Mcevoy J P, Wells C E
J Clin Psychiatry. 1979 Oct;40(10):447-9.
A patient is described who experienced pseudodementia as a conversion reaction. The patient was considered to be demented originally because of the evidence for profound cognitive impairment elicited on mental state examination. Careful analysis of the patient's verbal production in unstructured situations and of her behavior inthe hospital permitted a clinical diagnosis of pseudodementia to be made, a diagnosis confirmed by response to treatment and long term follow-up. Evidence is presented to support the interpretation of her pseudodementia as a conversion reaction.
本文描述了一名经历假性痴呆作为转换反应的患者。该患者最初被认为患有痴呆症，因为精神状态检查显示出严重认知障碍的证据。对患者在非结构化情境中的言语表达以及在医院的行为进行仔细分析后，做出了假性痴呆的临床诊断，这一诊断通过治疗反应和长期随访得到证实。文中提供了证据来支持将她的假性痴呆解释为一种转换反应。
