期刊
BRAIN
卷 132, 期 -, 页码 2889-2896出版社
OXFORD UNIV PRESS
DOI: 10.1093/brain/awp060
关键词
conversion disorder; hysteria; malingering; deception; factitious disorder
资金
- Wellcome Trust [079743]
- South London and Maudsley NHS Foundation Trust/Institute of Psychiatry
- Biomedical Research Centre
Conversion disorder (hysteria) was largely considered to be a neurological problem in the 19th century, but without a neuropathological explanation it was commonly assimilated with malingering. The theories of Janet and Freud transformed hysteria into a psychiatric condition, but as such models decline in popularity and a neurobiology of conversion has yet to be found, todays neurologists once again face a disorder without an accepted model. This article explores how todays neurologists understand conversion through in-depth interviews with 22 neurology consultants. The neurologists endorsed psychological models but did not understand their patients in such terms. Rather, they distinguished conversion from other unexplained conditions clinically by its severity and inconsistency. While many did not see this as clearly distinct from feigning, they did not feel that this was their problem to resolve. They saw themselves as agnostic regarding non-neuropathological explanations. However, since neurologists are in some ways more expert in conversion than psychiatrists, their continuing support for the deception model is important, and begs an explanation. One reason for the models persistence may be that it is employed as a diagnostic device, used to differentiate between those unexplained symptoms that could, in principle, have a medical explanation and those that could not.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据