発達障害と子ども虐待との複合症例に対する EMDR を用いた簡易精神療法の試み

A simple psychotherapy using EMDR for a complex case of developmental disorders and child abuse

Description

大多数の発達障害は(実は精神障害も),多 因子遺伝であることが近年明らかになった (Virkud et al., 2008)。これは発達障害が,素 因と環境因によって生じるというモデルである。 ここでいう環境因とは epigenetics の関与であ る(Marcus, 2004)。このモデルでは 1 つの遺 伝子が原因 - 結果として働くのではなく,リス クの積算という形を取る。これは糖尿病や高血 圧といった一般的な慢性疾患と同じモデルであ る。そして,身体的慢性疾患を念頭に置いて頂 ければ直ちに理解できるように,臨床的閾値を 超えないレベルで素因を持つ者は,障害診断を 受ける者の数倍以上存在する。しかしながら 自閉症スペクトラム障害(Autism Spectrum Disorder; ASD)において,本人のみならずその 親にもうつ病の頻度が極めて高い(Ghaziuddin et al., 2002)など,素因レベルの者であっても, 適応障害が起きやすいという事実がある。われ われはこの素因レベルを発達凸凹と呼んできた (杉山,2011)。ASD に関しては,拡大型自閉 症 発 現 型(Broad Autism Phenotype; BAP; Losh and Piren, 2007)と呼ばれてきたものと ほぼ同じグループである。凹凸ではないのは, 一般にマイナスではないからである。

 The majority of developmental disorders (in fact, mental disorders) It has become clear in recent years that it is a factor inheritance. (Virkud et al., 2008). This is a developmental disorder, but it is a model caused by the cause and the environmental cause. The environmental cause here is the involvement of epigenetics. (Marcus, 2004). In this model, one The message child is the cause - not to work as a result, but to take the form of accumulation of This is diabetes and high blood
the same model as common chronic diseases such as pressure. In addition, the And keep physical and chronic diseases in mind. clinical thresholds so that you can immediately understand those who have a predisposition at a level that does not exceed
There are more than a few times as many people who receive it. However Autism Spectrum Disorder (Autism Spectrum) Disorder; ASD), not only the person himself but also thepParents also have a very high frequency of depression (Ghaziuddin
et al., 2002), even those at the predispositional level, there is a fact that adaptive disorders are more likely to occur. We have called this predisposition level a developmental irregularity. (Sugiyama, 2011) For ASD, the enlarged ast Symptoms Current type (Broad Autism Phenotype; BAP; what has been called Losh and Piren, 2007)they are in almost the same group. What's not uneven is that this is because it is generally not negative.

Format

Conference

Language

Japanese

Author(s)

Toshiro Sugiyama

Original Work Citation

Sugiyama, T. (2014, October). A simple psychotherapy using EMDR for a complex case of developmental disorders and child abuse. Japan-Italy EMDR Joint Seminar "Neurobiology of PTSD and EMDR," Hamamatu, Japan

Collection

Citation

“発達障害と子ども虐待との複合症例に対する EMDR を用いた簡易精神療法の試みA simple psychotherapy using EMDR for a complex case of developmental disorders and child abuse,” Francine Shapiro Library, accessed October 21, 2020, https://emdria.omeka.net/items/show/26561.

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