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诈病综合征(癔症)的管理

Management of Briquet syndrome (hysteria).

作者信息

Morrison J R

出版信息

West J Med. 1978 Jun;128(6):482-7.

Abstract

The common psychiatric disorder Briquet syndrome (hysteria) has no specific treatment, but it can be managed effectively. Careful diagnosis and differentiation from other psychiatric and medical disorders is the important first step. Surgical intervention should be kept to a minimum; medicines are given cautiously and controlled carefully. The treatment of choice is supportive psychotherapy which ignores physical symptoms and encourages the patient to change the method she uses of coping with her environment.

摘要

常见的精神障碍布里凯综合征(癔症)没有特效治疗方法,但可以有效管理。仔细诊断并与其他精神和医学疾病相鉴别是重要的第一步。应尽量减少手术干预;谨慎用药并严格控制。首选的治疗方法是支持性心理治疗,即忽略躯体症状,并鼓励患者改变应对环境的方式。

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本文引用的文献

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Setting limits: the management of the manipulative patient.设定界限:对操纵型患者的管理
Am J Psychother. 1960 Jan;14:30-47. doi: 10.1176/appi.psychotherapy.1960.14.1.30.
8
The diagnosis of hysteria: what are we trying to do?癔症的诊断:我们试图做什么?
Am J Psychiatry. 1967 Oct;124(4):491-8. doi: 10.1176/ajp.124.4.491.
9
The prevalence of hysteria and conversion symptoms.
Br J Psychiatry. 1968 Sep;114(514):1121-5. doi: 10.1192/bjp.114.514.1121.
10
A family and marital study of hysteria.癔症的家庭与婚姻研究。
Br J Psychiatry. 1968 Feb;114(507):161-8. doi: 10.1192/bjp.114.507.161.

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