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A CLINICAL STUDY OF HYSTERIA IN CHILDREN AND ADOLESCENTS

Authors
Journal
Indian Journal of Psychiatry
0019-5545
Publisher
Medknow Publications
Publication Date
Keywords
  • Original Article
Disciplines
  • Medicine
  • Psychology

Abstract

Indian J. Psychiat. (1982), 24(1) , 70—74 A CLINICAL STUDY OF HYSTERIA IN CHILDREN A N D ADOLESCENTS J. K. TRIVEDI', M.D. (Psych.) HARJEET SINGH', M.D. (Psych.) P. K. SINHA, M.Sc, D.S.Q..C. The concept of hysteria has been extensively writ ten about in the adult l i terature. Attention has been paid to defining terminology and constructing an operational definition by which pioper cli- nical studies can prccecd and evidence has been reported to support a distinction between hysterical personality and hysterical conversion teaction (Chodoff and Lyons, 1958 ; Guze, 1967). S udies on child- hood populations are sparse by comparison and have suffered from a lack of clarity over definition of what constitutes a con- veision reaction. Rock (1971) in a study of ten cases of conversion hysteria provides criteria for diagnosis. He requires a pro- minent somatic symptom (motor or sensory) with no apparent anatomical or physio- logical basis, on^et or exacerbation with an emotionally significant event and that psy- chiatric examination leveals that the symptom is psychologically or emotionally derived and serves an unconscious need. Most studies suggest that the age of incep- tion is unlikely to be before five years (Goodycr, 1981). Mar fat ia (1971) reports that hysteria, though rare in early childhood, is not uncommon in older children between 10-15 yrs. In an analysis of the records of a child guidance clinic for the years 1972 and 1973, Lai et al. (1976) reported conversions in 5 % of the clinic sample from Lucknow. Unlike other disorders conversion reaction was common in females, thereby substantiat- ing their belief that conversion reaction is not only more common in adult females but also in female children. In a survey of 109 families, Lai and Sethi (1977) found that 5 5 % of families had one or more sick children up to the age of 12 years. Neurotic disorders were observed in 11.0% of total sample. Manchanda and M a n J i a n d a (1978) observed tha

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