Turgay A
Wayne State University, Detroit, Michigan.
Can J Psychiatry. 1990 Oct;35(7):585-9. doi: 10.1177/070674379003500704.
This paper describes the clinical impressions of conversion disorders developed after long term in-depth clinical work with 137 children and adolescents and their families. Almost half of the 89 patients who were directly treated and followed by the author through an integrative child and family therapy approach recovered less than two weeks after the initiation of the treatment. Only three out of 89 patients required longer than four weeks for recovery. The rest responded well to the therapy and recovered with two to four weeks of treatment. Factors associated with positive treatment outcome are: younger age of patient, healthy personality characteristics, lack of psychopathology, insight and treatment compliance, healthy family functioning, acceptance by the family of the psychological nature of the illness, positive feelings towards the child and the family by the staff, lack of internal conflict and inflexible neurotic defences, and early therapeutic interventions. It was found that child and adolescent patients with conversion disorders responded quite well to an integrative, condensed treatment approach.
本文描述了作者通过对137名儿童和青少年及其家庭进行长期深入的临床工作后所形成的关于转换障碍的临床印象。在89名直接接受作者采用儿童与家庭综合治疗方法治疗并随访的患者中，近一半在治疗开始后不到两周就康复了。89名患者中只有3人康复时间超过四周。其余患者对治疗反应良好，在两到四周的治疗后康复。与积极治疗结果相关的因素包括：患者年龄较小、性格特征健康、无精神病理学问题、有洞察力且配合治疗、家庭功能健康、家庭接受疾病的心理本质、工作人员对儿童和家庭有积极情感、无内心冲突且没有僵化的神经症防御机制，以及早期进行治疗干预。研究发现，患有转换障碍的儿童和青少年患者对综合、浓缩的治疗方法反应相当良好。
