小児期の心身症とその周辺疾患の相互関係とその原因(生涯各期における心身症の諸問題 : 小児期)

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Behavioural disorder, psychosomatic disease and neurotic reaction in childhood are caused by their defective disposition and/or improper upbringing history. So these various, different expressions have reciprocal relationships among themselves.Figure 2 shows the mechanisms involved in the outbreak of behavioural disorders and the relationships among their various expressions. Emotioinal disturbances may be caused by aging and social life. Usually, children with normal disposition and/or favourale familial environment can settle their emotional disturbance within socially accepted behaviours. Those who have defective disposition and/or have been up in an improper familial and educational environment can not settle their emotional reactions within the social norm, so they display behavioural disorders. The differences in the way they express their behavioural disorders are due to their inner energy. Vigorous children express their emotional disturbances extroverted as in the case of delinquency and/or school violence which include truancy. Powerless children express their emotional disturbances introvertedly as neurotic reaction and/or psychosomatic disease. Family violence and school refusal often occur concurrently. Mutism is often seen in children with the least power. Psychosomatic diseases are observed in children who tend to be hypersensitive both in mind and body.Pediatricians often have influences on the upbringing of clildren through physical check-ups as a home doctor and/or school physician. I think they also have the responsibilty of guiding parents as an educational consultant. Most children first display their emotional disturbances as somatic complaints, so pediatricians should work as the first consultant in all kinds of problems.
日本心身医学会の論文
1985-02-01

小児期の心身症とその周辺疾患の相互関係とその原因(生涯各期における心身症の諸問題 : 小児期)

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