Swiss Epilepsy Center, Dept. of Psychiatry/Psychotherapy, Bleulerstr. 60, CH-8008 Zurich, Switzerland.
Epilepsy Behav. 2013 Dec;29(3):449-56. doi: 10.1016/j.yebeh.2013.08.018. Epub 2013 Oct 1.
Dissociative seizures are commonly recognized as both a challenging and a poorly understood condition. Though research and publication activity is high, advances in knowledge and insight seem only moderate in recent years. This review focuses on some relevant problematic issues, which might account for a still unsatisfactory research state. A general tendency to deal with dissociative seizures as an assumed disorder in its own nosological right and not as a sole symptom of an underlying psychiatric disorder is most likely one of the major roots of the problem. Unfavorable impacts of this confusion pertaining to clinical management, therapy, and outcome of dissociative seizures are discussed. An alternative point of view, based on the immanent psychiatric and psychodynamic roots of dissociative seizures, is considered.
分离性发作通常被认为是一种具有挑战性且了解甚少的病症。尽管研究和出版活动很活跃，但近年来知识和洞察力的进展似乎只是中等水平。本综述侧重于一些相关的问题，这些问题可能是研究现状仍不令人满意的原因。将分离性发作作为一种假定的疾病来处理，而不作为潜在精神障碍的唯一症状，这种倾向很可能是问题的主要根源之一。讨论了这种混淆对分离性发作的临床管理、治疗和结果的不利影响。还考虑了一种基于分离性发作的内在精神和心理动力学根源的替代观点。
