Maurice-Williams R S, Marsh H
J Neurol Neurosurg Psychiatry. 1985 Aug;48(8):826-31. doi: 10.1136/jnnp.48.8.826.
Fourteen cases of simulated paraplegia and tetraplegia encountered amongst 4,800 neurosurgical admissions are described. The classification of such cases is difficult. Use of the term "hysteria" depends on whether the behaviour is judged to be conscious or not, but this can rarely be decided. In most of the patients the paralysis was of relatively short duration and recovered rapidly with simple methods of treatment which permitted this to occur without loss of face, but such cases presenting as acute neurological emergencies represent only one relatively simple form of pretended or "hysterical" illness. Many of these patients are probably never seen by psychiatrists.
本文描述了在4800例神经外科住院病例中遇到的14例模拟截瘫和四肢瘫病例。对此类病例进行分类很困难。“癔症”一词的使用取决于行为是否被判定为有意识，但这很少能确定。大多数患者的瘫痪持续时间相对较短，通过简单的治疗方法就能迅速康复，而且这样做不会让患者丢脸，但以急性神经急症形式出现的此类病例只是假装或“癔症性”疾病的一种相对简单的形式。许多这类患者可能从未被精神科医生看过。
