心理テストからみた心身症 : パーソナリティーと適応様式からみた心身症(心理テストからみた心身症)(第34回日本心身医学会総会)

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Since Sifneos and Nemiah pointed out the concept of Alexithymia, Psychosomatic disease (PSD) is characterized by Alexithymia and Over-Adaptation. Furthermore psychodynamics of PSD have been discussed in these days. Especially Denial defence mechanism is highlighted. From this point of view, we studied personality and adaptation of PSD patients in this article. Then, in order to investigate Over-Adaptation and Alexithymia, we discussed 2 studies by using Psychological tests. At first. we discussed Over-Adaptation. Our results provided strong support for former studies. They showed the patients' over-involvement in relationships with others and also meant their over identification to their social roles. With the psychological test, we could find that most of PSD patients avoided to express their aggression and assertiveness even when their self-esteem was wounded. On the other hand, some studies considered the psychodynamics of Alexithymia as a result of Denial denfence mechanism. So we conducted to study on Alexithymic tendency of PSD patients. In this study, differing from former studies, our results showed that Negation was the characteristic defence of Alexithymia. According to Sifneos's definition of Alexithymia, the lack of imagination and disability to verbalize inner conflict was the most important characters. In this point of view, Negation, which is one of the primitive defence mechanisms, may disrupt the Alexithymic patients to confront with their immature emotions.
日本心身医学会の論文
1994-02-01

心理テストからみた心身症 : パーソナリティーと適応様式からみた心身症(心理テストからみた心身症)(第34回日本心身医学会総会)

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