Swartz M S, McCracken J
Hosp Community Psychiatry. 1986 Aug;37(8):828-32. doi: 10.1176/ps.37.8.828.
The authors present guidelines for diagnosing and managing conversion disorders in an emergency room setting. Assessment of the patient must be based on a careful physical and psychiatric evaluation that will identify any underlying physical illness or concurrent psychopathology. An accurate assessment is also vital to the clinician's decision about whether to use simple supportive interventions, to refer or hospitalize the patient, or to try to uncover the conflicts generating the conversion symptoms. If there are no contraindications to uncovering the conflicts, such as chronic symptomatology or a pathological family network, the clinician may use such techniques as hypnosis or a sodium amytal interview.
作者提出了在急诊室环境中诊断和管理转换障碍的指南。对患者的评估必须基于仔细的身体和精神评估，以识别任何潜在的身体疾病或并发的精神病理学。准确的评估对于临床医生决定是否使用简单的支持性干预措施、转诊或住院治疗患者，或试图揭示产生转换症状的冲突也至关重要。如果没有揭示冲突的禁忌症，如慢性症状或病态的家庭网络，临床医生可以使用催眠或戊巴比妥钠访谈等技术。
