Traumatic hysteria

The traumatic hysteria is one of Josef Breuer and Sigmund Freud in their " Studies on Hysteria " from 1895 prepared in accordance ätiogenetischen criteria subclass of hysterical disease. It arises under the influence of trauma with the splitting off of ideas.

A single trauma , a subjectively very impressive experience or some other negative event causes the hysterical symptom that first appears on this occasion, but later again and again. During every hysterical attack, the person has a latent memory of the traumatic situation in mind as well as the current events. This is experienced internally and can even assume the character of perception in individual cases .

Disease insight

The patient can provide information about this relatively easily, since the trauma is present and can be remembered.

Analogies

Traumatic hysteria is analogous to traumatic neurosis , in which the symptoms that have existed for years are not justified by the (mostly really minor) injury, but by the horror effect.

Etiogenesis

Josef Breuer described the process as follows: The trauma creates a group of hypnoid ideas that are beyond normal affect drainage. They remained strongly connected to one another, but isolated from the rest of the consciousness and are not included in the associative context . The traumatic experience is individually determined and is sometimes only experienced as traumatic by the person affected. In the social environment, this usually appears unrealistic, especially when the person affected is mostly a child .

In the following period the symptoms increase in severity, but continuously, not in stages. This is different from idiopathic hysteria , the concept of which goes back to Freud .

source

• Sigmund Freud, Josef Breuer: Studies on Hysteria. Deuticke, Leipzig / Vienna 1895. Reprint: 6th edition. Fischer TB 10446, Frankfurt am Main 1996, ISBN 978-3-596-10446-8 .