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학술저널

假神經症樣精神分裂症의 臨床的特徵과 그 力動學

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Three cases of pseudoneurotie schizophrenia who were diagnosed and treated in our out-patient clinic were presented. In their clinical pictures and psychodynamics we found, as following characteristics. 1) Those multiple and bizarre hypochondriacal complaints of pseudoneurotie schizophrenics were considered as attempts of regaining lost objects as in the cases of persec ntory delusions in paranoiacs. In the persecutory delusions of paranoiacs the super-ego was considered to be reprojected toward the outer-world but in the hypochondriacal symptoms of pseudoneurotie schizophrenics the super-ego was considered to be projec ted toward the alienated their own body organ. 2) Those hypochondriacal symptoms in pseudoneurotie schizophrenics were finally encapsulated form other personality functioning as in the cases of paranoid delusion in paranoia. 3) From the clinical and dynamic characteristics as mentioned above we might well suggest that those hypochondriasis in pseudoneurotie schizophrenics were considered as the somatic equivalent of paranoid reaction or somatcHype paranoid reaction.

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