Leczycki Martin, MacMaster Eric
Department of Psychiatry, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.
Cureus. 2021 Nov 29;13(11):e20012. doi: 10.7759/cureus.20012. eCollection 2021 Nov.
Hallucinations are not uncommon in the pediatric population, and they can occur in a variety of presentations influenced by medical and non-medical factors. This case report summarizes existing literature concerning visual-tactile phobic hallucinations (VTPH) and describes a case with a unique presentation: VTPH in a child with stimulant-managed attention-deficit/hyperactivity disorder (ADHD). Observations made in this case and in those like it are used to characterize VTPH as a distinct psychiatric phenomenon that is observed in children without metabolic, neurologic, or other medical involvement. When it is a primary psychiatric symptom, VTPH typically has an acute but benign course that benefits not from a medically intensive approach, but rather one that explores psychosocial influences and provides reassurance and support.
幻觉在儿科人群中并不罕见,并且它们会在受医学和非医学因素影响的各种表现形式中出现。本病例报告总结了关于视触觉恐惧性幻觉(VTPH)的现有文献,并描述了一个具有独特表现的病例:一名患有注意力缺陷多动障碍(ADHD)且使用兴奋剂治疗的儿童出现了VTPH。本病例以及类似病例中的观察结果被用于将VTPH描述为一种在无代谢、神经或其他医学问题的儿童中观察到的独特精神现象。当VTPH是主要精神症状时,其病程通常急性但良性,受益的并非强化医学治疗方法,而是探索社会心理影响并给予安慰和支持的方法。