生活習慣病における深層心理学的アプローチの試み(パネルディスカッション : 生活習慣病と心身医学,2007年,第48回日本心身医学会総会(福岡))  [in Japanese] A Trial of Depth Psychological Approach in Life Habit Diseases(Panel Discussion : Diseases Related to Lifestyles and Psychosomatic Medicine)  [in Japanese]

糖尿病における心身医療は従来行動医学的アプローチが主流であったが,その効果は必ずしも十分ではなかった.その理由として,本アプローチでは深層意識レベルの問題が生活習慣に影響している場合はそれを意識化できないことが想定される.そこで,今回演者らは,糖尿病診療において深層心理学的アプローチを試みたので報告する.【研究1】2型糖尿病患者を対象にストレス対処行動の性差および血糖コントロールとの関連について調査した結果,アニマとアニムスの両元型的イメージを統合していくことが病態改善に関連していることが示唆された.【研究2】行動医学的アプローチでは改善が得られなかったうつ病合併糖尿病患者にプロセス指向心理学を導入したところ,患者個人の行動変容に加えて全体性の回復や家族の問題解決が得られた.生活習慣病診療に深層心理学的アプローチを加えることで,個人の行動変容を超えたスピリチュアルな治療目標を達成することが可能となる.

Though at, present, the main stream of psychosomatic approach to diabetes mellitus is a behavioral approach, the effect of behavioral approach is not necessarily good enough. This may be caused by the difficulty of being aware of the relationships between life habits and deep consciousness by behavioral approach. So we tried to approach patients with diabetes mellitus by depth psychological approach including Jung's psychology and Process Oriented Psychology (POP). Research 1 : The effect of "anima" and "animus" was examined between male and female patients in our former study about the relationships between coping styles and glycemic control in 94 patients with type 2 diabetes mellitus. The incidence of emotion-focused coping, that was close to "anima", was significantly higher in male patients showing good glycemic control. On the other hand, the incidence of problem-focused coping, that was close to "animus", was significantly higher in female patients showing good glycemic control. These results suggested that the integration of "anima" and "animus" in deep consciousness was related with improvement of life habit diseases both in male and female patients. Research 2 '・ POP can lead to recovery of wholeness and solution of bad life habits by considering life habits including overeating and overdrinking as "dreaming" which is the essence of dream. One case is a fifty-fifth female patient. Due to poor improvement in depression and overeating was poor in spite of antidepressant and cognitive behavioral approach for two years, POP has been introduced. By inner work and channel of relationships, she became aware that be aware that beauty, youth, and good personality were her "primary process," which is relatively close to her own awareness. She also could be aware that death, old age, dirt, and desire for dependency and freedom were her "secondary process," that was relatively far from her awareness through synchronicity among habits of overeating and pachinko, dream figures, diabetes mellitus, relationships in her family members and so on. Since then she has become able to maintain her emotions and body weight. Her husband also has resumed and controlled self-care on his diabetes mellitus and pachinko properly. In conclusion, depth psychological approach to life habit related diseases can lead not to only personal behavioral transformation in the patients but to also spiritual therapeutic goals.