Diagnosis of conversion disorders in a rehabilitation setting

1997 ◽  
Vol 8 (3) ◽  
pp. 163-174 ◽  
Author(s):  
R Teasell
Keyword(s):  
1997 ◽  
Author(s):  
Carsten Spitzer ◽  
Harald J. Freyberger ◽  
Norbert Magdeburg ◽  
Gabriela Kuhn ◽  
Christof Kessler

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhixu Fang ◽  
Yuhang Li ◽  
Lingling Xie ◽  
Min Cheng ◽  
Jiannan Ma ◽  
...  

Abstract Background Dissociative (conversion) disorder in children is a complex biopsychosocial disorder with high rates of medical and psychiatric comorbidities. We sought to identify the characteristics and outcomes of children with dissociative (conversion) disorders in western China. Methods We conducted a retrospective cohort study of 66 children admitted with dissociative (conversion) disorders from January 2017 to July 2019, and analyzed their clinical characteristics, socio-cultural environmental variables, and personality and psychiatric/psychological characteristics. Binary logistic regression was used to analyze the variables associated with clinical efficacy. Results Of these 66 patients, 38 (57.6%) were male and 28 (42.4%) were female, 46 (69.7%) had an antecedent stressor, 30 (45.5%) were left-behind adolescents, and 16 (24.2%) were from single-parent families. In addition, 30 patients (45.5%) were not close to their parents, 38 patients (59.4%) had an introverted personality, and 34 (53.1%) had unstable emotions. Thirteen families (19.7%) were uncooperative with the treatment. Patients who had cormorbid anxiety or depression exhibited significantly lower cognitive ability (P < 0.01). Logistic regression found that better treatment outcomes were positively associated with having a close relationship with parents, parental cooperation with treatment, and having a father with a lower level of education (i.e., less than junior college or higher). Conclusions The characteristics and outcomes of children with dissociative (conversion) disorders are related to socio-cultural environmental variables and psychiatric/psychological factors. Timely recognition and effective treatment of dissociative (conversion) disorders are important.


1988 ◽  
Vol 33 (2) ◽  
pp. 100-102 ◽  
Author(s):  
Raymond W. Lam ◽  
Ronald A. Remick

Various theories have been proposed to explain the reported predominance of left-sided symptoms in patients with conversion disorders, psychogenic symptoms, and chronic pain. In a population of 110 patients with atypical facial pain (AFP), there were no significant differences in the side of pain or lateralization of pain between psychiatric and non-psychiatric patients. A non-significant trend to left-sided pain in psychiatric patients was found if only those patients with lateralized pain were examined. The significance of these results to etiological theories of chronic pain lateralization is discussed.


1989 ◽  
Vol 43 (4) ◽  
pp. 480-493 ◽  
Author(s):  
Richard van Dyck ◽  
Kees Hoogduin
Keyword(s):  

Author(s):  
Bill Fulford

AbstractThis chapter outlines how the contributions to this Part illustrate the role of a culturally enriched model of values-based practice in linking science with people. Chapters 25, “A Cross-Cultural Values-Based Approach to the Diagnosis and Treatment of Dissociative (Conversion) Disorders,” 26, “Treatment of Social Anxiety Disorder or Neuroenhancement of Socially Accepted Modesty? The Case of Ms. Suzuki,” 27, “Nontraditional Religion, Hyper-religiosity, and Psychopathology: The Story of Ivan from Bulgaria,” and 28, “Journey into Genes: Cultural Values and the (Near) Future of Genetic Counselling in Mental Health” explore the three principles of values-based practice defining its relationship with evidence-based practice. Chapters 29, “Policy-Making Indabas to Prevent “Not Listening”: An Added Recommendation from the Life Esidimeni Tragedy,” 30, “Covert Treatment in a Cross-Cultural Setting,” and 31, “Discouragement Towards Seeking Health Care of Older People in Rural China: The Influence of Culture and Structural Constraints” then give examples of the rich resources of the wider values tool kit for linking science with people (the African indaba, transcultural ethics, and anthropology). The concluding chapter, the autobiographical chapter 32, “Discovering Myself, a Journey of Rediscovery,” illustrates the role of cultural values (particularly of the positive StAR values) in recovery. A cross-cutting theme of the contributions to this Part is the importance of the cultural and other values impacting on psychiatric diagnostic assessment in supporting best practice in person-centered mental health care.


2021 ◽  
pp. 56-57
Author(s):  
Vijay Raj Pratheek P ◽  
Ganta Akhila

Hysteria can present as similar to medical and organic disorder . Conversion symptoms may usually appear due to various stressors and emotional conicts in the individual. The bodily sensations or functions can be inuenced by a disorder of mind. Psychogenic origin of Belching is not unheard of and can be a part of conversion disorder, even though rare. Hyperventilation can occur due to psychogenic aetiology as a manifestation of somatisation and conversion disorders.


2021 ◽  
Vol 34 (02) ◽  
pp. 106-111
Author(s):  
Sunita Nikumbh ◽  
Abhishek Kukde ◽  
Manoj Patel ◽  
Bhavik Parekh ◽  
Anoop Nigwekar ◽  
...  

Abstract Background Rural Homoeopathic Hospital has been serving the community in and around Palghar for the past 20 years. Through a Central Government Scheme of Centre of Excellence, it received funds for setting up an inpatient psychiatric unit in 2012 whereby it could serve the wider community by admitting the patients with mental illness in a secure ward. This is the first part of two papers which deals with demographic analysis of the patients admitted in the psychiatry ward between 2014 and 2018. Objectives The case records were studied with a view to determine the demographic features, the clinical diagnosis and the duration of stay. Methodology All case records were studied as per a predetermined format to establish the demographic features, the clinical diagnosis and the duration of stay in the ward. Results Out of 1,015 patients seen, 35% were having alcohol withdrawal, 12.7% were having conversion, 9.8% were having suicidal attempt and 9.7% were suffering from anxiety. The duration of stay in the hospital was noticeably shorter than what has been reported from the allopathic admissions. Conclusion Alcoholism followed by conversion disorders, suicidal attempts and anxiety-panic conditions was the most common psychiatric condition with which patients were admitted. Males were predominating mainly due to their alcoholic condition. The duration of stay was reasonably short. The reasons for this would need further exploration.


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