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Rehabilitation of conversion disorders: an operant approach
1Division of Physical Medicine and Rehabilitation, Rehabilitation Services, University of Utah Health Sciences Center, 50 North Medical Drive, Salt Lake City, Utah, USA.
Behavioral interventions for conversion disorder, particularly the operant approach, show effectiveness and durability. This behavioral model, evolving over decades, offers a promising treatment strategy for conversion disorder.
Area of Science:
- Neuroscience and Psychiatry
- Behavioral Psychology
Background:
- Conversion disorder has a long history, with early psychoanalytic descriptions by Freud.
- Behavioral models emerged 50 years ago, shifting treatment focus to behavioral approaches.
- Operant behavioral techniques were systematically applied to conversion disorder in rehabilitation settings 25 years ago.
Purpose of the Study:
- To review the historical development and effectiveness of behavioral treatments for conversion disorder.
- To highlight the operant behavioral approach as a key intervention strategy.
Main Methods:
- Literature review of historical and contemporary studies on conversion disorder treatment.
- Focus on the evolution and application of behavioral and operant conditioning principles.
Main Results:
- The operant behavioral approach has been reported in both psychiatric and rehabilitation settings.
- Evidence suggests this approach is generally effective and yields durable results.
- Despite sparse literature, the operant method demonstrates consistent positive outcomes.
Conclusions:
- The operant behavioral approach represents a significant advancement in managing conversion disorder.
- Continued research and application of behavioral strategies are warranted for conversion disorder treatment.
- The operant model offers a viable and lasting therapeutic option for patients with conversion disorder.
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