Diagnosis and Treatment of Dissociative Hysteria in Psychology
KUMARI RANJEETA
GUEST FACULTY
M. L. ARYA COLLEGE, DEPTT. OF PSYCHOLOGY
E-mail-bkranjeeta@gmail.com
Mb. No.- 8969020842
B.A. PART I (H) 28
TH
MAY 2020
Topic- Diagnosis of Dissociative Hysteria
28 MAY 2020
B.A. PART I (H) PAPER III, UNIT III (SYMPTOMS
DISORDER)
DIAGNOSIS OF DISSOCIATIVE HYSTERIA
The diagnosis of hysteria may be difficult, especially as
such symptoms may be associated with genuine organic
illness.
Consider the following points when making a
diagnosis of conversion or dissociative syndromes:
An organic diagnosis should be excluded on the basis of
the history or subsequent investigations
There should be evidence of underlying emotional stress -
this often takes the nature of a conflict situation
28 MAY 2020
B.A. PART I (H) PAPER III, UNIT III (SYMPTOMS
DISORDER)
An appropriate time relationship between the onset of the
symptom and the stress
The symptom has often been experienced before, either by
the patient or by a person close to the patient
A history of previous transient stress reactions
Also the diagnosis may be supported by:
A clear symbolic meaning of the symptom itself.
The course of the symptoms in response to treatment.
Note that it is important to remember that physical illness
may accompanied by hysterical symptoms and conversely
that patients with histories of hysteria may subsequently
present with organic illness.
28 MAY 2020
B.A. PART I (H) PAPER III, UNIT III (SYMPTOMS
DISORDER)
Psychotherapy:
cornerstone of treatment for conversion disorder is
psychotherapy aimed at elucidating the emotional bases of
symptoms.
psychotherapy can include individual or group therapy,
behavioral therapy, hypnosis, biofeedback, and relaxation
training.
cognitive behavioral therapy (CBT) has shown the highest
efficacy in treatment of pseudoseizures.
behavioral interventions should focus on improving self-
esteem, increasing the capacity to express emotions, and
improving the ability to communicate comfortably with
others
28 MAY 2020
B.A. PART I (H) PAPER III, UNIT III (SYMPTOMS
DISORDER)
Physical therapy:
Research has shown that physical therapy can be an effective
method of treatment. Physiotherapy treatment is essential in the
management of people with conversion disorder to allow them to
overcome their physical symptoms and prevent secondary
complications, such as muscle weakness and stiffness, that may
occur as a result of inactivity.
Medication:
Conversion disorder can also be improved through the use of
medications to treat underlying psychiatric issues, such as
depression and anxiety. Medications may include
antidepressants, anxiolytics, or others depending on the
psychiatric comorbidity.
The diagnosis of dissociative hysteria involves careful consideration to differentiate from organic illness. Factors such as emotional stress, time relationship with stress onset, symbolic meaning of symptoms, and course of symptoms in response to treatment play key roles in diagnosis. Psychotherapy is a cornerstone treatment, along with physical therapy and medications targeting underlying psychiatric issues. This comprehensive approach aims to address the emotional bases of symptoms and promote recovery.
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B.A. PART I (H) 28TH MAY 2020 Topic Topic- - Diagnosis of Dissociative Hysteria Diagnosis of Dissociative Hysteria KUMARI RANJEETA GUEST FACULTY M. L. ARYA COLLEGE, DEPTT. OF PSYCHOLOGY E-mail- bkranjeeta@gmail.com Mb. No.- 8969020842
28 MAY 2020 B.A. PART I (H) PAPER III, UNIT III (SYMPTOMS DISORDER) DIAGNOSIS OF DISSOCIATIVE HYSTERIA The diagnosis of hysteria may be difficult, especially as such symptoms may be associated with genuine organic illness. Consider the following points when making a diagnosis of conversion or dissociative syndromes: An organic diagnosis should be excluded on the basis of the history or subsequent investigations There should be evidence of underlying emotional stress - this often takes the nature of a conflict situation
28 MAY 2020 B.A. PART I (H) PAPER III, UNIT III (SYMPTOMS DISORDER) An appropriate time relationship between the onset of the symptom and the stress The symptom has often been experienced before, either by the patient or by a person close to the patient A history of previous transient stress reactions Also the diagnosis may be supported by: A clear symbolic meaning of the symptom itself. The course of the symptoms in response to treatment. Note that it is important to remember that physical illness may accompanied by hysterical symptoms and conversely that patients with histories of hysteria may subsequently present with organic illness.
28 MAY 2020 B.A. PART I (H) PAPER III, UNIT III (SYMPTOMS DISORDER) Psychotherapy: cornerstone of treatment for conversion disorder is psychotherapy aimed at elucidating the emotional bases of symptoms. psychotherapy can include individual or group therapy, behavioral therapy, hypnosis, biofeedback, and relaxation training. cognitive behavioral therapy (CBT) has shown the highest efficacy in treatment of pseudoseizures. behavioral interventions should focus on improving self- esteem, increasing the capacity to express emotions, and improving the ability to communicate comfortably with others
28 MAY 2020 B.A. PART I (H) PAPER III, UNIT III (SYMPTOMS DISORDER) Physical therapy: Research has shown that physical therapy can be an effective method of treatment. Physiotherapy treatment is essential in the management of people with conversion disorder to allow them to overcome their physical symptoms and prevent secondary complications, such as muscle weakness and stiffness, that may occur as a result of inactivity. Medication: Conversion disorder can also be improved through the use of medications to treat underlying psychiatric issues, such as depression and anxiety. Medications may include antidepressants, anxiolytics, or others depending on the psychiatric comorbidity.
