健忘を主訴として来院した心身症の1例
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概要
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A 16-year old high school, male student came to us complaining amnesia, restlessness, headache and sleep disturbance. Previously he had an episode of head contusion on his occipital at the age of 6 months, and scarlet fever at the age of 11. Restlessness has been recognized since the end of his kindergarten life. His school record got worse progressively after the episode of scarlet fever. When he was in junior high school, above mentioned problems were not outstanding. He spent 2 months almost normally after entering agricultural high school. Then, maladaption of interpersonal relationships, especially between his superiors at the school dormitory, changed his personality from cheerfulness and activeness to gloominess and slowness. Amnesia appeared in addition to headache, abdominal pain, sleep disturbance. Aggression against his teachers also began to appear. After the relatively stable condition during summer vacation, these singns and symptoms got worse in the new semester. He consulted with our clinic and was admitted to the psychiatric ward. Amnesia, loss ofattentiveness, difficulty in learning and slowness were recognized as the main signs and symptoms when he visited our clinic. After his admission to our ward, for the investigation of the organic diseases, EEG, brain CT Scanning, lumbar puncture, and several psychometric examinations were conducted. But no outstanding abnormalities were proved, except relatively lower level of intelligence (IQ 81 by WAIS). No particular findings were proved by neurological or ophthalmological investigations. Spending about 10 days in the psychiatric ward, he restored his original cheerfulness, and got along well with other patients. He went back to high school after 2 months' admission, but signs and symptoms immediately relapsed under the school environment. So he and his family made up their mind for him to leave the high School. AS the result, his signs and symptoms have disappeared. As mentioned above, not only his personality of vulnerability and immaturity, but also maladaptation under the special circumstances of the dormitory, were thought to be the main causes of his psychosomatic disease. Therefore, after being freed from burdensome high school life, he was easily able to recover from psychosomatic disturbances.
- 日本心身医学会の論文
- 1983-02-01
著者
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