著者

河野 友信

出版者

一般社団法人 日本心身医学会

雑誌

心身医学 (ISSN:03850307)

巻号頁・発行日

vol.20, no.1, pp.7-14, 1980

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Relationships between disease and sex were investigated in the outpatients of our psychosomatic clinic. 1) Problems concerning sex were observed in 35 (20.3%) out of 172 outpatients excluding depression at our psychosomatic clinic. 2) Female patients amounted to 85.7%(30) of all the patients who had sexual problems. There were 26 patients (74%) whose ages ranged from 20 to 40. 3) Details of sexual problems were as follows : Sexual frustration, frigidity, premature ejaculation, abnormal acceleration of sexual desire, impotence, neurotic masturbation, sexual delusion, fear of venereal disease, fear of sexual intercourse, fear of loss of virginity, pregnancy outside of marriage, incest, sexual perversion, living together of feme and concubine, manic-depressive psychosis and sexual problems, sexual relations between patients and nurses, chronic disease and sexual problems, sexual relations between father and his adopted daughter. 4) In the clinical site, sexual problems were projected or hidden behind the disease in the following forms : Defense mechanisms (conversion reaction, escape, denial), positive transference, troubles between husband and wife (separation, divorce), abnormal mental state of the patient (neurosis), refusal of sexual intercourse, symptoms concerning sex (delusion, sexual frustration, impotence, incomplete sexual feeling, masturbation and onanism, inadaptability to sexual development and aging, and abnormal sexuality.) 5) Psycho-sociological backgrounds creating sexual problems were analysed. 6) When the Kyushu University Medical Index (KMI) was executed on 85 depressive patients, only 17 (20.9 %) gave affirmative answers regarding sexual difficulties. Sexual problems were latent in 6 patients (9.3 %) out of 64 excluding the above-mentioned 17 depressive patients. 7) The following 4 cases of sexual problems were presented : Anorexia nervosa, ulcerative colitis, depression and Shay-Drager syndrome.