著者

東 豊 美根 和典 早川 洋 金沢 文高 土田 治 久保 千春

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.35, no.6, pp.473-482, 1995

参考文献数

12

被引用文献数

5

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This paper reports nine serious cases of non-ulcer dyspepsia (NUD) treated by systemic family therapy, and also discusses the connection between the patients symptoms and their family dynamics. About 90% of the patients revealed significant improvement by this therapy. This study also discusses the therapist's effective involvement in the therapeutic process. Generally, problems arising due to familial causes have to be viewed at two different levels. The first is that of content. That is, the specific problem as identified by either the patients or their family members. The second is that of context which is the web of interrelationships and other related circumstances within the family which are infiuenced by the belief that there is a problem. Systemic family therapy thus places greater emphasis on changing the dynamics within the family which are influenced by the belief that there is a problem. Systemic family therapy thus places greater emphasis on changing the dynamics within the context. In the representative three cases reported here in the therapist ostensibly addressed the content, each in a different way. In the first case the therapist "denied the existence of the specific family relationship problem identified by the patient and the family members." In the second representative case the therapist "acknowledged the patient's family relationship problem but denied its relation to the patient's symptoms, " In the third case the therapist "acknowledged the patient s famlly relationship problem and also acknowl edged its relation to the patient's symptoms." Thus the therapist adapted three different stances. In each of the representative three cases, however, the therapist actually attempted to change the dynamics within the patient's familial context. The reason for using different therapeutic approaches in the three cases was that in each case the strength of the patients' and/or their family members' belief in the existence of a family relationship problem differed. The therapist, therefore, had to deal with each patient and his/her family members in a different way in order to establish a harmonious optimum therapeutic relationship.

著者

大島 彰 岡田 隆雄 玉井 一 松林 直 高橋 進 楊 思根 美根 和典 中川 哲也

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.30, no.1, pp.59-65, 1990-01-08

被引用文献数

3

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Acute gastric dilatation (AGD) is one of the life-threatening complications which needs accurate diagnosis and appropriate treatment as soon as possible, although it occurs rarely in anorexia nervosa. We have unexpectedly experienced a case of AGD in anorexia nervosa caused by superior mesenteric artery (SMA) syndrome during the early stage of the treatment. An 18-year-old senior highschool girl was admitted to our hospital because of anorexia nervosa without any episodes of bulimia or vomiting. About one year before admission, considering herself overweight she had started dieting and had reduced her weight from 60kg to 33.8kg. After admission, she started taking, 1,000kcal of food by herself in addition to 200kcal of elementary diet by the tube feeding. On the 2nd hospital day, a plain chest X-ray picture showed the left-sided pleural fluid because of the pulmonary tuberculosis. The chest drainage tube was inserted on the 6th hospital day, and she was forced to lie on the bed. On the 8th hospital day, she suddenly felt nauseous and vomited. A plain abdominal X-ray picture showed the sign of AGD. A barium X-ray study on the 11th hospital day proved that the AGD was caused by SMA syndrome, showing vertical cut off sign at the 3rd portion of the duodenum obstructed by the SMA and oral side duodenal loop and the stomach were dilated. She was treated conservatively, and barium meal examination, on the 46th hospital day, proved that the signs of SMA syndrome had disappeared. After the completion of our step-by-step treatment program on the basis of cognitive behavior therapy with anti-tuberculosis drugs, she was discharged at the weight of 46.7kg, and she has been in good condition since then.

著者

安藤 勝己 美根 和典 金沢 文高 堤 卓也 中川 哲也

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.33, no.5, pp.422-423, 1993-06-01 (Released:2017-08-01)

著者

安藤 勝己 美根 和典 久保 千春

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.38, 1998

著者

岡元 律子 伊藤 善規 馬場 安里 村田 雄介 大石 了三 美根 和典

出版者

一般社団法人 日本臨床薬理学会

雑誌

臨床薬理 = JAPANESE JOURNAL OF CLINICAL PHARMACOLOGY AND THERAPEUTICS (ISSN:03881601)

巻号頁・発行日

vol.35, no.1, 2004-01-31

著者

伊沢 敏 金沢 文高 福永 幹彦 村岡 衛 美根 和典 中川 哲也

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.32, no.5, pp.440-441, 1992-06-01 (Released:2017-08-01)