Bishop L C, Riley W T
Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta 30912.
Gen Hosp Psychiatry. 1988 May;10(3):214-9. doi: 10.1016/0163-8343(88)90022-9.
Controversy surrounding the term "globus hystericus" points up the historical dichotomy between organic disease and conversion disorder that has hampered the understanding of this syndrome. Regardless of its sometimes incapacitating nature, there is little information in the literature regarding the treatment of globus when an organic cause cannot be established. Regarding the syndrome as psychosomatic in nature, rather than merely hysterical, we suggest the need for an integrated treatment approach. A case study is utilized to illustrate a model for psychiatric management of the globus syndrome. In this model, pharmacologic and psychotherapeutic interventions are integrated into a comprehensive, biopsychosocial treatment plan. Each aspect of the model is reviewed and discussed.
围绕“癔球症”这一术语的争议凸显了器质性疾病和转换障碍之间的历史二分法，这种二分法阻碍了对该综合征的理解。尽管其有时具有使人丧失能力的性质，但当无法确定器质性病因时，文献中关于癔球症治疗的信息却很少。我们认为该综合征本质上是心身性的，而非仅仅是癔症性的，因此需要一种综合治疗方法。通过一个案例研究来说明癔球症综合征的精神科管理模式。在这个模式中，药物和心理治疗干预被整合到一个全面的生物心理社会治疗计划中。对该模式的每个方面进行了回顾和讨论。
