Japanese Journal of Psychosomatic Medicine
Online ISSN : 2189-5996
Print ISSN : 0385-0307
ISSN-L : 0385-0307
The Triple Structure of Somatization in Patients with Autism Spectrum Disorders
Koji NakamuraShinji OkinoKazuya OnoKazuhiko Nakayama
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2014 Volume 54 Issue 12 Pages 1105-1110

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Abstract
Autism spectrum disorders (ASD) represent a group of complaints for which patients present at various medical departments with indefinite symptoms. We have presented and discussed a patient with male Asperger's disorder. Primarily, ASD patients suffer from body hypersensitivity, and in addition somatization may occur as a result of maladjustment to society because of communication disorder, and their insistence on sameness makes their physical symptoms more intractable. We have referred to this phenomenon as "the triple structure of somatization" in ASD patients. Because of this, the physical symptoms they suffer are likely to be prolonged, resulting in unnecessary and continuous visits to medical departments. In clinical settings, it is necessary to focus on maintaining a good relationship between the patient and the therapist, with mutual recognition of characteristics such as hypersensitivity, and avoiding any ambiguity of communication as far as possible.
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© 2014 Japanese Society of Psychosomatic Medicine
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