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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




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’



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



Hysteria divided into two types:

    • Conversion Disorder
    • Dissociative Hysteria

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..



  • 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

  • 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)



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







Current health problem

in Malaysia