Psychiatric illness and female criminality: the role of sociopathy and hysteria in the antisocial woman.
Explore the source record for details and available documents.
SEARCH · PubMed Health
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
The impact of personality on the experience of grief is neglected in the literature, in spite of its obvious relevance. A case report in which a personality disorder complicates the clinical course of bereavement is presented. The report illustrates the notion that personality characteristics play a unique pathogenic role in the evolvement of the symptoms of pathological grief, the use of coping mechanisms, and the ätypical features of the clinical syndrome. The nosological autonomy of this entity vis à vis DSM-III's categories of affective disorders is examined. Understanding these factors becomes crucial for the nosological and psychotherapeutic approaches to pathological grief.
BACKGROUND: The purpose of this study was to investigate the differences between DSM-III-R Axis I and II psychiatric diagnoses in hospitalized adolescents with and without conduct disorder. The spectrum of psychopathology associated with conduct disorder, especially personality disorder symptoms and diagnoses, remains largely unexplored. METHOD: Twenty-five inpatients were evaluated using the Diagnostic Interview for Children and Adolescents, Adolescent Version (DICA-R-A); the Schedule for Affective Disorders and Schizophrenia for School-Age Children, Epidemiologic Version (K-SADS-E) (panic disorder and agoraphobia only); and the Structured Interview for DSM-III-R Personality Disorders (SIDP-R). RESULTS: Fifty-two percent met criteria for conduct disorder, and the majority of these had comorbid substance abuse, attention-deficit hyperactivity disorder, and major depression. The diagnosis of conduct disorder was also associated with fulfilling criteria for multiple Axis II personality disorders, particularly passive aggressive and histrionic. Nearly three personality disorders per subject were found in those with conduct disorder, while those without conduct disorder averaged just over one personality disorder. There was a trend for female subjects with conduct disorders to have more frequent and varied personality disorder diagnoses. For the entire sample, males were significantly more likely to have conduct disorder, and females were significantly more likely to have borderline personality disorder. CONCLUSION: These findings support conduct disorder as a multifaceted illness composed of diverse Axis I and II characteristics. Long-term follow-up studies are needed to determine the outcome of personality disorder diagnoses made in adolescents with and without conduct disorder.
Explore the source record for details and available documents.
The concepts of Hysteria, Hypochondriasis and Hysterical Personality are reviewed and their relationship to pain and headache examined. It is further noted that many patients with supposed "tension headache" do not respond to measures which relieve anxiety. Electromyographic studies indicate that "tension headache" is not associated with the expected amounts of frontalis muscle tension. It is argued that much headache cannot be explained in organic terms or as a result of muscle tension and that hysterical mechanisms are important in causing it.
A retrospective clinical study using existing patient records investigated the predictive value of a number of variables. Eighty-three new admissions to a large outpatient clinic completed a battery of eight self-report questionnaires that have been shown to be reliable and have a measure of discriminant validity. The battery consisted of items tapping anxiety, depression, obsessive-compulsive symptoms, phobias, borderline personality disorder, and histrionic, obsessive-compulsive, and paranoid personality styles. Outcome of therapy, which was predominantly dynamically-oriented, was assessed by residual difference scores computed from pre- and posttherapy Global Assessment Scale (GAS) ratings. Only patients attending five or more sessions (N = 37) were considered in the analyses. Patients high on the Anxiety Scale pretherapy showed relatively greater improvement in functioning than those with low initial scores. Patients scoring high on the Histrionic, Paranoid, and Obsessive-Compulsive Personality Scales showed the least relative improvement.
Hysterical and obsessive-compulsive style subjects, as determined by a modified Rorschach test and the Wechslar Adult Intelligence Scale Comprehension subtest, were questioned in a face-to-face format where lateral eye movements were surreptitiously observed. Only right-handed subjects were used. It has been argued that lateral eye movements index immediate hemispheric activation after questions--the first such eye movement being a direction opposite to the putatively activated hemisphere. There was significantly more left-looking among the hysterical subjects than among the obsessive-compulsive style subjects.
The present study continues the examination of the personality styles in normal populations that have been described in the clinical literature. Earlier work has focused on behavioral, attitudinal, and cognitive components of the personality styles. The present study extends our exploration of the cognitive domain by examining the performance of different personality groups on a visual scanning task. Hysterics searched a stimulus array for letter targets at a mean rate of 0.04 +/- SD 0.177 seconds per unit of information, which was slower than the control rate of 0.0225 +/- SD 0.0078 seconds. The results indicated that hysterics used a serial search strategy to compensate for an inability to process information efficiently and thus differed from compulsives who conformed to task demands and performed similarly to controls.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Detailed descriptions of true hallucinations as a conversion symptom are rare in the psychiatric literature. The author presents a case with true conversive auditory hallucinations which paradigmatically demonstrates the usefulness of the concept in the treatment of such hallucinations. The phenomenon of true conversive hallucinations may contribute to the embryological understanding of mental disorders.
The authors present the proposed DSM-III classification of the traditional hysterical disorders, i.e., disorders that suggest physical illness but in which psychological factors are judged to be of importance. The use of the DSM-III inclusion and exclusion criteria--physical mechanism explains the symptoms, symptoms are linked to psychological factors, symptom initiation is under voluntary control, and there is an obvious recognizable environmental goal--are discussed in the differential diagnosis of somatoform disorder, factitious disorder, malingering, psychological factors affecting physical condition, and undiagnosed physical illness.
Conversive hallucinations are rare in the psychiatric literature. The authors present a case which demonstrates the psychogenesis and phenomenology of conversive hallucinations in a young female patient.
Explore the source record for details and available documents.
Fugue-like states, though usually considered hysterical or epileptic in origin, can occur with many other psychiatric and neurologic conditions. The survey of literature should help the clinician with differential diagnosis. Nine illustrative cases are described and guidelines for investigating a case of fugue are outlined.