Annals of the Academy of Medicine, Singapore · 2007
Is there a place for placebo in management of psychogenic movement disorders?
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Lim Erle C H, Ong Benjamin K C, Seet Raymond C S
Аннотация
INTRODUCTION: The management of psychogenic movement disorders is fraught with difficulties. Empathy and a non-judgmental manner are essential in dealing with patients, and a neurobiological explanation of the symptoms may help to foster trust, acceptance, understanding and recovery.
CLINICAL PICTURE: We report a 17-year-old Chinese girl with psychogenic blepharospasm. Her parents refused psychotherapy and pharmacotherapy.
TREATMENT AND OUTCOME: Placebo therapy (with parental consent) was prescribed with favourable results.
CONCLUSION: We examine the ethical considerations for and against placebo therapy, and explore the role of placebo therapy in the management of psychogenic movement disorders.
CLINICAL PICTURE: We report a 17-year-old Chinese girl with psychogenic blepharospasm. Her parents refused psychotherapy and pharmacotherapy.
TREATMENT AND OUTCOME: Placebo therapy (with parental consent) was prescribed with favourable results.
CONCLUSION: We examine the ethical considerations for and against placebo therapy, and explore the role of placebo therapy in the management of psychogenic movement disorders.