著者
傳田 健三
出版者
一般社団法人 日本心身医学会
雑誌
心身医学 (ISSN:03850307)
巻号頁・発行日
vol.57, no.1, pp.19-26, 2017 (Released:2017-01-01)
参考文献数
27
被引用文献数
10

自閉スペクトラム症 (autism spectrum disorder : ASD) は, 社会的コミュニケーションおよび対人相互性反応の障害, 興味の限局と常同的・反復的行動を主徴とし, 乳幼児期に発現する精神発達の障害である. DSM-Ⅳでは広汎性発達障害という上位概念のもとに, 自閉症, アスペルガー障害, 特定不能の広汎性発達障害などの下位分類が存在したが, DSM-5ではASDという概念で統一された. 近年, ASDへの関心と需要が高まっている一方で, 十分な診療が行われているとは言い難いのが現状である. 本稿では, 自閉スペクトラム症について, ①概念の変遷, ②診断と臨床像, ③治療, ④経過と予後, ⑤心身医学におけるASDの特性理解について述べてみたい.
著者
傳田 健三
巻号頁・発行日
2010-11-02

シンポジウム「子どもの未来可能性を大切にする社会の実現をめざして」 = Symposium on Expanding the Potential of Children in Future Society. 11月2日(火). 北海道大学学術交流会館, 札幌市.
著者
傳田 健三
出版者
一般社団法人 日本心身医学会
雑誌
心身医学 (ISSN:03850307)
巻号頁・発行日
vol.57, no.1, pp.19-26, 2017

<p>自閉スペクトラム症 (autism spectrum disorder : ASD) は, 社会的コミュニケーションおよび対人相互性反応の障害, 興味の限局と常同的・反復的行動を主徴とし, 乳幼児期に発現する精神発達の障害である. DSM-Ⅳでは広汎性発達障害という上位概念のもとに, 自閉症, アスペルガー障害, 特定不能の広汎性発達障害などの下位分類が存在したが, DSM-5ではASDという概念で統一された. 近年, ASDへの関心と需要が高まっている一方で, 十分な診療が行われているとは言い難いのが現状である. 本稿では, 自閉スペクトラム症について, ①概念の変遷, ②診断と臨床像, ③治療, ④経過と予後, ⑤心身医学におけるASDの特性理解について述べてみたい.</p>
著者
傳田 健三
巻号頁・発行日
1992-06-30

The author examined the therapeutic sequence of 37 child and adolescent cases of neurotic disorder in whom the non-verbal approach was successively taken for more than 6 months. The cases could be classified into two types, according to their choice of non-verbal methods: ”simple type” cases, who chose only one method at all their therapeutic sessions and ”mixed type” cases, who took various combinations of non-verbal methods during the period of psychotherapy. In ”simple type” cases, premorbid character was usually introverted and emotionally stable. As for their family situations, their fathers were rather asthenic and their mothers often lacked emotional communication in child-rearing. Patients showed one or only few clinical symptoms. The therapeutic relationship with them was superficially calm and stable, and it was often difficult to deepen the emotional commitment further. In ”mixed type” cases, on the other hand, premorbid character was emotionally often unstable. Their fathers tended to be away from home, and mothers were conspicuously overprotective and meddlesome. Their clinical symptoms were varied. ln the therapeutic sessions, they often became dependent on therapists and, at the same time,ambivalent and unstable in certain conditions.showing dissatisfactions and reacting strongly against their therapists. The characteristics of these two types can be observed in relation to other clinical disorders.Regarding the development of interpersonal relationship and personality, it can be seen that the two types is derived from the different quality of the ”sense of basic trust” of each patient acquired in early childhood. Based on the above findings, the author discussed a few psychopathological issues on his proposed classification.