Nishiura K, Yamada M
Br J Med Psychol. 1984 Mar;57(1):91-6. doi: 10.1111/j.2044-8341.1984.tb01586.x.
Hysterics are not uncommonly believed by others to be deliberate malingerers; they may be accused of being sick for a purpose. Such an assumption has come to be considered as showing naivete on the part of the accusers from the formal psychiatric point of view. The case histories of two hysterical in-patients who conducted themselves 'hysterically' on the ward are cited. It is a noteworthy paradox that their hysterical symptoms faded away when they were able to assume the role of a 'hysteric'. The current report explores the meaning of the diagnostic label of 'hysteria' and the possibility of taking advantage of the very fact that a 'hysteric' can develop into a 'malingerer' through therapy. The authors recommend that the diagnostic label of 'hysteria' be investigated not merely in terms of communication, but also in terms of its therapeutic function.
其他人常常认为癔症患者是故意装病的；他们可能被指责是为了某种目的而装病。从正规精神病学的角度来看，这种假设已被视为指责者幼稚的表现。文中引用了两名在病房里表现出“癔症”行为的住院癔症患者的病历。一个值得注意的悖论是，当他们能够扮演“癔症患者”的角色时，他们的癔症症状就消失了。本报告探讨了“癔症”这一诊断标签的含义，以及利用“癔症患者”可通过治疗发展为“装病者”这一事实的可能性。作者建议，对“癔症”这一诊断标签的研究不仅要从交流的角度进行，还要从其治疗功能的角度进行。
