Hysteria Conversion dissociative Disorder Hysteria History Greek wondering womb Mesmer Charcot Janet Breuer Freud Conversion dissociative Disorder Hysteria ID: 269239
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Conversion (dissociative) DisorderHysteriaSlide2
Conversion (dissociative) Disorder Hysteria
History:
Greek; wondering womb
Mesmer
Charcot,
Janet
Breuer
FreudSlide3
Conversion (dissociative) Disorder Hysteria
Definition
Disorder signs and symptoms of
disease ,gain , not organic ,
unconcious
motive
relation to anxiety
Hysteria; anger
Difficult patient
personality
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Conversion (dissociative) Disorder Hysteria
Epidemiology:
10-20 /10 000/y
4.5% psychiatric consultations
women > men age young
lower socioeconomic status , cultureSlide5
Conversion (dissociative) Disorder Hysteria
Etiology
environmental family
illness behavior
analytic
conflict
, repression conversion , dissociation
symptoms
symbolic
Personality : histrionic
center of attention
exaggeration
impressionistic
manipulate othersSlide6
Conversion (dissociative) Disorder Hysteria
C/F
*La belle indifference
*
Symtoms
are
real;not
malingering
*Do not affect functions not under
controll
*
Inconsistant
with physical or mental illness
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*Two main groupsconversion
dissociative
*Choice depends
knowledge
existing or family disease
social influenceSlide8
Conversion (dissociative) Disorder Hysteria
Conversional symptoms
motor paralysis
differentiation
gait ,tone , wasting , reflexes
2-sensory anesthesia
absence of neurological distribution
3- special sensory aphonic deafness
vomiting ,
urine retention , psuedocysisSlide9
Conversion (dissociative) Disorder Hysteria
Dissociatve
symptoms
amnesia episodes , whole life , identity loss
fugue state wondering with amnesiaSlide10
Conversion (dissociative) Disorder Hysteria
hysterical fits
audience
reaction to situation
not in sleep
do not occur in dangerous situation
no real loss of
consciousness
no tongue biting
no
sphincter
affection
purposive
movements
longer time
absence
of neurological signsSlide11
Conversion (dissociative) Disorder Hysteria
Ganser syndrome
Multiple personality
Epidemic hysteriaSlide12
Conversion (dissociative) Disorder Hysteria
Diagnosis
By inclusion
never by exclusion
History
stress conflict gain personality
Physical
Mental state
preoccupation , la belle indifferenceSlide13
Conversion (dissociative) Disorder Hysteria
Management
Explanation
Behavioral
Psychotherapy abreaction psychoanalysis
Anxiolytics