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KMID : 0607519930010010101
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Korean Journal of Psychosomatic Medicine
1993 Volume.1 No. 1 p.101 ~ p.108
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A Case of Woman with Histrionic Personality who Suffered from Chronic Gastrointestinal Dysfunction
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Song Ji-Young
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Abstract
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A case of a 38 year-old woman with histrionic personality who had chronic epigastric pain, dyspepsia and alternating bowel habit for more than 10 years was presented in detail on its course of two times of admission and follow-up. The diagnosis was thought as psychophy-siological disorder or gastrointestinal motility disorder of undefined etiology rather than hypo-chondriasis or Briquet’s syndrome. She was characterized by sustained illness behavior and combined several physical illnesses. i.e. tuberculosis. anemia and hepatic stone. These physical diseases led to a blurring of psychological and physical boundaries regarding symptom formation. The points on consultation from medical part to psychiatric department were discussed and the supposed causal mechanisms in non-organic functional gastrointestinal disturbances were also reviewed. Physical and psychological modalities for the treatment and the abnormal illness behavior were mainly emphasized in this case.
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KEYWORD
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Chronic GⅠ disturbance, Histrionic personality, Consultation
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