精神科デイナイトケアにおけるハンドベル活動と参加者の集団意識の変化について

Handbell activity in a psychiatric day-night care facility : Raising patients' awareness of group participation

要旨：集団活動において参加者が他メンバーや集団全体の動きに意識を向ける状態を集団意識と呼ぶこととし，今回精神科デイナイトケアにおいて実施したハンドベル活動について，主に参加者の集団意識の変化という点から活動経過を振り返り整理した．その結果，活動開始当初は参加者に自己中心的な言動が多かったが，活動が進むにつれて達成感満足感などを経験でき，その経験に対して参加者同士の間に共感が生じ，徐々に参加者に集団意識が芽生えていった様子が見られた．比較的容易だが集団としての協同が必要なハンドベル活動には集団としての治療効果が期待できるので，今後一層集団という形を活かして活動を展開することが望ましいと考えられた．

　Group consciousness is defined as participants being able to attend to all or some group members during group activities. This study reviewed the effectiveness of group handbell activity, especially as it relates to the evolution of group consciousness of the participants in a psychiatry day-night care facility. The results indicate that at the beginning of the activity, the participants exhibited substantial self-oriented language and behavior. However, as the activity progressed, the participants experienced both feelings of accomplishment and satisfaction, as well as sympathy. Gradually group consciousness arose in the participants. Effectiveness of the handbell group activity can be attributed to the cooperation inherent in the therapy, even though participation is relatively easy. Therefore it is recommended to develop further activities which incorporate these group facets in the future.