Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of a Somatization Disorder Patient with Histrionic Personality Disorder

연극성 성격장애를 지닌 신체화장애 환자 치험 1례 -최면치료, EFT 중심으로-

  • Kim, Soo-Jung (Dept. of Oriental Neuropsychiatry, National Medical Center) ;
  • Ryu, Chun-Gil (Dept. of Oriental Neuropsychiatry, National Medical Center) ;
  • Cho, A-Ram (Dept. of Oriental Neuropsychiatry, National Medical Center) ;
  • Seo, Joo-Hee (Dept. of Oriental Neuropsychiatry, National Medical Center) ;
  • Kim, Ji-Na (Dept. of Acupuncture and Moxibustion, National Medical Center) ;
  • Sung, Woo-Yong (Dept. of Oriental Neuropsychiatry, Pusan National University School of Korea Medicine) ;
  • Park, Jang-Ho (Dept. of Oriental Neuropsychiatry, College of Oriental Medicine, Wonkwang University)
  • 김수정 (국립중앙의료원 한방신경정신과) ;
  • 유춘길 (국립중앙의료원 한방신경정신과) ;
  • 조아람 (국립중앙의료원 한방신경정신과) ;
  • 서주희 (국립중앙의료원 한방신경정신과) ;
  • 김지나 (국립중앙의료원 침구과) ;
  • 성우용 (부산대학교 한의학전문대학원 한방신경정신과교실) ;
  • 박장호 (원광대학교 전주한방병원 한방신경정신과)
  • Received : 2012.05.31
  • Accepted : 2012.06.17
  • Published : 2012.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The histrionic personality disorder(HPD) is characterized by a pattern of excessive emotion and attention-seeking behavior, including a seductive behavior. It is known that HPD is closely related to a somatization disorder. The somatization disorder is characterized with various physical symptoms that have no pathologic manifestation. This report is on a case of 55 years old woman with HPD, who has been suffering from various physical symptoms that are coincided with diagnostic criteria for somatization disorder by DSM-IV. Methods : The patient was treated with oriental medical treatments (acupuncture, moxibustion, cupping therapy, and herb-medication), hypnotic therapy, and emotional freedom techniques. The effects of treatment were measured by VAS. Results : Chest pain was improved by hypnotic therapy and oriental medical treatments. But the patient's pantalgia and abdominal discomfort were controlled effectively by emotional freedom techniques. Conclusions : This result suggests that EFT might be effective for the defensive and dependent somatization disorder patient with HPD.

Keywords

References

  1. American psychiatric association. Diagnostic and statistical manual of mental disorder, 4th ed. Washinton DC. APA, 1994
  2. Kwon SM. Modern Abnormal Psychology. Seoul. hakjisa. 2003;243-9, 320-4
  3. Kim WS, Lee C, Kim CY, Han OS. A Study on the Types and the Frequencies of Personality Disorders/Traits in the Patients with Somatoform Disorders. Psyhosomatic Medicine. 1997;5(1):43-51
  4. Kim JW, Kwon JH, Lee MS, Park DK, Development of Hwa-Byung Diagnostic Interview Schedule (HBDIS) and Its Validity Test, Korean journal of health psychology. 2004;9(2):321-31
  5. Williams JB. A structured interview guide for the Hamilton Rating Scale for Depression. Arch Gen Psychiatry. 1989;46(5):481-2 https://doi.org/10.1001/archpsyc.1989.01810050095019
  6. The Korean Pain Society. Pain Medicine. Seoul. Koonja. 1997:27-8.
  7. Lee YJ, Yang JG. Metaphor and Hypnosis: The core of Ericksonian Counseling. Seoul. hakjisa. 2007:261-82
  8. Roh EJ, Kang HE, GoBangYuChui. Seoul. gobangbook. 2009 :404-6
  9. The Textbook Compilation Committee of Neuropsychiatry of oriental medical school in nation, The Neuropsychiatry of Oriental medicine. Seoul. Jipmoon-Dang. 2007: 396-407, 503-4, 548
  10. Park JS, Kim IS. The Effects of Emotional Awareness Deficit, Emotional Expressivity, Ambivalence over Emotional Expressiveness on Somatization, Depression and Stress Experience Frequency. Journal of Korean Health Psychological Association. 2008;13(3):571-81
  11. Moon MH, Choi JW. The Defense Mechanisms of Neurotic Patients With Chief Complaints Of Somatic Symptoms. Journal of Korean psychological association. 1996;15(1) 117-27
  12. Seo SH, Yim HJ, Jung IC, Lee SY. The clinical study on 1 case of Patient with Tremor by Bok-Jin. Daejeon University, Institute of Korean Medicine. 2007;16(1):69-78
  13. Brown DP, Fromm E. hypnosis and Behavioral Medicine. New Jersey, Lawrence Erlbaum Associates. 1987.
  14. Park HG. Hypnotherapy with Hysterical Aphonia. Psyhosomatic Medicine. 1997;5(1):123-128
  15. Elkins G, White J, Patel P, Marcus J, Perfect MM, Montgomery GH. Hypnosis to manage anxiety and pain associated with colonoscopy for colorectal cancer screening: Case studies and possible benefits. Int J Clin Exp Hyun. 2006;54(4):416-31 https://doi.org/10.1080/00207140600856780
  16. Lee JY, Kim JY, Ahn DJ. A Case Study of Pain Disorder Treated by Hypnosis. Journal of Oriental Neuropsychiatry. 2007;18(2)153-61
  17. Koh YT, Sim SM, Kim TS. A case of distillation Herbal medicine and Counseling on insomnia, Journal of Korean Neuropsychiatric association. 2006;17(2)217-25
  18. Craig, G. Emotional Freedom Techniques: The manual. California: The Sea Ranch. 1999:3-19
  19. Lee JW, Cha HJ, Seo YM, Seo DW, Park SJ. A Case Report of a Schizophreniform Disorder Treated by Oriental Medical Treatment and Emotional Freedom Techniques. Journal of Oriental Neuropsychiatry. 2009;20(2):207-16
  20. Seo JH, Kang HS, Kim JY, Sung WY, Na YJ, Kim JW, A Case Report of a Patient with Weakness of Heart and Gall bladder type Somatization disorder induced by Stress. Journal of Oriental Neuropsychiatry. 2007;18(3):249-60
  21. Lee JH, Seo HW, Jung SY, kim JW. A Preliminary study for the evaluation of the effects of EFT-I(EFT program for insomnia) for insomnia in the elderly. Journal of Oriental Neuropsychiatry. 2011;22(4): 101-9.

Cited by

  1. Research Status on Psychotherapy in Korean Medicine vol.24, pp.spc1, 2013, https://doi.org/10.7231/jon.2013.24.Spc1.063
  2. Trends of Meridian-Based Psychotherapy - Review of Researches on Emotional Freedom Technique (EFT) vol.24, pp.spc1, 2013, https://doi.org/10.7231/jon.2013.24.Spc1.089
  3. Qualitative Analysis for the Influences of Emotion Freedom Techniques (EFT) Group Treatment Program for Hwa-Byung Patients vol.25, pp.1, 2014, https://doi.org/10.7231/jon.2014.25.1.029
  4. Case Series of Panic Disorder Patients Treated by Oriental Medical Treatments and EFT vol.25, pp.1, 2014, https://doi.org/10.7231/jon.2014.25.1.013