長期(3年間)にわたり嘔吐を繰り返した症例についての発達論的考察

概要

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The patient was a 25 year-old man with a calm and passive personality. Persistent nausea and vomiting appeared after he graduated from college. The symptoms which lasted 3 years without any evidence of organic disorder, occurred two times everyday just after he had taken meals at his house, but occurred neither in public nor in his office. We diagnosed him as psychogenic vomiting. The symptoms disappeared just after he had admitted to our hospital.It was found that he had conflicts with his dominant father. He had behaved himself as a good and obedient son since his childhood according to his father's wiches. His social function has been good. But as he grew up, he had to establish his own life style. The symptoms were thought to be as a symbol of rejection of his father's interference. During his stay in our hospital, he gained an insight into these findings and got well by his own strengh.We helped him not to have a guilty feeling that he was hurting his father.Our case studies have convincingly demonstrated the role of learned behavior played in the genesis of this disorder, and the symptom is recognized as short-term benefit of stress relief.But in this case the symptoms have a meaning of developmental milestone which is considered to be common in adolescents.
日本心身医学会の論文
1987-10-01