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Conversion disorder, sexual abuse and interprofessional communication – some lessons to be re-learned
Published online by Cambridge University Press: 13 June 2014
Abstract
We describe an adolescent boy who presented with physical symptoms, for which no organic cause could be found. He proved a challenge to medical management and we highlight the reluctance to consider making a diagnosis of conversion disorder. Significant medical contact since infancy, a history of sexual abuse, and current stressors are considered as having contributed to his presentation. We discuss general issues in the management of conversion disorder and consider the risks of neglecting this diagnosis as technological advances are made and sophisticated investigations are relied upon.
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References
1.Garralda, E and Bailey, D. Psychiatric disorders in general paediatric referrals. Archives of Disease in Childhood 1989; 64: 1727–33.CrossRefGoogle ScholarPubMed
2.Caplan, HL. Hysterical conversion symptoms in childhood. M. Phil dissertation, University of London, 1970.Google Scholar
3.Goodyer, I. Hysterical conversion reaction in childhood. Journal of Child Psychology and Psychiatry 1981; 22: 179–88.CrossRefGoogle ScholarPubMed
4.Rock, N. Conversion reactions in childhood: a clinical study of childhood neurosis. Journal of the American Academy of Child Psychology and Psychiatry 1971; 10: 65–93.CrossRefGoogle Scholar
5.Robins, E and O'Neil, P. Clinical features of hysteria in children with a note on prognosis. The Nervous Child 1953; 10: 246–71.Google ScholarPubMed
6.Mechanic, D. The concept of illness behaviour: culture, situation and personal predisposition. Psychol Med 1986; 16: 1–7.CrossRefGoogle ScholarPubMed
7.Mace, CJ. Hysterical conversion. 1: a history 2: a critique. Br J Psychiatry 1992; 161: 369–89.CrossRefGoogle Scholar
8.Leslie, SA. Diagnosis and treatment of hysterical conversions. Archives of Diseases in Childhood 1988; 63: 506–11.CrossRefGoogle Scholar
10.Pilowsky, I. A general classification of abnormal illness behaviour. Br J Med Psychol 1978; 51: 131–7.CrossRefGoogle Scholar
11.Taylor, DC. The components of sickness: diseases, illnesses and predicaments. In: Apley, J, Ounsted, C, eds. One child, clinics in developmental medicine No. 80. London: Heineman; 1982: 1–14.Google Scholar
12.Taylor, DC. Hysteria, play acting and courage. Br J Psychiatry 1986; 149: 37–41.CrossRefGoogle ScholarPubMed
13.Thomson, A, Sills, A. Diagnosis of functional illness presenting with a gait disorder. Archives of Diseases in Childhood 1988; 63: 148–53.CrossRefGoogle ScholarPubMed
14.Grattan-Smith, P, Fairley, M, Procopis, P. Clinical features of conversion disorder. Archives of Disease in Childhood 1988; 63: 408–14.CrossRefGoogle ScholarPubMed
15.Gross, M. Incestuous rape: a cause for hysterical seizures in four adolescent girls. Am J Orthopsychiat 1979 49; 4: 704–8.CrossRefGoogle Scholar
16.Dimock, P. Male sexual abuse: an under-reported problem. Journal of Interpersonal Violence 1988; 3: 203–21.CrossRefGoogle Scholar
17.Kempe, CM. Sexual Abuse, another hidden pediatric problem: the 1977 C Anderson Aldrich Lecture. Paediatrics 1978; 62: 382–9.CrossRefGoogle Scholar
18.Dean, K, Woods, S. Implications and findings of the sexual abuse of males research. Workshop presented at Child Welfare League of America, Inc. Gatlinburg. TN, 1985.Google Scholar
19.Dubowitz, V, Hersov, L. Management of children with non-organic (hysterical) disorders of motor function. Developmental Medicine and Child Neurology 1976; 18: 358–68.CrossRefGoogle ScholarPubMed