Maisami M, Freeman J M
Pediatrics. 1987 Jul;80(1):46-52.
Conversion reactions in children represent a form of "body language," a plea for help in a child who has no alternative method of communicating stress. Although conversion reaction may take many forms, this report focuses on those presenting as neurologic dysfunction. The parallel evaluation and treatment of these symptoms by a child psychiatry/pediatric neurology team has demonstrated success in removing the symptom while simultaneously evaluating the underlying stress. Unnecessary medical tests have been avoided and perpetuating factors have been eliminated. Continued family treatment has emphasized health rather than disease and seems to have prevented recurrence.
儿童的转换反应是一种“身体语言”形式,是儿童在没有其他方式来表达压力时发出的求助信号。尽管转换反应可能有多种形式,但本报告聚焦于表现为神经功能障碍的那些情况。儿童精神病学/儿科神经学团队对这些症状进行同步评估和治疗,已证明在消除症状的同时评估潜在压力方面取得了成功。避免了不必要的医学检查,消除了使症状持续存在的因素。持续的家庭治疗强调健康而非疾病,似乎预防了复发。