Hurwitz T A
Department of Psychiatry, University of British Columbia, Vancouver.
Can J Psychiatry. 1988 Mar;33(2):147-52. doi: 10.1177/070674378803300214.
Five patients with chronic conversion symptoms were treated with narcoanalysis and narcosuggestion using combined methylphenidate and amobarbital. The combination of methylphenidate and amobarbital proved useful because methylphenidate antagonized sedation and allowed optimal patient cooperation. In four cases recovery of neurological function was obtained in the first or second interview and subsequently improved with practice and positive feedback. In each instance recovery of neurological function during a narcoanalytic interview confirmed the diagnosis of a conversion reaction. The narcoanalytic interview also confirmed or uncovered important psychopathology and psychodynamics which permitted more accurate treatment of the underlying psychiatric disorders.
五名患有慢性转换症状的患者使用哌醋甲酯和异戊巴比妥联合进行麻醉分析和麻醉暗示治疗。哌醋甲酯和异戊巴比妥的联合被证明是有效的，因为哌醋甲酯可对抗镇静作用并使患者实现最佳配合。在四例患者中，神经功能在第一次或第二次访谈时恢复，并随后通过练习和积极反馈得到改善。在每一个病例中，麻醉分析访谈期间神经功能的恢复都证实了转换反应的诊断。麻醉分析访谈还证实或揭示了重要的精神病理学和心理动力学，从而能够更准确地治疗潜在的精神障碍。
