離人症の精神療法的研究

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概要

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• We attempted to divide depersonalized patients into two groups, Group I and II. An additional two cases (neurotic depression and a borderline case), constituted a third group that suffered from increasing and diminishing symptoms of depersonalization in the process of psychotherapy. We approached them from a psychotherapeutic aspect and studied the following viewpoints : 1) Group I , recovered within six months and Group II, since recovery was delayed, the following differences were compared: childhood and later development; familiar environment; onset of symptoms; psychotherapeutic process and social adjustment. An acute onset of symptoms was characteristic in Group I. On the contrary, in Group II, they began to suffer from gradual and chronic development of depersonalization based on changes of their character traits. Especially in Group II, familiar environment disturbed ego development of the patients, which in turn, increased therapeutic difficulty. 2) There were two cases which were rather to be regarded as borderline in Group II. They showed several characteristic symptoms : loss of spontaneity ; whithdrawal tendency and hypochondriac rationalization. 3) From a study on the psychotherapeutic process and process of social adjustment in Group III, it was noted that increasing and diminishind symptoms of depersonalization are strictly related to a self definition regarding realization of their social selves. Similiar situations, found in Group I and Group II, furnish important clues in elucidating the psychodynamics of depersonalization. 4) Regarding the psychotherapeutic process, we acquired the following facts : a) When the patient was able to regress in positive transference with a psychotherpist, psychotherapy proved effective. b) However, the pathological status of psychodynamics (Rigidity of defense), present obstacles in psychotherapeutic regression of the patient. c) Anxiety and an emotional paralysis of the patients were apt to incite the psychotherapist as well. Therefore, the psychotherapist should accept his counter-transference in an effort to bring about stability during the process of psychotherapy.

• 千葉大学の論文
• 1964-07-28

著者

• 野沢 栄司

  千大神経科

• 野沢 栄司

  千葉大学医学部神経精神医学教室

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• 離人症の精神療法的研究

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