Conversion disorders and ECT.
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In a previously completed empirical study examining the use of hypnosis in a comprehensive treatment program with 85 patients who suffered motor conversion symptoms, 16 patients were reported by their therapists to have had unusual and unexpected responses during hypnosis. This article summarizes the literature on the occurrence of unintended phenomena during hypnosis and presents instances encountered in a study of conversion hysterics. The article illustrates these occurrences and their management with 7 clinical vignettes and concludes that surprising or unusual responses to hypnosis with these types of cases can be an opportunity for the patient to enhance understanding and gain control over his or her symptoms.
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The incidence, age and sex distribution, symptomatology, psychosocial stress factors and course of conversion symptoms in a child and adolescent psychiatric patient sample were studied. Under the age of 10 conversion symptoms are comparatively rare and consequently require careful diagnosis, particularly regarding visual and hearing defects. Predominant conversion symptoms are seizures, gait problems and paralysis.
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