抄録
The patients of the psychosomatic disease often tend to lack recognition of their mental conflict and emotion, and therefore have difficulty to express those experiences. This condition itself can be a cause of psychosomatic disease and also make the diseases more conplicated. In the therapeutic situation, verbal communication is often unsatisfactory between therapist and patient. In this report we present a successfull case of clinical application of landscape montage as a non-verbal therapeutic procedure.Case Presentation : A 26-year old male visited our outpatient clinic of Deoartment of Psychosomatic Medicine on February, 1986,complaining of general fatigue, appetite loss, epigastralgia and diarrhea. These symptoms were suspected to be caused by maladaptation in his company.The process of psychotherapy is devided into three stages according to the improvement of symptoms and social adaptability of the patient. 1) At the first stage, he suffered from various symptoms and could not gain an insight into his disease. He had difficulty of adaptation to the society and showed mental regression. 2) At the second stage, he gradually gained an insight into the psychosomatic relationship, but various symptoms remained unstable. He often expressed his positive attitude to ward the social life, but still showed hesitation to proceed his will. 3) At the third stage, he was fortunate to obtain the opportunity of re-employment. Every symptom remarkably improved and he gradually regained his confidence.The pictures of the landscape montage showed various states of escape phenomena, mental regression, volition, effort and anxiety for the social life with the change of the stage. He also learned to express his suppressed aggression and mental conflict through this therapy.Application of the landscape montage to the therapy of the psychosomatic disease seems to give a valuable information to understand the unverbalized problems of the patients and to estimate the improvement of the disease. We believe therapeutic value of the landscape montage is also expected in that unconscious aggression was effectively released and analysis of the pictures encouraged the insight of the patient into his disease.
