Should conversion disorder be reclassified as a dissociative disorder in DSM-V?

被引:89
作者
Brown, Richard J.
Cardea, Etzel
Nijenhuis, Ellert
Sar, Vedat
van der Hart, Onno
机构
[1] Univ Manchester, Acad Div Clin Psychol, Manchester M13 9PL, Lancs, England
[2] Univ Manchester, Sch Psychol Sci, Manchester M13 9PL, Lancs, England
[3] Lund Univ, Dept Psychol, S-22100 Lund, Sweden
[4] Istanbul Univ, Dept Psychiat, Istanbul, Turkey
[5] Univ Utrecht, Dept Clin & Hlth Psychol, Utrecht, Netherlands
关键词
D O I
10.1176/appi.psy.48.5.369
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Pseudoneurological symptoms (i.e., conversion disorder), historically subsumed within the "hysteria" concept alongside phenomena such as psychogenic amnesia and multiple personality disorder have been classified as somatoform disorders since DSM-III. Since then, there have been repeated calls to reclassify conversion disorder with the dissociative disorders, as in ICD-10. The authors review issues such as the high correlations between pseudoneurological and dissociative symptoms, the high rates of trauma reported for both groups, and the position that these phenomena share underlying processes. Although reintegrating pseudoneurological symptoms with the dissociative disorders is not without complications, there is a strong case for such a reclassification.
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页码:369 / 378
页数:10
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