小児外来における心身医学的アプローチの留意点(小児科領域における心身医学)(第24回日本心身医学会総会シンポジウム)

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It is necessary for the pediatrician to practice psychosomatic approach to his out-patients for the purpose of finding out their psychosomatic disease and neuroses, as well as of investigating physical illness.When we understand what a child is, it is useful that we look a child by metaphor as a ball (sphere) which consists of the disposition (temperament+constitution), upbringing history and environment (Fig. 1). Then if we consider a disease as a cone, the child's situation, when he gets ill, looks like the cone breaking into the ball as Fig. 3. Generally the pediatrician looks at a disease only from the bottom of the cone, but with psychosomatic oprientation, he must look at the cone from every angle through the ball.This theory can be illustrated as follows.1) The pediatrician must take enough time to consult the patient from the standpoint of holistic medicine.2) The pediatrician generally only hears the parent's complaints about his child but must hear and ask the child's own complaints and then analysis the differences between the two.3) Laboratory examinations should be limittd. The pediatrician must attach more importance to imformation which is obtained by questionning.4) There are various methods to approach to the patient with psychosomatic disease or neurosis. So the pediatrician must choose the best method for the patient on the basis of his knowledge and experience of psychosomatic medicine.5) It is not good to place the neurotic patient in the pediatric ward of the hospital.
日本心身医学会の論文
1983-10-01

小児外来における心身医学的アプローチの留意点(小児科領域における心身医学)(第24回日本心身医学会総会シンポジウム)

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