小児心身症の診療に必要な発達的視点(<特集>小児をめぐる心身医学)  [in Japanese] A Viewpoint of the Development Theory that is Necessary for the Medical Examination and Treatment of Children with Psychosomatic Problems(<Special Issue>Psychosomatic Disorders in Childhood and Adolescence)  [in Japanese]

子どもの成長発達の特徴は生物学的な基盤のもとに,人間関係をはじめとした環境からの刺激を受けながら社会の一員として自立していく過程であるということであろう.その際に,ストレスを受けながら何とか進もうとしている子どもに対する診療には,発達的視点が求められる.そこで,子どもの成長発達理論について概説し,その理論として一般的精神運動発達,精神分析発達理論(Freud),認知認識論(Piaget),心理社会的自我発達理論(Erikson),乳幼児の共生・分離固体化理論(Mahler),アタッチメント(愛着)理論(Bowlby)を対比的に示した.

The growth and development of the child is characterized by the process of becoming independent as a social member on the biological base while receiving enivironmental stimulus including human relations. A viewpoint of growth and development is demanded in medical examination and treatment for the child who is going ahead at his best under stress imposed upon him. Therefore author presented an outline of the following growth development theories of the child by contrasting them with one another: the separation-individuation process (Mahler), the attachment and loss theory (Bowlby), the self development thepry (Erikson), the psychoanalytical development theory (Freud) and the cognitive development theory (Piaget).