強い依存欲求を治療的に有効利用した疼痛性障害患者に対するチームアプローチ: 看護師による認知行動療法的観点から

Translated title of the contribution: A Team Approach to Pain Disorder by Taking Advantage of the Patient's Strong Desire for Dependence: From the Stand Point of the Cognitive-Behavioral Approach by Nursing Staff Members

木下 由美子, 細井 昌子, 藤本 恵美, 平川 さつき, 富岡 光直, 澤本 良子, 下村 誠子, 久保 千春

Research output: Contribution to journalArticle

Abstract

Behaviors that express one's pain experience (pain behaviors) are often a main problem in managing patients with pain disorder. In the background of such pain behaviors lurks a strong desire for dependence often due to a conflict with the patient's mother. The object of the patient's desire for dependence becomes his or her nurse. If nurses accept and sympathize with the pain behaviors only when the pain behaviors are expressed. that would cause deterioration of the pain behavior and worsen the pain disorder. Although acceptance and sympathy for complaints are "paragons of virtues" in the education of nurses, such attitudes may contribute to the secondary deterioration of pain behaviors, espedally in the treatment of patients with pain disorders. Herein we report a case of a patient who had long received emotional abuse from her mother. A medical team of doctors,nurses and a psychologist was organized and responded to her desire for dependence to empower her adaptive behavior. As a result, the patient showed a remarkable behavioral improvement. In conclusion, nurses can utilize pain disorder patients' desire for dependence rooted in psychological conflict and can play an important role in the cognitive-behavioral team approach by showing regular nurturing reactions to them, while taking neutral attitudes toward their pain behaviors.
Original languageJapanese
Pages (from-to)339-345
Number of pages7
JournalJapanese Journal of Psychosomatic Medicine
Volume47
Issue number5
Publication statusPublished - May 1 2007
Externally publishedYes

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