Psychosomatic therapy for chronic pain disorder (Lumbago) closely related to conversion disorder as a psychological mechanism

S. Tsutsui, Y. Higashi, M. Hosoi, K. Mine, C. Kubo

Research output: Contribution to journalArticle

Abstract

The case of a 26-year-old woman who had been suffering from lumbago since the age of 14 earlier is herein reported. She also demonstrated claudication because of lumbago. Numerous examinations revealed no abnormal findings except for a slight lumbar disc herniation, and conventional orthopedic therapy such as traction only worsened her symptoms, thus she was eventually admitted to our department of psychosomatic medicine. The psychological interview revealed that she had felt stress from her over interfering mother since her childhood and that she could only avoid the unpleasant feelings by means of her symptoms. It was thus suggested that some psychological mechanism existed as a conversion disorder for her symptoms. She also indicated that her mother, coworkers and the previous medical staff did not show sufficient understanding for her symptoms, and such feelings were also considered to be contributive factors for the continuation of her symptoms. We therefore showed acceptance and sympathy for her pain while taking a neutral attitude to her pain behavior. We also performed family therapy in order to help reduce the stress in the family environment. As a result of this psychological treatment, her pain behavior began to gradually decrease.

Original languageEnglish
Pages (from-to)151-156
Number of pages6
JournalJapanese Journal of Psychosomatic Medicine
Volume37
Issue number2
Publication statusPublished - Jan 1 1997

Fingerprint

Conversion Disorder
Somatoform Disorders
Low Back Pain
Chronic Pain
Psychology
Pain
Emotions
Psychological Interviews
Mothers
Psychosomatic Medicine
Family Therapy
Medical Staff
Traction
Orthopedics
Therapeutics

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

Cite this

Psychosomatic therapy for chronic pain disorder (Lumbago) closely related to conversion disorder as a psychological mechanism. / Tsutsui, S.; Higashi, Y.; Hosoi, M.; Mine, K.; Kubo, C.

In: Japanese Journal of Psychosomatic Medicine, Vol. 37, No. 2, 01.01.1997, p. 151-156.

Research output: Contribution to journalArticle

@article{28301fc821e6418d971f748902eb1c9a,
title = "Psychosomatic therapy for chronic pain disorder (Lumbago) closely related to conversion disorder as a psychological mechanism",
abstract = "The case of a 26-year-old woman who had been suffering from lumbago since the age of 14 earlier is herein reported. She also demonstrated claudication because of lumbago. Numerous examinations revealed no abnormal findings except for a slight lumbar disc herniation, and conventional orthopedic therapy such as traction only worsened her symptoms, thus she was eventually admitted to our department of psychosomatic medicine. The psychological interview revealed that she had felt stress from her over interfering mother since her childhood and that she could only avoid the unpleasant feelings by means of her symptoms. It was thus suggested that some psychological mechanism existed as a conversion disorder for her symptoms. She also indicated that her mother, coworkers and the previous medical staff did not show sufficient understanding for her symptoms, and such feelings were also considered to be contributive factors for the continuation of her symptoms. We therefore showed acceptance and sympathy for her pain while taking a neutral attitude to her pain behavior. We also performed family therapy in order to help reduce the stress in the family environment. As a result of this psychological treatment, her pain behavior began to gradually decrease.",
author = "S. Tsutsui and Y. Higashi and M. Hosoi and K. Mine and C. Kubo",
year = "1997",
month = "1",
day = "1",
language = "English",
volume = "37",
pages = "151--156",
journal = "Japanese Journal of Psychosomatic Medicine",
issn = "0385-0307",
publisher = "一般社団法人日本心身医学会",
number = "2",

}

TY - JOUR

T1 - Psychosomatic therapy for chronic pain disorder (Lumbago) closely related to conversion disorder as a psychological mechanism

AU - Tsutsui, S.

AU - Higashi, Y.

AU - Hosoi, M.

AU - Mine, K.

AU - Kubo, C.

PY - 1997/1/1

Y1 - 1997/1/1

N2 - The case of a 26-year-old woman who had been suffering from lumbago since the age of 14 earlier is herein reported. She also demonstrated claudication because of lumbago. Numerous examinations revealed no abnormal findings except for a slight lumbar disc herniation, and conventional orthopedic therapy such as traction only worsened her symptoms, thus she was eventually admitted to our department of psychosomatic medicine. The psychological interview revealed that she had felt stress from her over interfering mother since her childhood and that she could only avoid the unpleasant feelings by means of her symptoms. It was thus suggested that some psychological mechanism existed as a conversion disorder for her symptoms. She also indicated that her mother, coworkers and the previous medical staff did not show sufficient understanding for her symptoms, and such feelings were also considered to be contributive factors for the continuation of her symptoms. We therefore showed acceptance and sympathy for her pain while taking a neutral attitude to her pain behavior. We also performed family therapy in order to help reduce the stress in the family environment. As a result of this psychological treatment, her pain behavior began to gradually decrease.

AB - The case of a 26-year-old woman who had been suffering from lumbago since the age of 14 earlier is herein reported. She also demonstrated claudication because of lumbago. Numerous examinations revealed no abnormal findings except for a slight lumbar disc herniation, and conventional orthopedic therapy such as traction only worsened her symptoms, thus she was eventually admitted to our department of psychosomatic medicine. The psychological interview revealed that she had felt stress from her over interfering mother since her childhood and that she could only avoid the unpleasant feelings by means of her symptoms. It was thus suggested that some psychological mechanism existed as a conversion disorder for her symptoms. She also indicated that her mother, coworkers and the previous medical staff did not show sufficient understanding for her symptoms, and such feelings were also considered to be contributive factors for the continuation of her symptoms. We therefore showed acceptance and sympathy for her pain while taking a neutral attitude to her pain behavior. We also performed family therapy in order to help reduce the stress in the family environment. As a result of this psychological treatment, her pain behavior began to gradually decrease.

UR - http://www.scopus.com/inward/record.url?scp=0031031705&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031031705&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0031031705

VL - 37

SP - 151

EP - 156

JO - Japanese Journal of Psychosomatic Medicine

JF - Japanese Journal of Psychosomatic Medicine

SN - 0385-0307

IS - 2

ER -