著者

皆川 邦直

出版者

医学書院

巻号頁・発行日

pp.319-330, 1992-03-15

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■境界例概念の変遷 我が国では井村37)が,Hochらの偽神経症性分裂病32〜34),Zilboorgのambulatory schizophrenial29,130)と,Knightの境界状態55,56)を中心に境界例概念を紹介した。続いて武田は,境界例(境界線症例)116)の臨床記述をしたが,Shenken105)の考えをも参照して,仮性神経症型,妄想反応型,混合型(中間型)3型に分類した。 ところでHoch,Zilboorg,Bychowsky5,6)らは境界例を分裂病概念の内側ないし辺縁にあるものとしてとらえていたといえるが,この流れはKetyらの境界分裂病50,122),ならびに分裂病型パーソナリティ障害110,111)に至るといえよう。我が国では武田,小此木-岩崎94),三浦-小此木ら74〜77),笠原-藤縄ら12,43),安永124),神田橋41,42),河合47),船橋-村上ら13,44,84)などの研究を含めることができる。

著者

小川 清久 皆川 邦直 松井 健郎

出版者

日本肩関節学会

雑誌

肩関節 (ISSN:09104461)

巻号頁・発行日

vol.12, no.1, pp.95-100, 1988-08-10 (Released:2012-11-20)

参考文献数

2

被引用文献数

1

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Psychological factors have seemed to play an important role in voluntary shoulder dislocation. Nevertheless, there are no detailed reports of those who have received psychiatric treatment. We would now like to report the following 4 cases whose shoulder dislocations were caused as a manifestation of psychological factors.Case 1: 28 y. o., female. When the patient was about 16 years old, she dislocated both shoulders by minimal trauma; then, voluntary shoulder dislocation developed. She underwent five operations at a certain hospital from the age of seventeen. As the dislocation had recurred within 6 months postoperatively on each occasion, she visited our clinic. As we recognized split object relations, we told her to have a psychiatric examination. As a result, it became clear that she had a borderline personality disorder and the dislocation was a trend of autoclasia.Case 2: 22 y. o., female. This case is the similar disorder to Case 1, but, just a slight.Case 3: 15 y. o., female. Voluntary shoulder dislocation and pain appeared in her left shoulder two years ago. As her relations with her mother were unnatural, we recommended a psychiatric examination. The result clarified that an adjustment disorder during adolescence existed.Case 4: 23 y. o., female. Two years ago she suffered from traumatic dislocation caused by a traffic accident, and lost her fiance. Then, after she started going out with another man, dislocation of the shoulder began to occur at twilight accompanied by a syncope-like episode. Though it was spontaneously repositioned under general anesthesia, the dislocation occurred again when she came out from under the anesthesia. Therefore, we requested the cooperation of the psychiatric dept.. As a result, she was diagnosed as having hysterical neurosis.

著者

皆川邦直

出版者

金剛出版

雑誌

ひきこもりケースの家族援助, 相談 治療 予防

巻号頁・発行日

2001

被引用文献数

1

著者

皆川 邦直

雑誌

精神分析研究 (ISSN:05824443)

巻号頁・発行日

vol.45, no.4, pp.409-410, 2001-11-25