行動療法による機能性全身性振戦の1治験例

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The patient was a 32-year-old married woman and had two children. She was admitted to the Kagoshima University Hospital with coarse tremor-like involuntary movement of the entire body and nystagmus-like eye movement associated with attacks of dizziness and vomitting. It was noticed that these symptoms were reduced when she was lying quiet in bed, but were made gradually worse in accordance with degree of raising her body from the bed. Emotional tension also increassed the severity of symptoms, and she couldn't walk at all because of trembling of the entire body.Before the onset of the diseases, she had been very much exhausted because of continued daily physical overexertion. Under these circumstances, it so happened that she had severe trouble with her husband, of whom she had been afraid because of his quick-temper which often bursted into violence. At that time she began to have tremor in her hands and then vomitting. This was the begining of her present symptoms.The treatment procedure of this patient cosisted of three behavior therapy techniques.First, it was aimed to establish reciprocal inhibition of involuntary movement with muscle relaxation by placing the patient first in a lying position, then gradually shifting the position through sitting to walking.Secondly, in accordance with the progressive improvement of symptoms, care and attention of the hospital staff and her family were gradually removed. These were regarded as reinforcing factors of her symptoms in terms of the operant conditioning principle.Thirdly, behavior counselling techiniques were used to facilitate desired changes in her behavior pattern, especially in regard to marital problems.The results were remarkable. She was discharged in less than two months with complete disappearance of symptoms.Some brief considerations were given to the methodology of behavior therapy technique in such a case.
日本心身医学会の論文
1975-04-01

行動療法による機能性全身性振戦の1治験例

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