The boy to whom things happen: case report of a condition once named “hysteria”
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25753/BirthGrowthMJ.v29.i4.18483 |
Resumo: | Introduction: Although banished from current mental disorders classifications, the condition formerly known as hysteria has clinical manifestations still puzzling to clinicians. Herein is briefly revised the historical concept of hysteria, as well as, psychological mechanisms underlying some of its current derivatives: conversive and dissociative disorders. Case report: A previously healthy 17-year-old boy presented with sudden onset of total strength loss in the lower limbs. After neurological assessment, the boy was diagnosed with conversion disorder. Two months later he developed trance and possession states requiring hospitalization, and later, dissociative amnesia. Despite psychological distress underlying patient’s symptoms, la belle indifference was also a meaningful issue. Discussion: This study presents a critical reflection about conversion and dissociative disorders and diagnostic challenges arising from their inconsistent and variable clinical features. Conclusion: With this case report, the authors intend to raise awareness to the risk of recurring care demand for care that can elicit iatrogenic harm and delayed proper treatment. |
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The boy to whom things happen: case report of a condition once named “hysteria”O rapaz a quem acontecem coisas: caso clínico de uma condição outrora designada “histeria”Case ReportsIntroduction: Although banished from current mental disorders classifications, the condition formerly known as hysteria has clinical manifestations still puzzling to clinicians. Herein is briefly revised the historical concept of hysteria, as well as, psychological mechanisms underlying some of its current derivatives: conversive and dissociative disorders. Case report: A previously healthy 17-year-old boy presented with sudden onset of total strength loss in the lower limbs. After neurological assessment, the boy was diagnosed with conversion disorder. Two months later he developed trance and possession states requiring hospitalization, and later, dissociative amnesia. Despite psychological distress underlying patient’s symptoms, la belle indifference was also a meaningful issue. Discussion: This study presents a critical reflection about conversion and dissociative disorders and diagnostic challenges arising from their inconsistent and variable clinical features. Conclusion: With this case report, the authors intend to raise awareness to the risk of recurring care demand for care that can elicit iatrogenic harm and delayed proper treatment.Introdução: Embora banida das atuais classificações de doenças mentais, a condição anteriormente conhecida como histeria apresenta manifestações clínicas que continuam a intrigar os clínicos. Neste artigo, é feita uma breve revisão sobre o conceito de histeria, bem como mecanismos psicológicos subjacentes e atuais derivados: perturbações conversivas e dissociativas. Caso Clínico: É descrito o caso de um adolescente de 17 anos de idade, previamente saudável, com um quadro clínico de início súbito de perda total de força nos membros inferiores. Após avaliação por neuropediatria, foi diagnosticada Perturbação de Conversão. Dois meses depois, o adolescente desenvolveu estados de transe e possessão, com necessidade de internamento. Mais tarde, evidenciou amnésia dissociativa. Apesar do sofrimento psicológico subjacente aos sintomas, la belle indifference foi também um aspeto significativo. Discussão: Neste artigo, é apresentada uma reflexão crítica sobre as referidas condições clínicas e dificuldades diagnósticas que podem surgir face à inconsistência e variabilidade das manifestações clínicas que lhes estão associadas. Conclusão: Através deste caso clínico, os autores pretendem alertar para o risco de uma demanda recorrente de cuidados que pode culminar em dano iatrogénico e atraso no tratamento adequado.Centro Hospitalar Universitário do Porto2020-11-18T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25753/BirthGrowthMJ.v29.i4.18483eng2183-9417Rodrigues, Ana RitaQueirós, Otíliainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-21T14:55:35Zoai:ojs.revistas.rcaap.pt:article/18483Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:56:29.889576Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The boy to whom things happen: case report of a condition once named “hysteria” O rapaz a quem acontecem coisas: caso clínico de uma condição outrora designada “histeria” |
title |
The boy to whom things happen: case report of a condition once named “hysteria” |
spellingShingle |
The boy to whom things happen: case report of a condition once named “hysteria” Rodrigues, Ana Rita Case Reports |
title_short |
The boy to whom things happen: case report of a condition once named “hysteria” |
title_full |
The boy to whom things happen: case report of a condition once named “hysteria” |
title_fullStr |
The boy to whom things happen: case report of a condition once named “hysteria” |
title_full_unstemmed |
The boy to whom things happen: case report of a condition once named “hysteria” |
title_sort |
The boy to whom things happen: case report of a condition once named “hysteria” |
author |
Rodrigues, Ana Rita |
author_facet |
Rodrigues, Ana Rita Queirós, Otília |
author_role |
author |
author2 |
Queirós, Otília |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Rodrigues, Ana Rita Queirós, Otília |
dc.subject.por.fl_str_mv |
Case Reports |
topic |
Case Reports |
description |
Introduction: Although banished from current mental disorders classifications, the condition formerly known as hysteria has clinical manifestations still puzzling to clinicians. Herein is briefly revised the historical concept of hysteria, as well as, psychological mechanisms underlying some of its current derivatives: conversive and dissociative disorders. Case report: A previously healthy 17-year-old boy presented with sudden onset of total strength loss in the lower limbs. After neurological assessment, the boy was diagnosed with conversion disorder. Two months later he developed trance and possession states requiring hospitalization, and later, dissociative amnesia. Despite psychological distress underlying patient’s symptoms, la belle indifference was also a meaningful issue. Discussion: This study presents a critical reflection about conversion and dissociative disorders and diagnostic challenges arising from their inconsistent and variable clinical features. Conclusion: With this case report, the authors intend to raise awareness to the risk of recurring care demand for care that can elicit iatrogenic harm and delayed proper treatment. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-11-18T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25753/BirthGrowthMJ.v29.i4.18483 |
url |
https://doi.org/10.25753/BirthGrowthMJ.v29.i4.18483 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2183-9417 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Centro Hospitalar Universitário do Porto |
publisher.none.fl_str_mv |
Centro Hospitalar Universitário do Porto |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799130433316716544 |