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PubMed1976

A psychosomatic approach to the globus hystericus syndrome.

Twenty patients with lump in the throat as their main subjective symptom, were examined otorhinolaryngologically, radiographically, and psychiatrically with special attention to psychosomatic aspects. The control materials consisted of matched sample subjects of the total population, and of the total patient material treated at a general hospital. A considerably greater number of psychic disturbances were found in globus patients than in the matching control material. The personality picture of the patients was markedly obsessive possibly suggesting a psychosomatic syndrome rather than a pure hysterical conversion syndrome, at least in part of the patients. The globus patients could be divided into two groups, equal in size, according to the presence or absence of psychic disturbances. The group with manifest psychic disturbances had often experienced some significant life incident prior to the appearance of the globus syndrome; they also displayed few somatic findings, which, on the other hand, were abundant in psychically healthy patients.

Adult↗
PubMed1976

Hysterical neurosis, conversion type: clinical and epidemiological considerations.

This paper considers data on hysterical neurosis, conversion type from the Monroe County (New York) Cumulative Psychiatric Case Register, from the Psychiatric Case Register in Iceland, and from a psychiatric consultation service in a university teaching general hospital in Monroe County (New York) during the period 1960 to 1969. The rate of hysterical neurosis, conversion type in Monroe County during this period was 22 per 100,000 per year, whereas in Iceland it was 11 per 100,000 per year. It was highest for women, non-whites and those of low social economic status. The rate of hysterical neurosis, conversion type and "probable" hysterical neurosis, conversion type combined among patients seen in psychiatric consultation was 4.5%. The most often noted diagnostic criteria were inconsistency with somatic process and precipitation of symptoms by psychological stress. Most patients had more than one conversion symptom at the same time. Pain was the most common symptom. The majority of patients had an accompanying organic or functional illness.

Adolescent↗
PubMed1979

Influence of deaf-mute parents on the character of their offspring.

Hearing children raised by deaf-mute parents suffer severe communication problems with their environment from the very moment of their birth. Later on feelings of alienation may ensue. Such conditions may influence the personality of offspring of deaf-mute people. A detailed representative case report of a patient with borderline personality is reported. The patient was a daughter of a quite typical deaf-mute couple. An attempt to relate some of her main characteristics and mechanisms of adaptation to factors in her early childhood is described.

Adult↗
PubMed1984

Recognition memory in conversion hysteria: effect of sexual stimuli during learning.

Hysteria has two main explanatory models: a neurobiological and a psychodynamic. Both models can predict a memory deficit, as a consequence either of a neurophysiological inhibition or of a repression produced by a conflict. The existence of a conflict can also be proved by showing the stimulating, and not the inhibitory effect that conflictual material can have when appropriately shown. Ten female hysterical patients and 10 nonpsychiatric female patients were submitted to a short-term memory test consisting of pictures. In one session all pictures were neutral, while in a second session the neutral were mixed with mild sexually charged pictures, excluded from subsequent recall. The overall performances of the two groups were not significantly different, but the hysterical patients remembered better the pictures linked to the sexual ones, while the control group did the opposite. The results are consistent with the psychodynamic model, while they cannot be explained by the neurobiological.

Adult↗
PubMed1986

Clinical aspects of hysteria.

This is a clinical study of 80 patients, diagnosed as suffering from hysteria, who attended the psychiatric clinic in Khartoum Hospital over a period of 3 years. The incidence of hysteria was 10%, the female-male ratio 15:1, and young age-groups predominate. 60% were essentially of normal personality. The clinical picture was fairly consistent. Hysterical conversion was the commonest clinical form (76%) and the dissociative type was rare. The patients with recurrent and vague bodily complaints could be labeled as histrionic.

Adolescent↗
PubMed2003

Conversion reaction presenting as a polyradiculonevritis.

AIM: To show that conversion reactions should be suspected when symptomatology or instrumental checking does not conform to a precise pathological pattern in its anatomical and physiological keys. METHODS: We report the case of a 14-y-old girl who presented with signs and symptoms of Guillain-Barré polyradiculonevritis. Negative instrumental and laboratory tests led us to consider a possible diagnosis of conversion reaction. RESULTS: After a more detailed history emphasizing the close bond between the patient and her father, a poor peer-relation exchange and psychological stress, we were able to identify conversion reactions through the patient's motor signs. CONCLUSION: Conversion symptoms must be suspected and searched for when the neurologic outline is difficult to clarify, and also in the case of Guillain-Barré syndrome that does not respond to plasmapheresis.

Adolescent↗
PubMed1979

Hysterical seizures: a sequel to incest.

Six cases are described in which hysterical seizures developed after incest and disappeared after psychotherapeutic exploration of the incestuous experience. Patients were adolescents referred for seizures, suicide attempts, sexual problems, and running away. It is suggested that Navajo and Galenic folk beliefs connecting epilepsy with incest may derive from observations of this symptom pattern in incest victims.

Adolescent↗
PubMed1987

Hysteria: its nature and explanation.

Hysteria is a concept that has led to much confusion and controversy. It is argued that a phenomenon exists which needs to be explained. The main contemporary approaches to hysteria are considered and all are shown to have serious weaknesses. It is argued that the illness behaviour/sick role model does have at least heuristic value in that it leads to asking a rather different set of questions about hysteria which should prove more amenable to experimental investigation. It also avoids the logical difficulties inherent in most of the alternative theories.

Conversion Disorder↗
PubMed1965

THE GIFT OF ANNA O.

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Conversion Disorder↗