Physical Therapy Korea (한국전문물리치료학회지)
- Volume 4 Issue 2
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- Pages.77-88
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- 1997
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- 1225-8962(pISSN)
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- 2287-982X(eISSN)
Treatment and Management of Conversion Disorder
전환장애의 치료와 관리
- Oh, Duck-Won (Dept. of Physical Therapy, Yongdong Severance Hospital)
- 오덕원 (영동세브란스병원 물리치료실)
- Published : 1997.09.27
Abstract
Conversion disorder is a psychologically produced alteration or loss of physical functioning suggestive of a physical disorder. Conversion symptoms are often superimposed on organic disease and can be overlooked. Psychological techniques are central to the management include the following: avoiding confrontation with the patients; avoiding reinforcement or trivializing the symptoms; reviewing results of tests and exams and creating an expectation of recovery; educating the patient before a treatment is begun; evaluating the patient's emotional adjustment and considering it at a treatment; using caution in labeling the condition; considering referral for psychotherapy; establishing particularly a treatment plan and making a definite treatment program; adjusting patient' s environment; letting participate a family at appropriate time; developing a reinforcement program for a treatment of chronic symptoms; developing a home program for outpatients. Use behavior therapy reinforcement may be helpful with more chronic or resistant symptoms, especially when there is a history of vague or excessive somatic complaints or significant secondary gain.