Rocca R E
Acta Psiquiatr Psicol Am Lat. 1981 Jul;27(3):209-18.
The author's purpose in this paper is to delimit the clinical and psychopathological features of the hysterical psychoneurosis, correlating its symptoms (as characteristic of this neurosis) with the psychodynamic speculations of psychoanalysis. To achieve, this, the author starts by placing this disorder among the psychoneurosis as opposed to the actual neurosis and, within that group, among the transference neurosis, separating it, in that way, from the narcissistic and impulsive neurosis. The hysterical psychoneurosis is also distinguished from the fobic and the obsessive neurosis. The clinical picture of the hysterical psychoneurosis is then defined taking into account personality on one side and symptoms on the other. Dependence, sexual behavior disturbances, agressivity, effects of identification and repression are considered characteristics of this personality. Paroxistic symptoms, corporal and lasting symptoms and psychic syndromes are part of the hysterical symptoms. The author makes a clinical characterization of these phenomena as they are actually found. On this basis the author intends to distinguish hysteria from normality, from fobic and obsessive neurosis, from schizophrenic, manic-depressive and paranoic psychosis; from traumatic and actual neurosis and from psychosomatic diseases and epilepsy. He critically examines the validity of diagnostic-differential criteria and points to the overlapping with other pathologies, discussing in brief the theoretical and practical problems that those questions pose.
作者撰写本文的目的是界定癔症性精神神经症的临床和精神病理学特征，将其症状（作为该神经症的特征）与精神分析的心理动力学推测联系起来。为实现这一目标，作者首先将这种病症置于精神神经症之中，与实际神经症相对，并且在该组中，置于移情神经症之中，通过这种方式将其与自恋性和冲动性神经症区分开来。癔症性精神神经症也与恐惧性神经症和强迫性神经症相区别。然后，在考虑人格和症状两方面的基础上，界定癔症性精神神经症的临床表现。依赖、性行为障碍、攻击性、认同和压抑的影响被视为这种人格的特征。发作性症状、身体和持续性症状以及精神综合征是癔症症状的一部分。作者对实际发现的这些现象进行了临床特征描述。在此基础上，作者打算将癔症与正常状态、恐惧性和强迫性神经症、精神分裂症、躁狂抑郁症和偏执性精神病；与创伤性和实际神经症以及身心疾病和癫痫区分开来。他批判性地审视了诊断鉴别标准的有效性，并指出与其他病理学的重叠之处，简要讨论了这些问题所带来的理论和实际问题。
