Pseudoepileptic seizures of psychogenic origin: A review of the literature

Lowman, Rodney L.; Richardson, Linda M.

doi:10.1016/0272-7358(87)90017-1

Cited by 13 publications

(5 citation statements)

References 90 publications

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“…Additionally there have been no reports regarding the sensitivity of the QOLIE to the effects of pseudoseizures, even though between 6% and 40% of patients evaluated in epilepsy treatment centers are found to have unambiguous pseudoseizures. [8][9][10] Pseudoseizures are defined as the absence of evidence of epileptiform activity during an event captured through electroencephalography and video monitoring. 8,11 Individuals with intractable pseudoseizures are often subjected to the adverse effects of anticonvulsant medications, are unable to drive, and may have experienced discrimination in both vocational and social situations.…”

Section: Materials and Proceduresmentioning

confidence: 99%

“…[8][9][10] Pseudoseizures are defined as the absence of evidence of epileptiform activity during an event captured through electroencephalography and video monitoring. 8,11 Individuals with intractable pseudoseizures are often subjected to the adverse effects of anticonvulsant medications, are unable to drive, and may have experienced discrimination in both vocational and social situations. In addition, memory function may be affected by the presence of a significant mood disorder or other psychopathologic manifestations.…”

Section: Materials and Proceduresmentioning

confidence: 99%

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Quality of Life Perception in Patients With Intractable Epilepsy or Pseudoseizures

Breier¹,

Fuchs²,

Brookshire³

et al. 1998

Arch Neurol

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Objectives:To contrast and compare self-reported quality of life in patients with intractable epilepsy and pseudoseizures and to examine the relationship between selfreports and objective measures of cognitive functioning in both of these groups.Design: Case series using profile analysis and analysis of covariance.Setting: University epilepsy surgery program.Participants: Forty-three patients with intractable complex partial seizures of unilateral temporal lobe origin and 25 patients with pseudoseizures.Measures: Quality of Life in Epilepsy Inventory-89; neuropsychological tests assessing verbal memory, nonverbal memory, naming, and attention; and the Depression Scale (2) of the MMPI-2 (Minnesota Multiphasic Personality Inventory).Results: Patients with pseudoseizures described themselves as more limited in the physical health domain than ORIGINAL CONTRIBUTION

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Section: Materials and Proceduresmentioning

confidence: 99%

Section: Materials and Proceduresmentioning

confidence: 99%

Quality of Life Perception in Patients With Intractable Epilepsy or Pseudoseizures

Breier¹,

Fuchs²,

Brookshire³

et al. 1998

Arch Neurol

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“…Psychogenic seizures superficially resemble epileptic seizures, but are not physiologic in clinical appearance and are devoid of epileptic electrographic features (Liske and Forster, 1964). Psychogenic seizure patients commonly have psychological problems and organic brain dysfunction (reviewed in Roy, 1982; Gumnit and Gates, 1986; Lowman and Richardson, 1987), but there is no consensus regarding the extent to which emotional and neuropsychological problems characterize these individuals.…”

mentioning

confidence: 99%

Factors Affecting the Outcome of MMPI and Neuropsychological Assessments of Psychogenic and Epileptic Seizure Patients

Wilkus¹,

Dodrill

1989

Epilepsia

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The literature reveals conflicting information regarding the extent to which psychogenic seizure patients have emotional disorders and neuropsychological deficits as compared with patients with epileptic seizures. Among groups matched for numbers of subjects, age, sex, and years of education, we observed that patients who had solely psychogenic seizures with either a major component of affectual expression or relatively minor motor activity were more disturbed emotionally than epileptic patients with partial seizures. In contrast, the personality characteristics of psychogenic seizure patients whose attacks had either little affectual display or prominent motor expression could not be distinguished from those of epileptic patients with convulsive generalized seizures. Closely matched groups of patients with solely psychogenic seizures, partial seizures, or generalized seizures did not differ in neuropsychological performance. However, psychogenic seizure patients performed much better on neuropsychological measures than a less-well-educated, but otherwise matched group of patients with generalized epileptic seizures.

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“…Even now, medical systems are not foolproof and do not ensure instant health. I remember being involved early in my career in a prestigious medical school-based study about pseudoseizures (see Lowman & Richardson, 1987). In reviewing hundreds of electroencephalographic reports, it was amazing how often in this supposedly science-based discipline the conclusions drawn were inexact and inconclusive, in effect, “could be this, could be that.” So much for the precision and exactitude of medical science.…”

Section: Approaches To Diagnosismentioning

confidence: 99%

Importance of Diagnosis in Organizational Assessment: Harry Levinson's Contributions.

Lowman

2005

The Psychologist-Manager Journal

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This article reviews the role of organizational diagnosis in managerial and organizational consultative roles. The particular contributions of Harry Levinson are highlighted. The ways in which Levinson, a pioneering clinical psychologist of work and organizational issues and a pioneering psychologist-consultant, utilized and approached organizational diagnosis are reviewed. Methods of integrating these perspectives in the day-to-day work of psychologist-managers are discussed.Of course, it is possible to be a manager who is also a psychologist and who makes little use of psychological training and background in implementing the administrative role. To be a psychologist-manager, however, assumes that one applies expertise from one's psychological training and from the psychologist's role to the day-to-day work as a manager or leader (Lowman, 1997). Psychologist-managers need to be able to think in psychological, not just managerial, concepts and principles, whether working for organizations as managers or as consultants. Although psychologist-managers cannot be exclusively organizational diagnosticians and interventionists when they are serving in the managerial or leadership roles-that would create a role conflict (Lowman, 1998;Newman, Robinson-Kurpius, & Fuqua, 2002)-they can benefit from applying their psychological expertise to the managerial role and in thinking about their roles and responsibilities from the psychological, not just the managerial, perspective. Organizational diagnosis or assessment is part of this process. In this article, I highlight the contributions of one of the premiere organizational assessors and consultants, clinical and consulting

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Pseudoepileptic seizures of psychogenic origin: A review of the literature

Cited by 13 publications

References 90 publications

Quality of Life Perception in Patients With Intractable Epilepsy or Pseudoseizures

Quality of Life Perception in Patients With Intractable Epilepsy or Pseudoseizures

Factors Affecting the Outcome of MMPI and Neuropsychological Assessments of Psychogenic and Epileptic Seizure Patients

Importance of Diagnosis in Organizational Assessment: Harry Levinson's Contributions.

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