Macleod Ad Sandy
University of Canterbury, Christchurch, New Zealand.
Hist Psychiatry. 2018 Jun;29(2):187-198. doi: 10.1177/0957154X18757338. Epub 2018 Feb 26.
Case reports of the abrupt recovery of hysterical disorders during World War I (1914-18), though undoubtedly subject to publication bias, raise both aetiological and treatment issues regarding pseudo-neurological conversion symptoms. Published clinical anecdotes report circumstantial, psychotherapeutic, hypnotic, persuasive (and coercive) methods seemingly inducing recovery, and also responses to fright and alterations of consciousness. The ethics of modern medical practice would not allow many of these techniques, which were reported to be effective, even in the chronic cases.
第一次世界大战(1914 - 1918年)期间歇斯底里症突然康复的病例报告,尽管无疑存在发表偏倚,但引发了关于假性神经转换症状的病因和治疗问题。已发表的临床轶事报道了一些间接的、心理治疗的、催眠的、劝导性(以及强制性)的方法,这些方法似乎能促使康复,还报道了对惊吓和意识改变的反应。现代医学实践的伦理规范不会允许使用许多这些据报道有效的技术,即使是在慢性病例中。