心身症に対する箱庭療法の適応と限界(心身医学における各技法の適用と限界)

抄録

The Sandplay Technique is carried out by having the patients do the sandplay. It was created by M. Lowenfeld, as a method of psychological treatment for children. D. Kalffe, started using it for adults by combining it with the analytical psychology of C. G. Jung. Kawai received training and supervison from her and started introducing the Sandplay Technique in Japan. The author learned it from Kawai and found that the sandplay technique was effective as a psychotherapeutic approach to psychosomatic diseases. Main characteristics can be summarized as follows. 1. You can not proceed it without the patient trust in the therapist. Not everybody can get better, just because he does the sandplay. 2. By touching the sand, the patient regresses into infancy. This can provide him with favorable treatment condition. 3. In case of neurosis, as emotional expression is facilitated readily and abundantly, this approach can be a good indication. 4. Even for the psychosomatic patients with alexithymic tendencies, good therapeutic result can be expected as it appeals to the patient's emotion directly with the use of the sand and no words. 5. It can cover a variety of patients ranging from children to old people. By now, we have found it useful for neuroses, peptic and duodenal ulcers and the irritable colon syndrome. 6. As the indispensable factor, it requires the trust between therapist and patient which is, needless to say, basic for every psychotherapy. Also, good results can be expected when it is combined with other approaches, such as A. T. and T. A. 7. If the patient gets to unconscious contents and can not integrate his mind and body, as might happen in schizophrenia or compulsive neurosis, caution must be taken by the therapist. 8. The most important point is that the therapist selects a right kind of objects for treatment.