NRNP 6665
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D. Functional neurological symptom:
Conversion disorder, also called func-
tional neurological symptom disorder,is
defined as a psychiatric illness in which
a neurological or general medical condi-
tion cannot explain symptoms and signs
affecting voluntary motor or sensory
function. Psychological factors, such as
conflicts or stress, are judged to be as-
sociated with the deficits.The term con-
version disorder was coined by Sigmund
An illness of symptoms or deficits that Freud, who hypothesized that the oc-
affect voluntary motor or sensory func- currence of specific symptoms not ex-
tions, which suggest another medical plained by organic diseases reflects un-
condition but that is judged to be caused conscious conflict.3 The word conver-
by psychological factors because the ill- sion refers to substituting a somatic
ness is preceded by conflicts or other symptom for a repressed idea.
stressors in known as which of the fol- Common examples of conversion symp-
lowing? toms include blindness, paralysis, dys-
A. Factitious disorder tonia, psychogenic nonepileptic seizures
B. Illness anxiety disorder (PNES), anesthesia, swallowing difficul-
C. Somatic symptom disorder ties, motor tics, difficulty walking, hallu-
D. Functional neurological symptom cinations, anesthesia, and dementia.5 In
patients with conversion disorder, these
symptoms are not caused directly by a
physiological effect; rather these symp-
toms are caused by a psychological con-
flict. Patients diagnosed with conversion
disorder are not feigning the signs and
symptoms. Despite the lack of a definitive
organic diagnosis, the patient's distress
is very real and the physical symptoms
the patient is experiencing cannot be
controlled at will
1/4
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