KCI등재
신경통 樣症狀을 主訴로 하는 强迫神經症의 一例 = PSYCHOTHERAPEUTIC EXPERIENCE OF A CASE OF OBSSESIVE COMPULSIVE NEUROSIS WITH NEURALGIC LIKR SYMPTOMS
저자
白尙昌 (白 神經精神科)
발행기관
학술지명
권호사항
발행연도
1973
작성언어
Korean
KDC
513.85
등재정보
KCI등재
자료형태
학술저널
발행기관 URL
수록면
207-213(7쪽)
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소장기관
O.C.N. was believed to be very difficult to cure as it shows high degree of resistance and of its difficultiness to relate the manifest symptom and hidden unconscious material.
author treated an O.C.N. case who mainly complained of neuralgia like symptom on his right arm without organic basis for 6 years.
The Psychoanalysis oriented psychotherapy ?? simultanlous pharmacotherapy were done for 1 and half year with satisfactory result.
Therapy was focussed mainly on gaining the insights on the part of the analyst's through analyst's sincere, empathetic, and participant attitude and timely interpretation.
The insights which had to do with his neuralgia like symptoms were as follows.
峯 Mr. P, middle aged secretary of district prosecutor fell severe pain and paralysis like symptom when he investigated his senior, a prosecutor, after 5.16 revolution. This might be possibly true that his ambivalence toward authority figure turned to severe guilt feeling and pain of arm at the dramatic moment.
峰 Neuralgia was related with his parsimonious attitude. In spite of his desperate elaboration, he had to pay for the fee of coffees, when the severe traction seusation and pain of right arm was notified.
捧 He became to relate his peculiar sexual attitude of ejaculatio retarda which came from his anal attitude of semen. During prolonged sexual intercourse he used to support his body with right arm until muscle rigidity and severe pain took place.
棒 The analysand remembered the robbering of note book of his competitious classmate, when he experienced guilt feeling, palpitation and pain of right arm. His female teacher of primary school days was reported to enjoy a kind of arm wrestling with one of the pupils who achieved best record of monthly examination. Mr. P. washighly jeolous, competetious and wished to monoplize the game.
烽 He could confess his deeply hidden concern that he was a mean driver before he became a secretary of district prosecutor. He felt high degree of shame and pain of right arm when one said of driver or even of handle of car.
熢 After all be was aware of the fact that he pretended to be a true Christian to raise his former mean social status, a driver, in Korea.
At the dramatic moment of his ceremony a Chipsa at the church and the pastor praised him as a true son of god who never drink and smoke. When the pastor raised Mr. P's right hand from his pocket, the butt of cigarret came out, and Mr. P. was so shameful that his right hand became nearly paralyzed and painful.
The analysand gained the insights and knew his true self image including unconscious field.
Through this doctor-patient relationship he could accept his self as it were.
From the old self a highly parsimonious, love exploitative. mean, hypocritic, and chronic hostile he could create his new being which finally cured the symptomatology of O.C.N-especially of neuralgia like symptom of right hand.
With new being, he could related with his senior smoothly and could give love and "semen" to his wife and friends without internal unconscious resistance and could accept his formerly mean social status, a driver, naturally without any shame or guilt.
The author performed the psychoanalysis oriented therapy through the oriented Freudian line principally, yet added the therapentic attitudes of cultural school, Jungian school, Exisistential analyst's, and even Zen Buddhism cautiously.
Thronghout the course of treatment anthor usually kept in mind of any appearance of countertransference.
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