著者
山根 光知 青山 正 桃原 寛典 榎本 尚助 服部 晶子 野々垣 幹雄 竹市 広 足立 裕史
出版者
一般社団法人 日本集中治療医学会
雑誌
日本集中治療医学会雑誌 (ISSN:13407988)
巻号頁・発行日
vol.27, no.5, pp.403-407, 2020-09-01 (Released:2020-09-01)
参考文献数
13

40歳の妊婦が発熱,腹痛を主訴に前医を受診し,常位胎盤早期剥離およびhaemolysis, elevated liver enzymes, low platelet count(HELLP)症候群の疑いで当院に救急搬送され,緊急帝王切開術を施行した。問診および術中所見から劇症型溶連菌感染症による「劇症分娩型」を疑い,アンピシリン,クリンダマイシンによる抗菌薬治療を術中から開始した。血液検査では溶血性貧血,腎機能障害を認め,血栓性微小血管症の合併が疑われ,早急に血漿交換を含む集学的治療を開始した。治療開始とともに全身状態が改善し,第7病日にICUから退室し良好な転帰を得られた。早期の抗菌薬治療の開始,昇圧薬投与,輸血療法,血漿交換を含む集学的治療により救命できたと考えられた。
著者
大月 友 青山 恵加 伊波 みな美 清水 亜子 中野 千尋 宮村 忠伸 杉山 雅彦
出版者
一般社団法人 日本認知・行動療法学会
雑誌
行動療法研究 (ISSN:09106529)
巻号頁・発行日
vol.32, no.2, pp.131-142, 2006-09-30 (Released:2019-04-06)
被引用文献数
2

本研究では、アスペルガー障害をもつ不登校中学生に対して、社会的相互作用の改善を目指した社会的スキル訓練(SST)が実施された。対象生徒の社会的相互作用に対して行動分析を行った結果、反応型としての社会的スキルをもっているものの、周囲の刺激を弁別刺激として適切に反応できていないために相互作用として機能していない、と分析された。そこで、他者の刺激に適切に反応することにより、社会的相互作用の改善が可能となると仮説をたて、そのようなスキルを形成することを目的としたSSTを実施した。 SST実施に当たっては、対象生徒が興味をもつような訓練場面(推理ゲーム)を設定し、その中でのやりとりを通して訓練が行われた。その結果、訓練場面における標的行動の生起率が増え、自由場面における社会的相互作用にも改善が確認された。これらの結果から、アセスメントおよび介入の妥当性が考察された。
著者
永田 勝太郎 長谷川 拓也 喜山 克彦 青山 幸生 広門 靖正 大槻 千佳
出版者
一般社団法人 日本温泉気候物理医学会
雑誌
日本温泉気候物理医学会雑誌 (ISSN:00290343)
巻号頁・発行日
vol.70, no.4, pp.238-244, 2007 (Released:2010-04-30)
参考文献数
17
被引用文献数
1

ObjectiveSeventeen patients with FMS were treated with balneo-Morita therapy, which combines the balneotherapy with Morita therapy. After one year of treatment, patients with favorable outcome were compared with those with poor outcome.Subjects and methodsThe mean treatment period was 4.3 weeks. The outcome after one year of treatment was assessed. Patients who were able to return to work without a relapse of FMS were classified into the responsive group (13 cases, 74.6% in all), and those who showed a relapse or were not able to return to work were classified into the unresponsive group (4 cases, 23.5%). The cases of these two groups were compared in terms of biological (physical), psychological, social and existential status induvidually.ResultsThere was no significant difference in sex or age distribution between the two groups. In terms of disease entity, FMS can be classified into psychosomatic type (hyperadaptation type) and neurotic type (possible presence of psychosocial-existential problems which are difficult to resolve such as great trauma, or the conditions ranging from neurosis to psychosis). Cases of neurotic type were prevailing in the unresponsive group. Patients were assessed to find out in which of the particular features of biological, psychological, social and existential aspects the notable problems proper to each patient lie.The number of patients having psychological problems was higher in the unresponsive group, with a significant difference. In one case of the unresponsive group, the condition changed into ME/CFS (myalgic encephalopathy/chronic fatigue syndrome).DiscussionIn the treatment of these patients, the somatic approaches or physical therapy such as pharmacological therapy or simple balneotherapy, should be given more importance for cases of the psychosomatic type. However, psychological therapy should be added to this treatment for cases of neurotic type. The efficacy of the balneo-Morita therapy was compared between the groups as classified by the type of the disease. The therapy was effective in 91.6% of the cases of psychosomatic type, while the efficacy rate was 40.0% for cases of neurotic type. During the period of the balneo-Morita therapy, a tendency of dependency on therapists may appear in patients. Although involution may be allowed transiently for the purpose of introducing catharsis, autonomy should be enhanced eventually. Yuatari (balneo-phenomenon, or balneo-intoxication) is a phenomenon, that develops in psychosomatic confusion resulting from sudden release from tension after the start of balneotherapy. This phenomenon is regarded as catharsis, from which patients are encouraged to establish a new self. Through this therapeutic experience, the therapists lead the patients from involution to autonomy without being so instructed, finally to cause a change in the way of living. In cases of psychosomatic type, this conversion was relatively easily achieved, but in cases of neurotic type such conversion was difficult. It is considered that difficulty in such conversion is attributable to psychological factors of patients (strength of self, severity of trauma, presence or absence of meaning, autonomy).
著者
青山 美樹
出版者
日本国際情報学会
雑誌
国際情報研究 (ISSN:18842178)
巻号頁・発行日
vol.16, no.1, pp.12-23, 2019-12-24 (Released:2019-12-24)
参考文献数
14

In various social situations, ideology, that is, a systematized conception of an idea, places restraints on individual action and judgment from a social perspective and constitutes the basis for appropriate behavior.As a concept, this is explained as the ideal way a person should behave socially, politically, and morally. It is also described as an individual’s social orientation. In recent years, it has been suggested that such individual orientations can be explained by the moral foundations theory, which argues that humans are naturally endowed with moral foundations. Using this theory, this study aims to examine political ideological orientations toward either individualism or collectivism in order to understand Japanese value systems. The study shows that moral foundations can predict individual political orientations to some extent and can also capture the orientations or belief systems of Japanese people based on their moral judgments, their political orientations and preference for cooperation and collectivism. The study shows that ideologies can partly be explained through psychological perspectives.