Demographic and seizure variables, but not hypnotizability or dissociation, differentiated psychogenic from organic seizures

Journal of Trauma and Dissociation

Volumn 1, Issue 4, 2001, Pages 99-122

  Litwin, Richard ^a   Cardeña, Etzel ^b  

^a In Private Practice   (United Kingdom)

^b UNIVERSITY OF TEXAS PAN AMERICAN   (United States)

Author keywords

Conversion; Dissociation; Epilepsy; Pseudoseizures

Indexed keywords

EID: 0842298577     PISSN: 15299732     EISSN: 15299740     Source Type: Journal    
DOI: 10.1300/J229v01n04_06     Document Type: Article

References (85)

1. Alper, K., Devinsky, O., Perrine, K., Luciano, D., Vasquez, B., Pacia, S., & Rhee, E. (1997). Dissociation in epilepsy and conversion nonepileptic seizures. Epilepsia 38, 991-997.
2. Alper, K., Devinsky, O., Perrine, K., Vasquez, B., & Luciano, D. (1993). Nonepileptic seizures and childhood sexual and physical abuse. Neurology 43, 1950-1953.
3. American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders. (3rd ed.). Washington, DC: Author.
4. Arnold, L. M., & Privitera, M. D. (1996). Psychopathology and trauma in epileptic and psychogenic seizure patients. Psychosomatics 37, 438-443.
5. Barry, J. J., & Atzmon, O. (2000). Use of hypnosis to differentiate epileptic from non-epileptic events. In Gates, J.R. & Rowan, A.J. (eds.), Non-epileptic seizures (2nd ed.) Boston: Butterworth Heinemann.
6. Bernstein, E. M., & Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale. Journal of Nervous and Mental Disease 174, 727-735.
7. Betts, T., & Boden, S. (1992). Diagnosis, management and prognosis of a group of 128 patients with non-epileptic attack disorder. Part II. Previous childhood sexual abuse in the aetiology of these disorders. Seizure 1, 27-32.
8. Betts, T., & Duffy, N. (1993). Non-epileptic attack disorder (pseudoseizures) and sexual abuse: A review. In Gram, L., Johannessen, S.I., Osterman, P.O. & Sillan-paa, M. (eds). Pseudo-epileptic seizures. Petersfield, UK: Wrightson Biomedical Publishing.
9. Binder, L. M., Kindermann, S. S., Heaton, R. K., & Salinsky, M. C. (1998). Neuropsychologic impairment in patients with nonepileptic seizures. Archives of Clinical Neuropsychology 13, 513-522.
10. Bowman, E. S. (1993). Etiology and clinical course of pseudoseizures: Relationship to trauma, depression and dissociation. Psychosomatics 34, 333-342.
11. Bowman, E. S. (1998). Pseudoseizures. Psychiatric Clinics of North America 21, 649-657.
12. Bowman, E. S., & Coons, P. (2000). The differential diagnosis of epilepsy, pseudo-seizures, dissociative identity disorder, and dissociative disorder not otherwise specified. Bulletin of the Menninger Clinic 64, 164-180.
13. Bowman, E. S., & Markand, O. N. (1996). Psychodynamic and psychiatric diagnoses of pseudoseizure subjects. American Journal of Psychiatry 153, 57-63.
14. Bowman, E. S., & Markand, O. N. (1999). A study of the contribution of life events to pseudoseizure occurrence in adults. Bulletin of the Menninger Clinic 63, 70-88.
15. Breier, J. I., Fuchs, K. L., Brookshire, B. L., Wheeles, J., Thomas, A., Constantinou, J., & Willmore, L. J. (1998). Quality of life perception in patients with intractable epilepsy or pseudoseizures. Archives of Neurology 55, 660-665.
16. Breslau, N., & Davis, G. C. (1992). Posttraumatic stress disorder in an urban population of young adults: Risk factors for chronicity. American Journal of Psychiatry 149, 671-675.
17. Brunner, R., Parzer, P., Schuld, V., & Resch, F. (2000). Dissociative symptomatology and traumatogenic factors in adolescent psychiatric patients. Journal of Nervous and Mental Disease 188, 71-77.
18. Bryant, R.A. (1995). Fantasy proneness, reported childhood abuse, and the relevance of reported abuse onset. International Journal of Clinical and Experimental Hypnosis 43, 184-193.
19. Caballo, V. E. & Cardeña, E. (1997). Sex differences in the perception of stressful life events: Some implications for the Axis IV of DSM-IV. Journal of Personality and Individual Differences 23, 353-359.
20. Cardeña, E. (1994). The domain of dissociation. In Lynn, S.J. &. Rhue, J.W. (eds.) Dissociation: Clinical, theoretical, and research perspectives. New York: Guil-ford.
21. Cardeña, E., Lewis-Fernández, R., Beahr, D., Pakianathan, I., & Spiegel, D. (1996). Dissociative disorders. In Widiger, T.A., Frances, A.J., Pincus, H. J., Ross, R., First, M.B., & Davis, W.W. (eds.) Sourcebook for the DSM-IV. Vol. II. Washington, DC: American Psychiatric Press.
22. Cardeña, E., & Litwin, R. (2000). Phenomenology of seizure among patients with PNES and ES. Unpublished raw data.
23. Cardeña, E., Lynn, S. J., & Krippner, S. (2000). Varieties of anomalous experience: Examining the scientific evidence. Washington, DC: American Psychological Association.
24. Cardeña, E. & Spiegel, D. (1991). Dissociative reactions to the Bay Area earthquake. CME Syllabus and Proceedings Summary of the 144th Annual Meeting of the American Psychiatric Association.
25. Cardeña, E., & Spiegel, D. (1996). Diagnostic issues, criteria and comorbidity of dissociative disorders. In Michelson, L., & Ray, W.J. (eds.), Handbook of dissociation. New York: Plenum.
26. Carlson, E., & Armstrong, J. (1994). The diagnosis and assessment of dissociative disorders. In Lynn, S. J. & Rhue, J.W. (eds.). Dissociation (pp. 159-174). New York: Guilford.
27. Coons, P. M. (1994). Confirmation of childhood abuse in child and adolescent cases of multiple personality and dissociative disorders not otherwise specified. Journal of Nervous and Mental Disease, 182, 461-464.
28. Derogatis, L.R. (1977). SCL-90: Administration, scoring, and procedures manual-I for the R(evised) version and other instruments of the psychopathology rating scale series. Baltimore: Clinical Psychometric Research Unit, John Hopkins University School of Medicine.
29. Devinsky, O., & Paraiso, J. O. (2000). Unusual epileptic events and non-epileptic seizures: Differential diagnosis and coexistence. In Gates, J.R. & Rowan, A.J. (eds.) Non-epileptic seizures. (2nd ed.) Boston: Butterworth Heinemann.
30. Finkelhor, D. & Barron, L. (1986). Risk factors for childhood sexual abuse. Journal of Interpersonal Violence 1, 43-71.
31. Gates, J. R., Ramani, V., Whalen, S., & Loewenson, R. (1985). Ictal characteristics of pseudoseizures. Archives of Neurology 42, 1183-1187.
32. Gates, J. R., & Rowan, A. J. (2000). Non-epileptic seizures. (2nd ed.). Boston: Butterworth Heinemann.
33. Gold, J., & Cardeña, E. (1993, August). Sexual abuse and combat-related trauma: Psychometric and phenomenological resemblance. Paper presented at the 101st Annual Convention of the American Psychological Association, Toronto, Canada.
34. Griffith, J. L., Polles, A., & Griffith, M. E. (1998). Pseudoseizures, families, and unspeakable dilemmas. Psychosomatics 39, 144-153.
35. Gross, M. (1983). The clinical diagnosis of psychogenic seizures. In Gross, M. (ed.) Pseudoepilepsy: The clinical aspects of false seizures. Lexington, MA: Lexington Books.
36. Hesse, E., & Van Ijzendoorn, M.H. (1998). Parental loss of close family members and propensities towards absorption in offspring. Developmental Science 1, 299-305.
37. Hilgard, E. R., & Hilgard, J. R. (1975). Hypnosis in the relief of pain. Los Altos, CA: Kaufmann.
38. Hilgard, J. R. (1979). Personality and hypnosis: A study of imaginative involvement (2nd ed.). Chicago: University of Chicago Press.
39. Hoogduin, K., & Van Dyck, R. (1992). Open trial with patients with conversion paralysis: Results and follow-up. In Bongartz, W., Gheorgiu, V.A., & Bongartz, B. (eds.). Hypnosis: 175 years after Mesmer. Konstanz, Germany: Universitätsverlag.
40. Janet, P. (1965). The major symptoms of hysteria. New York: Hafner Publishing Company. (Originally published 1907)
41. Kihlstrom, J. F. (1994). One hundred years of hysteria. In Lynn, S.J. & Rhue, J.W. (eds.) Dissociation: Theoretical, clinical, and research perspectives. New York: Guilford Press.
42. Kirmayer, L. J., & Taillefer, S. (1997). Somatoform disorders. In Turner, S.M., & Hersen, M.S. (eds.) Adult psychopathology and diagnosis (3rd ed.). New York: Wiley.
43. Koopman, C., Classen, C., & Spiegel, D. (1996). Dissociative responses in the immediate aftermath of the Oakland/Berkeley firestorm. Journal of Traumatic Stress 9, 521-540.
44. Kuyk, J., Jacobs, L. D., Aldenkamp, A. P., Meinard, H., Spinhoven, P., & Van Dyck, R. (1995). Pseudo-epileptic seizures: Hypnosis as a diagnostic tool. Seizure 4, 123-128.
45. Kuyk, J., Leitjen, F., Meinard, H., Spinhoven, P., & Van Dyck, R. (1997). The diagnosis of psychogenic non-epileptic seizures: A review. Seizure, 6, 243-253.
46. Kuyk, J., Spinhoven, P., & Van Dyck, R. (1999). Hypnotic recall: A positive criterion in the differential diagnosis between epileptic and pseudo-epileptic seizures. Epilepsia 40, 485-491.
47. Kuyk, J., Spinhoven, P., Van Emde Boas, W., & Van Dyck, R. (1999). Dissociation in temporal lobe epilepsy and pseudo-epileptic seizure patients. Journal of Nervous and Mental Disease 187, 713-720.
48. Kuyk, J., Van Dyck, R., & Spinhoven, P. (1996). The case for a dissociative interpretation of pseudoepileptic seizures. Journal of Nervous and Mental Disease 184, 468-474.
49. Lempert, T., & Schmidt, D. (1990). Natural history and outcome of psychogenic seizures: A clinical study in 50 patients. Journal of Neurology 237, 35-38.
50. Lesser, R. P. (1985). Psychogenic seizures. In Pedley, T.A. & Meldrum, B.S. (eds.). Recent advances in epilepsy. Edinburgh: Churchill Livingston.
51. Lynn, S. J., & Rhue, J. W. (1988). Fantasy proneness: Hypnosis, developmental antecedents, and psychopathology. American Psychologist 43, 35-44.
52. Martin, R. L., & Gates, J. R. (2000). Nosology, classification, and differential diagnosis of non-epileptic seizures: An alternative proposal. In Gates, J.R. & Rowan, A.J. (Eds.) Non-epileptic seizures. (2nd ed.). Boston: Butterworth Heinemann.
53. Meierkord, H., Will, B., Fish, D., & Shorvon, S. (1991). The clinical features and prognosis of pseudoseizures diagnosed using video-EEG telemetry. Neurology, 41, 1643-1646.
54. Moeller, T. P., Bachmann, G. A., & Moeller, J. R. (1993). The combined effects of physical, sexual, and emotional abuse during childhood: Long-term health consequences for women. Child Abuse & Neglect 17, 623-640.
55. Nemiah, J. (1991). Dissociation, conversion, and somatization. In Tasman, A. & Goldfinger, S.M. (eds.) American Psychiatric Press Review of Psychiatry (Vol. 10). Washington, DC: American Psychiatric Press.
56. Nijenhuis, E.R.S., Spinhoven, P., Van Dyck, R., Van der Hart, O., & Vanderlinden, J. (1996). The development and the psychometric characteristics of the Somatoform Dissociation Questionnaire (SDQ-20). Journal of Nervous and Mental Disease 184, 688-694.
57. Oakley, D. (1999). Hypnosis and conversion hysteria: A unifying model. Cognitive Neuropsychiatry 4, 243-265.
58. Peterson, D. B., Sumner, J. W., & Jones, G. A. (1950/51). Role of hypnosis in differentiation of epileptic from convulsive-like seizures. American Journal of Psychiatry 26, 114-123.
59. Putnam, F. W., & Carlson, E. B. (1998). Hypnosis, dissociation, and trauma: Myths, metaphors, and mechanisms. In Bremner, J.D. & Marmar, C.R. (eds.), Trauma, memory, and dissociation. Washington, DC: American Psychiatric Press.
60. Rauschenberg, S. L., & Lynn, S. J. (1995). Fantasy proneness, DSM-III-R Axis I psychopathology, and dissociation. Journal of Abnormal Psychology 104, 373-380.
61. Roche, S. M., & McConkey, K. M. (1990). Absorption: Nature, assessment, and correlates. Journal of Personality and Social Psychology 59, 91-101.
62. Ross, C.A., Heber, S., Norton, G.R., Anderson, D., Anderson, G., & Barcher, P. (1989). The dissociative disorders interview: A structured interview. Dissociation 2, 169-189.
63. Scott, D. E. (1982). Recognition and diagnostic aspects of non-epileptic seizures. In Riley, T.L. & Roy, A. (eds.) Pseudoseizures. Baltimore: Williams & Wilkins.
64. Snyder, S. L., Rosenbaum, D. H., Rowan, A. J., & Strain, J. J. (1994). SCID diagnosis of panic disorder in psychogenic seizure patients. Journal of Neuropsychiatry 6, 261-266.
65. Spiegel, H., & Spiegel, D. (1978). Trance and treatment: Clinical uses of hypnosis. New York: Basic Books.
66. Springer, S. P., & Deutsch, G. (1993). Left brain, right brain (3rd ed.). New York: Freeman.
67. Standage, K. F. (1975). The etiology of hysterical seizures. Canadian Psychiatric Association Journal 20, 67-73.
68. Stein, M. B., Walker, J. R., & Forde, D. R. (2000). Gender differences in susceptibility to posttraumatic stress disorder. Behavioral Research and Therapy 38, 619-628.
69. Steinberg, M. (1994). Structured Clinical Interview for DSM-IV Dissociative Disorders-Revised (SCID-D-R). Washington, DC: American Psychiatric Press.
70. Tellegen, A. (1982). Brief Manual for the Multidimensional Personality Question-naire. Unpublished manuscript. University of Minnesota, Department of Psychology, Minneapolis.
71. Tellegen, A., & Atkinson, G. (1974). Openness to absorbing and self-altering experiences (“absorption”), a trait related to hypnotic susceptibility. Journal of Abnormal Psychology 83, 268-277.
72. Terr, L. C. (1991). Childhood traumas: An outline and overview. American Journal of Psychiatry 148, 10-20.
73. Tojek, T. M., Lumley, M., Barkley, G., Mahr, G., & Thomas, A. (2000). Stress and other psychosocial characteristics of patients with psychogenic nonepileptic seizures. Psychosomatics 41, 221-226.
74. Vanderlinden, J., Van Dyck, R., Vandereycken, W., Vertommen, H., & Verkes, R. J. (1993). The Dissociation Questionnaire: Development and characteristics of a new self-reporting questionnaire. Clinical Psychology and Psychotherapy 1, 21-27.
75. Van Merode, T, de Krom, M.C., & Knottnerus, J. A. (1997). Gender-related differ-ences in non-epileptic attacks: A study of patients’ cases in the literature. Seizure 6, 311-316.
76. Volow, M. R. (1986). Pseudoseizures: An overview. Southern Medical Journal 79, 600-607.
77. Walczak, T. S., & Bogolioubov, A. (1996). Weeping during psychogenic nonepileptic seizures. Epilepsia 37, 208-210.
78. Waller, N. G., Putnam, F. W., & Carlson, E. B. (1996). Types of dissociation and dissociative types: A taxometric analysis of dissociative experiences. Psychological Methods 3, 300-321.
79. Widom, C. S. (1997). Accuracy of adult recollections of early childhood abuse. In J. D. Read, J.D., & Lindsay, D.S. (eds.) Recollections of trauma. New York: Plenum.
80. Wilkus, R. J., Dodrill, C. B., & Thompson, P. M. (1984). Intensive EEG monitoring and psychological studies of patients with pseudoepileptic seizures. Epilepsia 25, 100-107.
81. Wilson, S. C., & Barber, T. X. (1981). Vivid fantasy and hallucinatory abilities in the life histories of excellent hypnotic subjects (“somnambules”): Preliminary report with females subjects. In Klinger, J. (ed.). Imagery: Vol. 2. Concepts, results and applications. New York: Plenum.
82. World Health Organization. (1992). International Statistical Classification of Diseases and Related Health Problems, edition 10. Geneva: World Health Organization.
83. Wroe, S. J., Henlen, R., John, R., & Richens, A. (1989). The clinical value of serum prolactin measurements in the differential diagnosis of complex partial seizures. Epilepsy Research 3, 248-252.
84. Wyler, A. R., Richey, E. T., & Hermann, B. P. (1989). Comparison of scalp to subdural recordings for localizing epileptogenic foci. Journal of Epilepsy 2, 91-96.
85. Wyllie, E., Friedman, D., Lüders, H., Morris, H., Rothner, D., & Turnbull, J. (1991). Outcome of psychogenic seizures in children and adolescents compared with adults. Neurology 41, 742-744.