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Hysteria


Presentation

  • Patients with medical conditions may present with psychiatric symptoms, which may lead to worse physical health care. Here we present the case of a patient with acute aortic dissection masked by psychiatric symptoms after a stressful event.[ncbi.nlm.nih.gov]
  • Factors important in the recognition and treatment of epidemic hysteria are presented.[ncbi.nlm.nih.gov]
  • None the less, it is still possible to encounter florid forms of hysteria in culturally deprived communities, and to answer Charcot's present day critics we present a selection of patients from Kentucky's Appalachian countries with hysterial neurological[ncbi.nlm.nih.gov]
  • This article emphasises the core clinical features of each presentation, the points of differentiation between various presentations and the salient points for effective management.[ncbi.nlm.nih.gov]
  • A 28-yr-old woman was referred presenting with substupor, mutism, mannerism, restlessness, and incoherence.[ncbi.nlm.nih.gov]
Fatigue
  • In hysteria, the main shift has been from motor symptoms to sensory complaints such as chronic fatigue; in catatonia, the major change has been the virtual disappearance of negativistic or oppositional behaviour.[ncbi.nlm.nih.gov]
  • And with flu season coming up -- with its symptoms of fever, ache and fatigue that are very similar to Ebola's -- expect the hysteria to ramp up.[cnn.com]
  • Housewives also experienced an increased frequency of psychosomatic symptoms, such as headache, excessive fatigue, feelings of worthlessness, and often reported suffering from the conviction that people did not recognize the importance of their role,[doi.org]
Galactorrhea
  • This paper presents a case of hysteria in which the physical manifestations of hyperprolactinemia, galactorrhea, amenorrhea, and infertility are considered in relation to both the brain regulation of prolactin and to unconscious fantasy, motivation, and[ncbi.nlm.nih.gov]
Abdominal Pain
  • However the girl still complained of the abdominal pains ‘which had played the chief part in the clinical picture of hysteria.’ Two months later she died of sarcoma of the abdominal glands.[richardwebster.net]
  • Most cases of epidemic hysteria are characterised by symptoms such as nausea, abdominal pain, dizziness and lightheadedness, but there are also several documented cases of rash as a psychogenic symptom.[theguardian.com]
Hiccup
  • “Alex,” she says, hiccupping through tears. “I’m holding his cuuuuuuup.” All I wanted to do was hug her when I heard this story — I’ve had my own nervous breakdowns about musicians.[thehairpin.com]
Blurred Vision
  • Characteristic manifestations of such seizures include blurred vision, double-vision, feelings of de-personalisation, prosopagnosia (the inability to recognise faces), visual illusions which include the misidentification of objects, distortions in which[richardwebster.net]
Fear
  • […] of hysteria 2 : a situation in which many people behave or react in an extreme or uncontrolled way because of fear, anger, etc.[learnersdictionary.com]
  • 1 a state of extreme excitement, fear or anger in which a person, or a group of people, loses control of their emotions and starts to cry, laugh, etc. There was mass hysteria when the band came on stage. A note of hysteria crept into her voice.[oxfordlearnersdictionaries.com]
  • WordReference Random House Learner's Dictionary of American English 2019 hys•te•ri•a /hɪˈstɛriə, -ˈstɪr-/ USA pronunciation n. [ uncountable ] a wild, violent, or uncontrollable emotional behavior, as from fear or grief.[wordreference.com]
  • […] coffins with your misery Faith holding outright criminals safe This is just the world we live in Can you justify the pain The death of fiction will save us all Hysteria We live We die I wont give up In a world worth saving goodbye I don't have anything to fear[azlyrics.com]
  • Obama then accused his political foes of fearing "widows and orphans," saying "apparently they are scared of widows and orphans coming into the United States of America."[dw.com]
Amenorrhea
  • This paper presents a case of hysteria in which the physical manifestations of hyperprolactinemia, galactorrhea, amenorrhea, and infertility are considered in relation to both the brain regulation of prolactin and to unconscious fantasy, motivation, and[ncbi.nlm.nih.gov]
Amnesia
  • The first main group of paroxysms, attacks, and acute manifestations includes major hysterical attacks, such as prodrome, trance and epileptic states, minor hysterical attacks such as syncope and tetany, twilight states, paroxysmal amnesia, and cataleptic[ncbi.nlm.nih.gov]
  • These types of disorders include dissociative fugue, dissociative identity disorder, and dissociative amnesia. Somatoform disorder is a class of psychological disorder that involves physical symptoms that do not have a physical cause.[psychology.about.com]
  • […] in the separation of dissasociative type of hysteria and a conversion type, based on dubious or unsubstantiated psychodynamic theory, and feel that the term conversion if used at all should refer to symptoms which mimic neurological disease (such as amnesia[nature.com]
  • Janet studied five hysteria’s symptoms: anaesthesia, amnesia, abulia, motor control diseases and modification of character. The reason of hysteria is in the idée fixe, that is the subconscient or subconscious.[doi.org]
Dizziness
  • But no matter how long you stuck with them, AIDS Wolf always managed to incite dizziness through chaos. In his solo project Drainolith, AIDS Wolf guitarist Alexander Moskos has a similar goal, but comes at it from an opposite side.[pitchfork.com]
  • Hippocrates ( c . 460–377 BC) described how the female reproductive parts, moving, convulsing or prolapsing caused dizziness, motor paralysis and sensory disturbance. Galen (AD 129–216?)[nature.com]
  • Most cases of epidemic hysteria are characterised by symptoms such as nausea, abdominal pain, dizziness and lightheadedness, but there are also several documented cases of rash as a psychogenic symptom.[theguardian.com]
Stupor
  • I have examined many hysterical women, some stuporous, others with anxiety attacks [...]: the disease manifests itself with different symptoms, but always refers to the uterus”.[doi.org]
Opisthotonus
  • Wellcome L0033539.jpg 2 272 3 752; 1,64 MB Opisthotonus in a patient suffering from tetanus - Painting by Sir Charles Bell - 1809.jpg 610 396; 25 KB Ostendorfer Madonna in Regensburg.jpg 1 459 2 119; 2,07 MB Paul Richer, 'Gonflement du cou chez un hysterique[commons.wikimedia.org]
Monoplegia
  • Their case histories are contrasted with those Charcot himself described and thereby form a modern commentary on such conditions as la grande hystérie, hysteroepilepsy, hysterotraumatic monoplegia, and hysterical hemianaesthesia.[ncbi.nlm.nih.gov]

Workup

Hyperprolactinemia
  • This paper presents a case of hysteria in which the physical manifestations of hyperprolactinemia, galactorrhea, amenorrhea, and infertility are considered in relation to both the brain regulation of prolactin and to unconscious fantasy, motivation, and[ncbi.nlm.nih.gov]

Treatment

  • Heather.Meek@uregina.ca Abstract This paper explores evolving treatments for hysteria in the eighteenth century by examining a selection of works by both physician-writers and educated literary women.[ncbi.nlm.nih.gov]
  • Treatment by a nonpsychiatric physician in these three cases consisted of simple emotional support and easing of responsibilities, ie, saying no for the patient.[ncbi.nlm.nih.gov]
  • KEYWORDS: Abrupt treatments; World War I; hysteria; shell shock[ncbi.nlm.nih.gov]
  • The treatment was renewed in the second half of the 19th century in Paris by Paul Briquet and then by Jean-Martin Charcot.[ncbi.nlm.nih.gov]
  • Abstract Conversion hysteria, a common affliction, requires prompt diagnosis and treatment to prevent fixation of the incapacity and secondary contractures, and to protect the patient from unnecessary surgery.[ncbi.nlm.nih.gov]

Etiology

  • This etiological schema organized the next psychopathological writing Freud did, his "Fragment of an Analysis of a Case of Hysteria," in which Ida Bauer's hysteria was seen as due to oral zone autoerotic overstimulation and, later, to her object-directed[ncbi.nlm.nih.gov]
  • Freud's Contributions to the Theory of Hysteria (Summary): 1) Etiology not based in heredity (Charcot); 2) Nurture, not nature, as cause; 3) Pubescent experience not cause, but mere "provoking agent" ("trigger"); 4) Hysteria no longer tied to physiology[courses.washington.edu]
  • Willis introduces a new etiology of hysteria, no longer attached to the central role of the uterus but rather related to the brain and to the nervous system [ 24 ].[doi.org]

Epidemiology

  • Abstract An 'explanatory epidemiology' of disorders labelled 'hysteria' towards the end of the 19th century provides precious information--through the numerous statistical works of the period - about the conceptions of practitioners and the various cultural[ncbi.nlm.nih.gov]
  • Available current epidemiological data from several countries on different continents (adopting DSM criteria for diagnosis) suggest not only that the prevalence is probably similar, but also that there is a consistency in their clinical manifestation[ncbi.nlm.nih.gov]
  • The epidemiology is hazy; one commonly cited statistic is that conversion disorder accounts for 1 percent to 4 percent of all diagnoses in Western hospitals.[nytimes.com]
  • Clinical Practice and Epidemiology in Mental Health. 8 : 110–9. doi : 10.2174/1745017901208010110. PMC 3480686. PMID 23115576. a b Merskey, Harold; Potter, Paul (1989). "The womb lay still in ancient Egypt".[en.wikipedia.org]
Sex distribution
Age distribution

Prevention

  • Abstract Conversion hysteria, a common affliction, requires prompt diagnosis and treatment to prevent fixation of the incapacity and secondary contractures, and to protect the patient from unnecessary surgery.[ncbi.nlm.nih.gov]
  • Increased awareness and the use of standardized operating procedures in the ED may prevent fatal misdiagnoses in these patients.[ncbi.nlm.nih.gov]
  • A holistic approach entailing the collaboration of various public sectors performing a range of preventive activities will be required to contain future mass psychogenic reactions.[ncbi.nlm.nih.gov]
  • As my co-authors and I describe in Rejecting Refugees, the 1996 Illegal Immigration Reform and Immigrant Responsibility Act contained provisions aimed at to prevent immigrants from applying for asylum simply to obtain a work permit — a problem that had[justsecurity.org]
  • Fortunately, the “demonological vision” of women's mental illness did not prevent previous medical theories from being maintained [ 28 ].[doi.org]

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