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A Retrospective Study of Operationally Defined Hysterics

Published online by Cambridge University Press:  29 January 2018

P.-E. Almgren ,
L. Nordgren  and
H. Skantze
P.-E. Almgren
Affiliation:
Department of Psychiatry, Lund, Sweden. Current address: Department of Psychiatry, Helsingborg Hospital, S-251 87 Helsingborg, Sweden
L. Nordgren
Affiliation:
Department of Psychiatry, Lund, Sweden. Current address: Department of Psychiatry, Helsingborg Hospital, S-251 87 Helsingborg, Sweden
H. Skantze
Affiliation:
University Hospital, S-221 85 Lund, Sweden
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Abstract

A group of psychiatric patients were operationally defined as ‘hysterics’ by their reliance on the perceptual defence mechanism of repression, as disclosed in a valid psychological test. Most of them had dependency conflicts. Only half of them, almost exclusively female, had received the clinical diagnosis hysteria, the diagnosis being apparently founded on bodily complaints, overt aggression, and absence of depressive mood and anxiety. Lack of these characteristics in patients resorting to repression and with dependency conflicts results in diagnostic uncertainty. Clinical and test data justified the separation from operationally defined hysterics of three small subgroups: one with brain dysfunction, one with regressive psychosis, and one with non-regressive schizophrenia. Relevant diagnostic clues in the psychological tests and in the clinical picture are discussed.

Type
Papers
Information
The British Journal of Psychiatry , Volume 132 , Issue 1 , January 1978 , pp. 67 - 73
Copyright
Copyright © Royal College of Psychiatrists, 1978 

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References

Almgren, P.-E. (1971) Relations between perceptual defences, defined by the Meta-Contrast Technique, and adaptive patterns in two serial behaviour tests. Psychological Research Bulletin, Lund University, Sweden, 11, No. 3.Google Scholar
Barnet, C. (1971) Conversion reactions and psychophysiologic disorder: a comparative study. Psychiatry in Medicine, 2, 205–20.Google Scholar
Chodoff, P. (1974) The diagnosis of hysteria: an overview. American Journal of Psychiatry, 131, 1073–78.Google Scholar
DSM-II (1968) American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 2nd Ed. Washington, D.C.: APA Google Scholar
Faergeman, P. M. (1963) Psychogenic Psychoses. London: Butterworths.Google Scholar
Guze, S. (1975) The validity and significance of the clinical diagnosis of hysteria (Briquet's syndrome) American Journal of Psychiatry, 132, 138–41.Google Scholar
Guze, S., Woodruff, R. & Clayton, P. (1972) Sex, age, and the diagnosis of hysteria (Briquet's syndrome). American Journal of Psychiatry, 129, 745–8.CrossRefGoogle ScholarPubMed
Kragh, U. & Smith, G. J. W. (1970) Percept-genetic Analysis. Gleerup: Lund.Google Scholar
Lazare, A. (1971) The hysterical character in psychoanalytic theory. Archives of General Psychiatry, 25, 131–7.Google Scholar
Lerner, H. (1974) The hysterical personality: a ‘woman's disease’. Comprehensive Psychiatry, 15, 157–64.Google Scholar
Lewis, W. C. & Berman, M. (1965) Studies of conversion hysteria. Operational study of diagnosis. Archives of General Psychiatry, 13, 275–82.Google Scholar
Nyman, G. E. (1975) The clinical picture of non-regressive schizophrenia. Nordisk Psykiatrisk Tidskrift, 29, 249–58.Google Scholar
Perris, C. (1974) A study of cycloid psychoses. Acta Psychiatrica Scandinavica, Suppl 253.Google Scholar
Schafer, R. (1941) Clinical Application of Psychological Tests. New York: International University Press.Google Scholar
Semrad, E. V., Grinspoon, L. & Fienberg, S. E. (1973) Development of an ego profile scale. Archives of General Psychiatry, 28, 70–7.Google Scholar
Shapiro, D. (1965) Neurotic Styles. New York: Basic Books.Google Scholar
Slater, E. (1961) ‘Hysteria 311.’ Journal of Mental Science, 107, 359–81.Google Scholar
Slater, E. & Glithero, E. (1965) A follow-up of patients diagnosed as suffering from ‘hysteria’. Journal of Psychosomatic Research, 9, 9–13.Google Scholar
Smith, G. J. W. & Johnson, G. (1961) The stability of pathologic signs in the perceptual process as revealed by a serial tachistoscopic experiment. Scandinavian Journal of Psychology, 2, 142–8.Google Scholar
Smith, G. J. W. & Nyman, G. E. (1962) The serial Color-Word Test: a summary of results. Psychological. Research Bulletin, Lund University Sweden, 2, No. 6.Google Scholar
Stefánsson, J. G., Messina, J. A. & Meyerowitz, S. (1976) Hysterical neurosis, conversion type: clinical and epidemiological considerations. Acta Psychiatrica Scandinavica, 53, 119–38.Google Scholar
Vaillant, G. E. (1971) Theoretical hierarchy of adaptive ego mechanisms. Archives of General Psychiatry, 24, 107–18.Google Scholar
Whitlock, F. A. (1967) The aetiology of hysteria. Acta Psychiatrica Scandinavica, 43, 144–62.Google Scholar
Zetzel, E. R. (1970) The Capacity for Emotional Growth. London: The Hogarth Press.Google Scholar
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