神経性嘔吐の1例

概要

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The patient was a 29-year old woman with chief complaint of frequent vomiting after meals. Her husband's grandmother died in November 1983. About that time, she ate irregularly day after day because of the nursing and preparation for the funeral of the grandmother. From that time, she began to have a subfever, orthostatic dizziness, and vomiting after meals. As weight loss was also observed, she was carefully examined at a nearby clinic, but no abnormality was noted. In November 1984,she was admitted to our hospital. Based on her clinical course observation, she was diagnosed as having nervous vomiting not due to any organic lesion but due to psychological and functional mechanism. Data on the frequency of vomiting showed a good psychosomatic correlation, suggesting the incompatibility due to a psychological conflict. However, a possibility of repression in personal history could not be denied, either. In view of the situation that she was the mother of two children, we thus decided that she should be allowed to adapt herself to her life by behavior therapy or supportive psychotherapy instead of reducing her own role as a mother by undergoing insightive psychotherapy.
日本心身医学会の論文
1987-12-01