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Hypnosis and conversion hysteria: a unifying model.

D A Oakley1

  • 1Hypnosis Unit, Department of Psychology, University College London, UK. oakley@the-croft.demon.co.uk

Cognitive Neuropsychiatry
|March 31, 2006
PubMed
Summary
This summary is machine-generated.

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Hypnotic phenomena and conversion hysteria symptoms share striking similarities, suggesting a common underlying mechanism involving frontal cortical structures and a supervisory attentional system influencing consciousness and self-awareness.

Area of Science:

  • Neuroscience
  • Psychology
  • Cognitive Science

Background:

  • Conversion hysteria symptoms resemble phenomena observed in hypnotic states.
  • Shared features include lack of concern, perceived involuntariness, implicit knowledge, and compliant behavior.

Purpose of the Study:

  • To review similarities between conversion hysteria and hypnotic phenomena.
  • To explore neurophysiological underpinnings and propose a model of consciousness to explain shared mechanisms.
  • To suggest a unified classification for related disorders.

Main Methods:

  • Review of existing literature on conversion hysteria and hypnosis.
  • Analysis of neurophysiological and brain-imaging studies.
  • Development of a theoretical model of consciousness and self-awareness.

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Main Results:

  • Similarities in subjective experience and objective behavior between hypnotic phenomena and conversion symptoms.
  • Implication of frontal cortical structures, particularly cingulate cortex, in both conditions.
  • A proposed model involving a central executive structure influencing information processing outside self-awareness.

Conclusions:

  • Hypnotic phenomena and conversion hysteria symptoms may arise from similar neurocognitive mechanisms.
  • A unified classification of conversion disorder, pain disorder, and dissociation disorders under "auto-suggestive disorder" is proposed.