Hysteria Research Articles

3:41 Patient subgroups identified by cluster analysis of Minnesota Multiphasic Personality Inventory scores and their relationship to spinal surgery outcome

Purpose of study: Cluster analysis is a statistical method that identifies subgroups of a sample based on the similarity of subjects' responses to a set of variables. This type of analysis can be used to identify profiles of patients based on empirical groupings of scores. Previous studies have found that elevated scores on the hysteria (HY) and hypochondriasis (HS) scales of the Minnesota Multiphasic Personality Inventory (MMPI) are related to surgical outcome. The purpose of this study was to determine if distinct subgroups of patients could be identified by cluster analysis of MMPI scores and, if so, were such subgroups related to surgical outcome.Methods used: The MMPI-II was given to 204 patients considered as candidates for laminectomy/discectomy or spinal fusion. The group consisted of 87 men and 117 women. The mean age was 41.7 years (range, 18 to 72 years). A cluster analysis was performed on the MMPI scale scores. After subgroups of patients were identified, operative outcomes in the three groups were compared based on Oswestry Low Back Pain Disability Questionnaires, visual analog pain scales and medication use. These data were collected before surgery and at follow-up of minimum 6 months.of findings: Three distinct subgroups were identified by the cluster analysis. The largest group (n=114), had no significant elevations on any of the MMPI scales and thus were labeled the “normal” group. A second group (n=86) had elevated scores on the HY and HS scales, with lower but still significant elevations on the depression (D) and psychasthenia (PT; Obsessive-Compulsive) scales. This group was labeled as “pain sensitive.” The third group of patients (n=22) had elevations on 8 of the MMPI scales and were therefore labeled as “pathological.” These three groups identified by the cluster analysis had significantly different surgical outcomes. The normal and pain-sensitive groups both had statistically significant improvements in pain and Oswestry scores (p<.05, paired t test). The pathological group did not. With respect to Oswestry scores, the normal group improved a mean of 25.7%, the pain-sensitive group 20.8% and the pathological group had no improvement (worsened by 1%). With respect to medication use, the pathological group had a less favorable outcome than did the other two groups.Relationship between findings and existing knowledge: These results support previous findings that MMPI scale scores are related to surgical outcome. However, prior studies have primarily focused on the HY and HS scales, with some also including the D scale. The cluster analysis used in the current study supported the role of these traditionally investigated scales as well as an influence of the PT scale. Also, the analysis identified a subgroup at even greater risk of a poor surgical outcome, that is, the group of patients with elevations on eight of the scales.Overall significance of findings: The cluster analysis identified three distinct subgroups of patients based on MMPI scale scores. There were significant differences in the operative outcome in these three groups, indicating that the results of the cluster analysis were clinically relevant. The results supported earlier reports of the HY and HS scales being related to outcome, but inclusion of the D and PT scales, as well as the identifying of the “pathological” group may further refine the use of the MMPI in predicting outcome. Overall spine surgery outcome may be significantly improved by screening out “pathological” patients who may have a strong psychological tendency to be nonresponsive to surgery.Disclosures: No disclosures.Conflict of interest: No conflicts.

Hysteria in Animals.True for Both Dentist and Physician.Milk Bottles Sacred.

Hysteria in Animals.True for Both Dentist and Physician.Milk Bottles Sacred.

Dissociative and Associated Psychopathological Symptoms in Patients with Epilepsy, Pseudoseizures, and Both Seizure Forms

A controversy currently exists regarding the significance of dissociation and conversion in the pathogenesis of pseudoepileptic seizures. After the abolition of the term "hysterical neurosis" from the current diagnostic systems, these seizures were diagnosed as either Dissociative Disorders (ICD-10) or in the DSM IV as Somatoform disorder, most often of conversion type. Recent studies of patients with Dissociative Disorders found that most patients also had conversion symptoms. In the present study, 60 patients of an outpatient clinic for epilepsy were assessed for the presence of dissociative symptoms and general psychopathologic symptoms by using the German version of the Dissociative Experience Scale (DES) and the Symptom Check List (SCL-90-R). The patients with pseudoepileptic seizures showed a significantly higher incidence of dissociation (p < 0.0098) and general psychopathologic symptoms (p < 0.0083). Depression, anxiety, and obsession were dominating psychopathologic symptoms in all patients. The significantly higher incidence of dissociation in the patients with pseudoepileptic seizures suggests dissociation in the pathogenesis of these seizures.

The Knotted Subject: Hysteria and Its Discontents. Elisabeth Bronfen

<i>The Knotted Subject: Hysteria and Its Discontents</i>. Elisabeth Bronfen

Borderline personality traits in hysterical neurosis.

The objective of the present study is to demonstrate the traits of the psychopathology of Borderline Personality Disorder (BPD) compared with hysterical neurosis. A total of 48 subjects with BPD and 40 subjects with hysterical neurosis both defined by DSM-III-R were assessed by Diagnostic Interview for Borderlines (DIB). Statistical analysis was done by quantification of the second type, a multivariate data analysis. The total scores of DIB were BPD group, 6.13 +/- 1.52; hysterical neurosis group, 4.9 +/- 2.12 (t = 3.05, P = 0.0016). The correlation ratio (index of to what extent the two groups are discriminated) was 0.2442. Among the four parameters of: (i) affect, (ii) cognition, (iii) impulse-action pattern, (iv), and interpersonal relationships, the partial coefficient correlations of (iii) and (iv) were significantly high (0.342, 0.287, P < 0.01). The question items with high independent coefficients were manipulation (0.4416), intolerance of aloneness (0.3797), demanding nature (0.3768), self-mutilation (0.3609), visual hallucination (0.3395). Those with low score of independent coefficients were counterdependency (0.0533), identity disturbance (0.1010), depression (0.1551), loneliness (0.1752), hypomanic episode (0.1936). Both of BPD and hysterical neurosis groups were not so fairly well discriminated. However, these results suggested that impulse-action pattern and disorder of interpersonal relationships were traits of borderline personality disorder. We could admit manipulation, intolerance of aloneness as its symptoms. In addition, counterdependency, identity disturbance were comparatively common to both. There were some borderline personality traits symptomatically in hysterical neurosis.

Hysteria and Histrionics: Nietzsche, Wagner and the Pathology of Genius

Hysteria and Histrionics: Nietzsche, Wagner and the Pathology of Genius

A New Hystery: History and Hysteria in Toni Morrison's "Beloved"

A New Hystery: History and Hysteria in Toni Morrison's "Beloved"

Socialized and Medicalized Hysteria in Joanna Baillie's Witchcraft

Socialized and Medicalized Hysteria in Joanna Baillie's <i>Witchcraft</i>

Text on the Weather

my dreams, am a Weather-Man on TV. originate in this medium, it feels right, it pits me against the Vicissitudes of Life. When the caU comes to rouse the City-dweUers from their slumbers it is not too soon to dream of love, the hot filaments of its success. That is what fills me. When you perform a Task you are aUve. I say 'originate' in order to counter your objection that nothing can origi nate, that all is flux and loop and cycle, that there is no alpha and omega, that there is no Une along which you drag your life saying 'Now I'm getting somewhere, now I'm getting there.' say 'medium' in order to counter your objection that am a Pretender, that am faking it, that am giving you nothing, that am being Hysterical. The threshold of my house is not Hyste ria. There is nothing in the Weather to control. am all corners, you cannot get to me. To know the weather is to know that you are helpless, not to lose hope

The Knotted Subject: Hysteria and Its Discontents. Elisabeth Bronfen

Previous articleNext article No AccessBook ReviewsThe Knotted Subject: Hysteria and Its Discontents. Elisabeth Bronfen Dianne HunterDianne Hunter Search for more articles by this author PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by Isis Volume 91, Number 3Sep., 2000 Publication of the History of Science Society Article DOIhttps://doi.org/10.1086/384869 Views: 1Total views on this site Copyright 2000 History of Science Society, Inc.PDF download Crossref reports no articles citing this article.

Act swiftly to prevent hysteria

Act swiftly to prevent hysteria

Hysteria and the hybrid body in Laleen Jayamanne's a song of Ceylon

Hysteria and the hybrid body in Laleen Jayamanne's a song of Ceylon

Passions of the Voice: Hysteria, Narrative, and the Figure of the Speaking Woman, 1850-1915 (review)

Passions of the Voice: Hysteria, Narrative, and the Figure of the Speaking Woman, 1850-1915 (review)

The Knotted Subject: Hysteria and Its Discontents.

The Knotted Subject: Hysteria and Its Discontents.

Dissociative experiences and psychopathology in conversion disorders

The concepts of dissociation and conversion are historically linked with the first psychodynamic ideas on hysteria. However, the abolition of “hysterical neurosis” from current nosology has led to independent developments of these theoretical models. Recent studies found a high degree of somatization in dissociative disorders. However, little is known about dissociation in conversion disorders. We assessed 72 patients with conversion disorders for their dissociative and general psychopathology using the German version of the Dissociative Experience Scale (DES) and the Symptom Check List (SCL-90-R). They were compared with a control group of 96 psychiatric patients suffering from various neurotic disorders, who were matched for gender and age. Dissociative symptoms were significantly more frequent in conversion disorder patients than in controls. There were no differences in the SCL-90-R scores between the two groups. Our findings support the theory of similar psychological processes underlying conversion and dissociative disorders despite their descriptive differences.

In the Wake of Disaster: Stress, Hysteria and the Event

L'A. envisage les phenomenes de stress et d'hysterie provoques par certains evenements comme des catastrophes naturelles, des guerres ou des epidemies. Il etudie les phenomenes de stress auxquels certains membres du personnel medical doivent faire face lorsqu'ils sont confrontes a des risques majeurs de contamination par une maladie infectieuse et certains processus delirants provoques par certaines maladies. Il evoque la manie de la danse chez les pestiferes au XIV e siecle en Allemagne. Il etudie les phenomenes d'hysterie a Vienne, en Autriche, au XIX e siecle. Il presente une experience menee par des psychologues aupres des soldats americains pendant la Guerre du Golfe, en 1991, afin d'ameliorer les conditions de leur retour aux Etats-Unis

Passions of the Voice: Hysteria, Narrative and the Figure of the Speaking Woman, 1850-1915. Claire Kahane

Previous articleNext article No AccessBook ReviewsPassions of the Voice: Hysteria, Narrative and the Figure of the Speaking Woman, 1850-1915. Claire Kahane Maria DiBattistaMaria DiBattista Search for more articles by this author PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by Modern Philology Volume 95, Number 4May, 1998 Article DOIhttps://doi.org/10.1086/mp.95.4.438923 Views: 3Total views on this site Copyright 1998 The University of ChicagoPDF download Crossref reports no articles citing this article.

Comments on Review of Book on Hysteria

Comments on Review of Book on Hysteria

Comments on Review of Book on Hysteria

Comments on Review of Book on Hysteria

Hysteria can be diagnosed with confidence

Hysteria can be diagnosed with confidence