[From some experiences in pharmaco-psychotherapy].
The author had developed the anaclitic pharmaco-psychotherapy as an integrated treatment of levomepromazine (a phenothiazine derivate), psychoanalytic interviewing and intensive nursing care for severe cases. Nevertheless the author had good results by the new therapy, some severe cases were still non-responded. The author found some differences of personality pattern between responder and non-responder. Responders had hyperkinetic pattern with good verbal expression and dependent behavior. Non-responders had hypersensory pattern with holding their tongue and keeping tension. The author had tried psychotherapy under using LSD for hypersensory pattern cases and gotten good results by it. But using LSD was prohibited by legal reason, now. The author could get significant development of three areas of psychiatric treatment through our development of the pharmacopsychotherapy as follows. 1) Significance of some biological factors for personality The author has clarified that two different response types to drug, hyperkinetic-visual dominant type and hypersensory-auditory dominant type. Assessments of such personality pattern or trait are useful for selection of appropriate drug. 2) Some changes in psychoanalytic stance. The author could find some therapeutic significances of object relationship in therapeutic process. These findings have stimulated the author to shift from classic drive oriented psychoanalysis to object relation psychoanalysis. 3) Significance of psychiatric nursing, team approach and therapeutic environment. The author has convinced of importance of role of psychiatric nursing and team approach. And the author has found importance of making and maintaining of appropriate psychiatric milieu and environment.
Nishizono
Masahisa
M
D006801:Humans; D001523:Mental Disorders / Q000188:drug therapy* / Q000523:psychology; D011572:Psychoanalysis