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本論文は中学校のカウンセリング活動の中でよく見られる女子生徒のリストカットの事例からスクールカウンセラー(以下SCと略す)の学校全体に対する支援活動の実際を紹介し、支援方法について検討する。この実践的研究事例の提供の意義は、この領域に関する研究方法の開拓につながること、また、現場で活躍している教師、保護者にとっても参考になることにある。本論文の中ではまず第1部分では、筆者の出会ったリストカット事例を通じてリストカットって何だろうか。リストカットはなぜ起きたのだろうか。起きた時の対応及び今後の課題は何だろうかについて実践的な報告をする。そして、第2部分では学校でリストカットが起きた場合はどのように対応するだろうか、(具体的には第一の発見者、発見者の対応、SCへつなげていく、生徒の周囲の環境との必要な部分に関する情報共有と連携)について、実践的な報告を通じて学校全体に対する支援方法を検討していく。さらに女子生徒のリストカットの3事例を通じて、思春期という難しい時期の女子の心理、生徒に対する大人のかかわり方について何か提言することができれば子育て支援に貢献することができるのではないかと思われる。

2009-12-30 10:14:51
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https://ci.nii.ac.jp/naid/110005001543

1 0 0 0 学生相談における"抱えること(holding)"とは : 衝動的なリストカット事例へのマネジメントを通して

著者: 長谷綾子
出版者: 松山東雲女子大学・松山東雲短期大学
雑誌: 松山東雲女子大学人文学部紀要 (ISSN:09190732)
巻号頁・発行日: vol.14, pp.73-83, 2006-03

About the best support which a student can do at the student consultation, a main subject asks from the viewpoint of "holding" by Winnicott, D.W.(1965). It is tended to observe only the object relation of the counselor and client in a counseling of "holding", however, the implications of management are also included in the concept of "holding" of Winnicott, D.W. which showed even social work occasionally relation. In the main subject, it let the impulsive list cut case, and the management in student consultation was discussed from the viewpoint of "holding". By three sessions until it consults a medical institution, although the "holding" between the counselor and client was not realized, it can be said that the "holding" seen from the management-side in which holding environment is given to her was realized.

2009-12-30 10:14:47
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https://ci.nii.ac.jp/naid/110004652969

1 0 0 0 リストカット (症候からみた小児の診断学) -- (行動の問題)

著者: 平岩幹男
出版者: 診断と治療社
雑誌: 小児科診療 (ISSN:03869806)
巻号頁・発行日: vol.70, pp.611-613, 2007

2009-12-30 10:12:45
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https://ci.nii.ac.jp/naid/40015437081

1 0 0 0 OA 総合病院精神科外来におけるリストカットを報告した患者の実態調査 : リストカットを引き起こす臨床背景の検討

著者: 多羅尾陽子兼本浩祐
出版者: 愛知医科大学
雑誌: 愛知医科大学医学会雑誌 (ISSN:03010902)
巻号頁・発行日: vol.35, no.1, pp.1-6, 2007-03-15

In this retrospective study, we examined clinical settings and associated symptoms in patients with episodes of deliberate self-harm in order to investigate pertinent therapeutic approaches for subtypes of self-mutilators. A total of 55 patients with such episodes were randomly selected as a study sample from case records of outpatients treated directly by the authors from 2003 to 2005. The average observation period and age at examination were 2.1±3.1 and 24.9±11.3 years, respectively. Eighty nine percent of the study subjects were female, and more than 40% had experienced eating disorders, suicidal attempts by drug abuse, and doctor shopping. Fewer than 60% of the subjects were diagnosed with a DSM axis I mental disorder, of which 20% were mood disorders, while greater than 60% were categorized with personality disorders, including borderline personality disorders in 55%. Surprisingly, 38% of the subjects had an axis II diagnosis alone and not axis I. The average age of onset of self-mutilation was 22.7±11.0 years old and 65% of the subjects injured themselves without a definite precipitating event. Approximately one-third felt no pain during the self-mutilation, while amnesia to the episode and ecstasy accompanied self-injury in 13% and 29%, respectively. Factor analysis revealed late onset, marriage, and mood disorder as closely associated (first factor), which suggested the existence of a treatable subgroup of patients with mood disorders among the self-mutilators studied. In addition, analysis showed that high frequencies of self-injurious episodes, episodes of transient ecstatic feelings along with no pain following self-injury, and suicidal attempts associated with drug abuse were associated (second factor), which we speculated to be clinical hallmarks of addiction to self-mutilation. Based on our findings, we recommend that trials of medical treatment for treatable self-mutilators with hallmarks of the first factor be conducted and psychological support for patients with addiction to self-mutilation who demonstrate the second factor clinical constellation.