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Azizul bin Salehudin Nurulraini binti Mohd Ramli. Hysteria…. from Greek word, hysterikos d escribe as a state of  mind , one of u nmanageable  fear  or  emotional  excesses more frequently in women than in men prevalence of approximately 2-3% of the general population

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Azizul bin salehudin nurulraini binti mohd ramli

Azizul bin Salehudin

NurulrainibintiMohdRamli

Hysteria…


  • from Greek word, hysterikos

  • describe as a state of mind, one of unmanageable fear or emotional excesses

  • more frequently in women than in men

  • prevalence of approximately 2-3% of the general population

  • patient experiences physical symptoms that have a psychological cause, rather than organic cause

  • people who are "hysterical" often lose self-control due to the overwhelming fear

  • it is however still medically unexplained

  • also called ‘somatoform disorder’

Introduction..


  • 31st January – 200 students of boarding school in Dungun, Terengganu

  • 14th April – 15 students and a teacher of a secondary school in Seremban, Negeri Sembilan

  • 24th April – 13 students of a secondary school in Taiping, Perak

  • 19th June – 30 students of a boarding school in Cheras, Kuala Lumpur

  • 17th July – 10 students of a secondary school in NibongTebal, Perak

  • 24th July – 35 students of a secondary school in Kuantan, Pahang

  • 4th August – 12 students of a motivation camp in TelukIntan, Perak

  • 7th August – A female student of a secondary school in Subang Jaya, Selangor

  • 8th August – 15 students of a secondary school in Kuching, Sarawak

  • 8th August – 11 students of a secondary school in Kuantan, Pahang

  • 28th August – 8 students of a secondary school in Kuantan, Pahang

Chronology..



  • more common in Westerncountries

  • Symptoms :

    • body paralyzed, blind, deaf and dumb, although in fact they don’t have these problems

    • include somatization disorder, chronic pain disorder, hypochondriasis, and body dysmorphic disorder

  • Common causes :

    • conflict and trauma from past experiences (rape, murder, fatal accident)

Conversion Disorder..



  • includes amnesticfugue states (state of mind characterized by abandonment of personal identity, along with the memories,personality and other identifying characteristics of individuality)

  • disturbance or alteration in the normally integrative functions of identity, memory, or consciousness

  • common in Malaysia, Brunei, Indonesia, Thailand and Zambia.

  • in Malaysia, in 1980s many cases been reported but it began to decrease in 1990s. In 2008, rapid increase of cases.

  • usually happen to children and teenagers

  • highest cases in boarding school, factory, motivation camp, and orientation week in school, college and university

  • syndrome typically began with one girl and rapidly spread to other girls – mass hysteria

  • for most subjects, symptoms resolved within one hour

Dissociative Hysteria..


Symptoms..

  • rapidly changing emotions

  • anesthesia (lack of feeling)

  • hallucination

  • screaming/shouting

  • crying and raving

  • abnormal strength and aggressive behavior

  • seizures, loss of self control

  • partial loss in consciousness

  • fainting

  • amnesia for entire episode


  • caused by multiple events in one's past that involved some sort of severe conflict

  • family history

  • excessive fear of ghost & superstition

  • extremetiredness

    • factory–exhausted and lack of time to rest

  • uncontrolled pressure/ stress:

    • school– near examination period, due to excessive pressure and high expectation from family and teachers

    • boarding school – strict rules and difficulty to adapt with rules

    • orientation week – difficult to adapt with new environment, packed schedules, exhausted and homesick

Common Causes..


  • patient interview sort of severe

  • modern techniques to assess the patient for hysterical tendencies, such as the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) or the Millon Clinical Multiaxial Inventory-III (MCMI-III)

Diagnosis..


  • keep hysteria patient away from other people – to avoid mass hysteria

  • counseling session

  • continuous support from people surround them

  • regular appointments with a physician 

  • psychotherapy may be attempted to help the patient gain confidence into the cause of their conflict/distress

  • behavioral therapy can help to avoid reenforcing symptoms

  • therapy based on the patients’ belief/religion

Treatments..


  • http://www.myhealth.gov.my/myhealth/bm/template.jsp?showMe=6&storyid=1220847518062http://www.myhealth.gov.my/myhealth/bm/template.jsp?showMe=6&storyid=1220847518062

  • https://scholarsbank.uoregon.edu/xmlui/bitstream/handle/1794/1612/Diss_8_3_2_OCR.pdf;jsessionid=2B8BB85BA6301AEEA8383F51D9F54D21?sequence=1

  • http://www.bharian.com.my/Current_News/BH/Sunday/Bmdua/20080907094245/Article/index_html

  • http://en.wikipedia.org/wiki/Somatoform_disorder

  • http://en.wikipedia.org/wiki/Hysteria

  • http://www.bnet.com/

References..


IJOY & RAINI http://www.myhealth.gov.my/myhealth/bm/template.jsp?showMe=6&storyid=1220847518062

08/09

Current health problem

in Malaysia


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