• Gen Hosp Psychiatry · Sep 1993

    Case Reports

    Is there a relationship between reflex sympathetic dystrophy and helplessness? Case reports and a hypothesis.

    • B Van Houdenhove and G Vasquez.
    • University Psychiatric Center, Pellenberg, K.U. Leuven, Louvain, Belgium.
    • Gen Hosp Psychiatry. 1993 Sep 1; 15 (5): 325-9.

    AbstractFive case reports that illustrate the possible contribution of psychological factors in the etiopathogenesis of reflex sympathetic dystrophy (RSD) are presented. All five patients at the time of physical trauma were confronted with a significant loss that either accidentally coincided with the trauma, or was related to the experience of the trauma itself. The patients' reaction to the loss was invariably characterized by helplessness. A biopsychosocial hypothesis which considers the possible role of psychophysiological and behavioral aspects of helplessness in the precipitation, maintenance, and/or enhancement of RSD is outlined.

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