An Attempt to Classify Male Patients with the Chief Complaint of Eating Disturbances

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  • Takizawa Kenji
    Department of Psychiatry, Niigata University, School of Medicine

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  • 摂食異常を主訴とする男子症例の臨床的研究
  • セッショク イジョウ オ シュソ ト スル ダンシ ショウレイ ノ リンショウ

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Abstract

An investigation was carried out of 25 male patients who attended the University Hospital or other hospitals in Niigata Prefecture from 1973 and 1988 with the chief complaint of eating disturbances. The 25 subjects were classfied into 4 groups according to clinical characteristics : 1) typical group of eating disorder (16 cases) 2) reactive group (5 cases) 3) obsessive-compulsive group(2 cases) 4) phobia group (2 cases) The typical group (16 cases) were further classified into 3 subgroups according to the age of onset. (1) preadolescence (2 cases) (2) adolescence (13 cases) (3) pre-adulthood (1 cases) A typical case of each group was reported, and clinical characteristics of and differences among the groups were explatined. Concerning the typical group, possible reasons of the onset were discussed in rather details from the developmental standpoint. Most of the patients of the typical group, i.e. 13 cases, had the onset during their adolescence. It was supposed that the main psychopathology of the typical group of eating disorder was ego-identity confusion and withdrawal from or evasion of undertaking the socail role of the masculine gender. The ego-identity confusion was supposed to have derived from a composite of immaturity of the patients' mental development and a family factor that they felt strong attachment to their mothers while feeling estrangement from their fathers. Premorbid obesity was supposed to be connected with symptom selection of eating disturbances.

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