ロールシャッハテストによる不安の研究 : 特に不安の顕在化と潜在化をめぐる精神力動について

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概要

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• The problem of anxiety is usually the most important in clinical psychiatry. Through experiencies of clinical psychotherapy, I found that manifest and superficial anxiety was not only the principal problem of it, and that it was very important to manage latent anxiety in psychotherapy, because of its influences to patients to come out many clinical symptomes. The purpose of this study is to clarify the psychodynamics of latent and manifest anxiety by Rorschach method. The subjects were 72 neurotic patients, and they were divided into two groups, 26 manifest anxiety group and 46 latent anxiety group. The contrasts were 28 normal adults and 39 schizophrenics, and 18 depersonalization's, 20 borderlines and 8 early schizophrenic patients were refered. The results, being obtained mainly by the statistical point of views, were as follows : 1. Among 4 groups, the normal group, the manifest anxiety group, the latent anxiety group and the schizophrenic group, there were statistically significant differences in R, Rej, M, m, k, K, FK, total H, and H. 2. From the relation of other factors, I found meanings of differences among 4 groups in T/R_1 (non color), T/R_1 (color card), W, D, Dd, S, F, FC, CF, A, At, Sex, Anal, Blood, Cloud and Smoke. 3. By differences in ΣC : M, F : FK + Fc, FC : CF + C, F + %-2 (R + %), P, Shading %, Δ%, BRS, and RSS, discrepancies of psychodynamics, characterized among 4 groups, were clarified. 4. I found that movement responses were very important for making clear the psychodynamics among 4 groups, and especially between the manifest anxiety and the latent anxiety group. 5. Inanimate movement response, m, was the most important and useful for clarifying this psychodynamics. According to direction and intensity, m was divided into 5 categories, m_1〜m_5, and following results were revealed. It is that passive inanimate movement responses, m_5, were found many in the manifest anxiety group, and active and extensive responses, m_1, and passive m_5 were in ambivalence in the latent anxiety group. 6. The latent anxiety group were more seriously conflictual than the manifest. The latent could keep barely superficial and adaptable level by making anxieties to be latent, but immanent ambivalent tendencies were dangerous for the latent anxiety group, because it should get the group into more conflictual state, and, from unstable and uncertain adaptation, the group should be more and more pathologic. And I suggested to take attention usually about these points in psychotherapeutic approach.

• 千葉大学の論文
• 1966-03-28

著者

• 吉川 武彦

  千葉大学医学部神経精神医学教室

• 吉川 武彦

  千葉大学大学院医学研究科内科系神経精神医学

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• ロールシャッハテストによる不安の研究 : 特に不安の顕在化と潜在化をめぐる精神力動について
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