神経性食欲不振症者の性同一性発達について : 健常者との生活史, ロールシャッハ・テストの比較による検討

概要

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In this paper, the authors attempt to investigate the chracteristic disturbance of development of sexual identity in patients with anorexia nervosa, by comparing with normal females. This study included how to get clues to this status. The Subject group consisted of 12 females who were under medical treatment as anorexia nervosa. The control group (12 females) had standard body weight, regular menstruation and normal attitude and conceptions toward food and body image. Two Subject groups were corresponded each other as to age (12-24) and school carrier. In the Rorschach test, normal subjects revealed dependency and aggression along with objectivity. On the other hand, the patient group showed a tendency to show the conflict figures of oral aggression coexisting with dependency with no integration. The interview of their life history indicated as follows : The normal subjects recognized their own somatic sexual changes as natural phenomenon of their own self, so that they might look for their own way of life through the relationship with their mother, friends and men. This is the natural plot of development in one's individual sexual identity. But the patient group is obstructed in the establishment of mother-child relationship in their adolescence, and therefore decathexis from their mother was more disturbed. This Seemed to be the reason why they failed in the establishment of their sexual identity.
日本心身医学会の論文
1985-10-01