Abstract
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.
Highlights
The area of personality disorders does not necessarily belong to psychiatry. We meet it rather outside of psychiatry, most likely in psychotherapy clinics, but it depends on the type of personality disorder, because there are patients who ask for help and patients that do not
In the old days there was the concept of hysteria, a concept that everyone had heard of, but which scares, as it was described by Freud
The word no longer exists in psychiatry because it has a negative connotation and specialists can no longer afford to describe a patient as hysterical
Summary
Patients lose their sense of reality and they do not assume their illness or ask for help. The area of personality disorders does not necessarily belong to psychiatry. The word no longer exists in psychiatry because it has a negative connotation and specialists can no longer afford to describe a patient as hysterical. In the field of psychiatry, Freud’s concept is linked to Charcot's hysteria. It refers to those crises in which someone enters and remains in a state of conceit. Stănescu/Journal of Educational Sciences and Psychology in a bridge position supported only by her heels and head This was first described as Charcot's hysteria in the 1900s as a hyperextension. The word hysteria was "divided" into three zones: the psychotic zone, the neurotic zone and the personality disorder zone
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