Shorter E
Faculty of Medicine, University of Toronto, Canada.
Neurol Clin. 1995 May;13(2):229-39.
The epidemic of conversion reactions taking place at the end of the twentieth century is a result of long-term changes in the presentation of functional illness. These changes often are a response to deeper issues in the culture about what constitutes legitimate organic disease. This epidemic also is a response to short-term changes in the attributions to which patients ascribe their illnesses. Such attributions are heavily influenced by the media, and clinicians must be on guard against both long- and short-term changes as they affect the presentation and attribution of illness.
二十世纪末发生的转换反应流行是功能性疾病表现长期变化的结果。这些变化往往是对文化中关于什么构成合法器质性疾病的更深层次问题的回应。这种流行也是对患者归因于自身疾病的短期变化的回应。此类归因受到媒体的严重影响，临床医生在面对影响疾病表现和归因的长期和短期变化时都必须保持警惕。
