顔面・両上肢の異常運動および失歩, 失声を呈したヒステリー児の1例

概要

論文の詳細を見る
This is a report on a 12-year-old girl with a diagnosis of conversion hysteria. She was brought up by the parents who had marital problems since her early childhood. At age 8,she began to live only with her mother, though she liked her father as well as her mother. Thereafter her father kept in contact with her in the absence of her mother, which put her in a conflicting situation. She wanted to live with her father and to tell her mother of her father's visit, but she could not do so. At school she was unable to make friends with her father's visit, but she could not do so. At school she was unable to make frieands with her shoolmates. She also had poor academic achievement. These difficulties led her to have a desire for escape from school. Under such conditionas, she developed abasia, aphonia and abnormal bodily movement at age 9. Worthy of note was her bizarre athetosis-like movement. Through psychiatrie interviews it became clear that the development of her physical symptoms was etiologically related to her psychological conflicts at home as well as at school. Her athetosis-like movement could be regarded as an expression of 'organ language'. Treatment of conversion symptoms in this patient included psychotherapeutic approach (mainly supportive), antianxietic medication (diazepam, 6mg/day) and behavior therapy.
日本心身医学会の論文
1987-06-01