Balaratnasingam Sivasankaran, Janca Aleksandar
Northwest Mental Health Service, Nickol Bay Hospital, Karratha, Australia.
Curr Opin Psychiatry. 2006 Mar;19(2):171-4. doi: 10.1097/01.yco.0000214343.59872.7a.
Instances of mass psychogenic response have occurred throughout history, and across population groups; however, the present-day threat of terrorism and biological warfare is expected to enhance societal vulnerability to epidemics of such events. This paper provides a brief review of the current state of knowledge regarding the conceptualization, diagnosis, and management of mass psychogenic response.
Various terms are nowadays used to denote mass hysteria, such as 'mass psychogenic illness' and 'mass sociogenic illness'. Recent studies investigating personality types predisposed to mass hysteric reactions are inconclusive with a range of results found. Cognitive models of this condition have been effective in promoting empowerment and adaptation among vulnerable individuals. The actions of governments, medical communities, and the media are pivotal in the management of mass hysteria.
The diagnosis of mass hysteria remains contentious, and the mechanisms underlying its perpetuation are similarly ambiguous. The prevalence of 'threat' within the modern sociocultural climate is likely to increase the incidence of the condition, and this could result in serious implications for health services. A holistic approach entailing the collaboration of various public sectors performing a range of preventive activities will be required to contain future mass psychogenic reactions.
群体心因性反应事件在历史上屡有发生,涉及不同人群;然而,当今恐怖主义和生物战的威胁预计会增加社会对此类事件流行的脆弱性。本文简要回顾了关于群体心因性反应的概念化、诊断和管理的当前知识状况。
如今有各种术语用于表示群体癔症,如“群体心因性疾病”和“群体社会源性疾病”。最近关于易发生群体癔症反应的人格类型的研究结果不一。这种情况的认知模型在促进弱势群体的赋权和适应方面很有效。政府、医学界和媒体的行动在群体癔症的管理中至关重要。
群体癔症的诊断仍然存在争议,其持续存在的机制同样模糊不清。现代社会文化环境中“威胁”的盛行可能会增加这种情况的发生率,这可能会对卫生服务产生严重影响。需要一种综合方法,即各公共部门合作开展一系列预防活动,以控制未来的群体心因性反应。