Journal
CLINICAL CHILD PSYCHOLOGY AND PSYCHIATRY
Volume 18, Issue 1, Pages 137-150Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1359104512440079
Keywords
Catatonia; Depressive devitalisation; learned helplessness; Pervasive Refusal Syndrome
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A case is presented of an 11-year-old girl with pervasive refusal syndrome (PRS) who ultimately recovered acutely and completely after an 18-month paediatric hospitalisation. There was an apparent absence of previously proposed important aetiological factors in PRS, such as family pathology and markedly traumatic or abusive experiences, and her recovery was sudden and complete. The authors consider the differential diagnoses of PRS paying particular attention to the possibility of a conversion disorder or catatonia, given the absence of PRS in the North American literature. Consideration of catatonia is important as it has a diagnostic test and responds rapidly to appropriate treatment, in contrast to conventional treatment for PRS and conversion disorder.
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