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Arch Dis Child. 1988 May; 63(5): 506–511.
PMCID: PMC1778908

Diagnosis and treatment of hysterical conversion reactions.


Twenty children with hysterical conversion reactions were reviewed. The ways in which they became ill, the attitudes of their families to their illnesses and their underlying personal problems were noted. Treatment comprised avoiding unnecessary investigations and removing symptoms by using graded exercises given by physiotherapists. Exploration of the underlying psychological problems took place at a pace with which the family could cope because many families were reluctant at first to accept that the illness was psychological. Seventeen of the 20 children recovered completely within three months of starting treatment. The results show that early diagnosis and close liaison between paediatricians, physiotherapists, and child psychiatrists are necessary if prolonged handicap is to be avoided.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Goodyer I. Hysterical conversion reactions in childhood. J Child Psychol Psychiatry. 1981 Apr;22(2):179–188. [PubMed]
  • Marsden CD. Hysteria--a neurologist's view. Psychol Med. 1986 May;16(2):277–288. [PubMed]
  • SLATER E. DIAGNOSIS OF "HYSTERIA". Br Med J. 1965 May 29;1(5447):1395–1399. [PMC free article] [PubMed]
  • Rivinus TM, Jamison DL, Graham PJ. Childhood organic neurological disease presenting as psychiatric disorder. Arch Dis Child. 1975 Feb;50(2):115–119. [PMC free article] [PubMed]
  • v Dubowitz, Hersov L. Management of children with non-organic (hysterical) disorders of motor function. Dev Med Child Neurol. 1976 Jun;18(3):358–368. [PubMed]
  • Rock NL. Conversion reactions in childhood: a clinical study on childhood neuroses. J Am Acad Child Psychiatry. 1971 Jan;10(1):65–93. [PubMed]
  • Taylor DC. Hysteria, play-acting and courage. Br J Psychiatry. 1986 Jul;149:37–41. [PubMed]
  • Goodyer I, Taylor DC. Hysteria. Arch Dis Child. 1985 Jul;60(7):680–681. [PMC free article] [PubMed]
  • Volkmar FR, Poll J, Lewis M. Conversion reactions in childhood and adolescence. J Am Acad Child Psychiatry. 1984 Jul;23(4):424–430. [PubMed]

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