— 心理社會完整性 · HARD · MCQ —
一位患有轉化障礙（Conversion disorder）的個案，護理師預期會觀察到什麼症狀？
A nurse is assessing a client with conversion disorder. Which manifestation is expected?
- ASelf-inflicted symptoms to take on a sick role.自傷症狀以扮演病人角色
- BLoss of sensory or motor function without physical cause.✓ 正解無生理原因的感官或運動功能喪失
- CIntentional production of false symptoms for external gain.故意製造虛假症狀以獲取外在利益
- DExcessive worry about having a serious illness.對罹患嚴重疾病的過度擔憂
— Explanation · 中文詳解 —
轉化障礙涉及心理衝突轉化為身體症狀（如失明、癱瘓），但檢查無器質性病變。B 是疾病焦慮症；C 是孟喬森症候群（Munchausen syndrome）；D 是詐病（Malingering），有明顯外在動機。轉化障礙個案常表現出「平靜冷淡」（la belle indifférence）的態度。
Conversion disorder involves the transformation of psychological conflict into physical symptoms (such as blindness or paralysis), but examination shows no organic disease. D describes illness anxiety disorder; A describes Munchausen syndrome; C describes malingering, which involves clear external motives. Clients with conversion disorder often display 'la belle indifference,' a calm and detached attitude toward their symptoms.
✦ 台美臨床差異
美國心理衛生專業對轉化障礙的定義極嚴格，需排除所有偽裝可能性；台灣在診斷上有時會將此類症狀歸類為慮病相關，後續處理差異不大。