Gilles de la Tourette 증후군의 정신역동

• 영문명: PSYCHODYNAMICS OF A CASE OF GILLES DELA TOURETTE SYNDROM E
• 발행기관: 대한신경정신의학회
• 저자명: 要錫憲 尹錫夏
• 간행물 정보: 『신경정신의학』제13권 제3호, 364~369쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1974.07.30

영문 초록

The authors reported a case of Gilles de la Tourette syndrome in a 14 year old junior high school boy. About three months prior to the onset of tic syndrome , he had received a femur fracture from the traffic accident at which time he had experience a overwhelming fright Psychiatric evaluation revealed that this predominent difficulties were consisted of frequent eyelid blinkings in involuntary and spasmodic nature , phonation difficulties mostly of stutterin g , and ticl ike movement of shoulder and flank . Some characteristic psychopathology found in this case include multiple phobias , compulsive symptoms and some trends of regressive be havior as well. He had been treated with Haloperidol and analytically - oriented psycho therapy in 12 sessions for 2 months duration with some symptomatic relief. The psychodynamic formulation was made as follows : Through the analysis of his repeated dream con tents , it became apparent that his central dynamism was centered around feeling of ostracism or of rejection . In his life history , he had been deprived of early maternal care and was nakedly exposed to the frequent aggressive attacks of his tyrannical father . His premorbid personality was orally oriented as evidenced by his early character traits and the findings of clinical psychological tests. As to the intrafamily dynamic he seemed to have played a role of a scape-goat,

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