[从心理动力学、心理生理学和形态动力学角度分析转换障碍一例]。

Archivos de neurobiologia Pub Date : 1991-05-01
F Oregón García
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引用次数: 0

摘要

本文报告一例转换障碍,其特征是感觉麻痹,涉及身体的右半部分,运动缺陷,包括右手手指弯曲的永久性挛缩2-5(握拳综合征),视觉改变与同义性偏盲和弱视相容。患者最初的临床表现为抑郁症以及频繁的妇科疾病。作者评估心理发生的重要方面的临床图片,并强调识别方面和主要和次要的收益。考虑到所使用的不同治疗策略(心理治疗,自体训练,催眠),并从形态动力学的角度分析了该病例。作者认为,临床表现的有机基础可能定位于丘脑后核。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A case of conversion disorder analyzed from a psychodynamic, psychophysiologic, and morphodynamic perspective].

This paper presents a case of conversion disorder characterized by sensory paralysis that involved the right half of the body, a motor deficit consisting of permanent contracture in flexion of fingers 2-5 of the right hand (clenched fist syndrome), and a visual alteration compatible with homonymous hemianopia and amblyopia. The patient initially presented a clinical picture of depression as well as frequent gynecological disorders. The author evaluates important aspects of the psychogenesis of the clinical picture and emphasizes the identifying aspects and primary and secondary gains. Consideration is given to the distinct therapeutic strategies used (psychotherapy, autogenous training, hypnosis), and the case is analyzed from a morphodynamic point of view. The author concludes that the organic basis of the clinical picture would be localized in the posterior nuclei of the thalamus.

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