Mental disorders merge highly with thyroid diseases. Because of its regulatory effects on serotonin and noradrenalin, T3 has been linked closely to depression and anxiety. It has known that in many cases, the mental symptoms persist even after normalization of thyroid function by treatment. Psychosocial factors including stress have been associated with mental symptoms even after thyroid function normalization in Graves’ disease and a combination of mental disorders have been related to the exacerbation of hyperthyroidism. These findings suggest that psychosomatic approaches based on the bio-psycho-social medical model are important for the treatment of mental disorders associated with Graves’ disease.

Modern consciousness is a cultural and historical achievement in the West and a developmental task for each person now. Modern consciousness consists in the emancipation from the power of community, animistic nature and the unconscious. It is connected with neurosis and psychotherapy because it has to do with inner conflicts. But today there is an increasing number of cases which are characterized by dissociation and acting out, without the feeling of conflicts. Consciousness seems to be changing toward a new conception which might be called 'postmodern consciousness'. The essence of postmodern consciousness is shown by interpreting two dreams internally. The first dream from a case of depersonalization indicates that it is not necessary to be entangled with the object. There is a different kind of coniunctio in the mode of seeing. The second dream from a case of dissociative disorder shows a world which has neither traces of pre-modern cosmology-high and low, here and the beyond-nor modern interiority. There is only surface and self-reflection without content. The discussion of dreams suggests that postmodern consciousness is not to be understood as premature and pathological. It is therapeutically important to refine and deepen postmodern consciousness.

This paper discusses the characteristics of psychotherapy for pervasive developmental disorders (PDD) in the context of the curative effects of the movement of images. The 'autistic spectrum' is widened here and includes not only PDD, but also ADHD. The main common characteristic in these two sets of disorders seems to be the lack of a subject, which manifests itself as the absence of awareness of otherness and difficulties with boundaries and language. In these cases a normal psychotherapy is ineffective as it presupposes an established subject. However a psychotherapeutic approach with these patients can contribute to the emergence of a subject. In severe cases the process of union and separation which is enacted either in the therapeutic relationship or in symbolic play leads to the birth of a subject, and of language. In milder cases, such as ADHD, the moments of separation and confrontation with the therapist suffice. I will discuss a case of my own with Asperger's syndrome in which union and separation in the play therapy occurred simultaneously. This indicates that union and separation are not a consecutive process, but are simultaneous and lead to dialectical movement. However, in neurotic cases with an established subjectivity the symbolic meaning of image plays a central role. This corresponds to Jung's understanding of image in alchemy.

The present study examined the psychological characteristics of surgical patients with Graves' diseases (GD) and papillary thyroid cancer (PTC) through the 20-item Toronto Alexithymia Scale (TAS-20) and the Baum test before and after the surgery. In the pre-test [Study 1], the PTC group scored higher on "externallyoriented thinking" of the TAS-20 and drew less structured trees regarding the boundary, consistency, and inner differentiation, compared with the control group. In the post-test [Study 2], the mean score of "externally-oriented thinking" of the TAS-20 was lower, and the mean score of "difficulty identifying feelings" of the TAS-20 was higher than that of the pre-test, respectively. The trees drawn in the post-test were classified into following three clusters; "changed into a more stable structure", "changed into a more unstable structure", and "unchanged". We discussed that the genuine psychotherapy is needed for those who showed more fundamental psychological changes.

Cultural differences in self-construal, human relationships, and values between Western and East Asian people have been suggested. The aim of this article is to investigate cultural difference in dreamers’ self-construal based on their dreams. We examined the dreams sampled via online questionnaires from 300 non-clinical participants from America and Japan, respectively. The free response for the contents of “impressive dreams in childhood” “recent impressive dreams” was categorized into the five general dream structural patterns. Besides, the participants were asked to answer the scales to investigate participants’ cultural self-construal. The current results revealed the prevalence of the independent view of self in American participants and the interdependent view of self in Japanese participants. In addition, we found significant cultural differences in the dream length and structural patterns. For American dreams, the dream-ego had a clear will and strong mobility, and there were obvious ends of dream events. Conversely, for Japanese dreams, the weak agency and vague conscious of the dream-ego were shown, and others could play a main role in one’s dreams. These results suggested that each characteristic of the American and Japanese samples may be influenced by the differences in self-construal or in the process of self-formation between American and Japanese cultures.