行動療法研究
Online ISSN : 2424-2594
Print ISSN : 0910-6529
小児心身症の行動医学(日本行動療法学会第11回大会)
赤木 稔西川 潔阿部 佳織伊藤 雅彦吉岡 重威
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1986 年 11 巻 2 号 p. 82-90

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The system of Behavioral Medicine has been establshed since the beginning of 1980's. The important role of Behavioral Pediatrics would be assured in the field of Behavioral Medicine. Although it is still in the early stage, we admit it holds considerable promise. Due to Russo and Varni, Behavioral Pediatrics is interdiciprinary in nature, being firmly rooted in the empirical methodologies, concerned with diseases mechanisms and behavioral interrelationships, and so on. Also three kinds of the specific techniques chiefly used there : 1. Operant and social learning procedures, 2. Cognitive and behavioral self-regulation procedures, and 3. Biofeedback and physiological self-regulation procedures. In this report the author presents his cases, which have been treated from the stand points of view of behavioral orientation. These are completely indentified with the subjects of Behavioral Pediatrics. Firstly the cases of enuresis nocturna have been cured by the modified methods of Kimmel and Azrin's. The original therapeutic way is not suitable at the several points in Japan, so the modified one has been tried on about fifteen hundreds cases until now. Then three cases of encopresis were treated successfully by behavioral approaches, mainly using operant techniques. The third area is anorexia nervosa of children, which has been increasingly reported in Pediatrics. One of the cases treated with parentectomy, operant conditioning techniques, and nasal feeding. The case, however, finally became ameliorates by covert reinforcement technique, which cured eating phobia of the patient. The problems of compliance of asthmatic children are discussed although they are still in the early stage at this clinic and so the cases of school refusal with psychosomatic symptoms are introduced. The patient who complains some psychosomatic symptoms tends to refuse to attend school. Generally speaking, the processes of the cases are complicated and multi-factorial. Lastly biofeedback therapy on tic syndromes is presented and the author believes is it useful when the family therapy is performed at the same time.

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© 1986 一般社団法人 日本認知・行動療法学会
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