Table 2.
Psychiatrists’ Views on the Nature of Conversion Disorder
| N (%) | |
|---|---|
| Do you see the aetiology of conversion disorder as involving: | |
| Disordered functioning of the nervous system | 3 (2) |
| Psychogenesis | 57 (31) |
| Disordered functioning of the nervous system plus psychogenesis | 115 (63) |
| Feigning | 3 (2) |
| Unknown or other | 5 (3) |
| What is the relationship of conversion disorder to feigning? | |
| Overlap | 102 (56) |
| Completely distinct | 52 (28) |
| Feigning a subset of conversion | 25 (14) |
| Conversion a subset of feigning | 3 (2) |
| Do you think you have a sufficient model for conversion disorder in general? | |
| Yes | 103 (56) |
| No | 79 (43) |
| Do you think with enough time and a compliant patient, a psychosocial explanation could be found for a case of conversion disorder? | |
| Never | 0 (0) |
| Rarely | 12 (7) |
| Often | 79 (43) |
| Usually | 83 (45) |
| Always | 9 (5) |
| How often can you find a psychosocial explanation for a patient’s symptoms in practice? | |
| Never | 1 (<1) |
| Rarely | 14 (8) |
| Often | 96 (52) |
| Usually | 66 (36) |
| Always | 6 (3) |
| What proportion of your patients referred with unexplained neurological symptoms do you think are feigning? | |
| None | 37 (20) |
| A few | 140 (76) |
| Many | 3 (2) |
| Most or all of them | 1 (<1) |
| Do you understand conversion disorder to be neurological, in the same way that multiple sclerosis is neurological? | |
| Yes | 14 (8) |
| Not now, but I expect to one day | 67 (37) |
| No, and I expect I never will | 99 (54) |