The Effect of the Paradoxical Indications in Two Cases of Anxiety Neurosis with Panic Attack

Abstract

　　This study reports two case examples of anxiety disorder with panic attack. In both cases MRI paradoxical approaches were applied and seemed effective in reducing panic attack and other anxiety symptoms.

　　Case 1 : A woman, 30 years old with a job, complained of amnesia and of breathing difficulty. Anticipation of symptoms was evident from her attitude of communication and the content of what she said. Paradoxical indications in MRI style were applied, including exaggerating symptoms and predicting relapses, and prompt reduction of symptoms was observed.

　　Case 2 : A male student of 20 years old complained of hypnagogic hallucination of black object when he tried to sleep in the bed at night. The same style of paradoxical indication was applied and the symptom disappeared at the 2nd interview.

　　Vignettes of interviews of the both cases were presented as verbatim transcripts and discussed.