An Analysis of Ego State Involvement in Akatsuki Disease Using Tokyo University Type Egogram

Abstract

We assessed the usefulness of the Tokyo University Type Egogram (TEG) as an analysis of ego state involvement in the onset of akatsuki disease. The patient was a 75-year-old female who had brownish plaques on the right auriculotemporal area that were easily removed by tweezers. We made a diagnosis of akatsuki disease, in which there is a psychological disorder that prevents patients from washing off everyday dirt. The TEG of this patient showed N-type with a high level of Nurturing Parent (NP) and a low level of Free Child (FC). This pattern is usually observed in patients with anxiety neurosis or depression. The low level of FC is also seen in hypochondriasis. We concluded that this egogram was clinically useful in reflecting the patient’s ego state involvement in akatsuki disease.