心身医学分野で若年の心理士が高齢者の心理的援助について悩み,学んだこと : 認知行動療法の理論,技法を活かしながら(高齢者医療に必要な心身医学的知識,2012年,第53回日本心身医学会総会ならびに学術講演会(鹿児島))  [in Japanese] Experience of a Novice Psychologist in Giving Psychological Help to Geriatric Patient in the Field of Psychosomatic Medicine : Utilizing the Techniques and Theory of Cognitive Behavioral Therapy(Psychosomatic Expertise of Medical Care for the Elderly)  [in Japanese]

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Author(s)

    • 小山 憲一郎 Koyama Ken-Ichiro
    • 鹿児島大学大学院医歯学総合研究科社会行動医学講座心身内科学分野 Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences
    • 網谷 東方 Amitani Haruka
    • 鹿児島大学大学院医歯学総合研究科社会行動医学講座心身内科学分野 Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences
    • 浅川 明弘 [他] Asakawa Akihiro
    • 鹿児島大学大学院医歯学総合研究科社会行動医学講座心身内科学分野 Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences
    • 乾 明夫 Inui Akio
    • 鹿児島大学大学院医歯学総合研究科社会行動医学講座心身内科学分野 Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences

Abstract

若年の心理士にとって高齢者臨床にはさまざまな難しさがある.緩和ケアにおける心理療法では傾聴,共感が重要視されるが,特に死に関する不安,抑うつは非常にデリケートな問題で,その漠然とした方法論は若年の心理士にとって必要であるが,不十分であるようにも感じている.本稿では,前半で高齢者緩和ケアにおける心理的問題とそのケアについて認知行動療法をベースにレビューし,後半において筆者が担当した症例を振り返り,当時個人的に悩み,学んだことをまとめ,若年の心理士がどのようにこの領域において貢献できるかを検討している.

When a psychologist with little experience gives psychological support to the geriatric patients/clients in palliative care, he/she faces various difficulties, such as the age difference between the psychologist and a patient, psychosocial problems of the patients, and so on. In the field of palliative care, listening attentively and showing empathy to the patients are considered to be important methods ; however, treating patients' anxiety and depression, especially when related to death, are subtle problems. Inexperienced psychologists need an equivocal methodology, which, however, is not being practiced sufficiently, yet it seems not enough. The first half of the current article reviews the psychological problems of the geriatric patients in palliative care from the perspective of cognitive-behavioral therapy. The second half precents a summary of a case which has been a struggle and a learning experience to the author, and discusses how inexperienced psychologists can contribute to this field.

Journal

  • Japanese Journal of Psychosomatic Medicine

    Japanese Journal of Psychosomatic Medicine 53(4), 325-333, 2013

    Japanese Society of Psychosomatic Medicine

References:  14

Codes

  • NII Article ID (NAID)
    110009596683
  • NII NACSIS-CAT ID (NCID)
    AN00121636
  • Text Lang
    JPN
  • Article Type
    REV
  • ISSN
    0385-0307
  • NDL Article ID
    024353452
  • NDL Call No.
    Z19-26
  • Data Source
    CJP  NDL  NII-ELS  J-STAGE 
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