Japanese Journal of Psychosomatic Medicine
Online ISSN : 2189-5996
Print ISSN : 0385-0307
ISSN-L : 0385-0307
Case Study
A Case Study of an Adult Patient with Problems of Interpersonal Relationship who was Abused in Childhood
―Through Interventions for Make and Maintain Positive Personal Relationship―
Sonoo OsakiYoshio Hayashi
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2019 Volume 59 Issue 1 Pages 60-69

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Abstract

The adult patient who was abused in childhood have not only posttraumatic stress symptoms but also problems of interpersonal relationships as interpersonal distrust, detachment, aggressive emotions to others, etc. These problems would be re-enactment of traumatic interpersonal relationship of one’s child abuse. Because re-enactment of traumatic interpersonal relationship includes triggers for posttraumatic stress symptoms, it is important to alter that traumatic interpersonal relationship and to make and maintain one’s positive relationship with others for alleviating the symptoms. In this paper, we report a psychotherapy case of an adult patient who was abused by father in her childhood. Patient had some posttraumatic stress symptoms as re-experiencing, dissociation, suicidal ideation. In addition, re-enactment of traumatic interpersonal relationship and negative beliefs of oneself and others were prominently. We led the patient to reflect on herself by the Socrates-style question method and sharing the case-formulation of patient’s interpersonal relationship then patient became capable to make and maintain her positive personal relationship. Concurrently patient’s posttraumatic stress symptoms were alleviated and negative belief about oneself and others were positively changed.

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© 2019 Japanese Society of Psychosomatic Medicine
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