A Case of Nervous Vomiting : Psycho-neuro-endocrinological consideration

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  • 神経性嘔吐の1例 : 心理神経内分泌学的考察

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Abstract

The patient was a 37-year old house wife who had been suffering from nausea and vomiting for eleven years. After wandering several hospitals, she visited our hospital in May, 1980 and was admitted there for six times. Her diagnosis, however, was not determined. So she was consulted with one oi our psychosomatists in April, 1984. After performing an interview and psy-choneuro-endocrinological exminations, we diagnosed her as a nervous vomiting with dysfunction of hypothalamus and deep mental troubles. We considered that her mental troubles had caused vomiting at frst by conversion mechanism and subsequently a disorder of hypothalamic function. It was assumed that her symptoms became severe and continued because of the hypothalamic dysfunction. In therapeutic management, we applied fasting therapy in order to improve symptoms by regulating hypothalamic dysfunction. We then applied nondirective psychotherapy for facilitating personality change by self insight. The patient was healed completely. After one year since her discharge, the patient is healh both in her physical and mental conditions without reccurrence.

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