文章基本信息

标题：Somatoform and conversion disorders as psychological defences
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作者：Elena Andreea Mut ; Cristina Pălădoiu ; Monica Stănescu 等
期刊名称：Journal of Educational Sciences & Psychology
印刷版ISSN：2247-6377
电子版ISSN：2247-8558
出版年度：2021
卷号：1
页码：1-9
语种：English
出版社：Petroleum-Gas University of Ploiesti
摘要：Conversion disorder is the clinical situation in which one or more symptoms can present deficits that affect motor or sensory function and suggest a neurological or organic condition. Psychological factors are decisive, and they usually include a major anxiety generated by intrapsychic conflicts, which are converted by unconscious defense mechanism into symptoms. The symptoms are not intentionally provoked or simulated nor are explained by organic suffering or substance consumption. They affect the quality of life of the person who presents significant deficits such as motor, sensory, convulsive or mixed. It may also occur a lack of coordination, ataxia, paralysis, tremor, aphonia, difficulties at swallowing, loss of sensitivity, anesthesia that does not follow anatomical nervous trajectories, blindness or mental deafness. Consciousness is not altered, but a condition of "la belle indifference" appears which is rather associated with histrionic personality disorders and what the patients imagine about their own illness or suffering. This condition is unstable and changing. The primary gain is the expression of an unconscious psychological conflict through a somatic symptom by reducing anxiety and keeping conflict out of consciousness. The secondary gain is external and includes attention and care from caregivers or others.
关键词：apatho-abulic dimension;behavioral dimension;depressive dimension;alcoholism;schizophrenia;family medical history;family support;social support