소아 전환신경증의 증례 연구 = Case Study of Conversion Reaction in Children

다국어 초록 (Multilingual Abstract)

In view of the high frequency of hysteria in children the authors reviewed four child patients suffering from conversion reaction.
They were selected among patients who had suffered visual disorders and been seen at the Department of Neuropsychiatry, St. Mary's Hospital, Catholic Medical College during 1974-1975.
They all had been consulted by ophthalmologists. Three of them had been diagnosed erroneously and received useless treatment by many ophthalmologists.
Having clinical viewpoint in mind, these four cases were studied with special emphasis on reasons for referral, family background, and treatment.
Results were as follows:
1. Vision of case 1 (male, 13) was 0. 04 (both eyes) when he came to St. Mary's Hospital.
He received hospital treatment for 57 days and recovered his sight (visual power: 1.2). Prognosis was good.
2. When treatment started, vision of case 2 (male, 12) was 0. 07 (both eyes).
The authors met him once a week for about 40 days and he has his right eye's sight restored (visual power: 1.0).
Left eye's sight was also restored by operation. Prognosis was good.
3. Case 3 (male, 9) also showed bad sight (right: 0. 1, left: 0.08) at the first ophthalmologic examinations. After four month's treatment, he was able to read letters on blackboard from normal distance.
When his visual power was examined in the presence of his mother, however, the result of the examination was that he did not restore his sight at all.
4. Though case 4 (female, 11) restored her vision from 0.5 (both eyes) to 1.2 (both eyes) through hospital treatment for a month, we did not let him elave the hospital until two weeks later for the purpose of protecting her from her mothers depression.
5. With suggestive therapy for removal of their acute, massive conversion symptoms, they were offered intensive psychotherapy to strengthen their insight. 6. Authors could find roots of their symptoms from their family background.
Case 1 had parents who always scolded and whipped saying "study hard".
Case 2 had mother who was rigidly stern. Case 3's mother suffered from the obsession and case 4's the depression.
7. Among them case 3 and 4 whose mother's seemed to have psychopathology did not respond fairly to therapeutic method.