The cases of 31 patients with psychogenic hearing loss who visited us between 2000 and 2002 were reviewed.
The patient group included 9 males and 22 females. The age range was 6 to 14 years, with a mean age of 9.1 years. We classified the patients into three groups, Other-oriented group, Self-oriented group and Conflict group, based on psychological interview and tests. Then we reported sand play and psychological feature of each group.
In the Other-oriented group, the symptoms are considered to represent “protection” against the incursion of others, and it is desirable to cultivate a sense of identity in psychotherapy. In the Self-oriented group, the symptoms may mean “refusal” of others who attack them, and it is necessary to treat both the factor-problems and the secondary mental problems. In the Conflict group, the symptoms can be considered to represent “demand” for care, and it is desirable to encourage self-expression in receptive psychotherapy. The clinical presentation of psychogenic hearing loss varies, and individualized mental assistance is essential.
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