychiatric and normal control subjects. Psychiatry Research, 26, 89–100.
Reich, W. (1945). Character analysis. New York: Orgon Institute Press. Original work published in 1933)
Reich, W. (1975). Early writings (Vol. 1). New York: Farrar, Straus and Giroux.
Skodol, A. E., Rosnick, L., Kellman, D., Oldham, J. M., & Hyler, S. E. (1988). Validating structural DSM-III-R personality disorder assessments with longitudinal data. American Journal of Psychiatry, 10, 1297–1299.
Slavney, P R., & Chase, G. A. (1985). Clinical judgments of self-dramatization: A test of the sexist hypothesis. British Journal of Psychiatry, 146, 614–617.
Spitzer, R. L., Forman, J. B. W., & Nee, J. (1979). DSM-III field trials: I. Initial interrater diagnostic reliability. American Journal of Psychiatry, 136, 815–817.
Spitzer, R. L., & Williams, J. B. W. (1985). Structured Clinical Interview for DSM-III-R personality disorders (SCID-II). New York: Biometrics Research Department, New York State Psychiatric Institute.
Spitzer, R. L., Williams, J. B. W, & Kass, F, & Davies, M. (1989). National field trial of the DSM-III-R diagnostic criteria for self-defeating personality disorder. American Journal of Psychiatry, 146, 1561–1567.
Sprock, J., & Blashfield, R. K. (1983). Classification and nosology. In M. Hersen, A. E. Kazdin, & A. S. Bellack (Eds.), The clinical psychology handbook (pp. 289–307). New York: Pergamon.
Sprock, J., Blashfield, R. K., & Smith, B. (1990). Gender weighting of DSM-III-R personality disorder criteria. American Journal of Psychiatry, 147, 586–590.
Stangl, D., Pfohl, B., Zimmerman, M., Bowers, W, & Corenthal, C. (1985). A structured interview for the DSM-III personality disorders. Archives of General Psychiatry, 42, 591–596.
Thompson, L. W, Gallagher, D., & Czirr, R. (1988). Personality disorder and outcome in the treatment of late-life depression. Journal of Geriatric Psychiatry, 21, 133–146.
Torgerson, S. (1980). The oral, obsessive, and hysterical personality syndromes: A study of heredity and environmental factors by means of the twin method. Archives of General Psychiatry, 37, 1272–1277.
Trull, T. J., Widiger, T. A., & Frances, A. J. (1987). Covariation of criteria sets for avoidant, schizoid, and dependent personality disorders. American Journal of Psychiatry, 144, 767–771.
van den Berg, P. J., & Helstone, F. S. (1975). Oral, obsessive and hysterical personality patterns: A Dutch replication. Journal of Psychiatric Research, 12, 319–327.
van den Brink, W, Slooff, C., Hanhart, M., Rovwendael, V., & Koeter, M. (1987). Joint and test-retest reliability of DSM-III Axis II disorders. Proceedings of the American Psychiatric Association Annual Meeting, 1, 13.
Warner, R. (1978). The diagnosis of antisocial and hysterical personality disorders: An example of sex bias. Journal of Nervous and Mental Disease, 166, 839–845.
Widiger, T. A. (1985). Personality Interview Questions. Unpublished manuscript, University of Kentucky, Lexington.
Widiger, T. A., & Frances, A. J. (1987). Interviews and inventories for the measurement of personality disorders. Clinical Psychology Review, 7, 49–75.
Widiger, T. A., & Rogers, J. H. (1989). Prevalence and comorbidity of personality disorders. Psychiatric Annals, 19, 132–136.
Widiger, T. A., Frances, A., Spitzer, R. L., & Williams, J. B. W. (1988). The DSM-III-R personality disorders: An overview. American Journal of Psychiatry, 145, 786–795.
Widiger, T. A., Frances, A., Warner, L., & Bluhm, C. (1986). Diagnostic criteria for the borderline and schizotypal personality disorders. Journal of Abnormal Psychology, 1 43–51.
Widiger, T., Trull, T., & Hurt, S. (1987). A multidimensional scaling of the DSM-III personality disorders. Archives of General Psychiatry, 44, 557–563.
Widom, C. S. (1984). Sex roles andpsychopathology. New York: Plenum.
Zanarini, M. C., Frankenburg, R. F, Chauncy, D. L., & Gunderson, J. G. (1987). The Diagnostic Interview for Personality Disorders: Interrater and test-retest reliability. Comprehensive Psychiatry, 28, 467–480.
Zimmerman, M., & Coryell, W. (1989). DSM-III personality disorder diagnoses in a nonpatient sample. Archives of General Psychiatry, 46, 682–689
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer Science+Business Media New York
About this chapter
Cite this chapter
Blashfield, R.K., Davis, R.T. (1993). Dependent and Histrionic Personality Disorders. In: Sutker, P.B., Adams, H.E. (eds) Comprehensive Handbook of Psychopathology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3008-4_16
Download citation
DOI: https://doi.org/10.1007/978-1-4615-3008-4_16
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-6310-1
Online ISBN: 978-1-4615-3008-4
eBook Packages: Springer Book Archive