Frei J
Schweiz Arch Neurol Neurochir Psychiatr. 1984;134(1):93-129.
What is the evolution of hysteria, now that the spectacular crises of previous times tend to occur less frequently? Are hysterical manifestations disappearing or do they take other forms? This question raises semantic and phenomenological problems concerning hysteria. A review of the literature shows the complexity and precariousness of some definitions, the question raised by associated organic disorders and the compounding influences of other nosological entities, such as depression and psychosomatic disorders. Clinical histories from the records of a psychiatric hospital for the period 1910-1929 were compared with those for the period 1970-1980. The results of the study were surprising with respect to the similarity of epidemiological profiles. If it can be concluded that hysterical manifestations are not disappearing, then the study confirms the evolution of symptomatology which, especially in women, takes atypical forms of depressive, neurovegetative or psychosomatic disorders. In males, hysterical symptoms are of a more acute nature and frequently occur in dependent, immature or infantile personalities, whilst in the past they were more chronic and frequently associated with more serious personality disorders.
鉴于以往那些引人注目的癔症发作如今愈发少见，癔症是如何演变的呢？癔症表现正在消失，还是呈现出其他形式？这个问题引发了有关癔症的语义学和现象学问题。对文献的回顾揭示了一些定义的复杂性和不稳定性、相关器质性疾病引发的问题以及其他疾病分类实体（如抑郁症和身心疾病）的复合影响。将一家精神病院1910年至1929年期间的临床病历与1970年至1980年期间的病历进行了比较。该研究结果在流行病学特征的相似性方面令人惊讶。如果可以得出癔症表现并未消失的结论，那么该研究证实了症状学的演变，尤其是在女性中，表现为非典型形式的抑郁、神经植物性或身心疾病。在男性中，癔症症状更为急性，且经常出现在依赖型、不成熟或幼稚型人格中，而在过去，它们更为慢性，且经常与更严重的人格障碍相关联。
