So, I've been thinking about some of the stuff I was discussing with Chinatown Charlie (hope you're still around, haven't seen a post in a while! :P ) and in particular, this post:
http://www.psychforums.com/histrionic-personality/topic42119.html#p285512
Chinatown Charlie wrote:Not just a new facade for every partner, a new facade for every person.
In familiar situations, this is easy, recognising a bunch of traits in a Non and adapting the mask to meet them, be the amazing new extraordinarily compatible friend. And change from person to person always. A million personalities.
I'm aware that I do this, but wasn't aware that other people don't do it. Surely you adapt to different people? Just not to such extremes perhaps, you adapt yourself a little, H's build because there's nothing TO adapt?
You're dead right. All people adapt to their environment. A 'normal' person (if such a beast exists) behaves differently depending on who they're talking to and where they are - just look at Joe Average while he's watching a football game compared to when he's reading his daughter a bedtime story. My theory is that this adaptive mechanism's response to early trauma results in a range of different effects on personality later in life.
Stress, Interfaces, and the Inner Mind
My basic assumption is that the mind can be divided into two layers, the 'inner mind' that contains core emotions, ego etc. and the 'interface' layer that allows the inner mind to communicate with the environment while protecting it from harm. A person only has one inner mind but can have as many interfaces as environments they are exposed to. Only one interface is active at any given time. Interfaces are created as a response to the stress induced by a new experience.
In the case of a 'normal' person, when they are exposed to a new environment, they naturally experience mild stress. This stress triggers the creation of a new interface to adapt to and process the new environment. Because the stress is only mild, the interface layer is 'thin' and 'transparent. This type of interface is like a hat. It offers mild protection and indicates your role, but people can still see your face.
In the case of an adult HPD sufferer, meeting a new person or environment triggers intense anxiety due to their fear of rejection. This severe stress triggers the creation of a much 'thicker' interface to protect the inner mind. This type of interface contains a much more comprehensive set of learned behaviours, including some attitudes, opinions, and emotions. In our analogy, this interface is a mask. It is presented as the real person, shielding their true face.
In the case of literally unbearable trauma, as causes Dissociative Identity Disorder, the inner mind cannot process the new, traumatic environment at all, and an interface is formed that is the full thickness of the mind. It contains not only mannerisms, attitudes, and so forth but it also contains its own core emotions, ego, memories - it is a complete personality. To carry our analogy forward, an interface like this is a complete new head that can be swapped onto the person's shoulders.
Early Trauma and Development
New interfaces can be formed at any age past infancy. However, the inner mind has no need to continue developing while it plus its current interface form a completed whole. In the case of a histrionic child, the thick interface created to protect the child from abandonment trauma arrests the inner mind's emotional development at the point where the trauma occurred. This leads to a vicious cycle whereby the traumatised core emotions require constant protection from a thick interface layer, which in turn prevents them from emotionally connecting with the outside world, which is the only thing that could potentially heal the core trauma, which must happen before the inner mind will let go of its thick interface and thus give itself room to develop.
In the case of DID, the interface formed in response to trauma is a full personality in its own right. While this brings its own problems, it doesn't stunt the development of the original inner mind (assuming that mind survives the trauma - if my understanding is correct, in some DID cases the 'original' personality's inner mind sustains too much damage and actually dies). The original inner mind is still free to create its own interfaces and develop as normal.
Towards a Possible Cure
If the above is correct, then some possible approaches to curing HPD become apparent. The vicious cycle must be interrupted in some way. The most obvious angle is to introduce a new environment that is totally, utterly non-threatening. The only thing I can think of that would fit is having a child - when a female HPD becomes a mother, she has a new person in her life who is completely safe and cannot emotionally wound her. While her primary focus is on nursing her infant child she (for the first time since her own early childhood) has a 'thin' interface active. This may open a window for her partner or others to give her the unconditional support and love that she needs for her core emotions to begin to heal.
The other angle I can see is if the HPD enters into a series of relationships where each time, the partner does nothing to hurt them. Each new relationship will be less threatening and hence require a slightly thinner interface than the last, allowing the inner mind room to grow a little. I suspect this may be the path that Charlie's on - he's now been in enough of these relationships that he's at the point where he can engage in meaningful introspection, realise something's wrong, and want to fix it. The downside is the damage caused to the partners along the way.
Afterword
So, that's basically my theory as it stands. If anyone here has actually studied psychology professionally, or in any other way has something to add, corrections to make, anything like that, I'd love to hear it. I know that some people here either are HPD sufferers who have had children (Scarlett?) or have had children with partners who have HPD. Can you give me any indication as to whether I'm on the right track?
Cheers, and thanks for reading.
TK