ビデオを用いた精神科臨床面接学習の残存効果に関するアンケート調査

Questionnaire-based Research on the Value of Clinical Interview Learning Using Video Tapes

抄録

　ビデオを使用した臨床面接検討の記憶や影響が後年どの程度残るかを調べる目的で，面接者として参加した30人に対し，3年以上を経過した時点でアンケート調査を実施した。記憶に残っている内容は相手よりも自分のことが多く，また意識・思考内容よりも表情，姿態，振舞，話し方などが多かった。そうした自分のイメージの多くは意外感や驚きの感情を伴って想起されていた。想起場面は検討会の様子とビデオ画面が多く，撮影時の面接自体は少なかった。有用性については，直後よりも後日に役立ったという回答が多かった。これらの回答には個人差が大きいことから，今後の同様な研究では，個々人に応じた目標設定ややり方の工夫が必要と思われた。

　The present study was designed to investigate the influences of psychiatric clinical interview training sessions. The study was made several years after the sessions had taken place.

　Questionnaires were completed by 29 of 30 physicians who had participated in the sessions as interviewers.

　What remained most in their memories were their own impressions rather than facts about the patients interviewed. The contents of what they recalled, rather than being the consciousness and thought of their patients, was more after their expressions, appearance, behavior and way of speaking.

　Many of the images were recollections of the interviewees’ own feelings of surprise and unexpectedness to themselves in the video replays rather than the actual scenes of the interviews. Many of the interviewers had clearer memories of the discussion meetings, and video replays than of the interviews themselves.

　Many said that the interviews were of more value, when time had passed rather than immediately after they had taken place.

　Because of the wide variation of replies, it was suggested that at the next similar type of study, more effort should be made to consider the past experiences of individual interviewers.