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Psychosomatic Medicine, Vol 57, Issue 4 403-409, Copyright © 1995 by American Psychosomatic Society

ORIGINAL ARTICLES

Metaphor and meaning in conversion disorder: a brief active therapy

M Viederman
Department of Psychiatry, Cornell University Medical College, New York, New York, USA.

The concept of conversion disorder as a change in somatic function that symbolically represents an unconscious conflict is currently challenged in the literature. In this article, the author elaborates on the psychodynamic concept of conversion and defines its characteristics and mode of diagnosis. The usefulness of this approach is demonstrated in a detailed case presentation of a brief, active psychodynamic psychotherapy of six sessions that led to the rapid disappearance of symptoms. In particular, the metaphoric meanings of the physical symptoms were interpreted and followed by an immediate disappearance of symptoms. The logic of this therapeutic approach and its implications as a transference cure are discussed in detail.


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[Abstract] [PDF]


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Copyright © 1995 by the American Psychosomatic Society