いわゆるむち打ち損傷の精神身体医学的検討

概要

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Psychosomatic aspects of the so-called whiplash injury of the neck were studied on 22 cases of the chronic disabling patients. 1) Abnormal findings of the cervical spine on roentgenoraphic examination were found in all cases regardless with traumatic or non-traumatic nature. 2) There was no evident objective finding on neurological examinations that could attribute to traumatic origin. 3) Borderline values found on some of them performed metabolic and endocrine examinations. In mecholyl test only 3 cases showed normal reaction. 4) In MMPI, only 3 cases showed nearly normal profile, 12 cases were 1,3-type which suggested conversion reaction. 5) Psychodynamic interview of each case was essential in arriving to the conclusion. Psychologic difficulties were found on their life-history in terms of disturbed parent-child relationship in their childhood, on the social and economic life, or on marriage and jobs. In each cases were noticed multiple emotional determinants, both past and present, such as poorly resolved dependency and poor1y controlled hostility. Anxiety was an inevitable consequence of such conflicts. 6) Psychosomatic factors were significant in the formation and prolongation of their complaints in intractable cases of the whiplash injury of the neck.
日本心身医学会の論文