The Etiology of Hysterical Seizures

1975 ◽  
Vol 20 (1) ◽  
pp. 67-73 ◽  
Author(s):  
K.F. Standage

Four patients have been described who were believed to be suffering from hysterical attacks. The recent literature on hysterical seizures has been examined and the four new patients were added to two other reported series to provide a profile of 25 cases. Preceding or accompanying physical illness was a common finding, and 32 percent of subjects had a previous history of neurological disease. The existence of a substrate of CNS damage is supported by the finding of EEG abnormalities in 40 percent of patients. In other ways the cases resembled classical descriptions of subjects liable to hysterical illness. The operation of either dissociative or conversion mechanisms during the attacks was difficult to demonstrate, and suggestion was sometimes the only factor found to account for the form of the symptoms. Further studies to examine the nature of the relationship between brain damage and hysterical disorders appear justified.

2019 ◽  
pp. 088626051988993 ◽  
Author(s):  
Michelle P. Desir ◽  
Canan Karatekin

Experiencing victimization in childhood increases risk of adulthood revictimization, and it is important to understand what may contribute to such risk. One factor that may help to explain the increased risk of future victimization is disclosure. However, the literature is mixed as to whether disclosure of prior victimization is helpful for protecting against adverse outcomes, and much of the research on disclosure focuses solely on sexual victimization. The current study examines the relationship between various forms of childhood and adulthood victimization and whether disclosure moderates this relationship. In addition, this study investigates whether characteristics of disclosure are associated with revictimization risk. The sample included 275 undergraduates ( M age = 19.52 years; 75.6% female, 77.5% non-Hispanic White or Caucasian). Participants reported on previous history of various forms of childhood and adulthood victimization. They also reported whether or not they had disclosed childhood victimization, and, if so, characteristics related to disclosure. Results revealed that number of childhood victimization experiences significantly predicted number of adulthood victimization experiences, and nearly every type of childhood victimization significantly increased risk of experiencing each type of adulthood victimization. Disclosure did not moderate the relationship between childhood and adulthood victimization. Participants who disclosed were more likely to disclose crime and peer/sibling victimization and disclose to parents or friends. Positive reactions to disclosure were more common than negative reactions; however, 75% of disclosers received at least one negative reaction. Finally, revictimized individuals received more overall negative reactions than nonrevictimized individuals. They also received more reactions characterized by the person they disclosed to trying to take control of their decisions or treating them differently. Results highlight the importance of examining relationships between various forms of victimization, considering how characteristics of disclosure relate to risk of revictimization, and the importance of educating potential support networks about appropriate responses to disclosure.


1980 ◽  
Vol 137 (4) ◽  
pp. 319-323 ◽  
Author(s):  
Jacquie Roberts ◽  
Keith Hawton

SummaryOf a sample of families containing abused and at risk children, in 29 per cent one or both parents had attempted suicide. The rate at which the suicide attempts were repeated within a year was higher than that expected for other attempters of the same age group. A previous history of psychiatric disturbance and marital breakdown was strongly associated with the combination of child abuse and suicidal behaviour. The relationship between child abuse and attempted suicide did not appear in most cases to have been a direct one; often both forms of behaviour seemed to reflect marital difficulties.


2021 ◽  
Author(s):  
Tiago O. Paiva ◽  
Rui C. Coelho ◽  
Rita Pasion ◽  
Eva Dias-Oliveira ◽  
Carsten De Dreu ◽  
...  

Despite being extensively modelled to explore decision making processes in economic tasks, there are no studies exploring the neurophysiological correlates of the Predator-Prey Game, a game theory paradigm designed to operationalize attack and defence conflicts. In the present study, we explored the relationship between the ERP components associated with feedback, namely feedback-related negativity (FRN) and feedback -elated P3b, and investment in an adapted version of the Predator-Prey Game (PPG), operationalizing attack and defence. Forty-seven (28 female) community-dwelling volunteers without history of neurological disease were recruited. Participants played the PPG game both as attackers and defenders while EEG signal was recorded with a 128 channels sensor net. Behavioural results showed that individuals tend to invest more and decide faster when playing in defence, rather than in attack. Electrophysiological data showed FRN to be sensitive to the valence of feedback, with increased amplitudes of FRN loss feedbacks. On the other hand, the P3b amplitudes were sensitive to the role, with increased amplitude for attack when compared with defence. The integration of the behavioural and ERP findings supports the theoretical model positing that attack elicits more deliberate and less automatic brain processes than defence.


2020 ◽  
Vol 7 (1) ◽  
pp. 32-38
Author(s):  
Alfi Noviyana ◽  
Purwati Purwati

The conditions of pregnancy can increase anxiety in women, therefore it can cause a negativeimpact on pregnant women themselves and on their fetuses. Anxiety is one of the risk factors ofthe incidence of pre-eclampsia in pregnant women. Pre-eclampsia is still the top three causes ofmaternal death in the field of obstetrics in Indonesia. The purpose of this study is to know andanalyze the relationship of anxiety with the incidence of pre-eclampsia in RSUD Dr. R. GoetengTarunadibrata Purbalingga. This research is a quantitative study, with case control design,sampling technique with an accidental sampling approach. Data collection using a standardquestionnaire from Hamilton. Analysis in quantitative studies using the X2 test (chi square) Theresults of this study that there is no statistical relationship between anxiety and the incidence ofpre-eclampsia with a value of ρ = 0.732 but clinically found that mothers with anxiety have a riskof 1, 26 times higher experience pre-eclampsia ( value of OR = 1.26). As for some externalvariables in this study that theoretically become a predisposing factor for pre-eclampsia includingage, previous history of pre-eclampsia or hypertension, hereditary history, history of hormonalfamily planning acceptors related to pre-eclampsia.


1997 ◽  
Vol 77 (03) ◽  
pp. 462-465 ◽  
Author(s):  
M J Tullis ◽  
M H Meissner ◽  
R O Bergelin ◽  
M T Caps ◽  
R A Manzo ◽  
...  

SummaryDuplex ultrasonography was used to measure the diameters of the common femoral, superficial femoral and popliteal vein segments in 123 patients following DVT. A cross sectional analysis was done based on the most recent visit to determine chronic venous diameter changes following DVT.Venous diameters in recanalized segments were smaller at all levels compared to those never occluded (p = 0.06 for CFV and p <0.05 for SFV and PV). After accounting for a previous history of occlusion, the diameters of the segments with and without reflux were not significantly different. There was also no evidence of venodilation in segments caudal to cephalad reflux or thrombus.Recanalized veins are smaller in diameter than those which were never thrombosed. Cephalad thrombus or reflux is not associated with venodilatation of caudal segments. Reflux following DVT is probably secondary to valvular damage rather than hypertension, since there was no diameter difference between refluxing and non-refluxing segments.


1995 ◽  
Vol 40 (3) ◽  
pp. 125-129 ◽  
Author(s):  
M. Cormier Bruno ◽  
Renée Fugère ◽  
Ingrid Thompson-Cooper

The study of pedophilic episodes in later life shows how acting out in a particular emotional context can help the offender to reorganize his life. After reviewing 36 cases referred to the McGill Clinic in Forensic Psychiatry between 1980–1989, a previous history of offender victimization was found in 12 cases. Careful analysis of all the cases showed reactivation of conflict in their family of procreation in 34 cases. Various psychodynamic hypotheses are suggested through the longitudinal history of the perpetrator and the nature of the relationship between victim and perpetrator. Analysis of a longitudinal follow-up in 26 cases suggests that through various mechanisms of organization, disorganization and reorganization, the pedophilic episode represented an opportunity for these middle-aged and senescent pedophiles to resolve some issues underlying their pedophilic interests, leading to a higher level of maturity, thereby preventing relapse of pedophilic episodes.


2008 ◽  
Vol 159 (6) ◽  
pp. 799-803 ◽  
Author(s):  
Kalliopi Pazaitou-Panayiotou ◽  
Petros Perros ◽  
Maria Boudina ◽  
George Siardos ◽  
Apostolos Drimonitis ◽  
...  

BackgroundThyroid carcinoma has been reported in patients operated for different types of hyperthyroidism and the probability of a hot nodule being malignant seems to be low. The aim of the present study was to explore the relationship between thyroid cancer, hyperthyroidism and outcome in a large cohort of patients who presented to a tertiary cancer centre in Northern Greece.PatientsAmong 720 patients treated for thyroid cancer, 60 had a concomitant diagnosis of hyperthyroidism due to Graves' disease (n=14), solitary autonomous adenoma (n=17), or multinodular goiter (n=29). Adverse prognostic factors were common in patients with a previous history of hyperthyroidism at the time of diagnosis of thyroid cancer, including cases where the cancer was discovered coincidentally after thyroid surgery for hyperthyroidism and cases where tumor size was more than 10 mm.ResultsIn 10 out of 17 patients with hyperthyroidism due to solitary autonomous adenomas, the tumor was located within the hot nodule and two of these patients developed local and distant metastases and died from the disease 4 and 15 years after thyroidectomy.ConclusionClinicians managing patients with hyperthyroidism need to be aware of the possible increased risk of thyroid cancer in this patient group.


2020 ◽  
Vol 31 (4) ◽  
pp. 519-526
Author(s):  
Xin Zhang ◽  
Bin Li ◽  
Jianyong Zou ◽  
Chunhua Su ◽  
Haoshuai Zhu ◽  
...  

Abstract OBJECTIVES The goal of this study was to identify the relationship between clinical characteristics and the occurrence of postoperative myasthenia gravis (PMG) in patients with thymomas and to further identify the relationship between PMG and prognosis. METHODS Thymoma patients who had surgery at the First Affiliated Hospital of Sun Yat-sen University between July 2004 and July 2016 were reviewed and those who had no previous symptoms of myasthenia gravis were selected for further investigation. In total, 229 patients were included in the study; their clinical characteristics were gathered and analysed. RESULTS Among the 229 patients, 19 (8.3%) had PMG. The time between the operation and the onset of myasthenia gravis was 134 days on average (range 2–730 days). Patients experiencing PMG showed a lower rate of complete thymoma resection (73.7% vs 91.4%; P = 0.014) and total thymectomy (63.2% vs 82.9%; P = 0.035) compared with those who did not. Univariable and multivariable logistic regression revealed that thymomectomy [odds ratio (OR) 2.81, 95% confidence interval (CI) 1.02–7.77; P = 0.047] and incomplete tumour resection (OR 3.79, 95% CI 1.20–11.98; P = 0.023) were associated with the occurrence of PMG. Multivariable Cox regression showed that the PMG was not related to overall survival (P = 0.087). CONCLUSIONS This study revealed that incomplete tumour resection and thymomectomy were independent risk factors for PMG in thymoma patients with no previous history of myasthenia gravis.


2016 ◽  
Vol Volume 10 ◽  
pp. 47-52 ◽  
Author(s):  
Juichi Tonosu ◽  
Hiroyuki Oka ◽  
Ko Matsudaira ◽  
Akiro Higashikawa ◽  
Hiroshi Okazaki ◽  
...  

CNS Spectrums ◽  
2007 ◽  
Vol 12 (S5) ◽  
pp. 5-5 ◽  
Author(s):  
Peter V. Rabins ◽  
Jeffrey L. Cummings

Involuntary emotional expression disorder (IEED), a distressing and potentially debilitating condition characterized by uncontrollable episodes of laughing and/or crying, causes extensive social and occupational dysfunction amongst patients. However, despite affecting more than one million people worldwide, IEED is often overlooked or misdiagnosed, and current treatments are compromised by uncertain efficacy. In this supplement we review the epidemiology and pathophysiology of IEED, and discuss new pharmacologic interventions which may afford opportunities for symptom control amongst IEED sufferers.Although the uncontrollable episodes of emotion which characterize IEED were first described more than a century ago, a bewildering profusion of terminology has since confused and hampered the efforts of physicians to recognize and treat this condition. In the first article, John E. Duda, MD, examines the history of IEED in the medical literature, and evaluates the prevalence of the condition amongst patients in whom emotional or affective motor control has become dysregulated, either as a result of brain damage from neurological disease or as a result of brain injury.


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