心身症の発症のメカニズム : 行動論の立場から(心身症の発症メカニズム-各科領域から)

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From the behavioral point of view, the continuation and aggravation of psychosomatic disorders are thought to be initiated by conditioned responses to aversive or noxious internal and/or external conditioned stimuli (CS). Anxieties and fears that accompany the conditioned response (CR) i. e, conditioned emotional response (CER), intensify the action of CS through a positive feedback loop such that, consequently, the CR is intensified. It is suggested that, after being evoked by the CS which are accompanied by some unconditioned stimuli, the CER can result from any of the following three processes or their interactions. A : Cognitive learning-Wrong cognitive learning or information provokes the patients' anxiety and this results in aggravation and continuation of symptoms. B : Operant learning-Operant behaviors, done by patients to reduce their anxiety or fear, results in aggravation and continuation of symptoms through the operant principle. C : Classical learning-An effect of the incubation phenomenon increases the patients' anxiety and fear and results in aggravation and continuation of symptoms. For the reasons mentiored above, psychosomatic disorders become worse through these three types of learning and become accelerated depending on their interactions. Cases in which the symptoms are continuous and deteriorating because of cognitive and operant learning (types A and B) are best treated by teaching the patient new ways of thinking, while those that are continuous and deteriorating through classical learning (type C) are best treated by teaching the patients how to control their anxiety.
日本心身医学会の論文
1994-03-01

心身症の発症のメカニズム : 行動論の立場から(心身症の発症メカニズム-各科領域から)

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