Encyclopedia of Clinical Neuropsychology

2018 Edition
| Editors: Jeffrey S. Kreutzer, John DeLuca, Bruce Caplan

La Belle Indifference

  • Natalie DattiloEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-57111-9_2080


Belle indifference


La belle indifference is defined in DSM-5 as a “lack of concern about the nature or implications of the symptom” and is listed as an associated feature supporting the diagnosis of conversion disorder (APA 2013, p. 320). Extant neurobiological models converge on the conceptualization of conversion symptoms as involuntary responses to threat reflecting errors in body state information processing and representation (Kozlowska 2005). Theories suggesting frontal lobe hypoactivation as an explanation for apathy and indifference have also been proposed (Spence et al. 2000) as well as theories suggesting a link to right hemispheric dysfunction (Stone et al. 2006).


References and Readings

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Association.CrossRefGoogle Scholar
  2. Kozlowska, K. (2005). Healing the disembodied mind: Contemporary models of conversion disorder. Harvard Review of Psychiatry, 13, 1–13.PubMedCrossRefGoogle Scholar
  3. Spence, S. A., Crimlisk, H. L., Cope, H., et al. (2000). Discrete neurophysiological correlates in prefrontal cortex during hysterical and feigned disorder of movement. Lancet, 355, 1243–1244.PubMedCrossRefGoogle Scholar
  4. Stone, J., Smyth, R., Carson, A., Warlow, C., & Sharpe, M. (2006). La belle indifference in conversion symptoms and hysteria. British Journal of Psychiatry, 188, 204–209.PubMedCrossRefGoogle Scholar

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of PsychiatryIndiana University School of MedicineIndianapolisUSA