Team Approach for Somatogenic Pseudoneurosis

Shiwa Satoko, Nagata Katsutaro, Otsuki Chika, Maekawa Mamoru, Oki Kazuko

doi:10.15064/jjpm.63.3_251

Bibliographic Information

Other Title

身体因性偽神経症へのチーム医療の取り組み
―A Case of Essential Hypotension and Reactive Hypoglycemia―
―本態性低血圧と反応性低血糖を有した患者の1症例―

Abstract

Objective : Somatogenic pseudoneurosis is a concept advocated by Frankl V. E. There is a latent physical disease, but it is misidentified as a mental disease. Whether to treat the original physical disease or to use a lot of psychotropic drugs because of the psychological reaction, the doctor’s identity is questioned, and the prognosis of the patient changes drastically. This report aims to demonstrate the efforts of the team.Case : A female in her thirties. The patient had been diagnosed with depression, but she had essential hypotension, reactive hypoglycemia, and Hashimoto’s disease. She took complementary agents, and she was counseled and nutritional guidance. The patient had an obsessive-compulsive personality disorder, but it was symptomatic of spontaneous hypoglycemia. As a result of comprehensive team treatment, her obsessive-compulsive behavior was alleviated and she is now able to look for a job.Discussion : Team efforts contributed to the treatment process from patient dependence to independence in many ways. Many team members with a consistent view of medical care found it most useful to be “being”.

Journal

Japanese Journal of Psychosomatic Medicine

Japanese Journal of Psychosomatic Medicine 63 (3), 251-259, 2023

Japanese Society of Psychosomatic Medicine

Keywords

Details 詳細情報について

CRID: 1390577431256793216

DOI: 10.15064/jjpm.63.3_251

ISSN: 21895996; 03850307

Text Lang: ja

Data Source

JaLC

Abstract License Flag: Disallowed

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