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1/4. Does neurology inform psychoanalysis? A case report.

    In these days of malpractice suits it has become increasingly important that the psychoanalyst make correct diagnoses and institute appropriate treatment. The significance of this statement is enhanced by the fact that the opinion is being increasingly enunciated that there is no such disorder as conversion hysteria. Accordingly the psychoanalyst needs to keep up to date about relevant neurological matters. The present article reports a case of a young women who had been treated psychoanalytically for many years without the organic nature of her disorder being grasped. Appropriate pharmacological therapy produced prolonged remission of her symptoms.
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ranking = 1
keywords = hysteria
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2/4. Hereditary whispering dysphonia.

    An Australian family group is described where at least twenty members have inherited torsion dystonia and two siblings with an affected mother have similar clinical manifestations, but have also the biochemical and pathological changes found in Wilson's disease. Whispering dysphonia was the commonest presenting symptom, and a diagnosis of hysteria was invariably made if the family history was not known. This group emphasises the enormously varied ways in which torsion dystonia may be manifested in one family, and raises the possibility of a disturbance in copper transport in diseases of the basal ganglia other than Wilson's disease.
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ranking = 1
keywords = hysteria
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3/4. Psychological studies in dystonia musculorum deformans.

    Sixty-eight patients with DMD underwent psychometric assessment before or after thalamic surgery. Statistical comparisonss between categories of patients were undertaken as a function of religion, family history, and age at onset of symptoms as independent variables. It was found that Jewish patients, with negative family history, and age at onset of symptoms from 9 to 13 years, scored significantly higher on IQ tests than did all other groups. Other psychological test data revealed no specific personality patterns in the DMD patients, particularly no pattern of conversion hysteria or hysteria. Pre- and postoperative psychological testing in a small group of patients revealed no evidence of any changes in intellectual, cognitive, or personality functions as a consequence of thalamic surgery, involving up to 10 lesions in some instances.
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ranking = 2
keywords = hysteria
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4/4. Multidisciplinary management of dystonia misdiagnosed as hysteria.

    Dystonia in the pediatric age group can be confused with hysteria, particularly when it occurs in an emotionally disturbed child with a negative family history of dystonia. A 20-year-old girl with a 12 year history of DMD is described. From age 12 to 17 she was housed in a mental institution after a misdiagnosis of hysteria was made. The progressive nature of DMD and the important emotional components are stressed. The multidisciplinary management model is discussed as a valuable method in the treatment of this chronic neurological disorder.
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ranking = 6
keywords = hysteria
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