Tesnier D
Rev Stomatol Chir Maxillofac. 1975 Jul-Aug;76(5):417-21.
This study only concerns classical glossodynia with few symptoms and not related to general, tumoral or local syndromes. Lingual pain is caused in the majority of cases by apraxic movements of the tongue. These movements, related to the anguish, can by a regressive process be related to the "searching" lingual movements of the child in psychological distress. The patient suffering from glossodynia (usually a woman) is enclosed in a viscious circle : anguish, apraxic movements, lingual pain, of which the beginning is often contemporary with a cancer in the area. Therapy should be addressed first of all at the distress, by looking very closely at the patient, by examining her very carefully, by absolutely gaining her confidence and by asserting the absence of cancer while admitting the reality of her disease. It should then be addressed to the lingual movements, by immobilization exercises giving rise to consciousness of movements up to then unconscious. Relaxation exercises can be combined. Failure of this therapy : frequent in men, in those who speak a lot (teachers), in hysterics "pithiatics", senile, and those persons whose intellectual evolution is slight. The author emphasizes the therapist's availability ; success in this treatment being related to what he can give of himself to these patients.
本研究仅涉及症状较少且与全身性、肿瘤性或局部综合征无关的经典性舌痛。在大多数情况下，舌痛是由舌头的失用性运动引起的。这些与痛苦相关的运动，通过一个退行性过程，可能与处于心理困扰中的儿童的“探索性”舌部运动有关。患有舌痛的患者（通常为女性）陷入了一个恶性循环：痛苦、失用性运动、舌痛，其发病往往与该区域的癌症同时出现。治疗应首先针对痛苦，要密切关注患者，仔细检查她，绝对赢得她的信任，并在承认她疾病的现实的同时断言没有癌症。然后应针对舌部运动，通过固定练习来引起对以前无意识的运动的意识。可以结合放松练习。这种治疗失败的情况：在男性、话多的人（教师）、癔症性“暗示性”患者、老年人以及智力发育迟缓的人中较为常见。作者强调治疗师随时准备提供帮助的重要性；这种治疗的成功与他能为这些患者付出多少有关。
