Download The Somatizing Child: Diagnosis and Treatment of Conversion by Dr. Elsa G. Shapiro, Dr. Alvin A. Rosenfeld (auth.) PDF

By Dr. Elsa G. Shapiro, Dr. Alvin A. Rosenfeld (auth.)

In the spring of 1982, we begun our collaboration whereas on sabbatical in Jerusa­ lem. operating jointly at Hadassah clinical heart, we stumbled on that we had overlapping and complementary pursuits. the glorious atmosphere com­ bined with a hot friendship nourished the advance of this e-book. E. G. S:s curiosity in neuropsychology, cognitive functionality, and diagnostic clas­ sification and A. A R:s curiosity within the improvement of standard sexual habit, incest and its effects for psychopathology, and psychoanalytic idea supplied a extensive viewpoint at the box of somatoform issues. For E. G. S. , Lawrence A. Lockman, a college member in pediatric neurology on the Univer­ sity of Minnesota who has a superb curiosity in those instances, used to be really worthwhile. the various rules on case administration got here from his admonitions to the home employees on rounds concerning right administration of sufferers and households. once we started to write the booklet within the fall of 1984, scholars of E. G. S:s turned concerned. Norman Cohen, then a submit document, used to be very drawn to soreness and biofeedback, having labored greatly within the ache hospital on the collage of Minnesota Hospitals. He was once seeing a number of the little ones within the health facility who required biofeedback and used to be specially drawn to people with headache. He agreed to jot down the bankruptcy on headache.

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Extra info for The Somatizing Child: Diagnosis and Treatment of Conversion and Somatization Disorders

Sample text

He hypothesizes, based in part on the presence of alexithymia in commissurotomized patients (Hoppe & Bogen, 1976), that because of a disconnection between the two hemispheres, there is no verbal expression of affect in alexithymia. Alternatively, right hemisphere lesions have been described as producing an indifference to symptoms and problems in affective comprehension and expression (Denny-Brown, Meyer, & Horenstein, 1952; Gainotti, 1972). Thus, either a disconnection or a right hemisphere defect might explain the affective deficits of patients with somatoform disorders.

Twenty-one of the cases of conversion disorder had sexual stressors, as compared with six of those with adjustment reactions. Discriminant analysis differentiated conversion from adjustment reactions by: (a) the presence of neurologic symptoms, (b) the indifference to symptoms, (c) the presence of school problems, and (d) the presence of sexual stressors in the conversion group. 05). Although this finding may be statistically significant, the very close absolute percentages make it functional significance doubtful.

2) Changing nature of precipitating stressors in conversion disorder. (3) Changing incidence of different presenting symptoms. B. Studies of the possible symbolic nature of conversion symptoms. C. A delineation of personality types possibly associated with conversion symptoms. 40 The Somatizing Child Far too little work has been done to understand how somatization disorders develop. With the exception of the study by Robins and O'Neal (1953), which may be dated, Ernst et al. (1984) and Routh and Ernst (1984) seem to be the only one that addresses the question of what the precursors to somatization disorder are.

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