「嗜癖問題をもつ人と共依存関係にある家族のリカバリー」の概念分析

A Conceptual Analysis of Recovery of Family Members in Codependent Relationships With People With Addiction Problems

要旨

　目的：嗜癖問題をもつ人と共依存関係にある家族のリカバリーの概念を分析し，定義づける．

　方法：41文献を抽出し，Rogersの手法で分析した．

　結果：7つの属性【自分にあった支援につながり心の居場所をもつ】【依存症や共依存を理解し受容する】【当事者の責任問題に入り込まずかかわり方を変える】【当事者と適切な心理的距離を維持する】【自分の内面に向き合うためのセルフケアに取り組む】【信頼や肯定感を伝え家族関係を再構築する】【新たな自分を肯定し生き直す】と8つの先行要件，2つの帰結【当事者と家族の回復過程が相互作用する家族機能の改善】【新たな自尊心の確立】を抽出した．

　結論：「家族が自分にあった支援につながり心の居場所をもつ中で，当事者を一人の成人として尊重し，適切な心理的距離を維持する一方，自分の内面に向き合うためのセルフケアに取り組み，新たな自分を肯定し生き直していく回復過程」とする．

　Purpose: To conduct a conceptual analysis of, and provide a definition for, the recovery of family members in codependent relationships with people with addiction problems.

　Methods: We analyzed 41 references using Rogers' method.

　Results: The seven attributes included: "connecting to support which suits oneself and finding a place to belong;" "understanding and accepting addiction and codependence;" "changing the way one is involved without taking on responsibility for the person concerned;" "practicing self-care to protect one's inner self;" "maintaining an appropriate psychological distance from the person concerned;" "communicating trust and affirmation and rebuilding family relationships;" and "affirming one's new self and new life." Eight antecedent requirements and two consequences were extracted-including: "Improved family function, in which the recovery process of the family and the person interact" and "the establishment of new self-esteem."

　Conclusion: We defined that, while family members were connected to the support that suited them, and had a place in their hearts, they were respected as adults and maintained an appropriate psychological distance while working on the self-care needed to face their inner selves and in affirming their new selves and live again.