![]() The sexual behavior of histrionics is virtually indistinguishable from that of the somatic narcissist (patient with Narcissistic Personality Disorder) and the psychopath (patient with Antisocial Personality Disorder). ![]() Histrionics are, therefore, "inappropriately seductive" and have multiple sexual liaisons and partners. Sex is used by histrionics to prop up their self-esteem and to regulate their labile sense of self-worth. Patients with the Histrionic Personality Disorder (mostly women) leverage their body, appearance, sex appeal, and sexuality to gain narcissistic supply (attention) and to secure attachment, however fleeting. The schizoid's asexuality is a result of indifference - the schizotypal's and avoidant's, the outcome of social anxiety. ![]() The avoidant mortally fears rejection and criticism. The Avoidant remains aloof and a recluse in order to conceal her self-perceived shortcomings and flaws. The Schizotypal Personality Disorder and the Avoidant Personality Disorder have a similar effect on the patient but for different reasons: the schizotypal is acutely discomfited by intimacy and avoids close relationships in which his oddness and eccentricity will be revealed and, inevitably, derided or decried. He prefers solitude and solitary activities to any excitement sex can offer. The schizoid is not interested in maintaining any kind of relationship and avoids interactions with others - including sexual encounters. The patient with Schizoid Personality Disorder is asexual. the paranoid uses sex to reassure himself that he is still in control and to quell is anxiety. The paranoid is besieged by persecutory delusions and equates intimacy with life-threatening vulnerability, a "breach in the defenses" as it were. In the Paranoid Personality Disorder, sex is depersonalized and the sexual partner is dehumanized. Inevitably, the sexuality of patients with personality disorders is thwarted and stunted. By observing one's sexual predilections and acts, the trained psychotherapist and diagnostician can learn a lot about the patient. Sex is the one realm of conduct which involves the full gamut of emotions, cognitions, socialization, traits, heredity, and learned and acquired behaviors. Our sexual behavior expresses not only our psychosexual makeup but also the entirety of our personality. Learn what role sex plays in people with different personality disorders - including Paranoid, Schizoid, Histrionic, Narcissistic, Borderline and Dependent personality disorders.
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