病的依存性への治療戦略 : 遷延型の神経性食思不振症の場合 : 心身症への分析的アプローチ(2)

概要

論文の詳細を見る
Recently, there has been an increase in the number of chronic eating disorders of more than 10 years duration from the onset. The reason is that are many severe psychopathologies in chronic eating disorder, and dependence on several poor prognostic factors. These include desire to be thin, a denial of maturity and feminity, and pathological symbiosis, which are remarkable in the chronic patients. In this paper, we report the findings obtained from a 48-year-old woman suffering from gait disturbance with severe body pain, who was given psychoanalytical psychotherapy in the ward based on psychoanalytical understanding. She entered a contact, and was able to stay for a maximum of 6 months in our hospital. In the therapy, she was given the most feasible target, which thus supported her. Still more, working through was added to bring into focus the negative convinction and self-destractive tendency. As a result, she was able to leave the hospital after 7 months and live alone at an apartment near the hospital.
日本心身医学会の論文
1991-12-01