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＜departmental bulletin paper＞
How to provide a cognitive behavior therapy targeting time management for client with ADHD in the job place

Creator	Creator Name 矢野, 宏之 Yano, Hiroyuki ヤノ, ヒロユキ Affiliation Affiliation Name 九州大学大学院人間環境学府 Graduate School of Human-Environment Studies, Kyushu University
Creator	Author PID K001947 Creator Name 黒木, 俊秀 Kuroki, Toshihide クロキ, トシヒデ Affiliation Affiliation Name 九州大学大学院人間環境学研究院人間科学部門臨床心理学専攻 Department of Human Sciences Faculty of Human-Environment Studies, Kyushu University
Language	Japanese
Publisher	九州大学大学院人間環境学府附属総合臨床心理センター
Publisher	Center for Clinical Psychology and Human Development, Kyushu University
Date	2018-03-22
Source Title	Bulletin of Center for Clinical Psychology and Human Development, Kyushu University
Vol	9
First Page	195
Last Page	203
Publication Type	Version of Record
Access Rights	open access
JaLC DOI	https://doi.org/10.15017/2202952

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PISSN	2185-6974
NCID	AA12461491
Record ID	2202952
Subject Terms	強迫症
	Obsessive-Compulsive disorder
	精神的強迫行為
	Mental Compulsions
	侵入思考
	Intrusive thought
Notes	強迫症への認知行動療法は，暴露反応妨害法を用いた治療法が最もエピデンスが高い。しかし暴露反応妨害法は，治療からの脱落，治療拒否などの問題を抱えている。この問題を解決するため，認知療法の立場より，行動実験が提案されている。本論では，暴露反応妨害法と行動実験を使い分けることが効果的であった事例を紹介する。暴露課題への抵抗を減らすために，暴露反応妨害法より行動実験へと手続きを切り替えることが有効であった。さらに行動実験においても暴露体験を重視する教示や心理教育を行うことで，治療効果を高める工夫も行った。また，強迫症の治療では，治療効果を高めるために，行動面での強迫行為を止めることに加え，精神的強迫行為を妨害する必要がある。そのために，暴露反応妨害法を用いた目標の共有を行うことで精神的強迫行為を妨害することを妨害する工夫を行った。さらに，行動実験の結果得られた認知的な変容を過度に強調しない工夫が有効であった。
Notes	In treatment of obsessive-compulsive disorder, exposure and response prevention method is one of the most confirmed methods. But exposure and response prevention method have some problems that are high dropout rates and refusal for treatment. To resolve problems, behavioral experimental method was suggested. Behavioral experimental method is one of cognitive therapy techniques. We show the case that combination of exposure and response prevention method and behavioral experimental method is effective for the client. To reduce resistance, behavioral experimental method is more effective than exposure and response prevention method. We teach client that exposure experience is important in behavioral experimental method. In treatment of obsessive-compulsive disorder therapist has to prevent mental compulsions in order to enhance an effect of therapy in addition to prevent overt compulsions. To prevent mental compulsions sharing goal setting and not emphasized cognitive changes are effective.
Created Date	2019.02.21
Modified Date	2022.11.14