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DSM-IV & DSM-IV-TR:

Conversion Disorder


Before neurological evaluation rules out physical causes this Somatoform Disorder can be confused with a physical illness that affects sensory (e.g. anesthesia, blindness) or voluntary motor functioning (e.g. astasia-abasia, paralysis). Usually the deficit fails to conform to known anatomical or physiological characteristics.

Diagnostic criteria for 300.11 Conversion Disorder 
(cautionary statement)
 

A. One or more symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other general medical condition. 

B. Psychological factors are judged to be associated with the symptom or deficit because the initiation or exacerbation of the symptom or deficit is preceded by conflicts or other stressors. 

C. The symptom or deficit is not intentionally produced or feigned (as in Factitious Disorder or Malingering). 

D. The symptom or deficit cannot, after appropriate investigation, be fully explained by a general medical condition, or by the direct effects of a substance, or as a culturally sanctioned behavior or experience. 

E. The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation. 

F. The symptom or deficit is not limited to pain or sexual dysfunction, does not occur exclusively during the course of Somatization Disorder, and is not better accounted for by another mental disorder

Specify type of symptom or deficit: 
With Motor Symptom or Deficit 
With Sensory Symptom or Deficit 
With Seizures or Convulsions 
With Mixed Presentation

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

Also: conversion reaction, hysteria, hysterical conversion



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