心身症の情動特性 : 過緊張と不安(不安と心身症第22回日本心身医学会総会シンポジウム)

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It was indicated that habitual high tension deserved more attention as one of the emotional characteristics of patients with psychosomatic disorders. Its clinical importance was also demonstrated through the data of our fieldworks on chronic headache as well as the clinical findings of three patients, one with muscle contraction headache and two with tension tremor. The author's advocation in this report is that a person who meets following three conditions should be labelled "Tense Person" as a clinical index for the accurate diagnosis of habitual high tension. l) Excessive muscular contraction or tenderness is detectable in the cervical and cranial muscles. 2) The person forms a peculiar psycho-physical "readiness" as is observed on what-is-it reflexes for the objects that obviously need not worry him. 3) The person manifests perfectionistic traits in every day life. We may reasonably suppose that most of the "Tense Persons" must be anxious, yet we are not always able to find any indication regarding the existence of anxiety in them. Recently, it has been pointed out that an important distinguishing feature of the patients with psychosomatic disorders is that they are little aware of their own physical conditions. The "Tense Person" is typrcal in this regard. He never recognizes either excessive muscular contractions or the peculiar psycho-physical "creadiness" as essential factors of his disorder. It is therefore indispensable to let the patients be aware of their exact physical conditions as well as the mechanisms of the symptom formation in the treatment of habitual high tension.
日本心身医学会の論文
1981-12-01

心身症の情動特性 : 過緊張と不安(不安と心身症第22回日本心身医学会総会シンポジウム)

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