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ID 113076
Title Alternative
Sandplay therapy for an elder brother with PTSD caused by the death of sister of the fraternal twins
PTSDをきたした患児への箱庭療法
Author
Tani, Hiroe The University of Tokushima KAKEN Search Researchers
Keywords
喪失体験
外傷後ストレス障害
箱庭療法
traumatic experience
PTSD
sandplay
Content Type
Journal Article
Description
2卵性双生児の妹の死により,外傷後ストレス障害をきたした患児に箱庭療法を行った.患児(7歳11カ月)は,暗い所には行くことができず,嫌な夢を見ることが多かった.学校では,ささいなことで感情的になり暴力行為に及んでいた.授業にも集中できず,気に入らない課題には取り組まず,担任にだまって早退していた.図工では人の顔が描けなかった.妹が入院していた病棟を見るのを嫌がったため,別の棟で箱庭療法を開始し,約1年半の間に17回行った.動物の屍骸,恐竜が動物を襲う,弱肉強食など,死をテーマにした作品が多かった.命日の後は,親子の動物を並べた動物園の作品であった.箱庭療法を始めて,学校生活における情緒不安による行動は改善した.箱庭の作品に妹の死を繰り返し表現し,過去のできごととして整理し受け入れていったと思われる.
Description Alternative
Sandplay therapy was experienced for a seven-year old boy with PTSD caused by the death of his younger fraternal sister who had aplastic anemia. His traumatic symptoms were includes frightening dreams without recognizable content, avoiding dark place, hospital and drawing the face, diminished interest and difficulty concentrating in schoolwork, irritability or outbursts of anger in his classroom.
Sandplay therapy can be used as a means to express feelings, clarify grief reactions, and identify needs. Repetitive works on sand occur in which themes or aspects of the trauma expressed. Systematically strategizing recall in a sandplay fashion promotes to exposure the traumatic event, and minimizes cognitive and behavioral avoidance. Sandplay therapy benefits children with PTSD.
Journal Title
The Journal of Nursing Investigation
ISSN
13483722
24342238
NCID
AA11937122
Publisher
徳島大学医学部
Volume
1
Issue
1
Start Page
3
End Page
9
Sort Key
3
Published Date
2003-03-31
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences