1/6. psychosomatic medicine: the divergent legacies of Freud and Janet.A series of differing explanations of a puzzling case of psychosomatic illness introduces some reflections on a century's history of psychoanalytic interest in the mind-body problem. Freud and Janet explained the physical symptoms of hysteria using radically different models of the mind. Since then Janet's model, banished early on, has returned to haunt the castle of psychoanalysis. The enduring influence of Janet's model on subsequent thought in this field, especially that of Marty and de M'Uzan, Sifneos, LeDoux, and others, is traced, as is the influence of Freud's model on Groddeck, Alexander, McDougall, Fonagy, and others. It is argued that although these models are vastly different at one level of abstraction, at a higher level they share an important set of assumptions.- - - - - - - - - - ranking = 1keywords = hysteria (Clic here for more details about this article) |
2/6. Psychogenic voice disorders: literature review and case report.This paper explores some of the similarities and differences between hysteria and hypochondriasis and suggests that voice disorders are a prototype of disorders which reflect the intricate interplay of emotional, cognitive and physiological functions. speech production requires the involvement of various systems of the body, including the central nervous system, respiratory and vocal systems. Voice disorders can take many different forms and can be caused by a variety of factors. A review of the relevant literature is presented along with a clinical case record of a woman with hysterical dysarthria.- - - - - - - - - - ranking = 1keywords = hysteria (Clic here for more details about this article) |
3/6. The unseen tears of children: a Chinese boy who vomited for 14 months.A Chinese boy in hong kong who vomited for 14 months after his father had gone abroad to work is reported. Despite the very obvious predicament and sadness, more than 30 doctors had failed to understand the patient. In their search for a disease to explain the symptom, they trapped both themselves and the patient in the symptom of vomiting. It is argued that this patient should have been understood not from the angle of the traditional medical model. Neither was the psychoanalytical model useful. Rather the communication model of hysteria is much more practical; the vomiting can be construed as the unseen tears of a boy entrenched helplessly in his predicament. These unseen and unrecognized tears had cost the patient 14 months of precious life.- - - - - - - - - - ranking = 1keywords = hysteria (Clic here for more details about this article) |
4/6. Is it organic or is it functional. Is it hysteria or malingering?Conversion hysteria, a common affliction, requires prompt diagnosis and treatment to prevent fixation of the incapacity and secondary contractures, and to protect the patient from unnecessary surgery. Diagnostic and therapeutic principles are outlined.- - - - - - - - - - ranking = 5keywords = hysteria (Clic here for more details about this article) |
5/6. How are women sicker than men? An overview of psychosomatic problems in women.An overview is presented of psychosomatic problems in women - the epidemiology, physiology and psychology. Surveys of sickness rates in women and psychological studies are used as a basis of speculation about higher female morbidity rates. Theories of psychosomatic illness, the somatic concomitants of hysteria and alexithymia are reviewed as they pertain to observations of gender differences in disease phenomena. A clinical case is presented of thyrotoxicosis, one of the illnesses predominantly found in women.- - - - - - - - - - ranking = 1keywords = hysteria (Clic here for more details about this article) |
6/6. multiple sclerosis and hysteria. Lessons learned from their association.Four patients with organic neurological disease (multiple sclerosis) had additional major hysterical disability. patients with unequivocal organic disease often have coexistent psychological disturbances. The preexisting personality, nature of the organic disease and its disability, and the psychosocial setting interact and create an illness whose components are difficult to separate. In some patients there are definite secondary gains from an illness. The combination of hysteria and multiple sclerosis serves as a model for the coexistence of organic and psychological disorders; it serves as an example of the general questions of how the sick deal with their infirmities and how the physician comprehensively deals with illness.- - - - - - - - - - ranking = 5keywords = hysteria (Clic here for more details about this article) |