Viederman M
Department of Psychiatry, Cornell University Medical College, New York, New York, USA.
Psychosom Med. 1995 Jul-Aug;57(4):403-9. doi: 10.1097/00006842-199507000-00013.
The concept of conversion disorder as a change in somatic function that symbolically represents an unconscious conflict is currently challenged in the literature. In this article, the author elaborates on the psychodynamic concept of conversion and defines its characteristics and mode of diagnosis. The usefulness of this approach is demonstrated in a detailed case presentation of a brief, active psychodynamic psychotherapy of six sessions that led to the rapid disappearance of symptoms. In particular, the metaphoric meanings of the physical symptoms were interpreted and followed by an immediate disappearance of symptoms. The logic of this therapeutic approach and its implications as a transference cure are discussed in detail.
转换障碍作为一种躯体功能改变，象征性地代表着无意识冲突的概念，目前在文献中受到了挑战。在本文中，作者详细阐述了转换的心理动力学概念，并界定了其特征和诊断方式。通过一个详细的案例展示，证明了这种方法的有效性，该案例是关于一个为期六节的简短、积极的心理动力学心理治疗，治疗导致症状迅速消失。特别是，对躯体症状的隐喻意义进行了解释，随后症状立即消失。本文还详细讨论了这种治疗方法的逻辑及其作为移情治愈的意义。
