Am J Psychiatry 1976; 133:1414-1418
Copyright © 1976 by American Psychiatric Association
An interpersonal approach to hysteria
D Celani
The author defines hysteria in terms of specific observable classes of
interpersonal behaviors and examines the impact of these behaviors on the
receiver. The hysteric communicates frailty and helplessness, thus
structuring the interpersonal environment to ensure attention and inhibit
aggression. The development of these roles is shown in histories of female
hysterics, who were selectively reinforced for frailty, seductiveness, and
passivity as children. The major classes of symptoms shown by adult
hysterics--conversion symptoms and dissociative reactions--reflect these
interpersonal roles. The author concludes that hysteria is a relatively
specific interpersonal style that results from cultural, social, and
interpersonal influences.