医療
Online ISSN : 1884-8729
Print ISSN : 0021-1699
ISSN-L : 0021-1699
登校拒否児の家族治療の経験
真下 弘
著者情報
ジャーナル フリー

1967 年 21 巻 2 号 p. 172-175

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In regard to a kind of neurosis which is called School Refusal (socalled “school-phobia”), it is said that there is a tendency to increase in recent days.
The factor in that outbreak is not simple. Interpersonal relationship in a family, as well as the moment of outbreak and the specific character of the sick child, is one of the important factors.
The environment in which the child in question is brought up, and the inclination of the attitude in the family show phenomenal tendencies to over-protection and overinterference.
The emotional entanglement between the parents, which is the motive of those tendencies (sometimes between the parents and grandfather-and-mother) and between the parents and the child (or, between the grandfather-and-mother and the child), especially the disposition and the role relation between the parents have a much influence on the formation of personality in addition to the disposition of the child.
Consequently, the child fails to take in the images of their parents which should be the psychological support over again. As a result, enlarging their sever wound, the child is driven to bay and isolated gradually. On the other hand, his parents grow increasingly uneasy, and regard the child as wilfulness on account of his rejection. In spite of this attitude, the parents are at a loss how to bring up their child, and reveal their immature disposition. These attitudes of the parents produce the vicious circle that they are drawn about by their child against their will.
On the occasion of treatment, if a case is serious, it is necessary to separate the child from his home (take to hospital) and to make him reconstruct his own self.
Moreover, the members of the family is required the efforts to recognize the role with one another, to understand their own disposition and to admit the others' situation.
In our hospital, we have the situation for the group guidance as well as the individual guidance for the family with the child in question.
Through the interaction between the members of several families, they accomplished the following aims: improvement of the immature disposition of the parents, the reduction and rmmovement of the conflict in their home, the conquest of anxiety, finding out their own roles, and adjustment of the relation to the children.
The treatment of the family with the child rejecting the school attendance is not accomplished by itself alone, It becomes meaningful when it keeps the close and imseparable connection with the treatment of the child, Besides, the effect of such a treatment can not be expected till we keep the connection with the school.

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© 一般社団法人国立医療学会
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