社会情緒的発達と言語認知的発達をつなぐもの : 自閉症の関係障害臨床  [in Japanese] Bridging the Divide Between Socio-Emotional and Linguistic-Cognitive Development : From the Viewpoint of Relationship Disturbances  [in Japanese]

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Author(s)

Abstract

自閉症の原因をめぐる議論は、これまで内因、心因、器質因と変遷を遂げてきた。今日では器質因論を中心に展開しているが、いまだ社会情緒的障害(対人関係障害)と言語認知的障害のどちらが一義的か、さらには両者がどのような関連性を持つかについて定説はない。本稿では筆者の依って立つ関係障害臨床の立場から、社会情緒的発達と言語認知的発達の関連性について理論的仮説を提示した。理論的仮説の前提として、(1)自閉症の主要な病態を養育者との間でのコミュニケーションの成立過程の問題とみなすこと、(2)自閉症の原因に迫るためには、言語認知機能の獲得過程についての詳細な検討が必要であること、(3)そのためには関係障害臨床の視点に立ち、子どもと養育者の関係障害に対する治療介入を通して、当事者双方の内的世界(主観)にまで踏み込むことが重要であること、(4)それは関与しながらの観察によって初めて可能になること、などを指摘した。そのことを踏まえ、コミュニケーションの成立過程を、愛着、知覚、情動、認知などの鍵概念を用いながら、それらが関係性の変容過程とどのように絡み合って展開していくかを論じた。

Debate regarding the etiology of autism has undergone several transformations to date, from endogenesis, psychogenesis, to organogenesis. Today, discussion has settled around the organogenetic theory, but as yet, no consensus has been reached regarding whether the socio-emotional disturbance (disturbances of interpersonal relationship) or the linguistic-cognitive disturbance should be given primacy, or in what way the two aspects may be interrelated. In this paper, a theoretical hypothesis on the relationship between socio-emotional and linguistic-cognitive development is presented from the standpoint of relationship disturbances. The following points are raised as prerequisites to this hypothesis: 1) the need to consider the main feature of autism as problems in the process of establishing communication with the caregiver, 2) the need for detailed clarification of the acquisition process of the linguistic-cognitive function in approaching the etiology of autism, 3) the need to start from the viewpoint of relationship disturbance in order to enable this approach, and the importance of entering into the internal world (subjectivity) of both subject and caregiver through therapeutic intervention for the relationship disturbance between the two, and 4) that this becomes a possibility only through participant observation (Sullivan). Upon this understanding, the process of attaining communication is discussed taking up key concepts such as attachment, perception, emotion, and cognition, in connection with how they emerge in intricate association with the process of transformation in interrelationships.

Journal

  • Tokai University, School of Health Sciences bulletin

    Tokai University, School of Health Sciences bulletin 5, 9-18, 1999

    Tokai University

Codes

  • NII Article ID (NAID)
    110006454980
  • NII NACSIS-CAT ID (NCID)
    AN10534472
  • Text Lang
    JPN
  • ISSN
    13474162
  • Data Source
    NII-ELS 
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