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Related Experiment Videos

Hysteria--a neurologist's view.

C D Marsden

    Psychological Medicine
    |May 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Hysterical symptoms, often seen in neurology, are typically not linked to personality disorders or Briquet's hysteria. Many patients may have co-occurring physical or psychiatric conditions, particularly depression.

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    Area of Science:

    • Neurology
    • Psychiatry
    • Behavioral Science

    Background:

    • Hysterical symptoms are neurological complaints lacking clear organic or functional causes.
    • These symptoms represent approximately 1% of all neurological diagnoses.

    Observation:

    • A significant majority of patients with neurological hysterical symptoms do not exhibit hysterical personality traits or Briquet's hysteria.
    • Comorbid physical diseases are present in about 60% of cases.
    • Recognizable psychiatric illnesses, especially depression, affect up to 50% of individuals with hysterical symptoms.

    Findings:

    • Hysterical symptoms frequently coexist with other medical and psychological conditions.
    • Unrecognized physical or psychiatric illnesses may underlie some hysterical symptoms.

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  • Abnormal illness behavior offers a framework for understanding many hysterical symptoms.

    • Implications:

    • Neurological assessments should consider the high prevalence of co-occurring physical and psychiatric conditions.
    • A multidisciplinary approach integrating neurology, psychiatry, and behavioral science is crucial for effective patient management.
    • Further research into abnormal illness behavior may elucidate the mechanisms behind hysterical symptoms.