「見えない」ことを主訴とする2症例の心身医学的考察

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The following 2 cases of vision impairment were determined to be psychosomatic in nature. Analysis of their premorbid conditions, ensuing symptoms, and amelioration has contemplative value in terms of psychosomatic diagnosis and treatment. The first case, a male, aged 22,who had been hospitalized for convulsive attacks, was engaged in secret gambling with other sickward patients. Subsequently, he fell in dept and experienced blindness the next day. Psychotherapeutic attempts followed but were found abortive. Abatement in symptoms came about several months later, as the patients developed affections for a female inpatient. The second case, a female, aged 17,had been admitted for ptosis of the eyelids. She also came from a family having discord over her father's gambling debts. As in the previous case, psychotherepy was ineffectual. Symptom abatement occurred through establishing a liasion with a male inpatients. Although symptoms in both cases were different, effects in vision impairment were commonly shared. Discussion of such symptoms is made with the following cbservation : 1) Both cases featured incidences of dependency, passivity, and hypersensitivity related to interpersonal relationships, as well as engagement in attention-gettiong. The experience of shame from exposure to such weakness led to emotional suppression. 2) Such suppression made a predesposition to psychosomatic incitements whenever enormous difficulties were encountered. 3) Symptoms of vision impairment seemingly offer convenience whenever coping is difficult, as awareness and its concomitant anxiety is apparently avoided. 4) Non-rerval modes of therapy appeared to be superior to verbal ones, at least, in the earlier stages of treatment.
日本心身医学会の論文
1983-06-01

「見えない」ことを主訴とする2症例の心身医学的考察

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