Mental health articles

OF mental health care and mentally ill

February, 2014

Conversion Disorder and Associated Psychopathology

One reason that conversion disorder has questionable utility as a diagnostic entity is because this disorder often co-occurs with a variety of psychiatric disorders and personality styles. Although patients with conversion disorder are generally considered more likely to have hysterical personality disorder, this relationship has fueled a great deal of controversy. Chodoff and Lyons  stated […]

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Neurophysiological formulations of conversion disorder

Neurophysiological formulations of conversion disorder   Neurophysiological formulations of conversion reactions have received considerable attention. The neurophysiological formulation for conversion suggests that conversion symptoms result from some form of damage or malfunction of the brain. Whitlock proposed a neurophysiological conceptualization of conversion in which conversion disorder is considered primarily a disorder of attention and vigilance. […]

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Behavioral deficits Conversion Disorder

  Behavioral deficits Conversion Disorder   Conversion reactions can be conceptualized as behavioral excesses or deficits that follow a traumatic event or emotional state and are reinforced by particular outcomes. A conversion symptom can be used to manipulate others, to get special attention, to receive special privileges, and to avoid unpleasant tasks or responsibilities. Use […]

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Psychoanalytic of Conversion Disorder

Psychoanalytic of Conversion Disorder   Although psychoanalytic formulations have undergone considerable revision over the years, a series of papers on an integrated theory of conversion written in the late nineteenth century by Freudcontinues to influence thinking about conversion disorder. He stated that a conversion symptom is usually associated with a passive sexual seduction that typically […]

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Etiological Formulations of Conversion Disorder

Etiological Formulations of Conversion Disorder   Conversion disorder has proven difficult to define, partly because most of the conceptual formulation for conversion disorder has come from the psychoanalytic literature. Many of the ideas put forward by psychoanalysts are too vague and elusive to be properly and scientifically evaluated. Over time, the literature has incorporated behavioral, […]

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Epidemiology and Demographics of Conversion Disorder

Epidemiology and Demographics of Conversion Disorder   Because of the almost ephemeral nature of conversion and the differences in defining the term, the reported prevalence of conversion disorder fluctuates from rareto ubiquitous. Prevalence rates for conversion vary as a function of clinical setting. Guze et al. found that 24% of 500 psychiatric outpatients had a […]

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conversion disorder clinical profile

Clinical Description The manifestations of conversion are protean and may mimic many different known medical conditions. Conversion symptoms can be categorized according to four major subtypes. Conversion disorder with motor symptom or deficit includes symptoms such as paralysis, paresis, impaired coordination, aphonia, difficulty in swallowing, or a lump in the throat. Astasia-abasia is another classic […]

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conversion disorder diagnosis code

Diagnostic considerations and terminology used to capture conversion disorder varied over time. In the first edition of the DSM (DSM-I; APA, 1952), conversion reactions were defined as functional symptoms in organs or systems that were believed to be mainly under voluntary control and due to impulses that cause anxiety. Conversion reactions were distinguished from ‘‘dissociative […]

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conversion disorder symptoms generally appear

Given the popularity of conversion disorder, it is surprising that little research work was done on this topic during the past 10 years. Conversion disorder remains an elusive entity, even though conversion phenomena have been described throughout the medical literature since antiquity. It has engendered much controversy as to its very existence; a great deal […]

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somatization disorder treatment guidelines

Prognosis and Treatment of Somatization Disorder Somatization disorder is a condition with a poor prognosis. The disorder runs a fluctuating course with periodic exacerbations during stressful episodes, but as noted earlier, somatization disorder is not associated with a higher mortality rate than that of the general population. Briquet stated that hysteria was one of the […]

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