HPD HPD History and Classification 2 — Questions and Answers
Question 1: The transition from 'hysterical neurosis' to 'histrionic personality disorder' in the DSM was largely driven by which concern?
- Cost of treatment
- Gender bias in the hysteria concept (Correct answer)
- Lack of comorbid conditions
- Overlap with schizophrenia
Correct answer: Gender bias in the hysteria concept
The term 'hysteria' was criticized for reflecting gender bias since it was historically applied almost exclusively to women.
Question 2: Which cluster of DSM-5 personality disorders shares Cluster B with HPD?
- Paranoid, Schizoid, Schizotypal
- Borderline, Narcissistic, Antisocial (Correct answer)
- Avoidant, Dependent, Obsessive-Compulsive
- None; HPD is the only Cluster B disorder
Correct answer: Borderline, Narcissistic, Antisocial
Cluster B includes Borderline, Narcissistic, Antisocial, and Histrionic Personality Disorders.
Question 3: Approximately what percentage of the general US population is estimated to have HPD?
- Less than 1%
- 2–3% (Correct answer)
- 5–7%
- 10–12%
Correct answer: 2–3%
Prevalence estimates for HPD in the general population typically range from approximately 2–3%.
Question 4: Which term did Paul Chodoff and Henry Lyons coin in 1958 that contributed to modern HPD conceptualization?
- Dramatizing personality
- Hysterical character (Correct answer)
- Emotional reactivity disorder
- Attention-seeking syndrome
Correct answer: Hysterical character
Chodoff and Lyons described the 'hysterical character' in 1958, systematizing traits that later informed DSM HPD criteria.
Question 5: The ICD-11's dimensional model of personality disorders represents a shift away from HPD as a discrete category toward emphasizing what?
- Biological markers
- Severity and prominent trait domains (Correct answer)
- Childhood trauma history
- Medication response profiles
Correct answer: Severity and prominent trait domains
ICD-11 emphasizes personality disorder severity and prominent trait domains (e.g., negative affectivity, disinhibition) over discrete categories.
Question 6: Jean-Martin Charcot's work at Salpêtrière hospital in 19th-century Paris was significant to HPD history because he:
- Invented the DSM criteria
- Documented and demonstrated hysteria systematically (Correct answer)
- Developed CBT for hysteria
- Proved hysteria was caused by the uterus
Correct answer: Documented and demonstrated hysteria systematically
Charcot systematically documented and publicly demonstrated hysterical symptoms, influencing later clinical understanding of hysteria.
HPD HPD History and Classification 2
The transition from 'hysterical neurosis' to 'histrionic personality disorder' in the DSM was largely driven by which concern?