Cluster B: Dramatic and Emotional (Nursing)

by Brenda Marshall, EdD, MSN, RN

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    00:01 Well, let's move on to Cluster B.

    00:03 Cluster B are dramatic, emotional behaviors, and thoughts.

    00:09 So we have the antisocial personality disorder.

    00:13 We have the borderline personality disorder, and we have the histrionic personality disorder.

    00:24 And when we're thinking about histrionic personality disorder, I want you to think about, and I always ask people to think about, what is the Latin root of histrionic? And hysterical? And it comes back to female parts.

    00:41 Hysterectomy, if you lived in the earlier centuries.

    00:47 Oftentimes, the idea of a hysterectomy or removing women's parts would bring them down from being histrionic.

    00:55 It would make them more settled.

    00:58 So let's think about this Cluster B.

    01:01 This idea of the antisocial, the borderline, and histrionic disorders.

    01:08 And think about what kind of early childhood experience might have a person demonstrate these kind of emotional behaviors.

    01:21 I would also like you to think when you're thinking about, oh, so antisocial, or so borderline, oh, that person's histrionic.

    01:30 These are not adjectives.

    01:33 These are labels.

    01:34 And for nurses to engage in using labels on patients who aren't in dire need of our help, who are suffering, who live between crisis and struggling every day of their life.

    01:50 Who can't find the opening to come into a regular social environment, and find those behaviors, and emotional patterns, and thought patterns to be part of a group.

    02:05 If we turn and start judging them, and using these words as judgment, borderline personality disorder is a painful, painful disorder for a person to have.

    02:19 Antisocial personality disorder is a dangerous, dangerous coping mechanism of self protection.

    02:28 And histrionic is an inability to be able to control emotional outbursts.

    02:36 And they need our help.

    02:37 They do not need us to be passing judgment.

    02:42 Finally, there is that narcissistic behaviors.

    02:47 And narcissism is loving yourself, and wanting to be everyone to love you, and to believe that you can do no wrong, and start thinking about, what kind of early experience would narcissism, would self absorption really pay you off? What kind of life would a baby have to have where that kind of, "I can do no wrong. Everything is always about me." That is kind of a magical thinking.

    About the Lecture

    The lecture Cluster B: Dramatic and Emotional (Nursing) by Brenda Marshall, EdD, MSN, RN is from the course Personality Disorders (Nursing).

    Included Quiz Questions

    1. Antisocial personality disorder
    2. Borderline personality disorder
    3. Histrionic personality disorder
    4. Paranoid personality disorder
    5. Dependent personality disorder
    1. It includes narcissistic personality disorder.
    2. Environmental factors can increase the risk of developing a Cluster B personality disorder.
    3. They are the “odd and eccentric” disorders.
    4. They are psychotic disorders.
    5. The term “borderline” can also be used to describe anyone with frequent mood changes.

    Author of lecture Cluster B: Dramatic and Emotional (Nursing)

     Brenda Marshall, EdD, MSN, RN

    Brenda Marshall, EdD, MSN, RN

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