par Papazova, Anna 
;Nicolis, Hélène
Référence Neuropsychiatrie de l'enfance et de l'adolescence, 63, 2, page (109-115)
Publication Publié, 2015-03
;Nicolis, Hélène Référence Neuropsychiatrie de l'enfance et de l'adolescence, 63, 2, page (109-115)
Publication Publié, 2015-03
Article révisé par les pairs
| Résumé : | The aim of this work is to provide a critical account of the ideas on hysteria in children and adolescents. Methods: The literature on this subject is rather limited and the validity of the concept itself remains questionable, particularly in view of the lack of precision in the diagnosis. Findings: The affection concerns essentially preadolescence and, in the vast majority, female subjects. Some evidence of family-related factors is also available. In most cases the world of the hysterical child seems to be constructed by elements found in the physiologically normal child. The affection is therefore not a simple diagnosis of exclusion. A careful search is recommended, since behind hysteria syndrome there is a hidden anguish and a call for help. Perspective: It is important (a), to consider carefully the history of appearance of the syndrome as well as individual and family history; and (b), to perform an in-depth clinical examination, negative complementary examinations and projective psychological tests. Taking in charge is long and includes family therapy. The attitude of the clinician and of the therapist must be reassuring, while applying suggestibility in an adequate way. Of equal importance is the attitude of the patient's environment. "Normal", physiological hysteria is standard. Hysterical nevrose is on the other hand rarer. As a matter of fact for a child one cannot really speak of hysterical personality, as this implies an underlying structure that is not yet fully established. |
