Detailed contribution information
| Contribution title | 3168 - Process of psychotherapy treating autism spectrum - transition of self-image and psychotic crisis |
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| Contribution code | PS02-14 (P) |
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| Form of presentation | Poster |
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| Abstract |
[Back ground] It is said that an autism spectrum patient is difficult to grasp self-image both subjectively and objectively. It is often regarded as a lifelong characteristic, but there are some cases that patients grasp vague self-image during their adolescence. The appearance of psychotic states sometimes causes waver in distinguishing schizophrenia. The aim of this presentation is to examine these conditions of female infant of autism spectrum during treatment. [Case] A was 13 years old at her first visit. She has been peculiar to choice of words since her infancy. After entering elementary school, she has been standing out to be isolated not participate in group behavior. When she was in the second grade, her father got into trouble in his workplace and then her mother and A went to live with their relative. Her father’s overbearing and short-tempered condition were getting worse and the family got into strained relations. A could not go to school when she was in the 4th grade and refused to go to junior high school because somebody says heartless words. She first visited when she was in the first grade of junior high school and has been attending the hospital regularly. She was diagnosed and treated with autism spectrum through her history. Two years after the first visit, she complained of void and suicidal ideation. Psychiatric conditions were suspected, however, with her strong refusal of oral administration, psychotherapy was practiced. During the sessions, she talked about her father, her father’s problems, her dreams and we felt that her split memories and experiences put together. She told her father what she thought. After the confession, she sometimes being confused, but psychiatric conditions have not appeared. [Discussion] During there adolescence, children with ASD begin to feel themselves in an objective way. At the same time, they may be thrown into psychotic crisis. At that time, psychotherapy should serve as a place to protect them from identity disturbance. |