コラージュにおける円枠の利用の試み

Attempt to use circle frames in collages

要旨：本稿の要旨は円枠コラージュ法の紹介である．筆者は小集団作業の中で，円枠コラージュを行っている．描画における「円枠」を含めた，治療者の提示する様々な「枠」というものに対しての患者側の対処行動には，治療者へ向けてのメッセージという側面が存在する．それ故に，この対処行動の問題を作業療法の中で取り上げることは，彼ら自身の抱える心理的諸問題の解決に関して重要な契機となりうる．円枠コラージュは，この作業の有する「入れ子構造」により，作業体験そのものが，治療的効果を与えるものと考察される．本稿では施行症例を通して，その方法について紹介する．

　This paper introduces the methods and clinical effects of using circle frames in collages. This technique was employed for a small group of patients with psychiatric disorders. The coping behavior of the patients, in response to various frames presented by the therapist for use in drawings, including circle frames, may involve non-verbal communication directed toward the therapist. It was found that some patients are quick to deviate from the frames provided for these drawings. The behavior of such patients is often closely related to their psychopathology, so it is important that occupational therapy for such patients deals with such deviations. The various frames presented by the therapist on the drawing paper, not only the circle frames, have more than one meaning. When observing a patient's way of expression in the collages from the viewpoint of his or her coping behavior, one recognizes many similarities between the collage expression and coping behavior in actual therapeutic sessions. The patients showed two distinct attitudes toward these frames: obedience and deviation. As a balance between self-assertion and staying within boundaries is necessary for a healthy life, the circle frame collage technique is one meaningful way to test coping behaviors for a balance between the two. For this reason, a patient's work with the circle frame collage itself may be considered clinically effective.