Case Report: Nonverbal approaches in the treatment of a patient with fibromyalgia with anger rooted in adverse childhood experiences.

Introduction: In psychotherapy, it is important to establish and deepen a therapeutic trusting relationship, but patients who have experienced extreme adversity in childhood tend to have difficulty in building such a relationship. This paper reports a case of fibromyalgia with adverse childhood experiences (ACEs) in which a nonverbal approach was successful in building a trusting relationship.

Case And Methods: The patient is a woman in her late 40s.

Role of imaginary companion in promoting the psychotherapeutic process.

An imaginary companion (IC) has been considered to be a transitory phenomenon sometimes seen in the normal developmental process of children. In recent years, however, it has been observed that ICs are related to various disorders, and their clinical significance is again attracting notice. Although an IC may in certain ways aggravate the patient's symptoms and regression, an IC may also serve to advance the therapy, for example by indicating the location of the patient's troubles, or acting as an intermediary between the therapist and patient.

[Imaginary companion in adolescence].

The phenomenon of imaginary companions, which is usually regarded as normal in children, but which when encountered in adolescence suggests a psychopathologic condition, appears to have had limited investigation. This study indicates some psychopathologic characteristics of imaginary companions by interviewing adolescent patients. Imaginary companions are experienced as one or more invisible persons who have some conversations with patients directly and mutually for a period of time.