Dakhlaoui Olfa, Gasmi Imène, Haffani Fakhreddine
Service de psychiatrie E, hôpital Razi, rue des orangers, 2010 La Manouba.
Tunis Med. 2009 Apr;87(4):292-4.
Hysteria is a polymorphous manifestation pathology in which unconscious psychic conflicts convert symbolically into somatic and psychic symptoms.
When patients used to express their symptoms mostly in motor register, we are assisting progressively to the emergence of a new expressive mode of this disease. In fact, passional attitudes of the "Great hysteria" of Charcot and Richer have become exceptional, replaced by rich and sometimes confusing psychic symptoms.
We report three cases of patients with hysteria hospitalized in the department of psychiatry E at the Razi hospital of Tunis.
All three patients had presented a rich psychological symptoms and confusing, looking psychotic. Some semiological characteristics and the projective personality tests have allowed us to bring the diagnosis of hysteria.
Hysteria expression seems to change constantly with epochs, cultures, society evolutions and medical knowledge progress.
癔症是一种多形性表现的病理学状态，其中无意识的心理冲突会象征性地转化为躯体和心理症状。
当患者过去大多以运动形式表达症状时，我们正逐渐见证这种疾病新的表达模式的出现。事实上，夏科和里歇所说的“大癔症”的情感态度已变得罕见，取而代之的是丰富且有时令人困惑的心理症状。
我们报告了突尼斯拉齐医院精神病科E收治的3例癔症患者。
所有3例患者均表现出丰富且令人困惑的心理症状，看似患有精神病。一些症状学特征和投射性人格测试使我们能够做出癔症的诊断。
癔症的表达方式似乎会随着时代、文化、社会演变和医学知识的进步而不断变化。
