Dystonien |
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| Authors: | Harald Gündel Andres O. Ceballos-Baumann |
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| Affiliation: | Institut und Poliklinik für Psychosomatische Medizin, Psychotherapie und Medizinische Psychologie, Klinikum rechts der Isar, TU München, DE
Klinik und Poliklinik für Neurologie, Klinikum rechts der Isar, TU München, DE
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| Abstract: | A fruitless debate as to whether dystonias are an organic or psychogenic condition has dominated the scientific approach to psychiatric issues in dystonias. E.g., spasmodic torticollis (ST) was once considered “neurotic”, whereas today rather the notion of reactive psychiatric disorders in ST prevails. In our review current clinical and etiological findings in this area are presented focussed on spasmodic torticollis in order to discuss the extent and quality of psychiatric comorbidity as well as the interaction between psychological and somatic factors. Finally, typical clinical cases are presented and discussed within a multidimensional psychotherapeutic and a psychoanalytically-oriented treatment approach. |
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