北関東医学
Online ISSN : 1883-6135
Print ISSN : 0023-1908
ISSN-L : 0023-1908
小児緘默症に関する研究
第2報 治療方法について
内山 喜久雄
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ジャーナル フリー

1959 年 9 巻 4 号 p. 786-799

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A psychotherapeutic device involving both desensitization and supportive therapy was applied to twenty-two mutistic pupils in elementary schools. The desensitization is based upon the principle of reconditioning, and the supportive therapy, upon the principle of the group effect. The therapeutic effect, then, was expected through the gradual increment of tolerance on the part of the patient.
The procedures were consisted of the following five therapeutic stages, the interval between each stage being approximately one week.
1) Introductory stage : Therapist has a personal therapeutic interview in a small room with the patient, who is requested simple oral answers.
2) Inuring stage : The therapist and the patient are in the classroom with a few of his intimate friends. The task here is to give some oral salutations.
3) Promoting stage : The number of the friends attending is increased to more than five in the same classroom. Reading some short sentences aloud is the task here.
4) Reality stage : The usual class-work situations. The patient is asked to read loudly the sentences he read in the preceding stage.
5) Spontaneity stage : The patient is charged with oral messages from one teacher to another in the various situations. Spontaneous speaking was expected.
The method was effective for seventeen case; (77%), almost ineffective for two (9%), and incurable for three (14%). In ineffective and incurable cases, where the symptom formation was long-dated and stable, the functions of both reconditioning and group effect were observed to be of little effect.

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