Celani D
Am J Psychiatry. 1976 Dec;133(12):1414-8. doi: 10.1176/ajp.133.12.1414.
The author defines hysteria in terms of specific observable classes of interpersonal behaviors and examines the impact of these behaviors on the receiver. The hysteric communicates frailty and helplessness, thus structuring the interpersonal environment to ensure attention and inhibit aggression. The development of these roles is shown in histories of female hysterics, who were selectively reinforced for frailty, seductiveness, and passivity as children. The major classes of symptoms shown by adult hysterics--conversion symptoms and dissociative reactions--reflect these interpersonal roles. The author concludes that hysteria is a relatively specific interpersonal style that results from cultural, social, and interpersonal influences.
作者从特定可观察到的人际行为类别来定义癔症,并研究这些行为对接受者的影响。癔症患者传达出虚弱和无助,从而构建人际环境以确保获得关注并抑制攻击性。这些角色的发展在女性癔症患者的病史中有所体现,她们在孩童时期因虚弱、性感和被动而得到选择性强化。成年癔症患者表现出的主要症状类别——转换症状和解离反应——反映了这些人际角色。作者得出结论,癔症是一种相对特定的人际风格,是文化、社会和人际影响的结果。