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Australian and New Zealand Journal of Family Therapy 2016, 37,30–32 doi: 10.1002/anzf.1139 Commentary: Similarities and Differences between Conversion Disorder in Adults and Children Richard A. Kanaan Department of Psychiatry, Austin Health, University of Melbourne, Heidelberg, Victoria As a psychiatrist working with conversion disorder in adults, I have always had a degree of envy of those treating children. It has seemed that all parties to paediatric cases treat them with a relative seriousness, that consequently all parties remain rela- tively engaged, that consequently it’s relatively possible to engineer a therapeutic change in the patient’s environment, and that outcomes are consequently relatively good. But perhaps the grass merely seems greener. Dr Kozlowska describes a situation with childhood conversion disorder that is familiar, if not identical, in many respects to that with adults. Though in adults we rarely see the whole family in consultation, they usually loom large, and rarely benignly, in the patient’s history; the disordered attachments she describes in her child patients often seem to be present in my patients in disordered adult attachments to partners or health providers; the initial resistance to a psychiatric interpretation from families she describes is in adult cases presented by the patient, with the
Australian and New Zealand Journal of Family Therapy – Wiley
Published: Mar 1, 2016
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