内観療法を行った神経性食欲不振症(非中核群)の1例 : 罪悪感のあり方を中心に

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Reported is a case of a 23-year-old female who recovered from anorexia nervosa after Naikan therapy. A discussion of how her guilt feelings changed throughout the treatment is included.The patient had developed a serious physical conditions; namely, severe emaciation (body weight : 27 kg) associated with anemia, leucopenia and hypoproteinemia. Although her personality was rather introverted, she was not hysterical and she desired treatment. We treated her with Naikan therapy, when she recovered from her critical physical situation.The patient had guilt feelings before treatment as well as after Naikan therapy, but the contents of these feelings were very different. Before the treatment, she had an unconscious dissatisfaction with and hatred of her persional environment. She was ambivalent, suppressed her natural feelings strongly, and behaved inactively. After Naikan therapy, however, she became active and expresesd her feedlings and thoughts freely. Her conscience also began to work unrestrifctedly. This case suggests that Naikan therapy provides the patient with important psychological changes from the state of so-called 'conscience agony' to that of 'free conscience'.In other words, while the guilty state of the conscience agony is governed by the superego, forcing her ego to withdraw, the healthy guilt feelings of the free conscience are integratred within the ego. The authors consider this similar to the 'pure' guilt feelings which Yasunaga pointed out while working with the psychotherapeutic approach. Thus, it seems important to be aware of these possible psychological changes when treating nuetrotic or psychosomatic patients with Naikan therapy.
1980-06-01

内観療法を行った神経性食欲不振症(非中核群)の1例 : 罪悪感のあり方を中心に

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