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From hysterical psychosis to reactive dissociative psychosis

Onno van der Hart, Eliezer Witztum, Barbara Friedman

Journal of Traumatic Stress 1993 DOI: 10.1002/jts.2490060106 (opens in new tab)

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AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Case report Peer reviewed
Intervention Hypnosis
Key points Argues that Reactive Dissociative Psychosis is a post-traumatic stress response and a subcategory of Brief Reactive Psychosis, that its duration need not be brief since long-standing psychotic symptoms may be traumatically induced, and that dissociation is its key feature, with hypnosis proposed as useful in treatment.

Abstract

AbstractIn this paper Reactive Dissociative Psychosis (RDP) is seen as a post‐traumatic stress response and as a subcategory of Brief Reactive Psychosis (BRP). A review of the literature and the evolution of RDP from Hysteria and Hysterical Psychosis are given. Issue is taken with defining the duration of BRP as “Brief.” The authors argue that long‐standing psychotic symptoms may be traumatically induced. The dissociative aspects of RDP as its key feature and the concomitant implications for accurate diagnosis are proposed. The usefulness of applying hypnosis in RDP treatment is summarized in a case study from Janet and detailed in a case from the authors' practice.

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