心身統合の喪失と回復—コミュニケーションプロセスとしてみる作業療法の治療機序

Loss and recovery of mind and body integration : Mechanism of treatment in occupational therapy as communication process

要旨：ひとは，ただ一つの身体をもって生まれ，身体を通して自分の状態と外界の状況を判断し，身体により自分の思いを遂げる．病いや事故は，自己と身体の解離を引き起こし，生活に支障をきたす．作業療法では，作業を介した自己の身体の確認に始まり，自己と身体との関係性，失い損なわれた生活との関係性の回復を図る．作業による身体図式の修正，脳地図の書き換え，ニューロンネットワークの強化・形成といった，神経心理学レベルから生活の再建に至る作業療法の治療機序は，対象者自身の身体や生活とのコミュニケーションプロセスとみることができる．作業療法は，そのコミュニケーションプロセスを促進する役割を果たす．

　We are born with the sole body. Through that body, we judge our own condition, recognize other objects and realize our own desire. Unexpected disease and accidents may cause dissociation of mind and body, and may destroy the relationship between an individual and one's daily life. In occupational therapy, the recovery of the lost relationship between the self and the body, and between the self and other objects, begins with a confirmation of the body through activities in daily life. Occupational therapy reconstructs the person's life from the neuropsychology level, by revising the body schema and the brain map, and by reinforcing and constructing a neural network. This process can be called "Communication between the self and the body," or "Communication between the self and life". Occupational therapy facilitates this communication process.