A Case of Successful Inpatient Morita Therapy for Nervous Pollakisuria Accompanied with Agoraphobia

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  • Tateno Ayumu
    Department of Psychiatry, The Jikei University Daisan Hospital/The Jikei University Center for Morita Therapy

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  • 入院森田療法により軽快した広場恐怖を伴う神経因性頻尿の1症例
  • ニュウイン モリタ リョウホウ ニ ヨリ ケイカイ シタ ヒロバ キョウフ オ トモナウ シンケイインセイヒンニョウ ノ 1 ショウレイ

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Abstract

<p>Background : According to Dr. Kasahara, Morita-oriented counseling is the basic psychosocial treatment of choice for nervous pollakisuria. Since the case report of such effort has been scarce up to the present, a case of Morita therapy applied to treat nervous pollakisuria is reported in this study. Subject : A 26-year-old man who suffered from nervous pollakisuria. Method : The treatment process of the inpatient Morita therapy was investigated, reviewing the medical records of the doctor, the nursing records, and the diary the patient wrote during the inpatient treatment. Result : During the first month of the inpatient treatment, the patient gained the experience that he could continue to engage in what he needed to do at the time as priority without interrupting even while having an urge to urinate. As he took on a role to play in a group, he showed a strong sense of responsibility and could not rely on the other patients who did not appear to be friendly. As a result, he completed a research project alone and was exhausted at the end. Another patient once pointed out this tendency of his personality, which he accepted without becoming emotional. After this incident, whenever he faced a situation which he could not get over on his own and without the help of others, he could not consult with anybody and started to show pollakisuria as well as other physical symptoms and stayed in bed for a while. It became clear that he could not make decisions as he paid too much attention to others’ feelings. In other words, his difficulty to make decisions came from the fear of others (Taijin-kyofu), and the therapist and the patient shared the understanding that his physical symptoms and pollakisuria had a common psychodynamics of the mind of Taijin-kyofu. After returning to the hospital from his short stay at home, he started to cautiously express his opinion to others and left the hospital on the 84th day after the end of absolute bed-resting period. He has shown a favorable progress after the discharge. Conclusion : As a treatment of nervous pollakisuria, inpatient Morita therapy was considered effective to maintain the favorable outcome by changing the patient’s attitude towards pollakisuria as well as the underlying mind of Taijin-kyofu.</p>

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