Sigmund D, Barnett W, Mundt C
Department of Psychiatry, University of Heidelberg, Germany.
Psychopathology. 1998 Nov-Dec;31(6):318-30. doi: 10.1159/000029057.
The background of the present study is a general uncertainty as to what comprises the essence of hysterical (histrionic) personality disorder. Using phenomenological methodology, phenomena observable in the 'classic' hysterical personality are analysed, described, named, and classified according to the basic functions of human experience and behaviour. The resulting psychopathological picture of the hysterical personality facilitates a differential diagnosis that is often decidedly difficult. The phenomenon of dissociation of the mental processes is demonstrated for the various basic functions. A specific feature of the disorder is shown which generates a dissociation of contents of the personality along a conscious-preconscious-unconscious continuum. It is concluded that dissocation is, in the final analysis, the prerequisite for a compromised and partial acting out of prohibited non-integrated elements, e.g. aggression, as a coping strategy.
本研究的背景是对于癔症性(表演型)人格障碍的本质构成存在普遍的不确定性。运用现象学方法,根据人类体验和行为的基本功能,对在“典型”癔症性人格中可观察到的现象进行分析、描述、命名和分类。由此得出的癔症性人格的精神病理图景有助于进行往往极具难度的鉴别诊断。针对各种基本功能展示了心理过程解离的现象。该障碍的一个特定特征表现为沿着意识-前意识-无意识连续体产生人格内容的解离。得出的结论是,归根结底,解离是将被禁止的、未整合的元素(例如攻击性)作为一种应对策略进行妥协性和部分性外化表现的先决条件。