日常診療における開業臨床心理士の役割(日常診療における臨床心理士の役割)(第33回日本心身医学会総会)

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Recently more and more people have come to use private counseling centers in Japan. One rea. son is that there are people who want to get professional counseling services for their psycological problems which are diffcult to solve only with advises given by their friends, families, and/or colleagues. This is especially prevalent in large cities where the individual is more isolated. Although they realize the needs of counseling, they tend to hesitate receiving "psychiatric" treatment. Another reason is that there are needs counseling among those suffering from psychosomatic diseases and/or depressive state concurrently along with and/or after medical treatment. In accordance with such a tendency, more unconventional patients are making use of private counseling centers outside of hospitals. Terefore with increased responsibilities of clinical psychologists, mutual understanding and cooperative relationships among institutions and doctors are becoming more important. In this article, the roles of clinical psychologists in a private counseling center are discussed by analyzing clients who visited our center. Our center has seen 194 clients (56 males and 138 females) since its foundation in October, 1988 to the present(April, 1992). All of the clients were classified according to DSM-III-R. The roles of the private counseling center and its interaction with other medical institutions were also discussed. The clients were classified as follows : 1) Patients with no severe mental and physical problems which do not require continuous medical treatment. 2) Severe psychiatric disorders (schizophrenia and borderline personality disorders). 3) Affective disorders, anxiety disorders_, psychosomatic diseases, somatoform disorders and eating disorders. 4) School refusal and avoidant personality disorders. Most clients of types 1) and 2) found our center through mass-media and visited with their own will. For the clients of type 2), our center has played a referral role to offer hospitals. Our center has supported patients of types 1) and 2) for receiving proper psychiatric treatment by offering primary psycological care as the first step. Psychological treatment has been offered to the clients of type 3) concurrently with medical care. Clients of type 4) have not been treated in hospitals since they had not shown depressive state, impulse and/or physical problems. Most of them needed long-term psychological support and guidance. In summary, the roles of the private counseling center include : 1. to provide clients with primary psychological care before receiving proper psychiatric treatment. 2. to cooperate with a physician by providing the client with psychological service. 3. to provid unique psychological service as a professional counseling center.
日本心身医学会の論文
1993-03-01

日常診療における開業臨床心理士の役割(日常診療における臨床心理士の役割)(第33回日本心身医学会総会)

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