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      Conversion Disorder : A Review Through the Prism of the Rational-Choice Theory of Neurosis

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          Abstract

          Conversion disorder remains a mystery that has only become more complicated with the decline of the scientific status of psychoanalysis (e.g., Piper, Lillevik, & Kritzer, 2008; Rofé, 2008) and recent neurological findings suggest that this behavior is controlled by biological mechanisms (van Beilen, Vogt, & Leenders, 2010). Moreover, existing theories have difficulty explaining the efficacy of various interventions, such as psychoanalysis, behavior therapy, drug therapy and religious therapy. This article reviews research and clinical evidence pertaining to both the development and treatment of conversion disorder and shows that this seemingly incompatible evidence can be integrated within a new theory, the Rational-Choice Theory of Neurosis (RCTN; Rofé, 2010). Despite the striking differences, RCTN continues Freud's framework of thinking as it employs a new concept of repression and replaces the unconscious with self-deception. Moreover, it incorporates Freud's idea, implicitly expressed in his theory, that neurotic disorders are, in fact, rational behaviors.

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          Telling more than we can know: Verbal reports on mental processes.

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            A perspective on judgment and choice: mapping bounded rationality.

            Early studies of intuitive judgment and decision making conducted with the late Amos Tversky are reviewed in the context of two related concepts: an analysis of accessibility, the ease with which thoughts come to mind; a distinction between effortless intuition and deliberate reasoning. Intuitive thoughts, like percepts, are highly accessible. Determinants and consequences of accessibility help explain the central results of prospect theory, framing effects, the heuristic process of attribute substitution, and the characteristic biases that result from the substitution of nonextensional for extensional attributes. Variations in the accessibility of rules explain the occasional corrections of intuitive judgments. The study of biases is compatible with a view of intuitive thinking and decision making as generally skilled and successful.
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              Heart and Mind in Conflict: the Interplay of Affect and Cognition in Consumer Decision Making

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                Author and article information

                Journal
                EJOP
                Eur J Psychol
                Europe's Journal of Psychology
                Eur. J. Psychol.
                PsychOpen
                1841-0413
                29 November 2013
                : 9
                : 4
                : 832-868
                Affiliations
                [a ]Interdisciplinary Department for Social Sciences, Bar-Ilan University, Ramat-Gan, Israel
                [b ]Ashkelon Academic College, Ashkelon, Israel
                [3]Bangor University, Bangor, United Kingdom
                Author notes
                [* ]Ashkelon Academic College, Ashkelon, Israel. rofeja@ 123456mail.biu.ac.il
                Article
                ejop.v9i4.621
                10.5964/ejop.v9i4.621
                737424bb-3295-4192-8e3f-79730536749e
                Copyright @

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 30 April 2013
                : 28 July 2013
                Categories
                Theoretical Contributions

                Psychology
                choice of symptom,unconscious,unawareness,self-deception,repression,therapy,conversion disorder
                Psychology
                choice of symptom, unconscious, unawareness, self-deception, repression, therapy, conversion disorder

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