Summary
In this article the syndrome of neuro-algodystrophy is discussed from a psychiatric point of view. First, a review is given of the scarce psychological literature on this subject. Secondly, a retrospective study of 32 neuro-algodystrophy patients, seen in a psychiatric consultation practice, is presented; in nearly all cases of this highly selected group, an obvious time-relation with a significant psychological factor could be determined, and in more than 60%, some kind of affective loss was concerned. Thirdly, some theoretical speculations about these findings are formulated. Finally, it is concluded that the diagnostic and therapeutic contribution of the psychiatrist may be valuable, at least in some cases of neuro-algodystrophy.
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References
Babinski, J., Froment, J. Hystérie, pithiatisme et troubles nerveux d'ordre réflexe. Précis de Médecine et de Chirurgie de guerre. Masson, Paris, 1918 (2∘ ed.).
Blumer, D., Heilbronn, M. Chronic pain as a variant of depressive disease: the pain-prone disorder. J Nerv Ment Dis, 1982, 170, 381–406.
Boulu, Ph. Rôle du sympathique dans la douleur. Revue du Practicien, 1985, 35, 21, 1231–1238.
Bovier, Ph., Dubuis, J., Tissot, R. Le syndrome de Babinski-Froment, existe-t-il encore? In: L'Hystérie, Confrontations Psychiatriques, 1985, 25, 139–155.
Brunning, J., Gibson, A.G., Perry, M. Oedeme Bleu: a reappraisal. Lancet, 1980, april 12, 810–812.
Charcot, J.M. Cliniques des maladies du système nerveux. Paris, 1890, 1, 96.
Deutsch, F. On the Mysterious Leap from the Mind to be Body. International University Press, New York, 1959.
Dopson, C. Unresolved grief presenting as chronic lymphedema of the hand. Am J Psychiatry, 1979, 136, 10, 1333–1334.
Drossmann, D. Patients with psychogenic abdominal pain: six years' observation in the medical setting. Am J Psychiatry, 1982, 139, 1549–1557.
Engel, G.L. A reconsideration of the role of conversion in somatic disease. Compr Psychiatry, 1968, 9, 4, 316–326.
Flechet, M.L., Priollet, P., Consoli, S., e.a. L'oedème bleu de Charcot. Ann Med Interne, 1983, 134, 1, 35–37.
Freud, S. Hemmung, Symptom und Angst. Gesammelte Werke, Bd 14, 1926, 202–205.
Halliday, J.L. Psychological factors in rheumatism. Br Med J, 1937, jan 30, 213–217.
Hauwaert, CH., Neuro-sympathische algodystrofie. Artsenkrant, 1982, 124.
Macalpine, I., Ross, J.P. Oedème bleu. Lancet, i, 1956, 78–81.
Mushatt, C. Mind-Body-Environment: Toward understanding the impact of loss on psyche and soma. Psychoan. Q, 1975, 44, 81–106.
Pulvercraft, R.G. Psychological aspects of hand injuries. The Hand, 1975, 7, 93–103.
Pollack, H.J., Neumann, R., Pollack, E., Pollack, M. Südeck und Psyché. Beitr Orthop Traumatol 1980, 27, 463–468.
Südeck, P. Ueber die acute entzündliche Knochenatrofie. Archiv für Klinische Chirurgie, 1900, 62, 147–156.
Tracy, G.D. Prolonged disability after compensable injury. Med J Austr, 1972, 2, 1305.
Von Knorring, L. The experience of pain in depressed patients. Neuropsychobiology, 1975, 1, 155–165.
Walters, A. Psychogenic regional pain alias hysterical pain. Brain, 1961, 84, 1–18.
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Van Houdenhove, B. Neuro-algodystrophy: A psychiatrist's view. Clin Rheumatol 5, 399–406 (1986). https://doi.org/10.1007/BF02054260
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DOI: https://doi.org/10.1007/BF02054260