ABSTRACT
We present two typical cases among five Japanese students who have complained of hearing music. They were found among 638 student case reports during 4 years at the mental health service center of a preparatory school. We diagnosed the complaint of hearing music as a symptom of obsession. Morita therapy was an effective treatment for this symptom. We discuss the characteristics of the symptom as an obsession and the therapy in the light of Morita theory.
Subject(s)
Auditory Perceptual Disorders/diagnosis , Cultural Characteristics , Hallucinations/diagnosis , Music , Obsessive Behavior/diagnosis , Students/psychology , Adolescent , Adult , Attention , Auditory Perceptual Disorders/psychology , Auditory Perceptual Disorders/therapy , Female , Hallucinations/psychology , Hallucinations/therapy , Humans , Male , Obsessive Behavior/psychology , Obsessive Behavior/therapy , Personality Assessment , Stress, Psychological/complicationsABSTRACT
1) CZP had marked effects on RD. RD disappeared in 8 (73%) of 11 patients treated with CZP alone and 6 (43%) of 14 treated with CZP in combination with other drugs. Even when RD persisted, its amplitude and frequency decreased in some patients. 2) In the group treated with CZP in combination with other drugs, RD disappeared in all 5 patients with the persistent RD, of whom 2 had arachnoid cyst. Of the 6 patients with frequent seizures, 2 were subsequently diagnosed as having CPS and SPS, respectively. Patients who did not respond to CPZ included those in whom the diagnosis of BECCT should be reconfirmed, and electro-clinical response may be also useful for diagnosing RD. 3) In patients treated with CZP alone for a short-term treatment of BECCT, the drug administration could be discontinued only in one. A longer follow-up study is necessary to reach a conclusion in future.
