Stewart T D
Arch Phys Med Rehabil. 1983 Jul;64(7):308-10.
Paralysis due to an hysterical conversion reaction may require an active rehabilitation program to prevent complications such as contractures and adhesions. The delivery of this care can create an emotional burden on the rehabilitation staff due to their awareness of the psychiatric etiology of this condition. Good patient care may be undermined by the thought that the patient is malingering. This paper explores features of hysteria--its relation to emotional stress, absence of organic pathology and symbolism--and contrasts it to malingering. The impact of this condition on the treatment staff is explored with two case studies. An understanding of hysteria could make the delivery of proper care to these troubled patients less stressful.
癔症性转换反应所致的瘫痪可能需要积极的康复计划，以预防诸如挛缩和粘连等并发症。由于康复工作人员意识到这种情况的精神病因，提供这种护理可能会给他们带来情感负担。认为患者在装病的想法可能会破坏良好的患者护理。本文探讨了癔症的特征——它与情绪压力的关系、无器质性病变和象征意义——并将其与装病进行对比。通过两个案例研究探讨了这种情况对治疗人员的影响。了解癔症可以使为这些 troubled 患者提供适当护理的压力减轻。 （注：原文中“troubled”直译为“困扰的”，结合语境这里意译为“患病的”更合适，但按要求未做修改）
