bozhenka
Forum Senior
Topics: 1
Posts: 122
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can you make your questions more clearly, pls?
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| bantik
Forum Newbie
Topics: 1
Posts: 9
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Conversion symptoms suggest a physical disorder but are the result of psychological factors. According to the psychodynamic model, the symptoms are a consequence of emotional conflict, with the repression of conflict into the unconscious. In the late 1880s, Freud and Breuer suggested that hysterical symptoms resulted from the intrusion of “memories connected to psychical trauma” into the somatic innervation. This mind-to-body process was referred to as “conversion.”
It has been postulated that the patient derives primary and secondary gain. With primary gain, the symptoms allow the patient to express the conflict that has been suppressed unconsciously. With secondary gain, symptoms allow the patient to avoid unpleasant situations or garner support from friends, family, and the medical system that would otherwise be unobtainable. According to sociocultural theories, the direct expression of emotions is impermissible and somatization takes its place. In behavioral models, conversion symptoms are viewed as a learned maladaptive behavior that is reinforced by the environment.
The idea that conversion disorder does not have an organic basis has become entrenched. However, some evidence supports the opposite notion. Studies on the natural history of conversion disorder indicate that many patients subsequently develop neurological disease. The simultaneous occurrence of organic brain disease with conversion symptoms also is observed. Familial studies have shown that conversion symptoms in first-degree female relatives are up to 14 times greater than in the general population.
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| adeelmd
Forum Elite
Topics: 40
Posts: 399
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so just asking....
1 gain is when the patient gets rid of immediate problem (expresses)
2 gain is what the world gives you because of these symptoms (resolves)(money, support, medicine)
3 gain is is related to doctors... though i am not sure i am understanding the concept...
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