Psychological Services, London Health Scieces Centre, University Campus, 339 Windennere Road, London, Ontario, Canada.
Department of Physical Medicine and Rehabilitation, London Health Scieces Centre, University Campus, 339 Windermere Road, London, Ontario, Canada.
NeuroRehabilitation. 1997;8(3):183-92. doi: 10.3233/NRE-1997-8305.
Conversion or factitious disorders manifesting as chronic motor disorders are difficult and complex management problems. A number of published case studies and series have illustrated that these patients may respond to a rehabilitation program emphasizing physical therapies and behaviour therapy. However, this standard behavioral approach was not successful with the majority of our patients. In contrast, an alternative strategic-behavioral rehabilitation approach developed for intractable cases proved highly effective. Among 17 patients who underwent the strategic behavioural approach, 13 showed complete or near complete resolution of symptomatology. Nine of these successfully treated patients had previously failed to improve using a standard behavioral rehabilitation program.
表现为慢性运动障碍的转换或做作障碍是难以处理且复杂的管理问题。许多已发表的病例研究和系列表明，这些患者可能对强调物理疗法和行为疗法的康复计划有反应。然而，这种标准的行为方法对我们大多数患者都不成功。相比之下，为难治性病例开发的替代策略性行为康复方法被证明非常有效。在接受策略性行为方法治疗的 17 名患者中，有 13 名患者的症状完全或几乎完全缓解。其中 9 名成功治疗的患者之前曾使用标准行为康复计划未能改善。
