Saturday, December 31, 2011

Personality Traits of Parents And Developmental Needs of Children in High-Conflict Families

Philip M. Stahl, Ph.D.

Many families do not fit patterns of domestic violence, yet they experience a high degree of conflict. Many high-conflict families may experience intermittent outbursts of anger or violence. Even when they do not exhibit violent patterns, these families are so conflicted that they routinely go back to court to solve what should be relatively simple problems. They may have problems scheduling holidays and vacations; they may argue during exchanges; they cannot communicate about child-related issues or decide on day-care providers; they disagree on the times and places for exchanging the children and argue about who will attend parent-teacher conferences, arrange and pay for health care, or attend the child's extra-curricular activities; and they may disagree on activities for their children.

In many ways, it appears that the life of the child must stop while the arguments between the parents continue. For many of these families, every issue becomes a potential source of conflict. Sometimes this is related to the history of the relationship and the power dynamics between the parents. Sometimes one parent will not let go of the conflict because this keeps them "together" in their relationship (albeit a destructive one).

This article focuses on the way in which conflict is driven by each parent's respective personality traits, the lack of a system for resolving conflicts, or both. Decisions may get made by the more forceful parent when one parent "gives in" to the other. Sometimes, no rational decision gets made, such as when one parent takes the child to the pediatrician and the other does the same after the exchange because they don't trust each other to communicate medical information to each other. In such situations, children may see two pediatricians when one will do and no therapist when one is needed. Teachers become frustrated with the lack of cooperation toward the child's schooling. I have seen many instances in which children are enrolled in two different kindergartens because parents cannot plan adequately together for their child's education. Such parents have not learned to implement a system for communication, problem solving, and decision-making. They do things the same way that they have for years. Often one parent does give in. Sadly, this may be the healthier parent. While this article is designed to give an overview on the dynamics of high-conflict families and appropriate interventions, I refer readers to Johnston & Roseby's book In the Name of the Child (Free Press, 1997) for a more in-depth understanding of high-conflict parents and the impact on children.

Research on high-conflict families (Johnston [1988, 1993, 1994] and Johnston & Roseby [1997]) reveals a continuum of problems and a variety of factors which contribute to the problems. Some families are mildly entrenched in conflict and can benefit from guidance and structured recommendations. The more difficult of these families may seem to make little progress, even with rather extensive intervention (e.g. therapy and case management). Some parents have personality traits which exacerbate conflicts, perhaps exaggerating or being quite rigid. In the next section, I will focus on the way in which the parent's respective personality traits contribute to the degree and nature of the conflict.

For the full Article, Please go to http://www.parentingafterdivorce.com/articles/highconflict.html

Friday, December 30, 2011

Are you dealing with someone who shows self-dramatization, theatricality, and exaggerated expression of emotion and faux emotion to gain attention?

Histrionic Personality DisorderBy Psych Central StaffHistrionic personality disorder is characterized by a long-standing pattern of attention seeking behavior and extreme emotionality. Someone with histrionic personality disorder wants to be the center of attention in any group of people, and feel uncomfortable when they are not. While often lively, interesting and sometimes dramatic, they have difficulty when people aren't focused exclusively on them. People with this disorder may be perceived as being shallow, and may engage in sexually seductive or provocating behavior to draw attention to themselves.Individuals with Histrionic Personality Disorder may have difficulty achieving emotional intimacy in romantic or sexual relationships. Without being aware of it, they often act out a role (e.g., "victim" or "princess") in their relationships to others. They may seek to control their partner through emotional manipulation or seductiveness on one level, whereas displaying a marked dependency on them at another level.Individuals with this disorder often have impaired relationships with same-sex friends because their sexually provocative interpersonal style may seem a threat to their friends' relationships. These individuals may also alienate friends with demands for constant attention. They often become depressed and upset when they are not the center of attention.People with histrionic personality disorder may crave novelty, stimulation, and excitement and have a tendency to become bored with their usual routine. These individuals are often intolerant of, or frustrated by, situations that involve delayed gratification, and their actions are often directed at obtaining immediate satisfaction. Although they often initiate a job or project with great enthusiasm, their interest may lag quickly.Longer-term relationships may be neglected to make way for the excitement of new relationships.Symptoms of Histrionic Personality DisorderA pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:Is uncomfortable in situations in which he or she is not the center of attentionInteraction with others is often characterized by inappropriate sexually seductive or provocative behaviorDisplays rapidly shifting and shallow expression of emotionsConsistently uses physical appearance to draw attention to themselfHas a style of speech that is excessively impressionistic and lacking in detailShows self-dramatization, theatricality, and exaggerated expression of emotionIs highly suggestible, i.e., easily influenced by others or circumstancesConsiders relationships to be more intimate than they actually areAs with all personality disorders, the person must be at least 18 years old before they can be diagnosed with it.Histrionic personality disorder is more prevalent in females than males. It occurs about 2 to 3 percent in the general population.Like most personality disorders, histrionic personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in the 40s or 50s.How is Histrionic Personality Disorder Diagnosed?Personality disorders such as histrionic personality disorder are typically diagnosed by a trained mental health professional, such as a psychologist or psychiatrist. Family physicians and general practitioners are generally not trained or well-equipped to make this type of psychological diagnosis. So while you can initially consult a family physician about this problem, they should refer you to a mental health professional for diagnosis and treatment. There are no laboratory, blood or genetic tests that are used to diagnose histrionic personality disorder.Many people with histrionic personality disorder don't seek out treatment. People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a person's life. This most often happens when a person's coping resources are stretched too thin to deal with stress or other life events.A diagnosis for histrionic personality disorder is made by a mental health professional comparing your symptoms and life history with those listed here. They will make a determination whether your symptoms meet the criteria necessary for a personality disorder diagnosis.Causes of Histrionic Personality DisorderResearchers today don't know what causes histrionic personality disorder. There are many theories, however, about the possible causes of histrionic personality disorder. Most professionals subscribe to a biopsychosocial model of causation -- that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual's personality and temperament, shaped by their environment and learned coping skills to deal with stress). This suggests that no single factor is responsible -- rather, it is the complex and likely intertwined nature of all three factors that are important. If a person has this personality disorder, research suggests that there is a slightly increased risk for this disorder to be "passed down" to their children.Treatment of Histrionic Personality DisorderTreatment of histrionic personality disorder typically involves long-term psychotherapy with a therapist that has experience in treating this kind of personality disorder. Medications may also be prescribed to help with specific troubling and debilitating symptoms. For more information about treatment, please see histrionic personality disorder treatment. ReferenceAmerican Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, fourth edition. Washington, DC: American Psychiatric Association. « Disorders IndexLast reviewed: By John M. Grohol, Psy.D. on 1 Jun 2010 Published on PsychCentral.com. All rights reserved.