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Dissociative Hysteria

Hysterical Neuroses Dissociative Type


Presentation

  • The author asserts that DID is indeed a val present their symptoms in an unconvincing, "hysterical" manner.[connection.ebscohost.com]
  • Now, with Trump-Fascism there is the present bout of general mayhem, hysteria and ever increasing totalitarian tyranny. We still have the collapse of the dollar to look forward to, and the somewhat slower collapse of the American military.[politicalfray.com]
  • The last chapters present several medical cases illustrating the differences between conversion hysteria and psychophysiologic autonomic disorder. These chapters also deal with the types of psychotherapy for hysteria.[books.google.com]
  • The paper delineates several clinical features of DID that can easily be mistaken for hysterical phenomena, and attempts to find the roots of this confusion in the DID patients' experience of interpersonal powerlessness, which leads them to present their[ncbi.nlm.nih.gov]
  • This would be one of the reasons for not using dissociative disorders with chronic presentations of symptoms like depersonalization and derealization in countries other than North America or Canada: instead hysteria keeps on been used.[bioportfolio.com]
Malingering
  • ., the patient is not malingering an illness) Unfortunately DSM-V and ICD-10 use the terms conversion and dissociation differently.[gpnotebook.co.uk]
  • […] and Neurodevelopmental disorders F44 ICD-10-CM Diagnosis Code F44 Dissociative and conversion disorders 2016 2017 2018 2019 Non-Billable/Non-Specific Code Includes conversion hysteria conversion reaction hysteria hysterical psychosis Type 2 Excludes malingering[icd10data.com]
  • F44 Dissociative and conversion disorders Includes: conversion hysteria conversion reaction hysteria hysterical psychosis Excludes2 malingering [conscious simulation] ( Z76.5 ) F44.0 Dissociative amnesia F44.1 Dissociative fugue Inclusion term(s): Dissociative[icd10coded.com]
  • The Problem of Malingering.[jaapl.org]
  • […] excluded from the diagnosis of conversion disorder. 7 A question often asked by neurologists, when confronted with a patient with unexplained loss of function of the limb, is “How do I distinguish between conversion disorder, factitious disorder, and malingering[clinicalgate.com]
Falling
  • While the person having genuine organic fits falls at any place, the hysteric person during fits falls in a safe and comfortable place. 4.[yourarticlelibrary.com]
  • ., about 11 months in a year), falls in this group. Surinder Nand[britannica.com]
  • Doing so a BP may also set her/himself up for that fall by creating the circumstances for that very thing to happen. Self-fulfilling prophecy.[beyondtheborderlinepersonality.wordpress.com]
  • Tongue biting, urinary incontinence, bruising due to falling are rare. F44.6 Dissociative anaesthesia and sensory loss Anaesthetic areas of skin not corresponding to dermatomal distribution.[en.wikibooks.org]
  • 54 Men and women are diagnosed in equal numbers with this disorder, with onset usually in the teens or early 20s; only five percent have onset after age 25. 11, 55 Other Specified Dissociative Disorder The DSM-5 lists six examples of conditions that fall[jaapl.org]
Collapse
  • We still have the collapse of the dollar to look forward to, and the somewhat slower collapse of the American military.[politicalfray.com]
  • Pathological dissociation, on the other hand, results when the psyche is overwhelmed by trauma and signals the collapse of relationality and an addictive clinging to dissociative solutions.[books.google.com]
  • .” ― Jack Grimwood, Moskva “It was early in my career, and I had been seeing Mary, a shy, lonely, and physically collapsed young woman, for about three months in weekly psychotherapy, dealing with the ravages of her terrible history of early abuse.[goodreads.com]
  • […] addition, there are symptoms which are experienced in conscious state such as continuous dizziness, refusal to mention Allah’s name, refusal to perform prayers, dreaming, forgetfulness,laziness and so on [ 9 ] state that among the symptoms shown are collapse[omicsonline.org]
Difficulty Walking
  • walking Patients diagnosed with conversion disorder are not feigning the signs and symptoms.[gpnotebook.co.uk]
  • Signs and symptoms that affect body movement and function may include: Weakness or paralysis Abnormal movement, such as tremors or difficulty walking Loss of balance Difficulty swallowing or feeling "a lump in the throat" Seizures or episodes of shaking[mayoclinic.org]
Multiple Somatic Complaints
Morning Sickness
  • As a result a number of respiratory and autonomic disorders may be found Pseudo Cyesis or phantom pregnancy is a common example of autonomic conversion where there is not only cease of periods, but also morning sickness, enlarged breasts and abdomen.[yourarticlelibrary.com]
Hearing Problem
  • problems or deafness When to see a doctor Seek medical attention for signs and symptoms listed above.[mayoclinic.org]
Night Blindness
  • For instance, night blindness was more found among night fliers and day fliers usually developed defect in day vision. Motor Symptoms: Motor conversions include paralysis of the different parts of the body which is usually confined to a single limb.[yourarticlelibrary.com]
Ganser Syndrome
  • syndrome Psychogenic confusion Psychogenic twilight state Trance and possession disorders F44.9 Dissociative and conversion disorder, unspecified Inclusion term(s): Dissociative disorder NOS Abbreviations used here: NEC Not elsewhere classifiable This[icd10coded.com]
  • Ganser syndrome, in which the person appears to deliberately give approximate answers to simple questions (e.g., about 11 months in a year), falls in this group. Surinder Nand[britannica.com]
  • Dissociative stupor, trance, convulsions, Ganser syndrome and motor disorders are all grouped together under Dissociative disorder NOS rather than being classified separately as in ICD-10.[en.wikibooks.org]
  • Onset of Ganser's syndrome is acute, and symptoms have been reported to appear for brief durations or persist for months. 63, –, 65 The condition has been viewed as a reaction to extreme stress. 33, 66 Ganser's syndrome may occur with other psychiatric[jaapl.org]
  • Ganser syndrome and hysterical pseudodementia Ganser syndrome was originally reported to be common in prison inmates. It has been variously classified as a factitious disorder or as a dissociative disorder.[krishnanursinghome.in]
Delusion
  • Symptoms - Dissociative hysteria The list of signs and symptoms mentioned in various sources for Dissociative Identity Disorder includes the 9 symptoms listed below: * Confusion * Memory problems * Delusions * Headaches * Flashbacks * Eating disorders[checkorphan.org]
  • Psychotic symptoms can include catatonia, hallucinations, delusions, and grossly disturbed behavior.[jaapl.org]
  • Possession symptom may also be seen in mania (differential diagnosis from delusion of grandiosity is important), depression, schizophrenia (differential diagnosis from delusion of control, ‘made phenomenon’, and thought alienation is important), and obsessive[krishnanursinghome.in]
Histrionic Personality Disorder
  • The concept of a hysterical personality was well developed by the mid-20th century and strongly resembled the current definition of histrionic personality disorder.[beyondtheborderlinepersonality.wordpress.com]
  • In addition to stressor(s), the predisposing factors include depression, alcohol or drug use, head injury, histrionic personality disorder, and a history of seizures.[krishnanursinghome.in]
Stereotyped Behavior
  • This phenomenon is described as an acute narrowing or complete loss of awareness of immediate surroundings that manifests as profound unresponsiveness or insensitivity to environmental stimuli. 11 Stereotyped behaviors (e.g., finger tapping) may occur[jaapl.org]
Type A Personality
  • In this type the person forgets selected types of events or incidents. The third category is called continuous amnesia. Here the individual forgets each successive event as it occurs.[yourarticlelibrary.com]
Motor Disturbances
  • The motor disturbances are usually accompanied by altered sensibility, especially those involving touch, pain, temperature, and position sense." rel="nofollow" class="source">[nonsda.org]
  • Tropic Symptoms: The vaso motor disturbances of hysterically paralyzed limbs are otherwise known as tropic symptoms where the limbs become blue and cold.[yourarticlelibrary.com]
Chorea
  • Motor ticks involve a group of muscles ranging from occasional jerking of a limb to chorea form movements.[yourarticlelibrary.com]

Workup

  • A complete urodynamic and neurophysiological workup of the pelvic floor were performed without pathological findings. Detrusor muscle biopsies showed normal innervation pattern and morphology. Nitrous oxide synthesis de.ciency was excluded. Table 1.[cirp.org]
  • A more rapid completion of the diagnostic workup is possible in the hospital setting. In addition, a parallel investigation of physical and psychologic factors can concomitantly be pursued.[emedicine.medscape.com]

Treatment

  • The research and clinical experience described here will provide the basis for further clinical and theoretical formulations of traumatic dissociation and will advance empirical examination and treatment of the phenomenon.[books.google.com]
  • Related Articles A Cognitive-Psychoanalytic Perspective on the Treatment of Complex Dissociative Disorders.[connection.ebscohost.com]
  • Treatment - Dissociative hysteria Not supplied. Resources - Dissociative hysteria Not supplied.[checkorphan.org]
  • Links: epidemiology types of conversion and dissociative disorder aetiology general clinical features of conversion (hysterical) disorders diagnosis differential diagnosis treatment prognosis[gpnotebook.co.uk]

Prognosis

  • Diagnosis - Dissociative hysteria These home medical tests may be relevant to Dissociative Identity Disorder: * Concentration -- Home Testing * ADHD -- Home Testing * Mental Health: Home Testing: o Home Emotional Stress Tests Prognosis - Dissociative[checkorphan.org]
  • Links: epidemiology types of conversion and dissociative disorder aetiology general clinical features of conversion (hysterical) disorders diagnosis differential diagnosis treatment prognosis[gpnotebook.co.uk]
  • "Long-term outcome and prognosis of dissociative disorder with onset in childhood or adolescence". Child and Adolescent Psychiatry and Mental Health. 2 (1): 19. doi : 10.1186/1753-2000-2-19. PMC 2517058. PMID 18651951. Boysen, Guy A. (2011).[en.wikipedia.org]
  • Provide reassurance that no evidence of an underlying neurological disorder is present based on the tests that were performed and that the prognosis for recovery is very good.[emedicine.medscape.com]
  • .), standardized psychological tests (MMPI-2, Rorschach etc.) may aid the clinician in differential diagnosis and prognosis, the identification of co-morbid disorders, and the evaluation of treatment options (Chu et al. 2005).[en.wikibooks.org]

Etiology

  • This book is composed of 16 chapters, and starts with a description of the etiology and psychopathology of hysteria.[books.google.com]
  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • HYSTERICAL NEUROSIS - Etiology The concept of dissociation, a process whereby specific internal mental contents (memories, ideas, feelings, perceptions) are lost to conscious awareness and become unavailable to voluntary recall, is central to an understanding" class="source">[nonsda.org]
  • It includes all cases of dissociative (conversion) disorders, in which there is an evidence of an organic etiology (the category of ‘other mental disorders due to brain damage and dysfunction and to physical disease’).[krishnanursinghome.in]

Epidemiology

  • Links: epidemiology types of conversion and dissociative disorder aetiology general clinical features of conversion (hysterical) disorders diagnosis differential diagnosis treatment prognosis[gpnotebook.co.uk]
  • Epidemiology [ edit ] Several studies have shown that dissociative disorders may have been previously under diagnosed and a much higher prevalence is encountered.[en.wikibooks.org]
  • Hysterical neurosis, conversion type: clinical and epidemiological considerations. Acta Psychiatr Scand. 1976 Feb. 53(2):119-38. [Medline]. Carson AJ, Best S, Postma K, et al.[emedicine.medscape.com]
  • Epidemiologic Reviews 19: 2. Small GW, Propper MW, Randolph ET, Eth S (1991) Mass hysteria among student performers : Social relationship as a symptom predictor,The American Journal of Psychiatry 148 : 1200-1205. Bartholomew R.E, Sirois.[omicsonline.org]
  • […] time, may contribute to the development and maintenance of PTSD symptoms. 96, –, 99 Clinical and neurobiological evidence of dissociative symptoms lend support to a dissociative subtype of PTSD, which is now included in the DSM-5. 11, 100, –, 103 Using epidemiologic[jaapl.org]
Sex distribution
Age distribution

Pathophysiology

  • Evidence suggests that these phenomena are generated by a common pathophysiological mechanism involving the top-down inhibition of limbic emotional processing by frontal brain systems.[clinicalgate.com]
  • Medical Care Current understanding of the phenomenon of conversion disorder implicates some role of the unconscious in the pathophysiology of this condition. [12, 33] It is therefore less likely to respond to treatment when the manifestations of the conversion[emedicine.medscape.com]

Prevention

  • Flashbacks * Eating disorders * Personality change * Selective loss of memory * Disorientation Causes - Dissociative hysteria * Confusion * Delusions * Disorientation * Eating disorders * Flashbacks * Headaches * Memory problems * Personality change Prevention[checkorphan.org]
  • Thus, hysteria needs to be studied in order to prevent it from occurring. The symptoms of hysteria have to be fist accurately identifid so that appropriate and accurate preventive steps may be proposed.[ukm.pure.elsevier.com]
  • Further, a moderate mean is also obtained for other preventive steps. Infrequent practice of optional worship (sunnah ibadah) among adolescents is one aspect which influences prevention of hysteria among them.[omicsonline.org]
  • However, it needs to be noted that the essential oils mentioned above are more effective in preventing crises caused by hysteria rather than tackling with the medical condition when it has already started.[herbs2000.com]
  • If the diagnosis is a functional neurologic disorder, treatment may improve the symptoms and help prevent future problems. Causes The exact cause of functional neurologic disorders is unknown.[mayoclinic.org]

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