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Conversion Disorder and the Brain
by Sammie4258, Mar 23, 2008 07:32PM
I have severe Conversion Disorder and am wondering where in the brain does this occur. If it is a motor sensory problem, does that mean it is everywhere in the brain or a generalized location, like the brain stem or some thing. Obviously it is a central nervous system problem but can it be pinpointed to a certain area?
Also, what are the best treatment for this besides counceling and such?
Tami
Also, what are the best treatment for this besides counceling and such?
Tami
Post Comment
Where in the brain? I'm making this up, but darn its good! If the source of the numbness, tingling, pains and other stuff for which no immediate and obvious reason exists IS those old experiences that are still clunking around in your attic, then it is likely that they are sort of all over the place rather than being neatly filed on some emotional to-do list right behind your left eye socket. Sort of like this forum site (or any forum site). The members are all over the world, and the computers that house the forum and handle communications among us likewise are all over the world; but everything is connected together and it all presents as though we are all here in one place together.
I'll take this a step further (I'm on a roll, here). Each of our computers has a unique "IP" address which is what the technology uses to connect everything and decide how to handle communications. I do NOT need to know the IP address of your system to communicate with it. The machines do it. If the brain works in somewhat the same way, you do not need to know, really, exactly where in the jelly jar that memory of mommy kissing Santa Claus is stored, or the playground experience with a bully when you were 8, or the libretto to "Monster Mash." In fact, it is likely that the memory itself is sort of sliced and diced and kept in various places -like stuff on a hard drive. Sort of like your keys: if you keep them in various places, you'll never lose them all at once (you will olose them all over a period of time, maybe).
My point is this: you don't need to know where in the brain a memory is to recover and examine it, anymore than you need to know where I am to communicate with me. Once a memory is uncovered and the conflict resolved, you don't need to know where all the OTHER memories are either -they will handle the communication and updating all on their own. Like the forum -I respond to ONE person, but EVERYONE gets the message. And THAT was, indeed, my therapy experience. Once one or two memories, confluct, experiences or whatever you want to call them were isolated and identified and DEALT with, the other also were adjusted in step -all by themselves. Like a see-saw: add one tiny extra bit of weight to one end -and the entire half of the see-saw goes down.
As I said, I made it all up. Run it by someone who really understands this stuff -and see what he or she has to say of it. If nothing else, this will keep the conversation going.
sammie
If what you want is a PROFESSIONAL opinion, you're in the wrong place. For that, try the "Ask a Doctor" forums. At screen top, click Forums, and you'll see them all listed on the right side of your screen. Forgive me, please, for not having understood from the get-go that such was your expectation.
If by chance, what you are really getting at is a more serious-minded and objective type answer (whether from a professional or just anyone) then don't worry -one should be coming in any time now. There are plenty of folks here who really do have some remarkable (and more respectfully expressed) views. Meanwhile, if you can squeeze out anything useful from my response -and leave the pulp behind- it might be useful.
Respectfully submited.
-JSGeare
However, I can appreciate your sense of humor. Obviously, you are very talented with wit and words and ordinarily I can appreciate and even enjoy that. But, I was looking for a very simple and straight answer from a Doctor. Please understand that I was diagnosed with a severe conversion reaction and in fact, it was in my medical report that I scored higher than anyone ever studied in clinics. Possibly concluding that it is the most severe documented case. So, with that, I can tell you with a great deal of confidence that I understand conversion probably better than anyone else including some doctors. I even shocked the specialist who tested me. He had not seen some of the symptoms that I displayed. I admit I have not had the time to find out where exactly in the brain this may occur. I had already concluded myself that because it was a motor sensory and central nervous system condition, that it most likely was all over in the brain. But I assumed it all leads back to one area like the brainstem. I just wondered if there was something I was missing.
I do have to respectfully disagree with you in that It does matter to me where it comes from because there are professionals who can re-train the brain and certain of parts of its functions. I know this with a great deal of certainty. I have been through the process of re-training the brain which in turn effects the other parts of our bodies. Legs can be re-trained. Arms and fingers. Our eyes and ears can be re-trained.
So to tell someone it doesnt matter to them where is comes from seems to me to take away our right to know and satisfy our interest or curiousity and limits our ability to work with the brain in a more specialized capacity.
I would also caution you that although your approach was humourous and very intelligent, Answering a question such as mine in the way you did, is not as helpful as you might think, simply, because if you understood Conversion Disorder as well as I do, you would understand that we have cognitive deficits when it comes in interpeting incoming stimulus. Add ADD on top of that and with the effects of Chemo. It is very important that Conversion reaction patients recieve simple to understand answers. With all do respect, if you understood Conversion Disorder as well as you claim, you would have known that. I had to read your post three times before I was able to understand what you meant by all that. Four years ago, before my reaction emerged, I would have had no problem understanding you words the first time around. Our cognitive ability to understand and interpet concepts is compromised with conversion reaction.
All this said, I still appreciate your humor and wit and don't stop being you. But please beware of individuals abilities to interpet abstract explainations. We are not all created equal.
With Respect,
Sammie
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Tami,
What part of the brain does conversion hysteria target?
Answer: Any part of it that you are able to conjure up. From a physiological standpoint, hysteria doesn't target any part of the brain. Hysteria is not organic disease. Thus, if you were to undergo an extensive work-up consisting of a brain MRI w/ contrast, an EEG, or an EMG, they would all be normal. There would be a complete lack of physical findings, as there simply are none. It's all pseudo, and stems from a far more complex source - the human psyche...
The etiology of conversion hysteria is dissociation, a process whereby specific internal mental contents (memories, ideas, feelings, perceptions) are lost to conscious awareness, and thus, become unavailable to voluntary recall.
Though unconscious, these mental contents can be recovered under special circumstances (dreams or in a hypnotic trance). They are able to affect an individual's awareness and behavior in a variety of ways through fugue or amnesia states, or through converted symptoms (paralysis of a limb, blindness, mutism, psychogenic seizures, etc).
All of the physical symptoms are psuedo, are not real, and they cannot harm you.
Conversion is actually a defensive mechanism, providing for the banishment of anxiety-provoking, painful, unpleasant mental contents from consciousness. However, the individual becomes subject to the unconscious substitution of hysterical symptoms (noted above).
That's what separates conversion disorder from an anxiety disorder. When the physical symptoms manifest (or when they are converted unconsciously), anxiety is relieved in the case of conversion disorder, and the person is indifferent to them (not phased by them). By comparison, physical symptoms provoke anxiety in true anxiety states, or anxiety induces physical symptoms which further fuels the anxiety. Not so in conversion hysteria.
Two more severe manifestations of conversion hysteria that were mentioned above are:
(1) Anterograde Amnesia - Complete loss of memory for all past events spanning a period of several hours (or more severely, several weeks).
(2) Fugue State - Where the individual loses all recollection of his/her past life and any awareness of who he/she is. The typical person travels far from home, begins a new occupation with a new idenity being completely unaware of any change in his/her life. Suddenly, after several days, weeks, or months, the person finally "comes to". Totally amnesic for the period of the fugue, the person recaptures his/her former identity, and greatly distressed, wonders how he/she came to be in such strange surroundings.
There is no known cure. Treatment consists of psychoanalysis or (more effectively), hypnosis (for bringing repressed ideas into consciousness). Manipulation of your enviornment (ie: changing jobs) may also be of some benefit. However, the issue with conversion hysteria is that once old symptoms abate, new ones form and take their place. That's why there is no known cure.
The symptoms are due to highly charged anxiety surrounding some incident or set of circumstances in the person's current or past life which have been completely repressed. If you are able to bring those repressed ideas into the realm of consciousness, you stand a good chance of accepting and understanding them, in tandem with a reduction or remission of your physical symptoms.
Would recommend seeking a psychologist who specializes in hypnosis and dissociative disorders specifically.
Sammie