{"created":"2023-05-15T14:20:42.019110+00:00","id":2276,"links":{},"metadata":{"_buckets":{"deposit":"af22ddf2-e494-49f0-af51-05d32453619e"},"_deposit":{"created_by":3,"id":"2276","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2276"},"status":"published"},"_oai":{"id":"oai:bunkyo.repo.nii.ac.jp:00002276","sets":["1:22:125"]},"author_link":["3077","3076"],"item_5_biblio_info_13":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-03-01"},"bibliographicPageEnd":"126","bibliographicPageStart":"113","bibliographicVolumeNumber":"34","bibliographic_titles":[{"bibliographic_title":"人間科学研究"},{"bibliographic_title":"Bulletin of Human Science"}]}]},"item_5_date_43":{"attribute_name":"作成日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2013-04-01"}]},"item_5_description_12":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Acute stress disorder (ASD) refers to posttraumatic stress reactions that occurs in the initial month after a traumatic experience. Early intervention for an individual with ASD helps to prevent post-traumatic stress disorder (PTSD). It has been argued that a sense of safety and security is an important therapeutic premise of treating an individual with ASD. A sense of safety and security may prevent avoidance of traumatic memories, which is a main factor exacerbating trauma-related symptoms. A sense of safety and security may also help expose the individual to those fearful experiences and lead to cognitive restructuring of those traumatic memories. Dohsa-method relaxation provides an individual with a comfortable mind -body experience and is considered to have a beneficial effect on individuals with ASD. In this study, a 45-year-old woman suffering from a traumatic experience during the East Japan mega earthquake underwent Dohsa-method relaxation. Her main complaints were hypertension, hypervigilance, fatigue, loss of appetite, depression, anxiety, and sleep disturbance. Dohsa-method relaxation considered of 60-min sessions and three follow-up sessions every 6 months. In each session, she was subjected to the Dohsa-method using \"Tokeai-Dohsa\" and \"Arm-raising techniques.\" The woman was spontaneously exposed to traumatic memories by virtue of her sense of safety and security. She focused her attention on those traumatic memories and trauma-related emotion and was able to accept them. Then, negative trauma-related memories were integrated into positive memories that replaced negative thoughts. Eventually, the woman found the meaning in her traumatic experience. The woman had a marked reduction in her scores on the Impact of Event Scale (IES-R), Self-rating Depression Scale (SDS), and Global Assessment of Function (GAF) by the sixth session, and this continued to the six-month follow-up session.\n\n急性ストレス障害の心理治療における大切な観点は、安心・安全の体験のもとでトラウマ体験と向き合うこと（直面化）を援助することである。それには、動作法による心身の快適な体験の援助が有効であると考えられる。本研究では、東日本大地震によって急性ストレス障害を訴えた女性に対して動作法の援助を行い、その回復過程の検討を通して、心身の快適な体験の意義について考察した。クライエントは45歳の主婦である。震災直後から、心身の緊張や疲労、抗うつ症状、不安障害、睡眠障害などを訴え、約１か月半が経過していた。面接は１週間から２週間の間隔で、合計６回行った。１回の面接時間は６０分間である。日常生活の様子や心身の状態に関する報告に続いて、動作法の援助を行った。動作法の援助には、主として「とけあい動作法」（今野、2005）と「腕あげ動作コントロール」（今野、1990)を用いた。６回の面接で、症状に顕著な改善（IES-R得点の低下、SDS得点の低下、GAF得点の上昇）がみられた。６カ月ごとに行った３回のフォローアップにおいても、終了時の状態を維持していた。動作法の体験と感情・認知への気づきの特徴から、面接経過を次の３つの段階に分けることができた。第１段階（第１回から第２回）では、心身の快適な体験によって、感情・認知への気づきが生まれた。第２段階（第３回から第４回）では、身体の体験の精緻化と身体への感謝の気持ちが、「世界との新たな出会いの楽しみ」をもたらした。第３段階（第５回から第６回）では、身体の快適な体験のもとで生まれたマインドフルな態度が、過去の記憶の自然な想起とそれに対する直面化（セルフ・エクスポージャー）を可能にした。さらに、過去の記憶への意味づけの再構築によって、新たな自己発見がもたらされた。以上の経過から、動作法の快適な体験は、心身の体験と感情・認知との関係への気づきや震災の恐怖体験に対するマインドフルな態度を促進し、震災の恐怖体験や過去の記憶との直面化と再構成を促進することが示唆された。","subitem_description_type":"Abstract"}]},"item_5_description_38":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03882152"}]},"item_5_text_39":{"attribute_name":"本文言語","attribute_value_mlt":[{"subitem_text_value":"日本語"}]},"item_5_text_42":{"attribute_name":"ID","attribute_value_mlt":[{"subitem_text_value":"BKK0002300"}]},"item_5_text_7":{"attribute_name":"Author","attribute_value_mlt":[{"subitem_text_value":"Konno, Yoshitaka"},{"subitem_text_value":"Yoshikawa, Nobuyo"}]},"item_5_text_8":{"attribute_name":"所属機関","attribute_value_mlt":[{"subitem_text_value":"文教大学人間科学部"},{"subitem_text_value":"文教大学人間科学部非常勤講師"}]},"item_5_text_9":{"attribute_name":"Institution","attribute_value_mlt":[{"subitem_text_value":"Bunkyo University, Faculty of Human Science"},{"subitem_text_value":"Bunkyo University, Faculty of Human Science Part Time Lecturer"}]},"item_5_version_type_35":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"今野, 義孝"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉川, 延代"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-03-22"}],"displaytype":"detail","filename":"BKK0002300.pdf","filesize":[{"value":"1.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"BKK0002300.pdf","url":"https://bunkyo.repo.nii.ac.jp/record/2276/files/BKK0002300.pdf"},"version_id":"7f8ea4c4-37ee-4590-93ac-52698a7121c4"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Dohsa-method"},{"subitem_subject":"acute stress disorder"},{"subitem_subject":"sense of safety and security"},{"subitem_subject":"process of restration"},{"subitem_subject":"動作法"},{"subitem_subject":"急性ストレス障害"},{"subitem_subject":"安心・安全感"},{"subitem_subject":"回復過程"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"動作法による震災後の急性ストレス障害からの回復過程に関する事例研究","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"動作法による震災後の急性ストレス障害からの回復過程に関する事例研究"},{"subitem_title":"Effects of Dohsa-method relaxation on recovery from acute stress disorder"}]},"item_type_id":"5","owner":"3","path":["125"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-04-08"},"publish_date":"2013-04-08","publish_status":"0","recid":"2276","relation_version_is_last":true,"title":["動作法による震災後の急性ストレス障害からの回復過程に関する事例研究"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-05-15T17:30:27.412612+00:00"}