A Woman Patient with Conversion Disorder in Psychotherapy: From the Perspective of Self Psychology

Translated Titles



陳宏茂(Horng-Maw Chen);張凱理(Kelly Chang);鍾明勳(Ming-Shun Chung)

Key Words

Conversion disorder ; psychotherapy ; self psychology ; selfobject ; 轉化症 ; 心理治療 ; 自體心理學 ; 自體客體



Volume or Term/Year and Month of Publication

31卷2期(2017 / 06 / 01)

Page #

170 - 176+v

Content Language


Chinese Abstract

Background: Conversion disorder presents itself with symptoms suggesting a neurological disorder although they are incompatible to any recognized neurological or medical condition. Evidences of mechanism of etiology and restoration are limited. We presented a case for possible mechanism of restoration from the perspective of self psychology. The Study Subject: We reviewed the chart of a 31-year-old single woman suffering from seizures for two years, who was diagnosed as conversion disorder. She was referred to psychiatric clinic and received self psychology-oriented individual psychotherapy. Therapeutic Process and Formulation: The interaction between patient and therapist formed new self experience, which would have integrated with past self experience and improve self cohesiveness. The seizures were gradually subsided after about ten-month psychotherapy without the use of any anti-epileptic drugs. Conclusion: With empathy, there would be formation of selfboject which could connect with the emotion isolated by conversion. The individual could finally face his/her emotion and the conversion would not be presented.

English Abstract


Topic Category 醫藥衛生 > 社會醫學
  1. American Psychiatry Association(2013).Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).Arlington, Virginia, USA:American Psychiatry Association.
  2. Bateman, A,Fonagy, P(2013).Mentalization-based treat- ment.Psychoanal Inq,33,595-613.
  3. Blaney, PH(ed.),Million, T(ed.)(2009).Oxford Textbook of Psychopathology.New York:Oxford University Press.
  4. Brown, RJ,Reuber, M(2016).Psychological and psychiatric aspects of psychogenic non-epileptic seizures (PNES): a systematic review.Clin Psychol Rev,45,157-182.
  5. Ensink, K,Bégin, M,Normandin, L,Godbout, N,Fonagy, P(2016).Mentalization and dissociation in the con- text of trauma: Implications for child psychopathol- ogy.J Trauma Dissoc,12,1-20.
  6. Fonagy, P(2001).Attachment Theory and Psychoanalysis.New York:Other Press.
  7. Hales, RE(ed.),Yudofsky, SC(ed.),Roberts, LW(ed.)(2014).The American Psychiatric Publishing Textbook of Psychiatry.Washington DC:American Psychiatric Publishing.
  8. Kohut, H(1977).The Restoration of the Self.New York:International University Press.
  9. Lee, RR,Martin, JC(1991).Psychotherapy after Kohut: A Textbook of Self Psychology.Hillsdale:The Analytic Press.
  10. Sadock, BJ(ed.),Sadock, VA(ed.),Ruiz, P(ed.)(2014).Kaplan & Sadock's Synopsis of Psychiatry.Philadelphia:Lippincott Williams & Wilkins.