å€åã®éãçŸä»£ç€ŸäŒã§ãèªç¥ãã¯ããã¯ã«ããã¹ãã¬ã¹ç®¡çã粟ç¥çã¬ãžãªãšã³ã¹ã®æ§ç¯ãå¹žçŠæã®åäžã«åœ¹ç«ã€å®çžŸããæŠç¥ãåŠã³ãŸãããã
èªç¥ã¹ãã¬ã¹ç®¡çã®æ§ç¯ïŒã¡ã³ã¿ã«ã¬ãžãªãšã³ã¹ã®ããã®ã°ããŒãã«ã¬ã€ã
ã¹ãã¬ã¹ã¯æ®éçãªçµéšã§ãããæåã倧éžãè¶ ããŠäººã ã«åœ±é¿ãäžããŸããå€éšã®ã¹ãã¬ã¹èŠå ã¯ãå°ççãªå Žæãçµæžç¶æ³ã瀟äŒçãªèŠå ã«ãã£ãŠå€§ããç°ãªããŸãããã¹ãã¬ã¹åå¿ã«å¯äžããèªç¥ããã»ã¹ã¯é©ãã»ã©äŒŒãŠããŸãããã®ã¬ã€ãã§ã¯ãããªãã®èæ¯ãå Žæã«é¢ä¿ãªãã粟ç¥çãªã¬ãžãªãšã³ã¹ãè²ã¿ãå¹žçŠæãåäžãããããã®å®è·µçãªèªç¥ã¹ãã¬ã¹ç®¡çãã¯ããã¯ãæ¢ããŸãã
èªç¥çã¹ãã¬ã¹ã®çè§£
èªç¥çã¹ãã¬ã¹ã¯ãåã«å€éšã®åºæ¥äºããçããã®ã§ã¯ãªãããããã®åºæ¥äºã«å¯Ÿããç§ãã¡ã®è§£éããçããŸããç§ãã¡ã®æèãä¿¡å¿µãæ åºŠã¯ãç§ãã¡ã課é¡ãã©ã®ããã«èªèããããã«ã©ã®ããã«åå¿ããããæ±ºå®ããäžã§éèŠãªåœ¹å²ãæãããŸããäŸãã°ã倱æ¥ã«çŽé¢ããŠãã2人ã®å人ãèããŠã¿ãŸããããäžæ¹ã¯ãããçµ¶æçãªåŸéãšèŠãªããåžæã®ãªããçµ¶ææã«ã€ãªãããããããŸãããããäžæ¹ã¯ãããæé·ã𿢿±ã®æ©äŒãšèŠãªããæ°ãããã£ãªã¢ãã¹ã远æ±ããããæ°ããã¹ãã«ãéçºãããããããšãä¿ããããããŸãããåºæ¥äºã¯åãã§ãããèªç¥çãªè©äŸ¡ãç°ãªããææ çããã³è¡åçãªçµæã倧ããç°ãªããŸãã
ã¹ãã¬ã¹ã®èªç¥ã¢ãã«
èªç¥è¡åçæ³ïŒCBTïŒãšãã°ãã°é¢é£ä»ããããã¹ãã¬ã¹ã®èªç¥ã¢ãã«ã¯ãæèãææ ãè¡åã®çžäºé¢é£æ§ã匷調ããŠããŸãããã®ã¢ãã«ã«ããã°ãã¹ãã¬ã¹ã®å€ãç¶æ³ã¯ç¹å®ã®æèãåŒãèµ·ããããããç§ãã¡ã®ææ ãšããã«ç¶ãè¡åã«åœ±é¿ãäžããŸããåŠå®çãŸãã¯æªãã æèãã¿ãŒã³ã¯ã¹ãã¬ã¹ãå¢å¹ ãããäžé©å¿ãªå¯ŸåŠã¡ã«ããºã ãå¹žçŠæã®äœäžã«ã€ãªããå¯èœæ§ããããŸãã
èªç¥ã¢ãã«ã®äž»èŠãªæ§æèŠçŽ ïŒ
- ç¶æ³ïŒå€éšã®åºæ¥äºãŸãã¯ããªã¬ãŒã
- æèïŒç¶æ³ã«é¢ããèªåæèãšè§£éã
- ææ ïŒæèããçããææ ã
- è¡åïŒææ ã«å¯Ÿããå¿çãšããŠã®è¡åã
ãã®ã¢ãã«ãçè§£ããããšã§ãã¹ãã¬ã¹åå¿ã«å¯äžããåŠå®çãªæèãã¿ãŒã³ãç¹å®ããããã«ææŠãå§ããããšãã§ããŸãã
èªç¥ã¹ãã¬ã¹ç®¡çãã¯ããã¯
èªç¥ã¹ãã¬ã¹ç®¡çã«ã¯ãåŠå®çãªæèãã¿ãŒã³ãä¿®æ£ããããé©å¿çãªèªç¥è©äŸ¡ãéçºããããã®ãã¯ããã¯ãåŠã³ãé©çšããããšãå«ãŸããŸããããã§ã¯ãæ¥åžžç掻ã«åãå ¥ããããšãã§ããããã€ãã®ãšããã³ã¹ã«åºã¥ãããã¯ããã¯ã玹ä»ããŸãã
1. èªç¥åæ§æ
èªç¥åæ§æã¯ãåŠå®çãŸãã¯æªãã æèãç¹å®ãææŠã倿Žããããšãå«ããCBTã®äž»èŠãªãã¯ããã¯ã§ããããã¯ãèªåæèã«æ°ã¥ãããã®æ£ç¢ºæ§ãè©äŸ¡ããããçŸå®çã§ãã©ã³ã¹ã®åããèŠç¹ã«çœ®ãæããããã»ã¹ã§ãã
èªç¥åæ§æã®ã¹ãããïŒ
- åŠå®çãªæèã®ç¹å®ïŒã¹ãã¬ã¹ãäžå®ãæãããšãã«çããæèã«æ°ã¥ããŸããæèãææ ãããã³ããããããªã¬ãŒããç¶æ³ã远跡ããããã«ãæèèšé²ãä¿æããŸããäŸïŒããã®ãã¬ãŒã³ã¯å€±æããã ãããã
- 蚌æ ãžã®ææŠïŒèªåèªçããŸãïŒãã®æèãæ¯æãã蚌æ ã¯äœã§ããïŒããã«åãã蚌æ ã¯äœã§ããïŒç¶æ³ãè§£éããå¥ã®æ¹æ³ã¯ãããŸããïŒäŸã§ã¯ãéå»ã®æåãããã¬ãŒã³ããŒã·ã§ã³ããããªããéè¡ãã培åºçãªæºåãæ€èšããããšãã§ããŸãã
- ä»£æ¿æèã®çæïŒãããã©ã³ã¹ã®åããçŸå®çãªæèãéçºããŸããããã®ãã¬ãŒã³ã¯å€±æããã ãããã®ä»£ããã«ãããã®ãã¬ãŒã³ã«åããŠããæºåãããããã¹ããå°œãããŸããå®ç§ã§ãªããŠããåŠã³æé·ããæ©äŒã§ããããšèãããããããŸããã
- çµæã®è©äŸ¡ïŒæèãå€ããåŸãã©ã®ããã«æããŸããïŒããã¯ããªãã®ã¹ãã¬ã¹ãšäžå®ã軜æžããŸããïŒ
äŸïŒ
ç¶æ³ïŒä»äºã§ç· ãåããè¿«ã£ãŠããã
åŠå®çãªæèïŒããããææ¥ãŸã§ã«çµããããããšã¯çµ¶å¯Ÿã«ã§ããªããç§ã¯ç¡èœã ãã
蚌æ ãžã®ææŠïŒéå»ã«ç· ãåããå®ã£ãããšã¯ãããŸããïŒç§ãå©ããŠããããªãœãŒã¹ã¯äœããããŸããïŒç§ãã³ã³ãããŒã«ã§ããããšã«éäžããŠããŸããïŒ
ä»£æ¿æèïŒããã®ç· ãåãã¯é£ããã§ãããã¿ã¹ã¯ãããå°ãã管çå¯èœãªã¹ãããã«åè§£ã§ããŸããåªå é äœãã€ããå¿ èŠã§ããã°å©ããæ±ããŸãã以åã«ãå³ããç· ãåãã管çããããšã«æåããã®ã§ãä»åãã§ããŸããã
2. ãã€ã³ããã«ãã¹çæ³
ãã€ã³ããã«ãã¹çæ³ãšã¯ã倿ããã«çŸåšã®ç¬éã«æ³šæãåããããšã§ããããã¯ãç§ãã¡ã®æèãææ ãèº«äœæèŠã«æ°ã¥ãããšãå©ãããããã«å·»ã蟌ãŸããããšãªããããã芳å¯ããããšãå¯èœã«ããŸãã宿çãªãã€ã³ããã«ãã¹ã®å®è·µã¯ãã¹ãã¬ã¹ã軜æžããææ 調ç¯ãæ¹åããå šäœçãªå¹žçŠæãé«ããããšãã§ããŸãã
ãã€ã³ããã«ãã¹çæ³ã®å®è·µæ¹æ³ïŒ
- éããªå ŽæãèŠã€ããïŒéªéãããªããéãã§å¿«é©ãªå Žæãéžã³ãŸãã
- 楜ãªå§¿å¢ã§åº§ãïŒèçã䌞ã°ããŠãããã硬ããªããªãããã«ãæ€ åã«åº§ãããã¯ãã·ã§ã³ã®äžã«åº§ããŸãã
- åŒåžã«éäžããïŒåªããç®ãéããæ³šæãåŒåžã«åããŸããäœã«åºå ¥ããã空æ°ã®æèŠã«æ°ã¥ããŸãã
- æèãèªèããïŒæèãçŸãããã倿ããã«ããã«æ°ã¥ããæ³šæãåªããåŒåžã«æ»ããŸãã
- 宿çã«å®è·µããïŒæ¯æ¥5ã10åããå§ããæ £ããŠãããåŸã ã«æéãå¢ãããŸãã
äŸïŒéèŠãªäŒè°ã«é å»ããŠããŠãäº€éæžæ»ã«ã¯ãŸã£ãŠãããšæ³åããŠãã ãããã€ã©ã€ã©ããŠåæºãã代ããã«ãæ·±åŒåžãæ°åããŠãåŒåžã®æèŠã«éäžããŠãã ãããäœã«åãå ¥ã£ãŠããããšã«æ°ã¥ããæèçã«çèããªã©ãã¯ã¹ãããŸããããªããæ¶èãããããšãªããããªãã®æ¬²æ±äžæºãèªèããŸãããã€ã³ããã«ãã¹ãå®è·µããããšã§ãããç©ããã§ææ°ãªç¶æ ã§ã¹ãã¬ã¹ã®å€ãç¶æ³ãä¹ãè¶ããããšãã§ããŸãã
3. èªç¥çãªè§£é¢
èªç¥çãªè§£é¢ã¯ãã¢ã¯ã»ãã¿ã³ã¹ïŒã³ãããã¡ã³ãã»ã»ã©ããŒïŒACTïŒããã®ãã¯ããã¯ã§ãããç§ãã¡èªèº«ãšç§ãã¡ã®æèãšã®éã«è·é¢ãäœãåºãã®ã«åœ¹ç«ã¡ãŸããããã¯ãæèãåãªãæèã§ãããäºå®ãåœä»€ã§ã¯ãªãããšãèªèããããšãå«ã¿ãŸããç§ãã¡ã®æèããè§£é¢ããããšã«ãã£ãŠãç§ãã¡ã¯ããããç§ãã¡ã®ææ ãè¡åã«äžãã圱é¿ãæžããããšãã§ããŸãã
èªç¥è§£é¢ã®ãã¯ããã¯ïŒ
- æèã®ã©ããªã³ã°ïŒåã«ããªãã®æèããæèããšã©ãã«ä»ãããŸããäŸãã°ããç§ã¯å€±æè ã ããšèãã代ããã«ããç§ã¯èªåã倱æè ã ãšããèããæã£ãŠããããšèããŸãã
- æèãæãïŒéŠ¬é¹¿ããŠããããã«èããããããããŸããããããªãã®æèã銎æã¿ã®ããã¡ããã£ãŒã«ä¹ããŠæãããšã§ãããããã detachment ããããããããŸãæ·±å»ã§ã¯ãªããšèŠãªãããšãã§ããŸãã
- èªåã®å¿ã«æè¬ããïŒæèãçã¿åºããèªåã®å¿ã«æè¬ããŸãããããã«ã¯é¢äžããŸãããäŸãã°ããããããšããå¿ãããã®æèãããããšãããšèªåã«èšããä»ã®ããšã«æ³šæãåããŸãã
- ç©èªãèªèããïŒããªãã®å¿ãçµ¶ããç©èªããã©ãã£ããäœæããŠããããšã«æ°ã¥ããŸãããããã«å·»ã蟌ãŸããããšãªãããããã®ç©èªã芳å¯ããŸãã
äŸïŒãç§ã¯ååã«ããŸããããŠããªãããšããæèããããšããŸãããããä¿¡ãã代ããã«ããããåãªãæèã§ããããšãèªèããŸããèªåã«ãç§ã¯èªåãååã«ããŸããããŠããªããšããèããæã£ãŠããããšèšããŸãããã®åçŽãªã©ããªã³ã°è¡çºã¯ãããªããšæèã®éã«ã¹ããŒã¹ãäœãåºããããã®ããªãã«å¯Ÿããåãæžããããšãã§ããŸãã
4. ããžãã£ããªã»ã«ãããŒã¯
ããžãã£ããªã»ã«ãããŒã¯ãšã¯ãåŠå®çã§èªå·±æ¹å€çãªæèããè¯å®çã§å±ã¿ã«ãªãæèã«çœ®ãæããããšã§ããããã¯ãããæ¯æŽçã§æãããã®ããå ãªã察話ãè²ãããšã§ãã
ããžãã£ããªã»ã«ãããŒã¯ã®ããã®æŠç¥ïŒ
- èªåã®åŒ·ã¿ãç¹å®ããïŒèªåã®åŒ·ã¿ãšæ¥çžŸã®ãªã¹ããäœæããŸããèœã¡èŸŒãã§ãããšãã¯ããããã®è³è³ªãæãåºããŠãã ããã
- ã¢ãã¡ã¡ãŒã·ã§ã³ã䜿çšããïŒèªåã®ç®æšãšäŸ¡å€èгãåæ ããããžãã£ããªã¢ãã¡ã¡ãŒã·ã§ã³ãäœæããŸãã宿çã«èªåã«ç¹°ãè¿ããŸããäŸãã°ããç§ã¯æèœã§å埩åãããããšãããç§ã¯æãšå¹žçŠã«å€ããããªã©ã§ãã
- åŠå®çãªã»ã«ãããŒã¯ã«ææŠããïŒåŠå®çãªã»ã«ãããŒã¯ã«æ°ã¥ããããè¯å®çã§çŸå®çãªåè«ã§ããã«ææŠããŠãã ããã
- èªå·±æ æ²ãå®è·µããïŒåäººã«æäŸããã®ãšåãåªãããšæãããã§èªåèªèº«ãæ±ããŸãã
äŸïŒããããå°ç¡ãã«ããã ããããšèãã代ããã«ããç§ã¯ããæºåããŸããããããŠãç§ã®èœåã«èªä¿¡ããããŸããããšããã¹ãŠãå®ç§ã«ãããªããŠããçµéšããåŠã¶ããšãã§ããŸãããšåæ§ç¯ããŠãã ããã
5. åé¡è§£æ±ºãã¯ããã¯
æã«ã¯ãã¹ãã¬ã¹ã¯å®éã«å¯ŸåŠããå¿ èŠãããåé¡ããçããŸããåé¡è§£æ±ºãã¯ããã¯ã¯ãå§åçãªèª²é¡ã管çå¯èœãªã¹ãããã«åè§£ãã广çãªè§£æ±ºçãéçºããã®ã«åœ¹ç«ã¡ãŸãã
åé¡è§£æ±ºã®ã¹ãããïŒ
- åé¡ãå®çŸ©ããïŒçŽé¢ããŠããåé¡ãæç¢ºã«ç¹å®ããŸãã
- 解決çããã¬ã€ã³ã¹ããŒãã³ã°ããïŒå®çŸå¯èœæ§ã倿ããããšãªããæœåšçãªè§£æ±ºçã®ãªã¹ããçæããŸãã
- 解決çãè©äŸ¡ããïŒå解決çã®é·æãšçæãè©äŸ¡ããŸãã
- 解決çãéžæããïŒæã广çã§å®çŸå¯èœæ§ã®é«ã解決çãéžæããŸãã
- 解決çã宿œããïŒéžæãã解決çã宿œããããã®è¡åãèµ·ãããŸãã
- çµæãè©äŸ¡ããïŒè§£æ±ºçãåé¡ã解決ããã®ã«æåãããã©ãããè©äŸ¡ããŸããããã§ãªãå Žåã¯ãå¥ã®è§£æ±ºçã詊ããŠãã ããã
äŸïŒä»äºã§å€§ããªãããžã§ã¯ãã«å§åãããŠãããšæããŸãããããããå°ããªã¿ã¹ã¯ã«åè§£ããåã¿ã¹ã¯ã«ç· ãåããå²ãåœãŠãããããå®äºããããã®ã¹ã±ãžã¥ãŒã«ãäœæããŸãããã®æ§é åãããã¢ãããŒãã«ããããããžã§ã¯ãã¯ããã»ã©å§åãããããã管çãããããªããŸãã
ã¹ãã¬ã¹ç®¡çã«é¢ããã°ããŒãã«ãªèŠç¹
æåçèŠå ã¯ãå人ãã¹ãã¬ã¹ãã©ã®ããã«çµéšãã察åŠãããã«å€§ãã圱é¿ãäžããå¯èœæ§ããããŸãããããã®æåçãã¥ã¢ã³ã¹ãçè§£ããããšã¯ã广çã§æåçã«ææãªã¹ãã¬ã¹ç®¡çæŠç¥ãéçºããäžã§éèŠã§ãã
éå£äž»çŸ©æåãšå人䞻矩æå
å€ãã®ã¢ãžã¢ãã©ãã³ã¢ã¡ãªã«ã®åœã ã®ãããªéå£äž»çŸ©æåã§ã¯ãå人ã¯èªåã®ããŒãºãããã°ã«ãŒãã®ããŒãºãåªå ããåŸåããããŸããã¹ãã¬ã¹ã¯ã瀟äŒç調åã®ç¶æãå®¶æã®çŸ©åã®å±¥è¡ã«é¢ããæžå¿µããçããå¯èœæ§ããããŸãããããã®æåã«ãããã¹ãã¬ã¹ç®¡çæŠç¥ã¯ã瀟äŒçæ¯æŽãå®¶æã®ã€ãªãããã³ãã¥ããã£ãžã®é¢äžã匷調ããããšããããããŸãã
å€ãã®ã¢ã¡ãªã«ããšãŒãããã®åœã ã®ãããªå人䞻矩æåã§ã¯ãå人ã¯èªåã®ããŒãºãç®æšãåªå ããåŸåããããŸããã¹ãã¬ã¹ã¯ãå人çãªæåã®éæãç¬ç«ã®ç¶æãžã®ãã¬ãã·ã£ãŒããçããå¯èœæ§ããããŸãããããã®æåã«ãããã¹ãã¬ã¹ç®¡çæŠç¥ã¯ãéåããªã©ã¯ãŒãŒã·ã§ã³ãã¯ããã¯ãã»ã«ãã±ã¢ãªã©ã®å人çãªå¯ŸåŠã¡ã«ããºã ã«çŠç¹ãåœãŠãããšããããããŸãã
ã¡ã³ã¿ã«ãã«ã¹ã«é¢ããæåç信念
ã¡ã³ã¿ã«ãã«ã¹ã«é¢ããæåç信念ã¯ãå人ãã¹ãã¬ã¹ã«å¯ŸããŠã©ã®ããã«å©ããæ±ãããã«ã圱é¿ãäžããå¯èœæ§ããããŸããäžéšã®æåã§ã¯ãã¡ã³ã¿ã«ãã«ã¹åé¡ãã¹ãã£ã°ãåãããŠããå¯èœæ§ããããå人ãå°éå®¶ã®å©ããæ±ããããšãé¿ããå¯èœæ§ããããŸããä»ã®æåã§ã¯ãäŒçµ±çãªçãã®å®è·µã粟ç¥çãªä¿¡å¿µããã¹ãã¬ã¹ç®¡çã«ãããŠéèŠãªåœ¹å²ãæããå¯èœæ§ããããŸãã
äŸïŒäžéšã®ã¢ãžã¢æåã§ã¯ããšã¬ã倪極æ³ãçæ³ãªã©ã®å®è·µããã¹ãã¬ã¹è»œæžãšç²Ÿç¥ç幞çŠã®ä¿é²ã«åºãå©çšãããŠããŸãããããã®å®è·µã¯ããã°ãã°æåçãªäŒçµ±ãšä¿¡å¿µã«æ·±ãæ ¹ãããŠããŸãã
èªç¥ã¹ãã¬ã¹ç®¡çãããªãã®ç掻ã«çµ±åãã
èªç¥ã¹ãã¬ã¹ç®¡çã¹ãã«ãæ§ç¯ããã«ã¯ãç¶ç¶çãªå®è·µãšåªåãå¿ èŠã§ãããããã®ãã¯ããã¯ãæ¥åžžç掻ã«çµ±åããããã®ãã³ããããã€ã玹ä»ããŸãã
- å°ããå§ããïŒ1ã€ã2ã€ã®ãã¯ããã¯ããå§ããŠãæ £ããŠãããåŸã ã«ä»ã®ãã¯ããã¯ãåãå ¥ããŠãã ããã
- å¿è匷ãïŒæ ¹æ·±ãæèãã¿ãŒã³ãå€ããã«ã¯ãæéãšå®è·µãå¿ èŠã§ããããã«çµæãèŠãããªããŠãèœèããªãã§ãã ããã
- äžè²«æ§ãä¿ã€ïŒã¹ãã¬ã¹ãæããŠããªããšãã§ãããããã®ãã¯ããã¯ã宿çã«å®è·µããŠãã ãããããã¯ãã¬ãžãªãšã³ã¹ãæ§ç¯ããã¹ãã¬ã¹ãæªåããã®ãé²ãã®ã«åœ¹ç«ã¡ãŸãã
- ãµããŒããæ±ããïŒèªåã§ã¹ãã¬ã¹ã管çããã®ã«èŠåŽããŠããå Žåã¯ãã»ã©ãã¹ããã«ãŠã³ã»ã©ãŒã«å°éå®¶ã®å©ããæ±ããããšãæ€èšããŠãã ããã
- ããŒãºã«åãããŠé©å¿ããïŒãããã®ãã¯ããã¯ããããªãã®å人çãªããŒãºã奜ã¿ã«åãããŠèª¿æŽããŠãã ãããã¹ãã¬ã¹ç®¡çã«ã¯ãäžäººã«å ±éã®å¯äžã®ã¢ãããŒãã¯ãããŸããã
çµè«
èªç¥ã¹ãã¬ã¹ç®¡çã¯ã課é¡ã«æºã¡ãäžçã§ç²Ÿç¥çãªã¬ãžãªãšã³ã¹ãæ§ç¯ããå¹žçŠæãé«ããããã®åŒ·åãªããŒã«ããããæäŸããŸããåŠå®çæèãã¿ãŒã³ãç¹å®ããããã«ææŠãããã€ã³ããã«ãã¹ãå®è·µããããžãã£ããªã»ã«ãããŒã¯ãè²ãããšãåŠã¶ããšã§ãããªãã¯ã¹ãã¬ã¹åå¿ãã³ã³ãããŒã«ããããå å®ãã人çãéãããšãã§ããŸããã¹ãã¬ã¹ç®¡çã¯ç®çå°ã§ã¯ãªããç¶ç¶çãªããã»ã¹ã§ããããšãå¿ããªãã§ãã ãããèªåèªèº«ã«å¿è匷ããäžè²«ããŠå®è·µããå¿ èŠã«å¿ããŠãµããŒããæ±ããŠãã ããããããã®èªç¥ãã¯ããã¯ãåãå ¥ããããšã§ãäžçã®ã©ãã«ããŠããããç©ããã§ãææ°ã§ãèªä¿¡ãæã£ãŠäººçã®è€éããä¹ãè¶ããããšãã§ããŸãã