統合失調症の症状への認知行動療法の動向と展望

概要

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Historically, treatments for severe mental illness such as schizophrenia have been thought of as solely a biological preserve. However, over the last decade there have been very positive advances in the development of non-drug or psychosocial treatments. Psychosocial treatments can be divided into three general categories. These are : (1) family intervention ; (2) cognitive-behavioral therapy for psychotic symptoms ; and (3) early monitoring of signs and early intervention. In Particular, cognitive-behavior therapy was first used by Beck in the treatment of depression and over the years has also come to be used in treating a various psychiatric disorders, including obsessive-compulsive disorder and developmental disorders. A number of cognitive-behavioral treatment methods for schizophrenia have been described such as : 1) cognitive therapy with a normalizing rationale, 2) focusing, 3) coping strategies enhancement, 4) comprehensive cognitive-behavioral therapy. In this paper we briefly review recent studies on these methods, their effects and the history of cognitive-behavioral therapy. Furthermore, we examine directions in the practice of cognitive behavior therapy by nurses based on documents from Japan and other countries in order to determine their application to the field of nursing
香川県立保健医療大学の論文