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Conversion Without Hysteria: A Case Report and Review of the Literature

Published online by Cambridge University Press:  29 January 2018

Arieh Shalev  and
Hanan Munitz
Arieh Shalev*
Affiliation:
Gehah Psychiatric Hospital, Beilinson Medical Centre, Petah Tiqva and Tel Aviv University Sackler School of Medicine, Tel Aviv, Israel
Hanan Munitz
Affiliation:
Gehah Psychiatric Hospital, and Department of Psychiatry, Tel Aviv University Sackler School of Medicine
*
∗Gehah Psychiatric Hospital, Beilinson Medical Centre, Petah Tiqva 49 100, Israel
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Abstract

The term ‘conversion’ implies a correlation between conversion symptoms, hysteria, and hysterical personality. A clinical case of conversion related to chronic post-traumatic disorder, with paranoid features, was successfully treated by anti-psychotic drugs; it illustrates the non-specific nature of conversion symptoms. Mechanic's concept of ‘illness behaviour’ is a frame-work that meets the need for a broader understanding of conversion symptoms.

Type
Papers
Information
The British Journal of Psychiatry , Volume 148 , Issue 2 , February 1986 , pp. 198 - 203
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

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References

Abse, D. W. (1974) Hysterical conversion and dissociative syndrome and the hysterical character. In American Handbook of Psychiatry, 2nd edition (ed. Ariety, S.). New York: Basic Books.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edition). Washington D. C.: American Psychiatric Association.Google Scholar
Berger, D. M. (1980) Somatisation, conversion and hypochondriasis. In: A Method of Psychiatry (eds. Greben, S. E., Pos, R. & Rakoff, N. M.). Philadelphia: Lea & Febiger.Google Scholar
Carter, A. (1949) The prognosis of certain hysterical symptoms. British Medical Journal, 1, 1076–1079.CrossRefGoogle ScholarPubMed
Chodoff, P. & Lyons, H. (1958) Hysteria, hysterical personality and “hysterical” neurosis. American Journal of Psychiatry, 144, 734–740.CrossRefGoogle Scholar
Engel, G. (1970) Conversion symptoms. In Signs and Symptoms: Applied Pathologic Physiology and Clinical Interpretation. 5th edition (ed. Macbride, E.). Philadelphia: Lipincott.Google Scholar
Farley, J., Woodruff, R. & Guze, S. (1968) The prevalence of hysteria and conversion syndrome. British Journal of Psychiatry, 114, 1121–1129.CrossRefGoogle Scholar
Fenichel, O. (1945) The Psychoanalytical Theory of Neurosis. New York: Norton.Google Scholar
Freud, S. & Breuer, J. (1895) Studies on hysteria. In Complete Psychological Works, Vol. 2. London: Hogarth Press (1955).Google Scholar
Gatfield, P. & Guze, S. (1962) Prognosis and differential diagnosis of conversion reaction. Diseases of the Nervous System, 23, 623–631.Google Scholar
Gelder, M., Gath, D. & Mayou, R. (1983) Oxford Textbook of Psychiatry. Oxford: Oxford University Press.Google Scholar
Guze, S. & Perley, M. (1963) Observations on the natural history of hysteria. American Journal of Psychiatry, 119, 960–965.CrossRefGoogle ScholarPubMed
Guze, S., Woodruff, A. & Clayton, P. (1971) A study of conversion symptoms in psychiatric outpatients. American Journal of Psychiatry, 128, 643–646.CrossRefGoogle ScholarPubMed
Hafiez, H. (1980) Hysterical conversion: a prognostic study. British Journal of Psychiatry, 136, 548–551.CrossRefGoogle Scholar
Kendell, R. E. (1983) Hysteria. In Handbook of Psychiatry Vol. 4 (eds Russell, G. F., & Hersov, L.). Cambridge: Cambridge University Press.Google Scholar
Kernberg, O. (1975) Borderline Conditions and Pathological Narcisissm. New York: Jason Aronson.Google Scholar
Kretschmer, E. (1961) Hysteria, Reflex and Instinct. Translated (1961) by Baskin, V. & Baskin, W. London: Peter Owen.Google Scholar
Lazare, A. (1981) Current concepts in psychiatry: conversion symptoms. New England Journal of Medicine, 305, 745–748.CrossRefGoogle ScholarPubMed
Lewis, A. (1975) The survival of hysteria. Psychological Medicine, 5, 9–12.CrossRefGoogle ScholarPubMed
Liunberg, L. (1957) Hysteria: a clinical, prognostic and genetic study. Acta Psychiatrica et Neurologica Scandinavica, 32, Supplement 112.Google Scholar
Ludwig, A. (1980) Principles of Clinical Psychiatry. New York: McMillan Free Press.Google Scholar
McKegney, P. (1967) The incidence and characteristics of patients with conversion reaction: 1. A general hospital consultation service sample. American Journal of Psychiatry, 124, 542–545.CrossRefGoogle Scholar
Mayou, R. (1984) Sick role, illness behaviour and coping. British Journal of Psychiatry, 144, 320–322.CrossRefGoogle ScholarPubMed
Mechanic, D. (1968) Medical Sociology: A Selective View. New York: Free Press.Google Scholar
Merskey, H. (1979) The Analysis of Hysteria. London: Bailliére & Tindall.Google Scholar
Merskey, H. & Buhrich, N. (1975) Hysteria and organic brain disease. British Journal of Medical Psychology, 48, 359–366.CrossRefGoogle ScholarPubMed
Merskey, H. & Trimble, M. (1979) Personality, sexual adjustment and brain lesion in patients with conversion symptoms. American Journal of Psychiatry, 136, 179–182.Google ScholarPubMed
Nemiah, J. C. (1980) Somatoform disorders. In Comprehensive Textbook of Psychiatry, 3rd edition, (eds. Kaplan, H. I., Freedman, A. M., & Sadock, B. J.). Baltimore: Williams & Wilkins.Google Scholar
Pilowsky, I. (1977) The classification of abnormal illness behaviours. British Journal of Medical Psychology, 51, 131–137.CrossRefGoogle Scholar
Rangell, L. (1959) The nature of conversion. Journal of the American Psychoanalytic Association, 7, 632–640.CrossRefGoogle ScholarPubMed
Raskin, M., Talbot, J. & Meyerson, A. (1966) Diagnosed conversion reaction: predictive value of psychiatric criteria. Journal of the American Medical Association, 197, 530–534.CrossRefGoogle Scholar
Reich, W. (1949) Character Analysis. 3rd edition. New York: Simon & Shuster.Google Scholar
Shalev, A. & Tyano, S. (1981) Reaction psychique aigue de combat. Evolution Psychiatrique, 46, 391–406.Google Scholar
Slater, E. (1965) The diagnosis of hysteria. British Medical Journal, i, 1395–1399.CrossRefGoogle Scholar
Slater, E. & Glithero, E. (1965) A follow-up of patients diagnosed as suffering from hysteria. Journal of Psychosomatic Research, 9, 9–13.CrossRefGoogle ScholarPubMed
Slater, E., Glithero, E. & Roth, M. (1969). Mayer-Gross, Slater E. & Roth M: Clinical Psychiatry. 3rd edition. London: Bailliére, Tindall & Cassel).Google Scholar
Sperling, M. (1960) Unconscious phantasies and object relations in patients suffering from ulcerative colitis. International Journal of Psychoanalysis, 41, 451–454.Google Scholar
Stefansson, J., Messina, J. & Meyerovitz, S. (1976) Hysterical neurosis, conversion type: clinical and epidemiological considerations. Acta Psychiatrica Scandinavica, 53, 119–138.CrossRefGoogle ScholarPubMed
Stein, M. H. (1977) Hysteria—Psychoanalytic Theory. In International Encyclopedia of Psychiatric Psychology, Psychoanalysis and Neurology (ed. Wolman, B. G.). New York: Aesclapius.Google Scholar
Sutherland, J. D. (1973) Pathological functioning of the person: the neuroses and psychosomatic disorders. In Companion to Psychiatric Studies, Vol. 2, (ed. Forrest, A.) London: Churchill Livingstone.Google Scholar
Tiessenbaum, M., Harter, H. & Friedman, A. (1951) Organic neurological syndromes diagnosed as functional disorder. Journal of the American Medical Association, 147, 1519–1521.CrossRefGoogle Scholar
Trimble, M. (1981) Neuropsychiatry. New York: John Wiley.Google Scholar
Weissman, M., Meyers, J. & Harding, P. (1978) Psychiatric disorders in a U. S. urban community: 1975–1976. American Journal of Psychiatry, 135, 459–462.Google Scholar
Whitlock, F. (1967) The aetiology of hysteria. Acta Psychiatrica Scandinavica, 43, 144–162.CrossRefGoogle ScholarPubMed
Woodruff, R. (1967) Hysteria: evaluation of objective diagnostic criteria by the study of women with chronic medical illness. British Journal of Psychiatry, 114, 1115–1119.CrossRefGoogle Scholar
World Health Organisation (1978) Mental Disorders: Glossary and Guide to their Classification In Accordance with the Ninth Revision of the International Classification of Diseases. Geneva: World Health Organisation.Google Scholar
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