HPD HPD Behavioral Patterns 2 — Questions and Answers
Question 1: In HPD, the persistent discomfort when not the center of attention typically leads to what behavioral consequence in social settings?
- Social withdrawal and isolation
- Escalating behaviors to recapture attention (Correct answer)
- Calm, measured reassertion of opinions
- Passive acceptance of the situation
Correct answer: Escalating behaviors to recapture attention
When not the center of attention, individuals with HPD typically escalate dramatic behaviors to recapture it.
Question 2: HPD individuals frequently use seductive or provocative behavior. According to DSM-5, this behavior must be:
- Present only in romantic relationships
- Inappropriate in social or occupational settings (Correct answer)
- Directed only at authority figures
- Exclusively physical in nature
Correct answer: Inappropriate in social or occupational settings
DSM-5 Criterion 2 specifies interaction with others that is often characterized by inappropriate sexually seductive or provocative behavior.
Question 3: How does the attention-seeking behavior of HPD differ from that seen in Narcissistic Personality Disorder?
- HPD seeks admiration; NPD seeks sympathy and excitement
- HPD seeks approval and excitement; NPD seeks admiration for superiority (Correct answer)
- HPD has no interest in others' opinions; NPD does
- They are identical behaviors with different labels
Correct answer: HPD seeks approval and excitement; NPD seeks admiration for superiority
HPD attention-seeking is driven by a need for approval and excitement, while NPD attention-seeking centers on admiration for perceived superiority.
Question 4: A person with HPD expresses strong opinions with great passion but cannot provide specific supporting evidence when asked. This illustrates which HPD pattern?
- Suggestibility
- Impressionistic speech lacking in detail (Correct answer)
- Exaggerated emotional expression
- Overestimation of relationship intimacy
Correct answer: Impressionistic speech lacking in detail
The impressionistic speech style (DSM-5 Criterion 5) means strong opinions are expressed vividly but without factual depth or detail.
Question 5: In HPD, what is the primary function of the frequent dramatic displays of emotion?
- To communicate genuine psychological pain
- To manipulate and maintain the attention of others (Correct answer)
- To satisfy an internal need for catharsis
- To establish dominance in hierarchical situations
Correct answer: To manipulate and maintain the attention of others
While HPD emotions may have genuine components, the dramatic displays primarily serve to attract and sustain others' attention.
Question 6: When a person with HPD encounters a threat to their center-of-attention status, they most characteristically respond with:
- Rational problem-solving and compromise
- Intensified dramatic behavior or emotional escalation (Correct answer)
- Silent withdrawal and sulking
- Direct, assertive confrontation
Correct answer: Intensified dramatic behavior or emotional escalation
HPD's characteristic response to losing the spotlight is escalation of dramatic or attention-seeking behaviors.
In HPD, the persistent discomfort when not the center of attention typically leads to what behavioral consequence in social settings?