Vahip Işil, Onen Sertöz Ozen
Turk Psikiyatri Derg. 2003 Fall;14(3):233-8.
In this paper, an extraordinary mother-son relationship involving 46 year-old, married, male patient with three children is discussed. He had never had any psychiatric complaint until his mother's death. However, he developed severe depressive and somatic symptoms following his 80 year-old mother's death. He showed no significant improvement after previous outpatient treatments and was admitted to the Psychiatric Department of Ege University School of Medicine with complaints of tension, insomnia, fatigue, anhedonia, hopelessness and pain all over his body. It was discovered that this man, who was loved and respected by both his family and his peers, used to suck his mother's breast twice daily. This act was no secret and was not considered a reason for seeking psychiatric help, a symptom of a disorder, or a source of distress for the son, mother, or any other family member. A phenomenon like this has never been reported in the literature before. We discuss this phenomenon through the dynamic formulation of the case using data from his psychiatric and developmental history as well as direct observation and psychological tests.
本文讨论了一段不同寻常的母子关系，涉及一名46岁、已婚、育有三个孩子的男性患者。在其母亲去世前，他从未有过任何精神方面的问题。然而，在他80岁的母亲去世后，他出现了严重的抑郁和躯体症状。此前的门诊治疗后他并无明显改善，因紧张、失眠、疲劳、快感缺失、绝望及全身疼痛等症状，他被收治到伊兹密尔埃杰大学医学院精神科。结果发现，这个在家中深受家人喜爱、在外备受同龄人尊重的男子，过去每天会吸吮母亲的乳房两次。这一行为并非秘密，也未被视为寻求精神科帮助的理由、一种疾病的症状，或是给儿子、母亲或其他任何家庭成员带来困扰的根源。此前文献中从未报道过这样的现象。我们通过对该病例进行动态分析，利用其精神病史、发育史数据以及直接观察和心理测试结果来探讨这一现象。
