神経筋肉系の心身症の研究 : 書痙症, 眼瞼痙攣症, 痙性斜頸症について

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1. The present authors studied on the psychosomatic diseases affecting the neuromuscular system (writer's cramp, blepharospasm and spasmodic torticollis) by applying the techniques of interview, psychological test (Rorschach test) and psychophysiological method (electromyography), and psychological characteristics (personality profile and emotional conflict) and the mechanism of appearance and the choice of symptoms of these diseases were discussed. 2. In writer's cramp, the personality is characterized by tense, striving, perfectionism and ambitiousness. The patients offer the conflict on social selfrealization because of their sensibility to social value. They trend to regard to the difficulty of writing at the results of social self-realization and loss of social self-esteem. 3. In blepharospasm, the personality trends to be rigid tense, fastidious and distrustful. The patients feel difficult to have the trustful relation in the interpersonal relationship. They have the repressed hostility underlying their self-sacrifice and strong morality. The symptom develops in the painful and unpleasant situations. 4. In torticollis, the personality trait is found to be aggressive, impulsive, immature and emotionaly unstable. The patients seem to have the disability of keeping the social norms and good human relations. The symptom develops in the situation in which they are difficult to cope with their hostility. 5. In the patterns of the psychophysiological reaction, all the patients with writer's cramp and blepharospasm presented the feature of the tense type. However, similar type was observed in only a few cases of torticollis. 6. The present authors offered the characteristics of the psychosomatic diseases affecting the neuromuscular system as follows, 1) These symptoms suggest the disturbance of function of communication, 2) In the emotional aspects, these patients have the difficulties in coping with their hostility. 3) Their personality trends to be active and obssesive. 7. The present authors discussed the difference of mechanisms between the psychosomatic diseases affecting the neuromuscular system and the conversion hysteria. 8. Concerning the mechanism of organ choice or symptom choice, the reciprocal and dynamic relation of some factors as follows are necessarily considered; meaning of symptom, emotional conflict, personality trait and psychophysiological reaction pattern, besides the characteristics of the neuromuscular system.
日本心身医学会の論文

神経筋肉系の心身症の研究 : 書痙症, 眼瞼痙攣症, 痙性斜頸症について

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