臨床心理士による心理学的リエゾン機能について(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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When a clinical psychologist (CP) plays a positive role in therapy as a member of co-medical staff in psychosomatic medicine, quiet often various conflicts arise among the three-person relationship, especially when it consists of patient, doctor and CP. So far, the two-person psychodynamic relationship model has been applied to solve such conflicts. However, the author feels that this model gives no satisfying outcome. Through his experience with system family therapy, the author has become confident that the pathological three-person system model learned from system family therapy, is much more effective. Based on this model, the author proposes that the CP should play the main role of focusing on the improvement of the patient-doctor relationship. This role is called "Psychological Liaison Function of a Clinical Psychologist". This proposition seems to be similar to the role played by the liaison psychiatrist in liaison psychiatry. However, these two roles are different in their therapeutic structure and function and, furthermore, in their methodologies. In the psychological liaison function, first of all, the implicit rules that always arise from the three-person relationship should be made clear. The aim of this intervension is to prevent the pathological 2 to 1 structure from becoming the therapeutic relationship. The CP is required to maintain a double position, that is, to participate positively in the three-person system, and simultaneously to observe the three-person system which includes himself.
日本心身医学会の論文
1993-03-01

臨床心理士による心理学的リエゾン機能について(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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