心身医学における森田療法の効用と限界(心身医学における各技法の適用と限界)

抄録

The eminent effects of Morita's Therapy for neurotics are widely known; however, the reports on psychosomatic patients are very few. This fact suggests the Morita's therapist is of the opinion that his approach is not always effective for psychosomatic disorders especially with pathological organic distortion. For example, follow-up studies conducted by Takagi and Maruyama, which included a small number of psychosomatic patients, reveal that the ""orthodox Morita's Therapy"" beginning with the absolute bed rest was not so effective. The author has applied Morita's therapeutic approach to severe cases of psychosomatic disorders and obtained the following results.1. To psychosomatic patients without pathological organic change, Morita's Therapy is applicable. To those with pathological organic change, it is better to administer internal treatment first and then apply Morita's approach. 2. Prescription of minor tranquilizer or antidepressants is necessary for certain types of patients. 3. To the patients with severe psychosomatic conditions, it is desirable to introduce them gradually into Morita's therapy by using autogenic training, hypno-therapy, psychodrama, art therapy, recreational therapy, and so on. 4. It is helpful to distinguish at least three character types amongst psychosomatic patients : Morita Shinkeishitsu, Melancholic type (Tellenbach) and hysteria type. The first two types are easy to introduce into Morita's Therapy. 5. When two or more therapeutic methods are used jointly, a firm theoretical formulation need to be established.