Iglesias Alex, Iglesias Adam
Am J Clin Hypn. 2009 Jul;52(1):35-43. doi: 10.1080/00029157.2009.10401690.
This article reports on the use of hypnosis to facilitate the diagnostic process in two cases of pediatric hysterical reactions. The Hypnotic Diagnostic Interview for Hysterical Disorders (HDIHD), an interview tool, specifically designed for these cases, is reported. The first case was an adolescent male with motor Conversion Disorder manifested as paralysis of his lower limbs. The second was a preadolescent girl with sensory Conversion Disorder manifested as reduction of visual field in her right eye. Freudian conceptualization of hysterical reactions was employed as the conceptual basis in the formulation of these cases. This orientation posits hysterical phenomena a psychological defense employed by individuals exposed to traumatic experiences in order to effectuate a defense from intolerable affective material. The emotionally overwhelming material converts into physical reactivity free of the traumatic consequences by keeping the intolerable images and emotions deeply repressed within the subconscious. As the focus on these cases was diagnostic, treatment efforts were avoided. As it turned out, environmental interventions, based on the obtained information from the hypnotic interviews, extinguished the symptoms. The children were symptom free at follow-up.
本文报道了在两例小儿癔症反应中使用催眠来促进诊断过程。文中介绍了专门为这些病例设计的一种访谈工具——癔症性障碍催眠诊断访谈（HDIHD）。第一例是一名青少年男性，患有运动性转换障碍，表现为下肢瘫痪。第二例是一名青春期前女孩，患有感觉性转换障碍，表现为右眼视野缩小。在对这些病例进行分析时，采用了弗洛伊德对癔症反应的概念化作为理论基础。这种理论认为，癔症现象是个体在经历创伤性事件后所采用的一种心理防御机制，目的是抵御无法忍受的情感体验。情感上难以承受的内容通过在潜意识中深度压抑无法忍受的意象和情感，转化为没有创伤后果的身体反应。由于这些病例的重点是诊断，因此未进行治疗。结果发现，基于催眠访谈所获得的信息进行的环境干预消除了症状。随访时，这些孩子均无任何症状。
