構音障害を訴えて来談した成人男性との面接事例  [in Japanese] A Case Study of an Adult Client Complaining of an Articulation Disorder  [in Japanese]

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Author(s)

Abstract

「カ行の発音がおかしい」と訴えて来談した成人男性(以下クライエント)との面接事例を報告する.このクライエントには構音障害が認められなかったが,本人は仕事に支障をきたすほどの苦痛を感じており,心理的問題が疑われた.2回めの面接で筆者はクライエントに対して心理的問題の存在を指摘した.その後,クライエントは精神科を受診し,境界性人格障害(borderline personality disorder)の診断を受けた.今後,こうした心理的問題が言語障害の訴えとなって来談するケースが増える可能性がある.こうした事例にどのように対処するのか,ことばの問題がはらむ心理的諸問題に関し,STが臨床心理学的視点をもつ有用性について考察した.

An adult male client who complained of an articulation disorder of the /k/ sound was reported. The author found that the client did not show the articulation disorder; however, he felt a lot of difficulties in his life. The author supposed that the client might have psychoneurotic problems and recommended him to meet a psychiatrist or clinical psychologist. He was diagnosed as a borderline personality disorder patient by a psychiatrist. Recently, a national license system of speech therapists has been established in Japan, and it will become more generalized especially in the general population. We may encounter more frequently this type of psychoneurotic patients complaining of speech problems in the future. Therefore, it will be a great help for us to have a view-point of clinical psychology when we consider how to deal with such clients.

Journal

  • THE JAPANESE JOURNAL OF COMMUNICATION DISORDERS

    THE JAPANESE JOURNAL OF COMMUNICATION DISORDERS 15(3), 120-124, 1998-12-30

    Japanese Association of Communication Disorders

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Codes

  • NII Article ID (NAID)
    10008101912
  • NII NACSIS-CAT ID (NCID)
    AN10091280
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    09128204
  • NDL Article ID
    972362
  • NDL Source Classification
    ZF1(教育) // ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z7-1914
  • Data Source
    CJP  NDL  J-STAGE 
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