According to this review of “Hysterical Personality Style and Histrionic Personality Disorder,” (Mardi J. Horowitz, Editor…~$60.00 new,~$30.00 used, on Amazon)
by “A Customer,”
sadism is considered to be an intertwined feature within some who have developed HPD…
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This scholarly book tackles a theme that mass market books can only dance around - how children grow up in families where one or more of the parents have an identifiable mental illness such as neurosis which results in bizarre (although often subtle) actions, and unpredictable and inappropriate behavior around the kids.
The basic theme of this book is the way that families and child development can produce life-long problems with relationships (neurosis) and aggression (personality disorder). Although it acknowledges the extreme difficulty of proving this, it lays out a scholarly, thorough, and compelling case. It touches on a series of intertwined developmental issues, which mass market books would have dealt with separately. This prevents mass market readers from the seeing how these problems are related. This includes issues of promiscuity, what other books would call "low self esteem," substance abuse, gender confusion, repeated destructive relationships,
sadism, compulsive sexual behavior, asexual behavior, feminine role-playing in women, fake hyper-masculine behavior in men, and the way that all these defenses are mobilized to sabotage relationships and counseling. Although sex plays a role in many of these problems, there is nothing salacious about this book. The tone is not dry, but sometimes amusingly old-fashioned.
There is also a thorough examination of role of adults that act out their repressed hostilities through their children. And the explanation of how adults encourage to children to act out the adults' repressed sexual desires is downright eerie, but seems right on target in an era where so many adults seem obsessed with pushing inappropriate clothes, movies, books on very small children. It also describes cases where small children show extremely disturbing flirtatious and sexual behavior, urged on by their parents (who have no idea).
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Of course sadism is more likely to occur in NPD/malignant narcissism or AsPD. So why does it occaisionally 'spill over' into HPD? Why not? - Cluster B PD's are not neat little boxes with clear well defined boundaries; instead the whole Cluster B PD group is more like a cloud - conditions like BPD or HPD or NPD or AsPD are just denser areas of 'water vapor' within the cloud.
Indeed the HPD forum itself shows the interconnectedness within the Cluster B cloud...several women who initially thought they were HPD now think of themselves more as NPD, and several of the alleged HPD males posting seem to be way more in the BPD concentration. If Cluster B PD's were so seperate and well-defined and didn't share certain common traits like manipulation, the NPD's or BPD's wouldn't ever show up here (unless they are here to troll or otherwise manipulate). Speaking of which...
Everyone agrees that HPD's manipulate others to garner attention, but manipulation of others also occurs in NPD and AsPD; NPD's manipulate others to garner admiration, AsPD's manipulate others to garner power over them.
So if manipulation is common to HPD, NPD, and AsPD, by symmetry sadism (which, BTW, if in a long term relationship also must involve manipulation)...why couldn't sadism could also occur in some HPD's...i.e., Disingenuous?
Of course there are several reasons why some object:
(1) Trolls who sabotage efforts to help them, also disrupting the flow of information among others.
(2) Some are or were sadists, but can't admit it now for a variety of reasons.
(3) They honestly weren't sadists, at least not more than the average person -fair 'nuff.