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Psycology » Neurosis: Part II

Conversion and dissociative disorders: Treatment

Usually acute dissociative and conversion disorders observed in general practice or in emergency departments for treatment is enough persuasion and suggestion calming combined with immediate efforts made to resolve the stressful circumstances that triggered the reaction. For cases lasting more than a few weeks, a more aggressive treatment. The usual method of therapy are efforts aimed at eliminating the factors exacerbating symptoms and encourage normal behavior. Patient should explain that its existing malfunctions (eg violation

Depersonalizaiionnoe disorder

Depersonalization disorder is characterized by an unpleasant state of disturbed perception in which external objects or body parts felt altered, unrealistic, excluded or automatic. The patient is aware of the subjective nature of his feelings. Symptom of depersonalization is fairly widespread as a minor character in other syndromes, but depersonalization disorder is uncommon. In DSM-IIIR depersonalization disorder is classified under the rubric of dissociative disorders, along with a variety of dissociative states, which were considered in the last section. In M

Conversion and dissociative disorders: epidemiology and ethology

The incidence of conversion and dissociative disorders throughout life in the general population is difficult to determine, probably rates vary between 3 and 6 per 1000 women and significantly lower in men (Carey et al. 1980). Clinical experience suggests that in most cases the disease begins before the age of 35 and only a few after 40 years, although the hysterical symptoms that usually occur as part of some other disorder symptoms may appear much later in this age group. Before you make an overview of current concepts of etiology, it is instructive to briefly consider some explanation

Conversion and dissociative disorders: related syndromes

Epidemic hysteria Sometimes dissociative and conversion disorder are distributed to a limited group of people like an epidemic. Sometimes it happens among men, but more often in closed groups of young women, such as girls' school, a nursing home or in a convent. Typically, anxiety is growing due to a threat to the group, for example, the possibility of getting sick real physical illness has spread in the area. As a rule, the epidemic starts with one person, legkovnushaemogo, with hysterical personality traits, being the center of attention in this group. This may be the first case

Conversion and dissociative disorders: clinical

Feature issues Despite the fact that the conversion and dissociative symptoms are not produced intentionally, they display a representation of the patient about the disease. It happens that mimics the symptoms of a sick relative or friend. Sometimes they occur on the basis of their own experience of the patient in relation to an illness, for example, dissociative amnesia may occur in those who previously suffered a head injury. Playing is the least accurate of the disease in people with little knowledge about it, such as children or the mentally retarded, and most accurate in possessing special knowledge, such as those working in the hospital. Typically,

Obsessive-Compulsive Disorder: prognosis and treatment

Approximately two thirds of improvement occurs during the year, usually by the end of this period. If the disease continues for more than a year, it usually fluctuates over, interspersed with periods of partial or complete remission lasting from several months to several years (Pollitt 1957). Prognosis is worse when it comes to obsessive personality with severe symptoms (Kringlen 1965) or if the life of the patient present continuous stressful events. Severe cases can be extremely resistant, for example, as a result of studies of hospitalized patients with obsessive Kringlen (1965) found that three-quarters of these symptoms remain unchanged

Obsessive-Compulsive Disorder: epidemiology and causes

Obsessive-compulsive disorders are not as common as anxiety disorders. Indicators annual incidence ranges from 0.1 to 2.3 per 1,000 population (see: Carey et al. 1980). A recent study in America (using the criteria of DSM-III), it was found that the lifetime incidence of 2-3% (Robins et al. 1984). Men and women are likely affected equally. Intrusive thoughts (sometimes sexual, aggressive and other content), similar to those that are in patients with obsessions that periodically occur in healthy people (Racman and Hodgson 1980). Frequency, intensity and, most importantly, stable

Conversion and dissociative disorders: forecast

Most recently began dissociative and conversion disorders observed in general practice or in emergency departments in hospitals, pass quickly. However, those that last more than a year, tend to continue for many years to come. So, Ljungberg (1957) showed that in cases where symptoms are observed more than one year, and she showed up in ten years. We have already noted that such patients often organic disease goes unnoticed. During the famous study Slater and Glithero (1965) collected catamnesis some patients, once directed to a specialized neurological hospital where he was

Panic Disorder

Although a diagnosis of panic disorder before its introduction in DSM-IIIR in 1980 was not used, the cases that fall under this category, under a variety of names describe the more than one hundred years. The main feature is the panic attacks, ie, sudden bouts of anxiety, in which somatic symptoms dominate, followed by fear of serious consequences, such as a heart attack. Previously such symptoms attributed to painful excitability of the heart, Da Costa's syndrome, neuro asthenia, cardiac disorder syndrome and effort. According to these concepts existed previously assumed that patients were wrong, dangerous

Obsessive-Compulsive Disorder

A good general description of obsessive-compulsive disorder found in ICD-9, where it is described as a condition in which the leading symptom is a subjective feeling of compulsive impulses (which should be resisted) to perform an action, focus on some thoughts, remember that- one or speculate on some abstract subject. Unwanted intrusive thoughts, words or ideas obsession, reflection or string of sick thoughts perceived as irrelevant or meaningless. Obsessive impulse or idea recognized alien personality, but like going inside. Obsessional actions can
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