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[Hysterical emergencies]

J Tignol1

  • 1Service universitaire de psychiatrie Centre Carreire, Bordeaux.

La Revue Du Praticien
|December 15, 1995
PubMed
Summary
This summary is machine-generated.

Disorders formerly called "hysteria," now classified as Somatization, undifferentiated somatoform, conversion and dissociative disorders (SSCD), present with unexplained physical symptoms in emergency departments. Management requires a pragmatic approach, respecting patient experience and fostering physician-psychiatrist collaboration.

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Area of Science:

  • Psychiatry
  • Emergency Medicine
  • Psychosomatic Medicine

Context:

  • Somatization, undifferentiated somatoform, conversion and dissociative disorders (SSCD) are understudied in emergency departments.
  • These conditions present as idiopathic somatic symptoms linked to mental disorders, challenging physicians without extensive psychiatric training.
  • Patients experience genuine, transient, or chronic physical symptoms without malingering.

Purpose:

  • To explore the presentation and management of SSCD disorders in the emergency department setting.
  • To highlight the diagnostic challenges posed by somatic symptoms with potential psychological origins.
  • To advocate for a pragmatic and respectful approach to patient care in emergency settings.

Summary:

  • SSCD disorders manifest as unexplained physical symptoms, often mistaken for organic conditions.

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  • Management focuses on a pragmatic medical approach due to patient difficulty accepting psychic causality and limited time for in-depth discussion.
  • Physician-psychiatrist collaboration is crucial for optimal patient outcomes.

    • Impact:

    • Improved recognition and management of SSCD disorders in emergency settings.
    • Enhanced understanding of the psychosomatic nature of unexplained physical symptoms.
    • Potential for better patient care through interdisciplinary collaboration between physicians and psychiatrists.