Reviewing a Psychosomatic Case with Medical Anthropologists : An Elderly Male Patient who Persistently Complains of Frequent Desire for Defecation and Difficulty of Urination

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  • Nishi Makoto
    Kyoto University Graduate School of Asian and African Area Studies
  • Shimazono Yosuke
    Osaka University Global Initiative Center
  • Nakamura Sae
    Kyoto University Graduate School of Asian and African Area Studies
  • Miyachi Junichiro
    Azai-higashi Clinic Hokkaido Centre for Family Medicine Center for Medical Education, Graduate School of Medicine, Nagoya University
  • Nishiyama Junji
    Department of General Internal Medicine, Kansai Medical University

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Other Title
  • 医療人類学者と検討する心身内科症例
  • 症例検討 医療人類学者と検討する心身内科症例 : 便意頻回と排尿困難を訴え続ける高齢男性
  • ショウレイ ケントウ イリョウ ジンルイガクシャ ト ケントウ スル シンシン ナイカ ショウレイ : ベンイヒンカイ ト ハイニョウ コンナン オ ウッタエ ツズケル コウレイ ダンセイ
  • —便意頻回と排尿困難を訴え続ける高齢男性—

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Abstract

<p>In this paper, medical anthropologists and practitioners jointly interpret the experience of a patient with persistent psychosomatic symptoms. The authors address the case of a male patient in his 70s who has been diagnosed as a functional defecation disorder. His preoccupation with bowel movements and increased urinary frequency forces him to spend most of the time on the bed at home. Furthermore, he persistently displays his negative feelings to the medical practitioners. The authors interpret the patient's experience by giving a particular focus on his life history as well as how he interpreted the socio-psychological approach. Some critical issues in introducing ethnography in the field of psychosomatic medicine will also be discussed.</p>

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