Abstract
In 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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Aikins, H.A. (1923). Casting out a ‘stuttering devil.’J. Abnorm. Social Psychol. 18: 137–152. In Murphy G. (ed.),An Outline of Abnormal Psychology, The Modern Library, New York, 1929, pp. 175–192.
American Psychiatric Association (1968).DSM-III Washington, DC: Author.
American Psychiatric Association (1987).DSM-III-R Washington, DC: Author.
Babinksi, J. (1901). Définition de l'hystérie.Rev. Neurol. 9: 1074–1080.
Babinski, J. (1909). Démembrement de l'hystérie traditionelle. Pithiathismc.La Semaine Médicale. 59(1): 3–8.
Barkin, R., Braun, B. G., and Kluft, R. P. (1986). The dilemma of drug treatment for multiple personality disorder. In Braun, B. G. (ed.),Treatment of Multiple Personality Disorder Washington, DC: American Psychiatric Press, pp. 109–132.
Bleuler, E. (1911). Dementia praecox oder Gruppe der Schizophrenien. In Aschaffenburg, G. (ed.),Handbuch der Psychiatrie spezieller Teil 4 Abt. I. Vienna: F. Deuticke.
Bleuler, E. (1950).Dementia Praecox or the group of schizophrenias. International Universities Press, Madison.
Bilu, Y., and Abramovich, H. (1985). In search of the Saddiq: Visitational dreams among Moroccan Jews in Israel.Psychiatry 38: 145–159.
Bilu, Y., Witztum, E., and Van der Hart, O. (1989). Paradise regained: ‘Miraculous healing’ in an Israeli psychiatric clinic.Cult. Med. Psychiatry 14, 105–127.
Breuer, J., and Freud, S. (1893/95). On the psychical mechanism of hysterical phenomena: A preliminary communication. In Strachey, J. (Transl. and Ed.),The Standard Edition of the Complete Psychological Works of Sigmund Freud, Vol. 3. London: Hogarth Press, 1955, pp. 53–69.
Breuer, J. (1895). Theoretical. In Strachey, J. (Transl. and Ed.),The standard Edition of the Complete Psychological Works of Sigmund Freud, Vol. 3. Hogarth Press, London, 1955, pp. 259–333.
Breukink, H. (1923). Over de behandeling van sommige psychosen door middel van een bijzondere vorm der kathartisch-hypnotische methode.Tijdschrift voor Geneeskunde 67: 1321–1328.
Carrot, E., Charlin, A., and Remond, A. (1945). L'hystéro-catatonie.Annal. Méd. Psychol. 103: I, 347–353.
Claude, H. (1937). Rapport de l'hystérie avec la schizophrénie.Annal. Méd. Psychol. 95: II, 1–14, 141–164 (Discussion).
Courbon, P. (1937). Hystérie, schizophrénie, pithiatisme et simulation.Annal. Méd. Psychol. 95: II, 257–268.
Dow, J. (1986). Universal aspects of symbolic healing: A theoretical analysis.Am Anthropol. 7: 333–375.
Fernandez, J. W. (1977). The performance of ritual metaphor. In Sapir, J. D. and Crocker, J. C. (eds.),The Social Use of Metaphor University of Pennsylvania Press, Philadelphia, pp. 100–131.
Follin, S., Chazaud, J., and Pilon, L. (1961). Cas cliniques de psychoses hystériques.Evol. Psychiatr. 26: 257–286.
Friedman, B. (1989). Post-traumatic stress disorder and dissociation, response versus disorder. Paper presented at the Second Annual Conference on Multiple Personality and Dissociation. Costa Mesa, California.
Hirsch, S. J., and Hollender, M. H. (1969). Hysterical psychosis: Clarification of a concept.Am. J. Psychiatry 125: 81–87.
Hock, A. (1868).Eenvoudige mededelingen aangaande de genezing van eene krankzinnige door het levens-magnetismus. s Gravenhage: De Gebroeders van Cleef.
Hollender, M. H. and Hirsch, S. J. (164). Hysterical psychosis.Am. J. Psychiatry 120: 1066–1074.
Hugenholz, P. Th. (1946). Kliniek der psychogene psychosen. In van der Horst L. (ed.),Anthropologische psychiatrie, Deel II: Randpsychosen Van Holkema & Warendorf, Amsterdam, pp. 415–478.
Janet, P. (1889).Automatisme psychologique Félix Alcan, Paris. Reprint: Société Pierre Janet, Paris, 1974.
Janet, P. (1893).Contribution á l'étude des accidents mentaux chez les hystériques. Thèse médicale. Paris: Reuff & Cie. Also in: P. Janet (1911),L'Etat mental des hystériques (second edition), Félix Alcan, Paris. Reprint: Lafitte Reprint, Marseille, 1984.
Janet, P. (1894). Histoire d'une idée Fixe.Rev. Philos. 37: 121–168. Also in: P. Janet (1898),Névroses et idées fixes, Vol. 1. Paris: Félix Alcan, pp. 156–212.
Janet, P. (1894/5). Un cas de possession et l'exorcisme moderne.Bulletin de l'Université de Lyon, Dec. 1894–Jan. 1895, 41–57. Also in: P. Janet (1898).Névroses et idées fixes, Vol. 1, Paris: Félix Alcan, pp. 375–406.
Janet, P. (1898).Névroses et idées fixes, Vol. 1. Paris: Félix Alcan. (a)
Janet, P. (1898). Traitement psychologique de l'hystérie. In Robin, A. (ed.),Traité de thérapeutique appliquée. Paris: Rueff. (b) Also in: P. Janet (1911),L'Etat mental des hystériques, sec. ed. Paris: Félix Alcan.
Janet, P. (1901).The Mental State of Hystericals Putnam & Sons, New York. Reprint: University Publications of America, Washington, DC, 1977.
Janet, P. (1903).Les obsessions et la psychasthénie. Félix Alcan, Paris. Reprint: Arno Press, New York, 1976.
Janet, P. (1904). L'Amnésie et la dissociation des sourenirs par l'émotion.J. Psychol. 1: 417–453.
Janet, P. (1911).L'Etat mental des hystériques (second edition), Félix Alcan, Paris. Reprint: Lafitte Reprints, Marseille, 1984.
Janet, P. (1928).De l'angoisse à l'extase, Vol. 2:Les sentiments fondamentaux. Félix Alcan, Paris. New edition: Société Pierre Janet, Paris, 1975.
Jauch, A. D., and Carpenter, W. T. (1988). Reactive psychosis, I.J. Nerv. Mental Dis. 176: 72–81. (a).
Jauch, A. D., and Carpenter, W. T. (1988). Reactive psychosis, IIJ. Nerv. Ment. Dis. 176: 82–86. (b)
Klein, D. F., Gittelman, R., Quitkin, F., and Rifkin, F. (1980).Diagnosis and Drug Treatment of Psychiatric Disorders: Adult and Children. Williams & Wilkins, Baltimore.
Langness, I. (1976). Hysterical psychoses and possessions. In Lebra, W. P. (ed.),Culture-Bound Syndromes, Ethnopsychiatry, and Alternate Therapies The University Press of Hawaii, Honolulu, pp. 56–67.
Mairet, A., and Salager, E. (1910).La folie hystérique Coulet et Fils, Montpellier.
Malcval, J. M. (1981).Folies hystériques et psychoses dissociatives Payot, Paris.
Mallett, B. L., and Gold, S. (1964). A pseudo-schizophrenic hysterical syndrome.Brit. J. Med. Psychol. 37: 59–70.
Martin, P. A. (1971). Dynamic considerations in the hysterical psychosis.Am. J. Psychiat. 128: 101–104.
Moreau de Tours, J. J. (1845).Du hachisch et de l'aliénation mentale. Paris: Librairie de Fortin, Masson et Cie. English edition:Hashish and mental illness. Raven Press, New York, 1973.
Moreau de Tours, J. J. (1855). De l'identité de l'état de rêve et de la folie.Annal. Méd. Psychol. 3e serie, I, 361–408.
Moreau de Tours, J. J. (1865).De la folie hystérique et de quelques phénomenes nerveux propres à l'hystérie convulsive, a l'hystéro-épilepsie et à l'épilepsie Masson, Paris.
Moreau de Tours, J. J. (1869).Traité pratique de la folie névropathique (vulgo hystérique) Germer Baillière, Paris.
Nemiah, J. C. (1974). Conversion: Fact or chimera?J. Psychiatry Med. 5: 443–448.
Pankow, G. W. (1974). The body image in hysterical psychosis.Int. J. Psychoanal. 55: 407–414.
Prinquet, G. (1977). A propos d'un cas de psychose hystérique.Nouv. Press. Méd. 6: 441–443.
Putnam, F. (1985). Dissociation as a response to extreme trauma. In Kluft, R. P. (ed.),Childhood Antecedents of Multiple Personality American Psychiatric Press, Washington, DC, pp. 65–97.
Putnam, F. (1989). Pierre Janet and modern views of dissociation.J. Traum. Stress 2: 413–429.
Raecke (1915). Ueber hysterische und katatonische Situationspsychosen.Arch. Psychiatr. Nervenkr. 55: 771–780.
Regis, E. (1906).Précis de psychiatrie (third edition), Octave Doin, Paris.
Richman, J., and White, H. (1970). A family view of hysterical psychosis.Am. J. Psychiatry 127: 280–285.
Rosenbaum, M. (1980). The role of the term schizophrenia in the decline of diagnosis of multiple personality.Am. J. Psychiatry 37: 1383–1385.
Siomopoulos, V. (1971). Hysterical psychosis: Psychopathological aspects.Brit. J. Med. Psychol. 44: 95–100.
Spiegel, D. (1986). Dissociating damage.Am. J. Clin. Hypn. 29: 123–131.
Spiegel, D. (1988). Dissociation and hypnosis in post-traumatic stress disorders.J. Traum. Stress 1: 3–16.
Spiegel, D., and Cardeña, E. (1990). New use of hypnosis in the treatment of posttraumatic stress disorder.J. Clin. Psychiatry 51 (Suppl.): 39–43.
Spiegel, D., and Fink, R. (1979). Hysterical psychosis and hypnotizability.Am. J. Psychiatry 136: 777–781.
Spiegel, D., Hunt, T., and Dondershine, H. E. (1988). Dissociation and hypnotizability in posttraumatic stress disorder.Am. J. Psychiatry 145: 301–305.
Steingard, S., and Frankel, F. H. (1985). Dissociation and psychotic symptoms.Am. J. Psychiatry 142: 953–955.
Van der Hart, O. (1983).Rituals in Psychotherapy Irvington, New York.
Van der Hart (1986). Metaphoric and symbolic imagery in the hypnotic treatment of an urge to wander.Austr. J. Clin. Exp. Hypn. 13: 83–95.
Van der Hart, O., Brown, P., and Turco, R. N. (1990). Hypnotherapy for traumatic grief: Janetian and modern approaches integrated.Am. J. Clin. Hypn. 32: 263–271.
Van der Hart, O., Brown, P., and Van der Kolk, B. A. (1989). Pierre Janet's psychological treatment of posttraumatic stress.J. Traum. Stress 2: 379–395.
Van der Hart, O., and Friedman, B. (1989). A reader's guide to Pierre Janet on dissociation: A neglected intellectual heritage.Dissociation 2(1): 3–16.
Van der Hart, O., and Horst, R. (1988). The dissociation theory of Pierre Janet.J. Traum. Stress 2: 397–412.
Van der Hart, O., and Van der Velden, K. (1987). The hypnotherapy of Dr. Andries Hoek: Uncovering hypnotherapy before Janet, Breuer, and Freud.Am. J. Clin. Hypn. 29: 264–271.
Van der Kolk, B. A., Brown, P. and Van der Hart, O. (1989). Pierre Janet on post-traumatic stress.J. Traum. Stress 2: 365–378.
Villechenoux, C. (1968).Le cadre de la folie hystérique de 1870 à 1918. Thèse pour le doctorat en médecine. Paris: Faculté de Médecine de Paris.
Waldfogel, S., and Butler, K. T. (1988). Another case of chronic PTSD with auditory hallucinations (Letter).Am. J. Psychiatry 145: 1314.
Wing, J. K., Cooper, J. E., and Sartorius, N. (1974).The measurement and classification of psychiatric symptoms Cambridge University Press, Cambridge.
Witztum, E., Van der Hart, O., and Friedman, B. (1988). The use of metaphor in psychotherapy.J. Contemp. Psychother. 18: 270–290.
Witztum, E., and Van der Hart, O. (1992). Possession and persecution by demons: Cultural and dissociative views. In Goodwin, J. M. (ed.),Rediscovering trauma: Historical casebook and clinical applications. American Psychiatric Press, Washington, DC.
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This article was accepted for publication under the Editorship of Charles Charles R. Figley.
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van der Hart, O., Witztum, E. & Friedman, B. From hysterical psychosis to Reactive Dissociative Psychosis. J Trauma Stress 6, 43–64 (1993). https://doi.org/10.1007/BF02093362
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DOI: https://doi.org/10.1007/BF02093362