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論文(リポジトリ)

論文(リポジトリ)
森田, 昌宏
出版情報: 新潟医学会雑誌 — 新潟医学会雑誌.  113  pp.465-467,  1999-10.  新潟医学会
本文リンク: http://hdl.handle.net/10191/46894
概要: Varying psycho-social treatment techniques are applied for elderly patients with dementia; reality-orientation, reminiscence therapy, music therapy, art therapy, dohsatherapy, animal assisted therapy and so on. In ambulatory therapy setting for dementia patients in the early stage, author adopts combined treatment approach of psychoterapy sessions such as reminiscence therapy for the patients and of interviews for the family caregivers. The family caregivers are provided with informations necessary for understanding and caring of demented patients. Patient and family caregiver are guided to practice home care program setted in various sides of daily life; cooking, house keeping, shopping, hoby etc, in order to continue therapeutic intervention. Psychological support for family caregivers by counselling should be given when they are emotionly disturbed from care stress. If family dysfunction is seemed to exacerbate psychiatric symptoms and behavioral problems of the demented patient, family therapy is indicated. Author emphasized the importance of psychological support and education for family caregivers of demented patients, and mentioned about self-help group for family caregivers. 続きを見る
2.

論文(リポジトリ)

論文(リポジトリ)
川嶋, 義章 ; 上原, 徹 ; 横山, 知行 ; 田崎, 紳一 ; 後藤, 雅博
出版情報: 新潟医学会雑誌 — 新潟医学会雑誌.  113  pp.21-26,  1999-01.  新潟医学会
本文リンク: http://hdl.handle.net/10191/46473
概要: This paper presents the results of psycho-educational group counseling for the relatives of eating disorder patients, which was held at the Niigata University School of Medicine from November 1996 to April 1998. In the family group counseling therapists provided the relatives with information about the disorder, discussed how to solve their ploblems and supported them. At the termination of the family group counseling, almost all the relatives (fourteen out of eighteen relatives) stated that talking with the relatives who have the same troubles provided them with relief from their anxiety and encouragement. To examine the efficacy of the family group counseling, Expressed Emotion (EE) rating tests, based on Five Minute Speech Samples (FMSS), were conducted on fifteen relatives at the beginning and the termination of the counseling. Four parents had high EE ratings at the beginning of counseling. All four parents experienced a decrease in their EE levels by the termination of counseling. One parent experienced an increase in her EE level because her daughter dropped out of treatment. During the course of counseling, patients' eating behavior tended to become stable and a spontaneous parents' self-help group tended to form. These findings suggest that psycho-educational family group counseling is effective for the treatment of eating disorders. 続きを見る