van Balen A T, Slijper F E
J Pediatr Ophthalmol Strabismus. 1978 May-Jun;15(3):164-7. doi: 10.3928/0191-3913-19780501-11.
Forty-three children with unexplainable low visual acuity were diagnosed to have psychogenic amblyopia. Twenty-eight children returned after a mean interval of 20 months. Sixteen children had a normal visual acuity, but 12 children again presented themselves with a low visual acuity that normalized rapidly under the influence of the same kind of persuasion that was used in the first examination. Psychological tests did not confirm the hypothesis of hysteria but the neurosomatic score was significantly high. The results of the psychological tests and the interviews of the parents suggest a neurotic conflict not on the basis of an oedipal conflict but on the basis of a conflict between the wish to express feelings of hostility and the wish not to lose the love of the parents.
43名视力低下原因不明的儿童被诊断为患有心因性弱视。28名儿童在平均间隔20个月后复诊。16名儿童视力恢复正常，但12名儿童再次出现视力低下，在首次检查时所用的相同劝导方式影响下，视力迅速恢复正常。心理测试并未证实癔症的假设，但神经躯体评分显著偏高。心理测试结果以及对家长的访谈表明，存在一种神经症冲突，其基础并非俄狄浦斯冲突，而是表达敌意情感的愿望与不想失去父母之爱的愿望之间的冲突。
