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Psychiatria Danubina, Vol. 27 No. suppl 1, 2015.

Conference paper

PSYCHOGENIC SPEECH DISORDER – A CASE REPORT

Agnieszka Koźmin-Burzyńska ; Department of Psychiatry and Psychotherapy, Medical University of Silesia, Katowice, Poland
Agnieszka Bratek ; Department of Psychiatry and Psychotherapy, Medical University of Silesia, Katowice, Poland
Karolina Zawada ; Department of Pneumonology, Medical University of Silesia, Katowice, Poland
Krzysztof Krysta ; Department of Psychiatry and Psychotherapy, Medical University of Silesia, Katowice, Poland
Irena Krupka-Matuszczyk ; Department of Psychiatry and Psychotherapy, Medical University of Silesia, Katowice, Poland

Full text: english pdf 361 Kb

page 411-414

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Abstract

Background: Conversion (dissociative) disorder is a psychiatric disorder in which somatic symptoms or deficits are present in
the absence of a definable organic cause. The etiology of this disorder is not yet fully understood. The most characteristic
presentations are: pseudosensory syndromes, pseudoseizures, psychogenic movement disorders and pseudoparalysis. Psychogenic
speech disorder is a rare form of conversion (dissociative) disorder. The aim of present case study is to complete the knowledge on
this subject.
Subject and methods: The article presents a case of a fifty year old woman who developed psychogenic disorder of speech after
being degraded to a lower position at work. After excluding organic background of observed symptoms, the diagnosis of conversion
(dissociative) disorder was stated and adequate therapy was implemented, within the capabilities of the Ward.
Results: Partial remission of presented symptoms was achieved as a result of psychopharmacotherapy and psychotherapy.
Conclusions: Before stating the diagnosis of conversion (dissociative) disorder, possible somatic causes of the observed
symptoms should be excluded. Special attention should be drawn to the importance of studying the psychological and family context
of this case and the patient’s difficulty to understand and accept that produced symptoms might be triggered by a psychogenic factor.

Keywords

conversion disorder; speech; psychotherapy

Hrčak ID:

264580

URI

https://hrcak.srce.hr/264580

Publication date:

8.9.2015.

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