児童神経症の精神療法的研究
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概要
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A psychotherapeutic approach consisting of play therapy and family counselling on 30 cases of childhood neurosis was performed with the following results : 1) Attitudes about the therapy in the introductory phase of the patients and families were meaningfully concerned with symptoms, prognosis and family dynamics. From these findings, it was decided to divide the cases into 3 groups. Group I (7 cases), the families of the patients showed little interest in receiving psychotherapy, and the patients themselves displayed negative attitudes. Group II (14 cases), both the families and the patients showed positive attitudes towards the therapy. Group III (9 cases), the families showed superficial collaborative attitudes, but the patients showed little interest. 2) Group I, the patients' predominant symptom was aggressive negative behavior. The parents' attitudes towards the patients was neglectful or rejective. The emotional integration of the families was severely disturbed and the families showed no family identity. Group II, these patients' predominant symptom was anxiety and the parents' attitude towards the patients was overanxious and overprotective. The family interpersonal relationship was close but interdependent, the family identity stayed immature. Group III, the symptoms of this group were nervous tics and obsessive compulsiveness. The parents' attitude towards the patients was domineering and interfering. The family interpersonal relationship was static, and the family identity only superficial with latent conflicts. 3) In all groups the common problem was disturbance in development. However, in Group I the main problem was a lack of proper identification, in Group II of proper individuation and Group III had the problem of emotional inhibition. These developmental problems were pathogenetically meaningful in each group. 4) Considering the above findings, a different approach with each group that facilitated the bringing out of the identity resistance showed by the family as a whole against the therapy was developed.
- 千葉大学の論文
- 1967-03-28
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- 児童神経症の精神療法的研究