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SYNOPSIS

The present study was proposed to explore the association between specific psychopathological factors and the different types of migraine.

15 subjects with classic migraine (7 males and 8 females; avg. age 14.9), 15 subjects with common migraine (5 males and 10 females; avg. age 10.5) and 15 subjects with chronic daily headache (8 males and 7 females; avg. age 11.3) were examined.

The psychological study of each of them was performed through individual interviews, psychodynamic testing and parental conferences in order to study the individual's personality in a dynamic fashion.

With the same modalities 29 normal subjects were also studied (11 males and 18 females; avg. age 11.3).

In the remote clinical histories of migrainous subjects the authors found: psychosomatic disturbances in a high percentage of cases (70% in classic and common migraine; 72% in chronic daily headache; 27% in control subjects: F = 7.3 p< 0.01); the presence of a psychologically important event directly associated with the onset of the disease (55% for chronic daily headache, 31% for classic migraine, 27% for common migraine}.

As regards the results of statistical analysis of some of the most objective parameters of the Rorschach the authors found: the number of responses of human movement (M) were significantly lower in headache patients, while popular responses (P%), spaces response (S%) and Dr % responses worn in higher percentage in comparison with control. The headache patients also showed significant deceases of F+% and extended F+% while kinesthetic shock and K-type responses were significantly present.

The authors conclude that in migrainous subjects there is a contact with reality which is uninvolved emotionally, and detached, with prevalently rationalized and intellectualized modalities that correspond to the need of blocking the emergence of emotional phantoms.