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Systematic enhancement of functioning as a therapeutic technique in conversion disorder
Chittaranjan Andrade1, Savita G Bhakta, Nagendra M Singh
1Department of Psychopharmacology, National Institute of Mental Health and Neurosciences, Bangalore - 560 029, India.
This study introduces systematic enhancement of functioning to treat conversion disorder symptoms like mutism and paraplegia. This practical technique involves gradually amplifying desired behaviors for effective symptom removal.
Area of Science:
- Psychiatry
- Neurology
- Behavioral Therapy
Background:
- Conversion disorder presents with neurological symptoms without a clear organic cause.
- Existing literature lacks specific, practical therapeutic techniques for symptom removal.
Purpose of the Study:
- To detail a novel therapeutic technique for symptom removal in conversion disorder.
- To present case studies demonstrating the efficacy of this technique.
Main Methods:
- Systematic enhancement of functioning was employed.
- This involved encouraging patients to express desired behaviors to their maximum extent.
- Patients then gradually amplified these responses to achieve normal functioning.
Main Results:
- One patient with conversion dumbness was successfully treated in a single session.
- Another patient with conversion paraplegia was successfully treated over two weeks.
- The technique proved simple, practical, and effective in both cases.
Conclusions:
- Systematic enhancement of functioning is a viable and effective therapeutic technique for conversion disorder.
- This method offers a practical approach for symptom removal and behavioral amplification.
- The technique's potential application across various behavioral amplification scenarios warrants further investigation.
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