心因性難聴児の心理療法 Psychotherapy for Psychogenic Hearing Loss
The cases of 31 patients with psychogenic hearing loss who visited us between 2000 and 2002 were reviewed.<br>The patient group included 9 males and 22 females. The age range was 6 to 14 years, with a mean age of 9.1 years. We classified the patients into three groups, Other-oriented group, Self-oriented group and Conflict group, based on psychological interview and tests. Then we reported sand play and psychological feature of each group.<br>In the Other-oriented group, the symptoms are considered to represent "protection" against the incursion of others, and it is desirable to cultivate a sense of identity in psychotherapy. In the Self-oriented group, the symptoms may mean "refusal" of others who attack them, and it is necessary to treat both the factor-problems and the secondary mental problems. In the Conflict group, the symptoms can be considered to represent "demand" for care, and it is desirable to encourage self-expression in receptive psychotherapy. The clinical presentation of psychogenic hearing loss varies, and individualized mental assistance is essential.
耳鼻咽喉科臨床 96(12), 1037-1043, 2003-12-01
The Society of Practical Otolaryngology