システム論的家族療法の技法選択

―患者の症状と参加人数と技法の関係について―

抄録

　　In this paper, I have proved the assumption that a standard of judgment a therapist based on systems approach choose particular technique might parallel “diagnosis of the patient” or “the average number of participants”. The data are based on the records of 136 cases of family therapy. The result proved partly the assumption above. In concrete, a therapist made a choice of Symbolic Experiential Family Therapy toward “Borderline Personality Disorder” regardless of numbers of participants, Brief Therapy toward “Personality Disorder”, “Depression”, and “serious Neurosis” in a few participants, Structural Family Therapy and The Milan Systemic Approach to Family Therapy toward “serious Neurosis” and “Eating Disorder” in participants of all or most members of family, and Structural Family Therapy toward “Domestic Violence” and “Adjustment Disorder”.

　　However, those following factors except "diagnosis of the patient" and "the average number of participants" should be considered to figure out clearer indicators of therapist's choices of the particular technique;

1) whether or not participation of client, 2) particular interaction of family, 3) the degree of motivation of family for change, and 4) the way of formation of the therapeutic system.