結核患者に対する心理指導療法について

概要

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We studied in co-operation on the subject how the general doctor who is not specialist of PSM but of tuberculosis gave the spiritual instruction to the patient from the position of the attending physician. The research was done through the following steps. l. What is the most difficult. situation practising the psychological instruction? 2. What is the most effective situation in giving the psychological instruction by clinical experience? 3. What are the words of the doctor that made patient hopeful or pessimistic? 4. How does the attending physician reply to the severe tubercular patient in each of five special situations? 5. In what order does the patient put the ten items about the technique of the psychological instruction which are led from the above research? 6. In what order does the patient put the fifteen items about the verbal technique? 7. How does the doctor reply to the severely ill patient who asks "am I dying, doctor?"? Through the above research, we found the 15 points about the technique of the psychological instruction and that not only psychotherapeutic concept but also the concept of medical anthropology are important from the clinical view point.
日本心身医学会の論文