Krull F, Schifferdecker M
Neuro-Psychiatric University Clinic, Cologne, FRG.
Psychother Psychosom. 1990;53(1-4):161-5. doi: 10.1159/000288360.
In a retrospective survey, a group of 220 patients with conversion symptoms was subdivided according to clinical findings at the time of discharge. The longer the duration of the symptom and the older the patient, the less was the beneficial effect of treatment. One particular problem with therapy for conversion symptoms lies in the fact that, in his own eyes, the patient is not psychologically ill, but physically ill. Time and again, it proved a therapeutic blind alley to try and convince the patient that the cause of his conversion symptoms was 'purely psychological'. Special guidelines for therapy of conversion symptoms are derived.
在一项回顾性调查中，一组220名有转换症状的患者根据出院时的临床症状进行了细分。症状持续时间越长、患者年龄越大，治疗的有益效果就越小。转换症状治疗的一个特殊问题在于，在患者自己看来，他没有心理疾病，而是身体疾病。一次又一次地证明，试图让患者相信其转换症状的原因“纯粹是心理上的”是一条治疗死胡同。由此得出了转换症状治疗的特殊指导原则。
