2011 Volume 51 Issue 7 Pages 635-643
Psychosomatic treatment means encouraging patients to have their own insight into mind-body relations. We found that some eating disorder patients were much obsessed with their own physical symptoms, eating activities and emotions. Most of them lack motivation for receiving treatment and also strongly resist to get treatment. Among those patients, we found some cases who had no awareness of mind-body relations or did not give much thought of it. They showed such characteristics as unclear and slow talking, being paranoid with poor communication and unstable emotions. In terms of psycho-social background, they are also characterized by maladaptation to the society and poor performance at schools. Some even have problems of family background which is far short of understanding by their parents. We performed the Wechsler Adult Intelligence Scale-Third Edition (WAIS-III) to both out-and in-patients who consented to it. The result showed that the range of Full Intelligence Quotient (FIQ) of many patients fell into 55-79, which means challenged or borderline (below average) levels. Although we think it effective to treat those patients together with drugs and repeated short term hospitalization and participation of their families, it is still very difficult to change their recognition.
