HPD HPD Psychological Theories 1 — Questions and Answers
Question 1: According to psychoanalytic theory, HPD is linked to fixation at which psychosexual stage?
- Oral stage
- Anal stage
- Phallic stage (Correct answer)
- Genital stage
Correct answer: Phallic stage
Psychoanalytic theory associates HPD with fixation or conflict at the phallic stage (Oedipal/Electra period), resulting in attention-seeking and seductiveness.
Question 2: In attachment theory, HPD is most commonly associated with which attachment style?
- Secure attachment
- Anxious-preoccupied attachment (Correct answer)
- Dismissive-avoidant attachment
- Disorganized attachment
Correct answer: Anxious-preoccupied attachment
HPD is most associated with anxious-preoccupied attachment, characterized by hyperactivation of the attachment system and excessive need for closeness.
Question 3: Cognitive theory explains HPD's core beliefs as centering on which assumptions?
- The world is dangerous and I must protect myself
- I am unlovable unless I am entertaining and attractive to others (Correct answer)
- I must be perfect to have any worth
- Others will always betray me
Correct answer: I am unlovable unless I am entertaining and attractive to others
Aaron Beck identified HPD's core cognitive schema as 'I am unlovable unless I am captivating, charming, or entertaining to others.'
Question 4: Object relations theory interprets HPD's attention-seeking as stemming from:
- Overabundance of early mirroring by caregivers
- Inadequate early mirroring and a fragile sense of self that requires external validation (Correct answer)
- Complete absence of attachment to early caregivers
- Genetically programmed social display behaviors
Correct answer: Inadequate early mirroring and a fragile sense of self that requires external validation
Object relations theorists view HPD attention-seeking as compensating for inadequate early mirroring, leaving the person dependent on external validation for self-cohesion.
Question 5: From an evolutionary psychology perspective, some theorists have proposed that HPD traits may represent an exaggerated version of:
- Dominance-seeking strategies
- Short-term mating and signaling strategies (Correct answer)
- Kin-protection behaviors
- Status-through-competence strategies
Correct answer: Short-term mating and signaling strategies
Evolutionary psychologists have proposed that HPD traits may represent an exaggeration of short-term mating strategies involving attention-getting signals and social display.
Question 6: Which cognitive distortion is most characteristic of HPD according to cognitive-behavioral models?
- All-or-nothing thinking and rigid black-white categorization
- Selective attention to being unnoticed combined with global positive self-evaluation when admired (Correct answer)
- Catastrophizing about physical symptoms
- Minimization of positive social feedback
Correct answer: Selective attention to being unnoticed combined with global positive self-evaluation when admired
HPD involves selective attention to threats of being overlooked and dramatic shifts between feeling special when admired and distress when unnoticed.
According to psychoanalytic theory, HPD is linked to fixation at which psychosexual stage?