著者

桜井 明子 上月 清司 山本 喜三郎

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.3, pp.243-250, 2017 (Released:2017-03-01)

参考文献数

4

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被災地の自治体は, 災害直後から長期にわたって被災者を多方面から支援する重要な役割を担っており, 被災しながら災害関連業務を行う自治体職員のストレス状況には計り知れないものがある. 阪神・淡路大震災でも, 神戸市職員の心身への影響は多大であり長期に及んだ. 災害の受け止め方は個人や集団によって異なり, その回復過程において, さらに状況が多様化していた. その後, 神戸市は, 東日本大震災などの国内外の被災地で支援活動を行ってきたが, 災害のタイプや規模, 地域の環境, 文化・社会的背景などによって異なる様相を呈しており, 救援者側も, 支援の時期やかかわり方によってさまざまな影響を受けていた. 災害時の心身のケアは, 被災者と救援者相互にとって重要であり, 変化していく個別の状況と全体状況を理解しながら, 被災地の実情に即した幅広い心身医学的ケアを行うことが望まれる.

著者

山本 喜三郎

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.16, no.4, pp.268-275, 1976-08-01 (Released:2017-08-01)

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We psychosomatists are sometimes confronted with extremly difficult cases that are often given up by the attending physicians because of the patients' pertinacious somatic complaints and their lack in co-operative attitude. In this paper the author reported on the treatment of two such patients, the result of which, contrary to the initial anticipation, turned to be very satisfactory. This treatment consisted of simultaneous psychotherapeutic approach to the doctor and the patient. Case 1. was a 46-year old single laboror. His complaints were palpitation and fatiguability. Case 2. a 34-year old male clerk. His complaints were diarrhea and fatiguability.Throughout consultation on the treatment of these cases, the author took sympathetic and supportive attitude toward the attending physicians in order to restor their subjectivity which was a vital necessity in a therapist. Only after this, some concrete advice on the treatment was presented to the physicians in concise and concrete terms. At the same time, the author promised the doctors to take over their cases in the out-patient clinic after their discharge.After the discussion, doctors fully encourged, went on to carry out the concrete treatment. Other staffs became spontaneously co-operative. After this, the confused therapeutic atmospher gradually disappeared and the patient's attitude as well as pertinacious complaints were slowly improved.In the author's opinion, consideration over the doctor-patient relationship is sometimes necessary in troublesome patients, and in fact, psychotherapeutic approaches to the attending psysician as well as to the patient were very effective.

著者

山本 喜三郎 住岡 秀史

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.31, 1991-05-01