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Relationships of subclinical depression, psychopathy and hysteria to patterns of alcohol consumption and abuse in males and females.

Personality studies have consistently indicated a high prevalence of both psychopathy and depression among chronic alcoholics. This study examined the relationship of subclinical depression, psychopathy and hysteria (MMPI) to reported alcohol consumption and abuse (MAST scores) in a normal population of 18--21 year-olds. Both depression and psychopathy were positively related to frequency of consumption whereas hysteria was not. Separate analyses of the data were conducted by sex. Psychopathy and depression were positively related to consumption among males but not among females. Hysteria was positively related to consumption among females but not among males. Regarding abusive drinking, both depression and psychopathy were related to MAST scores among females whereas only psychopathy was among males. Hysteria was unrelated to MAST scores among both sexes. These results support the hypothesis that different psychological processes are involved in the drinking behavior of males and females. The results also underscore the importance of distinguishing simple consumption from abuse. Within the male and female groups, those personality variables related to consumption were not necessarily related to abuse and vice versa.

Adolescent

Dividing "hysteria": a preliminary investigation of conversion disorder and psychalgia.

The longstanding diagnostic controversy over the concept of "hysteria" has taken on new significance with the advent and development of the third edition of the Diagnostic and Statistical Manual (DSM-III). The problem of defining hysteria is therefore discussed and re-examined. A retrospective study of cases diagnosed as conversion reaction or hysterical neurosis, conversion type was then completed and analyzed. These cases were redefined using DSM-III criteria and were analyzed using a number of demographic and clinical variables. In a comparison of those patients classified as having conversion and those classified as having psychalgia, no significant differences were found. Those patients under the diagnosis of conversion and those carrying the diagnosis psychalgia differed significantly from a control group of patients with random "neurotic" diagnosis on five variables: a) symptoms are defensive; b) symptoms are expressive; c) secondary gain; d) previous physical trauma; and e) previous conversion symptoms.

Conversion Disorder

Ocular malingering and hysteria: diagnosis and management.

Confronted with a claim of poor vision in the absence of any apparent pathology, the ophthalmologist must consider the possibility that the patient is malingering or hysterical. The authors define four categories of such patients, and recommend diagnostic approaches for each. Specific diagnostic tests are described, as are methods of managing patients once the diagnosis of malingering or hysteria has been made.

Evoked Potentials

Epilepsy, hysteria, and "possession". A historical essay.

A historical essay is presented relating concepts of epilepsy, hysteria, and "possession." The designation "hysteroepilepsy" is placed into the context of combined phenomena in individual subject instances. An association of psychotic states resembling a schizoprenic disorder is indicated as occurring in certain epileptic patients, especially some complex partial seizures (i.e., temporal lobe-psychomotor type). Phenomena of possession may appear within any of these entities. Differential diagnosis now is aided greatly by ulilization of monitoring with combined split screen television viewing and recording of the patient's behavior and the concomitant electroencephalogram. Treatment is directed both medically and toward alleviation of contributing and precipitating psychological and sociological factors.

Christianity

Hysteria: a case note study.

In a matched retrospective study, 31 patients with hysterical neurosis were compared with 31 with depressive neurosis. There were no significant differences between the groups for siblings' position, medical work, brain disease, poor marriage, frigidity, or family history of psychiatric disorder. Significantly more of the hysterics had a preceding head injury and 29% had a past history of hysteria. By the time of the study 48% had been treated for depression.

Adjustment Disorders

A review of malingering and hysteria in clinical practice.

Hysteria and malingering, both commonly seen, especially in orthopaedic clinics, are reveiwed. Advances in psychology and psychiatry are often unknown or ignored by surgeons, who may thus mistreat or misdiagnose a multitude of conditions.

Diagnosis, Differential

Studies on hysteria--Katharina.

Freud's account of his meeting with the country maid, Katharina, is re-evaluated from a contemporary psychoanalytic perspective. Freud's original explanation of Katharina's hysteria was based on a set of quantitative-economic assumptions and a psychic model based on conflict and defense. A modern analytic perspective would shift the emphasis from the economics of discharge to the aims and objects of sexual activity. The understanding of sensual pleasure focuses more specifically on the related complex of intentions, purposes, meanings, and motives, as well as on the qualities, characteristics, and patterns of interaction with important objects.

Adolescent

Evaluation of a screening interview for Briquet syndrome (hysteria) by the study of medically ill women.

A screening interview for Briquet syndrome consisting of 14 symptom questions was administered to a group of 50 medically ill women. No patient was found eligible for a diagnosis of Briquet syndrome, a frequency less than the estimated general population prevalence of 1% to 2%. When symptoms explainable by known organic disorder were considered positive, 14% of patients became eligible for the diagnosis. We consider this a low enough rate to allow screening by lay interviewers. A frequency distribution of symptoms comparing the medically ill women and a group of psychiatric clinic women with Briquet syndrome shows that the Briquet group had both more symptoms and distinctive patterns of symptoms.

Age Factors

Lithium carbonate in personality disorders: a case of hysteria.

A growing literature--most uncontrolled--suggests that lithium may be useful in the treatment of some non-manic-depressive personality disorders. The diabolical behavior, conversion symptoms, and diffuse violence and cruelty of a young woman responded remarkably to treatment with lithium. Blind substitution of a placebo confirmed a lithium effect. Patients with the DSM-II diagnosis of explosive, antisocial, and hysterical personalities would appear to be the best candidates for a trial of lithium.

Adult