Dongier M
Can J Psychiatry. 1983 Oct;28(6):422-7. doi: 10.1177/070674378302800603.
Briquet's contributions to the description of hysteria have been almost completely forgotten in France. One may wonder how he, as well as contemporary French psychiatrists, would react to the approach to hysteria introduced and officialized by DSM III. In particular, its fragmentation into syndromes without apparent link to each other (psychogenic amnesia, conversion disorders, histrionic personality disorder, etc.) and its psychological causation, unbalanced by the consideration of organic factors in etiology, may raise questions. The correlation of conversion disorders with hysterical personality remains a feature of the WHO classification (ICD 9), as well as a feature of French contemporary texts, although it is no longer viewed as a regular association by American psychiatry. It may be that cultural factors lead, as suggested by Brisset, to a repression of conversion phenomena and of hyperexpressivity of affects replaced by more psychosomatic disorders in many contemporary societies. Finally, one may question whether the choice of the term "Briquet Syndrome" is appropriate, as many of the patients described by him did not have the chronic and malignant course described by Guze: It tends to limit hysteria to one end (the most severe one) of a spectrum of disorders.
布里凯对癔症描述的贡献在法国几乎已被完全遗忘。人们可能会想，他以及当代法国精神病学家会如何看待《精神疾病诊断与统计手册》第三版（DSM III）引入并使之官方化的癔症研究方法。尤其是，它被细分为彼此间无明显关联的综合征（心因性遗忘、转换障碍、表演型人格障碍等），且其心理病因在病因学中未得到有机因素考量的平衡，这可能会引发一些问题。转换障碍与癔症性人格的关联仍是世界卫生组织分类（ICD - 9）的一个特征，也是法国当代文献的一个特征，尽管美国精神病学不再将其视为一种常规关联。正如布里塞所指出的，可能是文化因素导致在许多当代社会中，转换现象和情感过度表达受到抑制，转而出现更多的心身疾病。最后，人们可能会质疑“布里凯综合征”这一术语的选择是否恰当，因为他所描述的许多患者并不具有古泽所描述的慢性和恶性病程：它倾向于将癔症局限于一系列疾病谱的一端（最严重的一端）。
