Under the hysterical neurosis understand disease caused by trauma in the development of the role played by the mechanism of "flight into illness", "conditional pleasantness or desirability of" morbid symptom.
Clinical manifestations of disorders characterized by the prevalence of violations of bodily functions related to the category of foreign exchange.
Conversion - is the transformation of oppressive mood in the pathological syndrome. Hysterical conversion phenomena are a variety of pathological bodily phenomena that mimic topographically restricted sensory disturbances (cutaneous anesthesia, partial or complete loss of vision, hearing or smelling), impaired motor skills or coordination (tics, tremors rough rhythmic head or limbs, voice, cramps, paresis or paralysis, unsteadiness of gait). It is also possible with the development of hysterical neurosis twilight states and pseudodementia (characterized by symptoms mimorechi, mimodeystviya, paintings of imaginary reduction of intellectual activity).
The clinical picture of conversion hysteria are three main categories of symptoms motility disorders sensory impairments disturbances of vegetative functions, reflecting the views of the patient's illness and the conflicting physiological and anatomical patterns.
Hysterical neurosis is characterized by:
a special dynamic
the sudden appearance and disappearance
enrichment and expansion of the symptoms under the influence of new information suggestion and autosuggestion.
Often there manipulative behavior to achieve the participation and help draw attention to their problems, to subordinate its interests close.
When motility disorders may occur a partial or complete paralysis inability to stand or walk for a saved muscle tone, impaired coordination, paralysis of tongue, aphonia (loss of voice), hyperkinesis (tics, tremor, blepharospasm).
In contrast to the organic hysterical disorders depend on the emotional state, modified by the mechanism of imitation, combined with unusual postures, and other hysterical stigmas (the lump in my throat, fainting), temporarily disappear or are attenuated when switching attention.
Sensory disturbances may have the most quaint location and configuration, but more often they are located in the extremities. For a typical hysterical parastezii as stockings and gloves.
Disorders of autonomic functions with hysterical neurosis are volatile, the migratory nature and variety of different, bright, lots of bodily pain and mental fantasies. Sometimes in response to a psychogenic effect, often small (petty quarrel, bad news), a generalized convulsive movements, accompanied by autonomic manifestations and impaired consciousness, which form a picture of a hysterical fit.
Symptoms of hysterical seizures varied, in severe cases is accompanied by loss of consciousness. Most often, persistent and long-hysterical reactions occur with a corresponding predisposition (anomalies of hysterical personality type).