後弓反張を呈した転換性障害の1症例

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We reported a case of a 25 year-old woman weth Conversion Disorder (DSM-III). She had been unable to raise up her right hand, so she was diagnosed as having dystonia and had been treated with clonazepam by an internist. But after pregnancy, she showed a typical type of opishotonus and became unable to walk by herself after giving birth. Abnormal neurological findings were not seen but opisthotonus appeared suddenly and was exaggerated in the presence of observers. Behind the symptoms, there seems to be a conflict with her husband. She was admitted to our hospital. During treatment, narconalysis, hypnotherapy and continued-sleep therapy were conducted, which were not effective. However her symptoms diminished after her face became edematous with blood diffused from traumatic head ecchymoma which seemed to have been caused by herself purposely hitting her head against the floor. After this incident, we were able to employ behaviour therapy and the symptoms began to show gradual improvement and she was almost cured. We consider that her self-inflicted head injury and later regret of her conduct finally broke down her resistance to treatment and led her to accept the behaviour therapy.
日本心身医学会の論文
1989-06-01