Can Fam Physician. 1990 Feb;36:275-9.
Case examples of hysterical coma and paralysis in two Ojibway patients are used to introduce a discussion of conversion symptoms. Somatoform disorders are described using the criteria of the Diagnostic and Statistical Manual of Mental Disorders, third edition; these are then applied to hysteria in the Native American patient. The authors discuss the cultural context of conversion symptoms in this population and describe guidelines for the provision of culturally sensitive therapy by the family physician.
本文通过两例欧及布威族歇斯底里性昏迷和瘫痪患者的病例,引入了对转换症状的讨论。使用《精神障碍诊断与统计手册》第三版的标准来描述躯体形式障碍,然后将这些标准应用于美国原住民患者的歇斯底里症。作者讨论了这一人群中转换症状的文化背景,并描述了家庭医生提供文化敏感性治疗的指导方针。