Abstract
Three-hundred and eight patients with chronic physical problems have been treated with the psychiatric psychosomatic approaches at the Murayama Byoin National Sanatorium durin gthe years from 1976 to 1982.
The psychiatric psychosomatic problems of these patients have been summarized as follows: 1) severe and long-lasting pain, sensory abnormalities, epilepsy, and writer's cramp caused by the physical disorders, 2) anxiety, insomnia, depression, and disturbance of consciousness caused by the psychiatric disorders, 3) lack of motivation, aggression, and frequent recurrence of the diseases caused by disorders of the personal activity.
Of 308 patients treated with the psychiatric psychosomatic approaches, 196 (63.6%) were suffered from the degenerative diseases of the spine or joint; 20 (6.4%) were spinal cord injury; 20 (6.4%) were collagen diseases; 19 (6.2%) were organic diseases of the brain; and so on.
The diagnostic analysis from these approaches to 308 patients was revealed as follows: psychosomatic diseases in 81 patients; neurosis in 51; organic diseases of the brain in 34; schizophrenia in 27; and depression in 26.
The results of these approaches to the patients with various problems were satisfac-tory. The favorable result was obtained in 70% of the patients with pain problems from the degenerative diseases, and ranged from 60% to 40% in the patients with spinal cord injury and organic diseases of the brain. Low back pain was 74.6% and shoulder-neck pain was 62.2% with the favorable result.
