The clinical classification, hereditary factors, mechanisms of onset, differential diagnosis and the comorbidity of Tourette disorder are described in this paper. In addition, the initial explanation and treatment including drugs for children with this disorder at paediatric outpatient clinics are included. We think that psychological support is very important for mothers of children with anxiety probably caused by hereditary problems. Some of our answers are also introduced to the questions which are often asked by mothers as they take care of the children in ordinary life.

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Divisions of General Practice are seated in university hospitals and residency training hospitals for the purpose of primary care education. Contents of practice and education are various, but these divisions have roles to train students and residents for basic clinical skills corroborated by psychosomatic medicine. Education of communication skills is very important and it is made up of empathy with imagination, insight into anxiety, consideration of life environment, understanding of patients' long-term life and assessment of care resources. We should put a special emphasis on therapeutic self maturity through practice for difficult patients.

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Rapid changes in the environment have had a serious influence on the mental development of children and there are not a few children who loose their psychosomatic health (health of mind and body). Those children may have not fully learned ways to cope with stress. In Western countries, stress management has been introduced into the field of medicine and education from the early stages. There are many reports that stress management is very effective in preventing children's behavior problems. It has also become necessary to immediately introduce stress management in Japan. However, when introducing stress management in Japan, it is necessary to grasp the current stress conditions of Japanese children, and then produce the method corresponding to such conditions. This study investigated relations between responses to stressors and factors that reduce stress in children. The subjects were 463 children (240 boys and 223 girls). Correlation coefficients between school stressors and responses to stressors were calculated by multiple regression analysis and good-poor analysis. The results indicated that the stressors in the human relationship with friends or teachers, beside studies, were related to responses to stressors. Then, correlation of each factor that reduces stress was calculated by multiple regression analysis and good-poor analysis. The results showed that self-efficacy reduced responses to stressors both boys and girls, and that cognitive evaluation affected the girls to reduce their responses to stressors more effectively than the boys. Furthermore, thinking evasion coping in the boys and change of pace coping in girls worked to increase their responses to stressors respectively. Regarding social support, boys' responses to stressors were related to relationship with friends, while those of girls' were related to relationship with teachers. Although self-efficacy and cognitive evaluation reduced responses to stressors, it is worthy of notice that stressors in human relationships be related to responses to stressors and that social supports reduce responses to stressors. when we adapt stress management to Japanese children, we need to develop the method that promotes the development of good human relation.

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Cenesthopathy causes strange sensations at various places on the body, and not rarely do symptoms occur inside the mouth cavity (oral cenesthopathy). In such cases, the patients seek medical care from a dentist. We studied dental treatments that were considered to have caused the onset of cenesthopathy symptoms, in 21 cases diagnosed as oral cenesthopathy at the psychiatry department after undergoing medical examinations at the Psychosomatic Dentistry Center of a hospital affiliated with Nippon Dental University. The results were as follows. In 16 of the 21 cases, dental treatment was believed to have caused the onset of symptoms. Most of the precipitating treatments were prosthetic in nature or tooth extractions. The treatments were done mostly to the molar teeth. In addition more than half of the cases had received treatments for multiple teeth. These findings indicate that changes in the sensation of occlusion and mastication can be related to the onset of cenesthopathy symptoms. In cases where symptoms were not attributable to dental treatments, and in those where symptoms were located elsewhere besides the treated site, the symptoms were experienced over a wide region, described as "the entire oral cavity." It was also found that much more symptoms occurred on the left side, compared with on the right.

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