DSM+II+1968

40 MENTAL DISORDERS
anosmia, anaesthesias, paraesthesias, paralyses, ataxias, akinesias,
and dyskinesias. Often the patient shows an inappropriate lack of
concern or belle indifference about these symptoms, which may
actually provide secondary gains by winning him sympathy or
relieving him of unpleasant responsibilities. This type of hysterical
neurosis must be distinguished from psychophysiologic disorders,
which are mediated by the autonomic nervous system; from malingering,
which is done consciously; and from neurological lesions,
which cause anatomically circumscribed symptoms.
300.14* Hysterical neurosis, dissociative type*
In the dissociative type, alterations may occur in the patient's state
of consciousness or in his identity, to produce such symptoms as
amnesia, somnambulism, fugue, and multiple personality.
300.2 Phobic neurosis
This condition is characterized by intense fear of an object or situation
which the patient consciously recognizes as no real danger to
him. His apprehension may be experienced as faintness, fatigue, palpitations,
perspiration, nausea, tremor, and even panic. Phobias are
generally attributed to fears displaced to the phobic object or situation
from some other object of which the patient is unaware. A wide
range of phobias has been described.
300.3 Obsessive compulsive neurosis
This disorder is characterized by the persistent intrusion of unwanted
thoughts, urges, or actions that the patient is unable to stop. The
thoughts may consist of single words or ideas, ruminations, or trains
of thought often perceived by the patient as nonsensical. The actions
vary from simple movements to complex rituals such as repeated
handwashing. Anxiety and distress are often present either if the
patient is prevented from completing his compulsive ritual or if he is
concerned about being unable to control it himself.
300.4 Depressive neurosis
This disorder is manifested by an excessive reaction of depression
due to an internal conflict or to an identifiable event such as the loss
of a love object or cherished possession. It is to be distinguished from
Involutional melancholia (q.v.) and Manic-depressive illness (q.v.).
Reactive depressions or Depressive reactions are to be classified here.
300.5 Neurasthenic neurosis ((Neurasthenia))
This condition is characterized by complaints of chronic weakness,