2021 Volume 61 Issue 4 Pages 371-379
In patients with psychosomatic disorders, it is often difficult to aware the psychosomatic correlation due to alexithymia. Process-oriented psychology (POP) intervenes from various channels to promote awareness of psychosomatic correlation. [Case] Female in the 30s, health center staff. After treatment of cervical cancer in June X−1, slight fever, general pain, irritability, tremor, malaise persisted. In October X, she visited A Thyroid Clinic and was diagnosed with painless thyroiditis. In December, she suffered from hypothyroidism and was started LT4 compensation. In April X+1 combined use of counseling was started. Through the channels of physical illness, nightmares, habits, etc., the secondary process “dependency, emotional” is suppressed by the deep consciousness of the primary process “perfect principle, the rational good child” in ego consciousness. In November, she took a large amount of LT4 for suicide. The author stopped the LT4 suspension and then took a leave of absence. After that, the patient gradually became able to accept the impatience and imperfection, and transferred to the NPO for welfare for persons with disabilities in November X+2. Thyroid function is also maintained as normal. Conclusion : POP seems to be effective for psychosomatic disorder patients with alexithymia.