社会のニーズに応えるために心身医療はどうあるべきか : 治療的自我の観点からの考察(パネルディスカッション : 社会のニーズに応えるために心身医療はどうあるべきか,2007年,第48回日本心身医学会総会(福岡))  [in Japanese] How should There by Psychosomatic Medicine to Meet Social Needs for Medical Care? : Consideration from The Viewpoint of Therapeutic Self(Panel Discussion : How should be the Psychosomatic Medicine to Respond the Social Needs)  [in Japanese]

最近は以前にも増して国民の医療に対する不信感は根深くなっている.ほぼ連日のように医師・医学研究者の行動が,マスコミで問題視されるが,その背景には治療的自我の欠落といった問題があるのではないかと思われる.治療的自我を考案したWatkinsは,治療的自我をdoing(どうすればいいか)とbeing (どうあればいいか)の2つの側面に分けて考え,beingのほうがより重要であると述べている.ところで,doingを向上させること(治療法などの進歩)は人類に幸せをもたらす.しかし,その研究に携わる者がbeingの面を顧みずにいると,問題行動が生じ患者に不利益をもたらす危険性がある.医学生・医療従事者は,治療的自我の重要性について,学習し認識する必要がある.社会のニーズ(患者の視点に立った,安全・安心で質の高い医療が受けられる体制が構築されること)に応えるためには,心身医療に携わる者が率先して治療的自我の重要性を医学生・医療従事者に啓蒙すること,および,患者-医療者関係の再構築を目指すことが重要である.

Recently in Japan, distrust for medical care of the nation becomes inveterate. Mass communication has reported almost day after day that actions of medical researchers and medical doctors have been brought into question. I think that in the background there may be an omission (or defect) of the therapeutic self among medical researchers and doctors. The idea of "therapeutic self" was announced by J. G. Watkins. He stated therapeutic self from two sides, "doing (what to do)" and "being (how to be)". And he thought "being" is more important than "doing". It brings the human happiness to improve "doing" (progress such as cures). However, there is a dangerous problem. If persons neglect an aspect of "being" as a medical worker, they will act inappropriately and bring a disadvantage to patients. Medical students and medical workers have to learn about therapeutic self and recognize the importance of therapeutic self. I think that the meaning of "social needs for medical care" is for people to be able to use good medical care appropriately. To meet social needs for medical care, it is important that persons who are engaged in psychosomatic medicine take the lead in enlightening importance of therapeutic self to medical students and medical workers and aiming at reconstructing the relationship between patients and medical workers.