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Conversion Disorder Jesus Correa Psychology Period 2 Conversion Disorder • This involves translation of unacceptable drives or troubling conflict into bodily motor or sensory symptoms that suggest a neurological or other kind of medical condition • It is a disorder in which psychological reactions to stress have neurological reactions, however, no neurological causes can be found upon examination. • Estimates range from 0.01% to 0.5% of the general population; it is more common in females, with female to male ratios ranging from 2:1 up to 10:1 Associated Features • • Causes significant distress or impairment Common conversion Symptoms: – Anesthesia – Paralysis – Ataxia – Tremor – Tonic-clonic pseudoseizues – Deafness – Blindness – Aphonia – – – – – – Globus hystericuz Parkinsonism Syncope Coma Anosmia Ect… Associated Features • Usually physical symptoms occur after tragic or stressful events causes • Example : Sara Falls off a horse and hurts her arm but does not receive any serious injury. Sara sees a horse and causes a huge amount of stress causes paralysis to her arm. Associated Features • Video Clips – Band of Brothers – http://www.youtube.com/wa tch?v=_2NbEV8cFzs This shows the connection between the soldiers fear of letting people down (huge amount of stress) which causes his blindness to occur. • This is more common to uneducated and unsophisticated. • Also this is a reflections of actual experience which manifest into physical symptoms. • The Actual symptoms that patients show are like “Hieroglyphics” to the unconscious conflicts they keep within. • Some PET scans show that patients with conversion hemiplegia or hemianesthesia show a decrease activiation of the contralateral basal ganlia and thalamus. Treatment • There is no solid clinical medicine that can cure this disorder. • Therapy is a treatment most use for patients with conversion disorder. • Family therapy is often used for adolescence with symptoms related to family dysfunction. • Group Therapy is used most often when letting adolescents to learn social skills and coping strategies, and to decrease their dependency on their families. • Within Therapy, there can be a safe way to find out the cause of the problem. • Also Hypnosis is another way to effect the remission but relapses do occur more frequently. Prognosis • Recovery is very possible. Patients who have recognized there stress that effect there symptoms can manage or sure themselves. Of patients hospitalized for the disorder, over half recover within two weeks. Between 20% and 25% will relapse within a year. The individual symptoms of conversion disorder are usually self-limited and do not lead to lasting disabilities; however, patients with hysterical aphonia, paralysis, or visual disturbances, have better prognoses for full recovery than those with tremor or pseudoseizures. References Halgin, R.P, & Whitbourne, S.K. (2005). Abnormal psychology: clinical perspectives on psychological disorders. New York, N.Y: McGreenHill Myers, G.D. (2011). Myers psychology for ap. New York, N.Y: Worth Publishers. A.D.A.M. (2011). Conversion disorder. Retrieved from http://www.ncb.nim.hih.gov/publicmedhealth/PMh00019601 Discussion • Do you truly believe that “stress” is a major contributor to this disorder or do u believe that patients just crave attention and fake their symptoms ? Why or why not • Take a moment and pretend that you are in those patients shoes, haveing symptoms that no one can explain? How would you feel and would you believe that its all in your head?