Visual Conversion Reaction in Children. I. Diagnosis

Rada, Richard T.; Meyer, George G.; Krill, Alex E.

doi:10.1016/s0033-3182(69)71787-x

Cited by 29 publications

(17 citation statements)

References 18 publications

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“…This is comparable to other studies. 3,7,11 There was a variety of presenting complaints, the most common of which was poor or blurry vision. Some children were referred because they failed vision screening.…”

Section: Discussionmentioning

confidence: 99%

“…3,6,7,[11][12][13] For example, Yasuna 3 studied 26 children who were mistakenly diagnosed with amblyopia. He concluded that many of these children had a pathologic pattern of school and home adjustment difficulties; however, he did not give details of his observations.…”

mentioning

confidence: 99%

“…In another study, a conversion type of psychoneurotic disorder was found in 11 of 20 children. 11 A psychiatrist felt that in nine patients the reactions were secondary, and in two patients the reactions were primary. The remainder of the 20 children all showed anxiety, depressive anxiety, or psychoneurotic disorders, and 7 were felt to have a hysterical personality.…”

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confidence: 99%

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Prevalence of psychosocial disturbances in children with nonorganic visual loss

Taich

Crowe

Kosmorsky

et al. 2004

Journal of American Association for Pediatric Ophthalmology and

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Prevalence of psychosocial disturbances in children with nonorganic visual loss

Taich

Crowe

Kosmorsky

et al. 2004

Journal of American Association for Pediatric Ophthalmology and

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“…Rada et al [11] have considered psychiatric histories which predict an unfavorable prognosis for hysterical patients. Surveying the histories of 20 children with hysterical visual symptoms, Rada et al [11] conclude that '(1) a wide variety of predisposing factors, biologic, intrapsychic, and environmental, influence the development of visual conversion reaction, and (2) visual conversion reaction represents the use of the eye as a target organ for the expression of a variety of nonspecific conflicts rather than for the expression only of a specific type of conflict'.…”

Section: Discussionmentioning

confidence: 99%

“…Surveying the histories of 20 children with hysterical visual symptoms, Rada et al [11] conclude that '(1) a wide variety of predisposing factors, biologic, intrapsychic, and environmental, influence the development of visual conversion reaction, and (2) visual conversion reaction represents the use of the eye as a target organ for the expression of a variety of nonspecific conflicts rather than for the expression only of a specific type of conflict'. In their survey of 20 child patients, Rada et al [11] have failed to identify a specific psychiatric diagnosis which predicts an unfavorable prognosis.…”

Section: Discussionmentioning

confidence: 99%

Visual impairment in hysteria

1992

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We have reviewed the charts of 45 neuro-ophthamological patients diagnosed with 79 monocular visual field or visual acuity losses secondary to non-organic etiology. Our aim was to determine the percentage of patients that have improvement in vision. As part of the protocol, all patients had magnetic resonance images, pattern visual evoked potentials, and flash electroretinography in addition to complete neuro-ophthalmological examinations. A single physician performed both the initial and follow-up examinations of all patients. Thirty-three percent of these patients had visual field defects only, 62% had both visual field defects and visual acuity defects, and 5% had only visual acuity defects. After organic disease was ruled out, all were given a timetable for recovery and clear reassurance regarding their prognoses for visual recovery. Seventy-eight percent of these patients showed improvement or were normal, while 22% showed no improvement. Younger patients without obvious psychiatric disorder had better prognoses than older patients.

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