Effect of Autonomy Training on Japanese : Application to the Management of Dystonic Patients

  • Nagano Jun
    Department of Psychosomatic Medicine, Faculty of Medicine, Kyushu University
  • Tanaka Hirotoshi
    Department of Psychosomatic Medicine, Faculty of Medicine, Kyushu University
  • Sudo Nobuyuki
    Department of Psychosomatic Medicine, Faculty of Medicine, Kyushu University
  • Kubo Chiharu
    Department of Psychosomatic Medicine, Faculty of Medicine, Kyushu University

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Other Title
  • 日本人における自主性開発トレーニングAutonomy Trainingの効果 : ジストニア患者に対する応用
  • ニホンジン ニ オケル ジシュセイ カイハツ トレーニング Autonomy Training ノ コウカ ジストニア カンジャ ニ タイスル オウヨウ

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Abstract

Since the 1960s, Grossarth Maticek and his colleagues have done several epidemiological studies in which they have proved their theory of healthy and disease prone personalities : a person of Type 1 personality tends to idealize a certain object as essential for his/her own happiness, often feels disappointed by it, and has been shown to be cancer prone ; a person of Type 2 personality tends to regard a certain object as the cause of his/her own unhappiness, often feels annoyed or irritated by it, and has been shown to be cardiovascular disease prone ; a person of Type 4 personality is ready to alter his/her way of doing or thinking towards an object whenever he/she finds it does harm or brings unhappiness to him/her in the long run, successfully avoids being repeatedly disappointed or annoyed by it, and has been shown to be resistant to various diseases. Such behavioral characteristics as in Type 1 or Type 2 personalities are called the object dependent behavioral pattern (or object dependence), which contrasts with the Type 4 personality called the autonomous and independent behavioral pattern (or autonomy). Autonomy Training (AUT) is a cognitive-behavior therapy that Grossarth-Maticek and his colleagues have developed as a device for reducing object dependency and increasing autonomy. The aim of this study is to determine if AUT is useful for Japanese. The subjects were two Japanese women suffering from dystonia : a thirty-nine-year-old working mother with blephalospasm and a fifty-year-old housewife with hemimasticatory dystonia, both of whom had not responded to medications and were referred to our clinic by an ophthalmologist and a dentist respectively. We applied AUT to the patients as a self-care manual based, outpatient therapy using a brief manual we adapted from Grossarth-Maticek's original that encourages a reader to identify and to solve his/her own problems on a trial-and-error basis and to gain a more comfortable and contented life. Changes of the patients' autonomy level were assessed through what they had reported in interviews as well as from scores of the Japanese version of the Self-Regulation Inventory (SRI), which was developed by Grossarth-Maticek to assess autonomy. The patients read the manual repeatedly and started to focus their attention mainly on their interpersonal relations. When they came to recognize their fixed and object dependent behavior patterns, especially in relations with their husbands, they started to try to change their attitudes and behaviors towards them in everyday life according to what they had learned from the manual. As a result of such changes, they reported improvement in their emotional status. Their behavior patterns were interpreted as Type 1 and Type 2 respectively, and showed improvement in the direction of increase in autonomy, confirmed by constantly improved SRI scores during their 57- and 22-week treatment periods and 41- and 74-week follow-up periods. Their behavioral changes were accompanied by improvements, although not perfect, in dystonic symptoms without receiving botulinum toxin injection therapy. In conclusion, AUT seems to be effective for Japanese in improving emotional and physical status through the development of autonomy.

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