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要旨:本報告の目的は,統合失調症者に対するリカバリー志向の作業療法(以下,OT)とOTにおける認知行動療法(以下,CBT)的手法の有効性について検討することである.被害的な幻聴や注察感,作為体験により引きこもりの生活をしていた統合失調症患者に,リカバリー志向のOTを実践した.その過程で,CBT的手法を用いた面接を行った.結果,主体性の向上やセルフモニタリング機能の改善とともに,自己効力感が回復し,デイケアへの参加が可能となった.この経過から,リカバリー志向のOTとCBT的手法によって,OTがより実践的で有効なものになる可能性が示唆された.
The purpose of this study was to consider the effectiveness of recovery-oriented occupational therapy (OT) and cognitive-behavioral therapy (CBT) in OT toward a person with schizophrenia. We practiced the recovery-oriented OT for the schizophrenic patient who was confined to his house because of auditory hallucinations, delusions of persecution and factitious behavior. OT interviews were conducted using CBT techniques. As a result, his self-efficacy was restored, and there were improvements of his self-monitoring function, treatment motivation, and identity. As a result, he could join the day care center programs. The results indicate that OT activities could be more practical and effective by combining recovery-oriented OT and the CBT technique.
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