精神病症状消退後の虚脱状態と過渡対象—ある精神分裂病者の寛解過程から

Postpsychotic Collapse and Transitional Objects in a Recovery Process of a Schizophrenic

　抄録　ある精神分裂病者の寛解過程に認められた精神病症状消退後の虚脱状態（PPC）と過渡対象について報告した。

　症例は30歳の男性であり，父の死，離婚，母の事故と入院の後に関係被害妄想，妄想気分を中心とする精神病状態に陥った。作為体験によると思われる自殺企図のために入院となり，約1カ月で精神病状態は消失した。その後の寛解過程は2つの時期に分けることが出来た。臨界期に相当する焦りの時期と虚脱期である。そして，焦りの時期にはプラモデル，虚脱期には花という過渡対象が観察された。

　It is necessary to clarify the recovery process in schizophrenia. But the approach to schizophrenics is not easy because of their poor verbal communication.

　We presented a case in which the patient was a 30-year-old male with schizophrenia. His recovery process was divided into two phases. The first was the phase of irritability and the second was that of postpsychotic collapse (PPC). Two transitional objects were observed in his recovery process, the first being a toy in the phase of irritability and the second, flowers in the phase of PPC.

　We discussed the role of the transitional objects in his recovery process. The transitional objects were needed for the reconstruction of his ego-boundary and his recovery from ego-exhaustion. They also played an important role in nonverbal communication between the patient and the therapists.