小児糖尿病者の心理

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Two children with diabetes mellitus having emotional disability were treated by psychotherapy. Emotional problems of diabetic children and their personality characteristics were analyzed using the results of the Picture-Frustration (PF) study carried out in 34 other children with diabetes mellitus. As the major personality characteristics, PF studies disclosed the rebellious type showing aggressiveness, maladjustability and lack of efforts to overcome difficulties, and the obedient type lacking positiveness and trying to amend errors with utmost effort. Diabetic children were likely to have more emotional problems than normal children, especially in expressing aggressiveness, Case studies of the 2 children showed that emotions were influenced also by the premorbid personality and domestic environments. The disease was not the direct cause of emotional disability, but rather acted to be incentive to expose patient's latent personality and hidden domestic problems. When emotional disability is observed in diabetic children, physicians should count the pre-disability condition of blood sugar control, the adjustability to society and the level of psychopathological findings. A diabetic child needs establishing a reliable relation with a particular doctor or other medical staffs, lasting to a long term. Treatment of diabetes mellitus is therefore desirable to be carried out in a polyclinic hospital, where the specialists of the disease can communicate closely with mental specialists.
日本心身医学会の論文
1988-08-01

小児糖尿病者の心理

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