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Psycology » Psychiatry and psychotherapy » Neurosis » Hysterical neurosis

  1. Neurosis: neurasthenia
  2. Hysterical neurosis
  3. Obsessional neurosis (obsessive-phobic neurosis)
  4. Diagnosis and treatment of neurosis
Occurrence of hysteria in women still in Egypt and ancient Greece was associated with physicians of antiquity diseases of the uterus (from the Greek. Hysera - womb). Hysterical neurosis manifested diverse functional psychiatric, medical and neurological disorders. It is characterized by severe and suggestibility samovnushaemostyu patients (pitiatizm by Babinski), the desire to attract attention. Due to the variability of the patients with hysteria its symptoms can resemble a wide variety of manifestations, including physical illness syndrome (Briquet, 1880). Jean Charcot therefore called hysteria "great imitator."

K. Bonhoeffer (1911) noted the "feeling of wanting to illness", believing that there is always artificial, ostentatious image suffering. To predispose hysterical manifestations such stigma as a phenomenon of mental and emotional immaturity (infantilism), lability, is more common among women.

Hysterical neurosis combine autonomic, motor and sensory disorders that promotes rapprochement symptoms of neurosis with somatic pathology (somatization, conversion, blazirovannaya hysteria). Autonomic manifestations of hysteria found as sympathicotonic, vagotonic, dystonic crises, persistent nausea, vomiting, fainting, various spasms.

Movement disorders often manifest themselves in the form of jitter, tremor of the limbs, in the whole body, blepharospasm, choreiform movements, twitches, developing after various traumatic effects. These phenomena may disappear when switching attention, under the influence of suggestion. Hysterical paralysis often resemble true phenomenon hemiplegia or paraplegia, or discovering similarities with the central, or peripheral, flaccid paralysis. But their genesis as psychogenic, and topography of the area does not correspond to the localization of a disease outbreak in the central nervous system. Not arise pathological reflexes, muscle atrophy often expressed mild, although in some cases can be significant.

Sensory disorders characterized by disturbances of sensitivity, such as gipostezii, hyperesthesia, anesthesia, which may be found in various parts of the body and are quite common (in the form of stockings, gloves, belts, even half of the body). Pain (hysterical algii) can also be observed in almost all parts of the body (joints, limbs, abdominal cavity, heart). Where such symptoms predominate, patients often refer to the surgeons, they spend laparotomy surgery ("Munchausen syndrome").

When hysterical neurosis often develop phenomena such as deafness, blindness, which is usually associated with psychogenic effects of a negative character.

Generalized convulsive phenomenon (classic hysterics) now extremely rare. Unlike epileptic seizure patients do not bitten tongue fall so that no damage, they are able to perceive and evaluate everything that happens around. In the structure of hysterics often observed total tremor or twitching body parts. Expressive movements and "passionate poses," Jean Charcot described, this is not observed. Typical paralysis phenomena Astasia-Abaza are also rare. Instead mutism often still trembling speech, stuttering.

Patients always emphasize the severity of the condition, it is to seek to draw attention to this family, as well as doctors.

Affective disorders are manifested at the lability of emotion, mood swings, sick easily pass from weeping, weeping to laughter, wild laughter.

Psychogenic disorders all hysterical obvious, this applies to the "somatization" manifestations, which are currently referred to as conversion.

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