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Hysterical neurosis


- a disease with polymorphic symptoms, manifested by functional somatic, neurological and mental disorders. These various disorders arise in connection with increased suggestibility and self-suggestibility of the patient. Therefore, the symptoms of hysteria can resemble the manifestations of various diseases, for which she was called the "great simulant." Hysterical neurosis more often occurs in individuals with a hysterical nature (see Psychopathies).
Of the symptoms of the disease, the most striking are hysterical convulsive seizures, which are currently quite rare. A seizure usually occurs in the presence of spectators and in a place where the patient cannot inflict damage on himself. Consciousness does not turn off, but rather narrows. The patient does not fall anywhere, but pre-selects a place so as not to hit (before falling, “lays straw”). Convulsive manifestations are not constant and diverse. The movements are sweeping and chaotic. It happens that the patient’s body (more common in women) bends in the form of an arc. If the patient lies in bed, then legs and arms are extended, fingers are cramped ("obstetrician's arm"). Seizures can be without convulsions, in the form of various crises (hypertensive, cardiac), asthma attacks, trembling in the body ("shake"), prolonged sobs. Symptoms such as paralysis of the arms and legs, loss of sensation such as gloves, socks, and gait disorders are quite common. Hysterical blindness, deafness, and dumbness are somewhat less common. The patient is silent when he is asked questions, but answers them in writing, unlike the deaf and dumb. Patients with hysteria are usually demonstrative in the manifestations of their illness. They always emphasize the extreme severity of their disease, talk about "terrible" suffering, unbearable pain, unique and unusual symptoms. At the same time, they are not burdened by their "difficult" state, they are not trying to get rid of it. On the contrary, the disease for them is “desired,” a kind of protective reaction in the current conflict situation (for example, “I am seriously ill, so I can’t be fired from work”). Under unfavorable circumstances for the patient, an increase in the manifestations of the disease is observed. The behavior of patients becomes demonstrative, the character is more and more selfish, all interests focus only on themselves and their illness. Hysterical disorders can be short-term or long-term, sometimes they take a wavy character with frequent exacerbations. It all depends on how sick they can achieve with their illness, what they want. However, the opposite is true in life. Patients do not so much fulfill their interests as they bring harm to themselves. The family collapses, you have to leave work, your whole life turns into a continuous illness.