Division of Physical Medicine and Rehabilitation, Rehabilitation Services, University of Utah Health Sciences Center, 50 North Medical Drive, Salt Lake City, Utah, USA.
NeuroRehabilitation. 1997;8(3):175-81. doi: 10.3233/NRE-1997-8304.
Conversion disorder, initially described by Freud over a century ago, has been treated in many ways over the years. A behavioral model of the onset of conversion disorders was first described 50 years ago, and led to efforts to treat it in a behavioral fashion, initially in psychiatric settings. A quarter century ago, the first systematic operant behavioral approach to conversion disorder in an inpatient rehabilitation setting was described. Subsequently, there have been several further reports of this approach, both in psychiatric and rehabilitation settings. Although literature on the topic remains sparse, the operant approach generally seems to be effective and durable.
转换障碍最初由弗洛伊德在一个多世纪前描述,多年来一直以多种方式治疗。转换障碍发病的行为模型最初是在 50 年前描述的,促使人们以行为方式治疗它,最初是在精神科环境中。四分之一个世纪前,首次在住院康复环境中描述了转换障碍的第一个系统操作性行为方法。随后,在精神科和康复环境中又有几项关于这种方法的报告。尽管该主题的文献仍然很少,但操作性方法通常似乎是有效和持久的。