Aybek S, Hubschmid M, Vuilleumier P, Burkhard P R, Berney A, Vingerhoets F J G
Service de neurologie, CHUV, 1011 Lausanne.
Rev Med Suisse. 2008 May 7;4(156):1151-2, 1154-6.
It has been suggested that hysteria had waned and was an old-fashioned, stigmatizing and false concept, reflecting the incapacity of the medical community to establish a diagnosis in certain situations. Nowadays, however, those disturbances, now referred to as conversion or dissociative disorders, still remain a frequent and incapacitating condition that every clinician faces. These past decades, several studies have tried to better describe their clinical presentation and their neurobiological mechanisms, with the help of the development of new neuroimaging techniques. If the neurobiological correlates are now better understood, efficient treatments are still lacking and only a multidisciplinary (general practitioners, neurologists and psychiatrists) and individually-tailored therapy might be beneficial to the patients.
有人认为,癔症已经逐渐减少,是一个过时的、带有污名化的错误概念,反映了医学界在某些情况下无法做出诊断的能力。然而,如今这些现在被称为转换障碍或分离障碍的病症,仍然是每位临床医生都会面临的常见且使人丧失能力的状况。在过去几十年里,借助新神经成像技术的发展,多项研究试图更好地描述它们的临床表现和神经生物学机制。虽然现在对神经生物学关联有了更好的理解,但仍然缺乏有效的治疗方法,只有多学科(全科医生、神经科医生和精神科医生)且量身定制的治疗可能对患者有益。