母親殺害事件を惹き起こしたAnorexia Nervosaの1例

A Case of Anorexia Nervosa who Committed Matricide

　抄録　Anorexia Nervosaに罹患した26歳の女性で母親を殺害した症例を報告した。

　本症例は，患者14歳の時に腹痛に対する恐怖からの不食という形で発症し，患者の身体・精神症状，指導性のない父親・過保護な母親といった家庭内力動などの点から典型的な症例であった。患者の病前性格には，自己中心的・わがまま・未熟といった傾向が認められた。また，母娘間の両価的感情結合が特に顕著であり，母親に対して甘えと攻撃性の両価的感情を抱いていた患者が，その極限状態において，母親の拒否的な態度に怒りを覚えて殺害行為に及んだものと推察された。

　We reported a case of Anorexia Nervosa, a 26-year-old female patient who commited matricide.

　The case fullfiled completely the diagnostic criteria laid down by the Ministry of Health and Welfare Japan⁹⁾.

　There was no family history of psychiatric diseases. There was nothing particular in her past history except that she was born by Caesarean section, because of her mother's contracted pelvis. Her menarche was in her 12th year, and the menstrual cycle had been regular until the onset of the present disease. The parents, especially the mother had spoilt the patient, their only child. Her premorbid character was punctilious and shy, but at the same time, she had a tendency to be somewhat ego-centric.