思春期における心身症の特徴と問題点(思春期の心身症(第16回日本精神身体医学会総会より))

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概要

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• Complicated and delicate states of mind in adolescents, who are well developed physically but are immature mentally, are prone to be influenced by socio-environmental factors. The adolescents are incapable to respond and adapt themselves to these factors. Facing various psychological and metal frustrations, many adolescents are embarassed and don't know what to do with them. These conditions characterize the occurrence and course of pscychosomatic disorders in adolescence and require specific considerations for their treatment. The present report is concerned with the practical problems in the treatment of psychosomatic disorders in adolescence.The ordeal of entrance examinations seems to be inevitable for the adolecents in Japan. Since 1966,the author has been engaged in the health consultation for the 3rd year students of junior and senior high schools and for the students of preparatory schools from the view point of psychosomatic medicine. During this period I dealt with more than 300 students and was strongly impressed by the complexity of mental state in these examinees. I was convinced of the great psychological impact of the entrance examinations and of the significance of psychosomatic approach in order to remove their symptoms. In this context, some cases were presented on the basis of concrete data.Psychosomatic disorders at puberty which need to be take into special consideration are as follows; gastric and duodenal ulcers, irritable colon syndrome, dysorexia nervosa and a persistent complaint of "my body stinks". In relation to these disorders it should be pointed out that depression is not rare at puberty.Finally, the author would like to emphasize an importance of understanding the mental state at puberty, and of establishing a good doctor-patient relationship based on mutual reliance in the treatment of adolescent psychosomatic disorders.

• 日本心身医学会の論文
• 1976-02-01

著者

• 並木 正義

  北海道大学医学部第三内科

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