コヒーレンス療法

コヒーレンス療法（コヒーレンスりょうほう、Coherence therapy）は、気分、思考、行動の症状は、その人が現在持っているメンタルモデルに応じて首尾一貫して生み出されるという理論に基づいた心理療法。 
1990年代に、ブルース・エッカーとローレル・ハリーによって設立された。  最も評価の高いポストモダン/構成主義療法の一つ。 

**概要**
コヒーレンス療法の基本は症状の一貫性という原理である。 これは、心身システムのあらゆる反応が個人の構成概念（スキーマ）の表現であるという見方である 。 
症状の一貫性の原理によれば、個人の一見非合理的で制御不能な症状は、実際には障害や病理ではなく、その人の自己と世界に対する既存の構成概念の合理的で秩序ある表現である 。 
コヒーレンス療法は心理的構成主義の一種である。 体験的なアプローチを取り、ゲシュタルト療法、フォーカシング療法、ハコミ療法に似ている。 目的は、望まない症状を生み出す無意識の個人的構成概念（複合体や自我状態に類似）を直接的、感情的に体験し、それらを自然に修正または解消することで症状を除去することである。

**関連項目**
 来談者中心療法- 感情焦点化療法

**脚注**

**出典**

**心理療法の文献**
 colwidth=30em- cite book |last=Bridges |first=Sara K |date=2016 |chapter=Coherence therapy: the roots of problems and the transformation of old solutions |editor1-last=Tinsley |editor1-first=Howard E A |editor2-last=Lease |editor2-first=Suzanne H |editor3-last=Wiersma |editor3-first=Noelle S |title=Contemporary theory and practice in counseling and psychotherapy |location=Los Angeles |publisher=SAGE Publications |pages=353–380 |isbn=9781452286518 |oclc=894301742- cite book |last1=Christopher |first1=John Chambers |last2=Gable |first2=Samuel C |last3=Goodman |first3=David M |date=2015 |chapter=Theoretical bases of psychotherapeutic practices |editor1-last=Martin |editor1-first=Jack |editor2-last=Sugarman |editor2-first=Jeff |editor3-last=Slaney |editor3-first=Kathleen L |title=The Wiley handbook of theoretical and philosophical psychology: methods, approaches, and new directions for social sciences |location=Hoboken, NJ |publisher=Wiley-Blackwell |pages=424–440 |isbn=9781118748336 |oclc=891126188 |doi=10.1002/9781118748213.ch27- oclc=43599225- doi=10.12744/ijnpt.2015.0002-0046- cite book |last1=Ecker |first1=Bruce |last2=Hulley |first2=Laurel |title=Depth-oriented brief therapy: how to be brief when you were trained to be deep—and vice versa |year=1996 |location=San Francisco |publisher=Jossey-Bass |isbn=9780787901523 |oclc=32465258 |url-access=registration |url=https://archive.org/details/depthorientedbri0000ecke- cite book |last1=Ecker |first1=Bruce |last2=Hulley |first2=Laurel |year=2000 |chapter=The order in clinical 'disorder': symptom coherence in depth-oriented brief therapy |editor1-last=Neimeyer |editor1-first=Robert A |editor2-last=Raskin |editor2-first=Jonathan D |title=Constructions of disorder: meaning-making frameworks for psychotherapy |url=https://archive.org/details/constructionsdis00neim_355 |url-access=limited |location=Washington, DC |publisher=American Psychological Association |pages= 63–89 |isbn=9781557986290 |oclc=42009389- cite book |last1=Ecker |first1=Bruce |last2=Ticic |first2=Robin |last3=Hulley |first3=Laurel |title=Unlocking the emotional brain: eliminating symptoms at their roots using memory reconsolidation |year=2012 |location=New York; London |publisher=Routledge |isbn=9780203804377 |oclc=772112300- cite journal|last1=Ecker|first1=Bruce|last2=Toomey|first2=Brian|date=February 2008|title=Depotentiation of symptom-producing implicit memory in coherence therapy|url=http://www.coherencetherapy.org/files/2-Ecker-Toomey_000.pdf|journal=Journal of Constructivist Psychology|volume=21|issue=2|pages=87–150|doi=10.1080/10720530701853685|s2cid=53543896- cite journal|last1=Frankel|first1=Ze'ev|last2=Levitt|first2=Heidi M|date=September 2006|title=Postmodern strategies for working with resistance: problem resolution or self-revolution?|url=https://www.researchgate.net/publication/233324657|journal=Journal of Constructivist Psychology|volume=19|issue=3|pages=219–250|doi=10.1080/13854040600689141|s2cid=144167357- cite journal|last1=Lane|first1=Richard D.|last2=Ryan|first2=Lee|last3=Nadel|first3=Lynn|last4=Greenberg|first4=Leslie S|date=2015|title=Memory reconsolidation, emotional arousal and the process of change in psychotherapy: new insights from brain science|url=http://www.coherencetherapy.org/files/Ecker-etal_2015_Minding-the-Findings.pdf|journal=Behavioral and Brain Sciences|volume=38|pages=e1|doi=10.1017/S0140525X14000041|pmid=24827452|author-link3=Lynn Nadel|author-link4=Les Greenberg- cite book |last1=Leitner |first1=Larry M |last2=Lonoff |first2=Julie R |date=2010 |chapter=Constructivist psychotherapy |editor1-last=Weiner |editor1-first=Irving B |editor2-last=Craighead |editor2-first=W Edward |title=The Corsini encyclopedia of psychology |edition=4th |location=Hoboken, NJ |publisher=John Wiley & Sons |isbn=9780470170243 |oclc=429227903 |doi=10.1002/9780470479216.corpsy0222- cite book |last=Neimeyer |first=Robert A |title=Constructivist psychotherapy: distinctive features |year=2009 |series=The CBT distinctive features series |location=London; New York |publisher=Routledge |isbn=9780415442343 |oclc=237402656- cite journal|last=Neimeyer|first=Robert A|date=January 2010|title=Symptoms and significance: constructivist contributions to the treatment of performance anxiety|url=https://www.researchgate.net/publication/233307821|journal=Journal of Constructivist Psychology|volume=23|issue=1|pages=42–64|doi=10.1080/10720530903400988|s2cid=145203830- cite book |last1=Neimeyer |first1=Robert A |last2=Bridges |first2=Sara K |year=2003 |chapter=Postmodern approaches to psychotherapy |editor1-last=Gurman |editor1-first=Alan S |editor2-last=Messer |editor2-first=Stanley B |title=Essential psychotherapies: theory and practice |edition=2nd |location=New York |publisher=Guilford Press |pages=272–316 |isbn=9781572307667 |oclc=51728692 |chapter-url=http://psyc.csustan.edu/kbaker/5780/neimeyer%20and%20bridges%20(2003).pdf- cite journal|last=Raskin|first=Jonathan D|date=May 2012|title=Evolutionary constructivism and humanistic psychology|journal=Journal of Theoretical and Philosophical Psychology|volume=32|issue=2|pages=119–133|doi=10.1037/a0025158- s2cid=145734924- cite journal|last1=Toomey|first1=Brian|last2=Ecker|first2=Bruce|date=July 2007|title=Of neurons and knowings: constructivism, coherence psychology, and their neurodynamic substrates|url=http://www.coherencetherapy.org/files/1-Toomey-Ecker_000.pdf|journal=Journal of Constructivist Psychology|volume=20|issue=3|pages=201–245|doi=10.1080/10720530701347860|s2cid=145232072- cite journal|last1=Toomey|first1=Brian|last2=Ecker|first2=Bruce|date=March 2009|title=Competing visions of the implications of neuroscience for psychotherapy|url=http://www.coherencetherapy.org/files/3-Toomey-Ecker_000.pdf|journal=Journal of Constructivist Psychology|volume=22|issue=2|pages=95–140|doi=10.1080/10720530802675748|s2cid=143419678- cite journal|last=Voss|first=Jami C|date=July 2014|title=Connecting constructivism and brain science: a review of 'Unlocking the emotional brain: eliminating symptoms at their roots using memory reconsolidation' by Bruce Ecker, Robin Ticic, and Laurel Hulley|journal=Journal of Constructivist Psychology|volume=27|issue=3|pages=236–240|doi=10.1080/10720537.2013.792756|s2cid=142597756- cite journal|last=Welling|first=Hans|date=June 2012|title=Transformative emotional sequence: towards a common principle of change|url=http://www.integra.pt/textos/tes.pdf|journal=Journal of Psychotherapy Integration|volume=22|issue=2|pages=109–136|doi=10.1037/a0027786

**神経科学の文献**
 colwidth=30em- cite journal|last1=Duvarci|first1=Sevil|last2=Nader|first2=Karim|year=2004|title=Characterization of fear memory reconsolidation|journal=Journal of Neuroscience|volume=24|issue=42|pages=9269–9275|doi=10.1523/JNEUROSCI.2971-04.2004|pmc=6730081|pmid=15496662|doi-access=free- s2cid=17091354- cite journal|last1=Forcato|first1=Cecilia|last2=Burgos|first2=Valeria L|last3=Argibay|first3=Pablo F|last4=Molina|first4=Victor A|last5=Pedreira|first5=María E|last6=Maldonado|first6=Héctor|year=2007|title=Reconsolidation of declarative memory in humans|journal=Learning & Memory|volume=14|issue=4|pages=295–303|doi=10.1101/lm.486107|pmc=2216535|pmid=17522018- s2cid=5789443- cite journal|last1=Hupbach|first1=Almut|last2=Gomez|first2=Rebecca|last3=Hardt|first3=Oliver|last4=Nadel|first4=Lynn|year=2007|title=Reconsolidation of episodic memories: a subtle reminder triggers integration of new information|journal=Learning & Memory|volume=14|issue=1–2|pages=47–53|doi=10.1101/lm.365707|pmc=1838545|pmid=17202429|author-link4=Lynn Nadel- s2cid=695007- cite journal|last1=Myers|first1=Karyn M|last2=Davis|first2=Michael|date=14 November 2002|title=Behavioral and neural analysis of extinction|journal=Neuron|volume=36|issue=4|pages=567–584|doi=10.1016/S0896-6273(02)01064-4|pmid=12441048|doi-access=free- cite journal|last1=Nader|first1=Karim|last2=Schafe|first2=Glenn E|last3=Le Doux|first3=Joseph E|date=17 August 2000|title=Fear memories require protein synthesis in the amygdala for reconsolidation after retrieval|journal=Nature|volume=406|issue=6797|pages=722–726|bibcode=2000Natur.406..722N|doi=10.1038/35021052|pmid=10963596|s2cid=4420637- s2cid=30194132- cite journal|last1=Walker|first1=Matthew P|last2=Brakefield|first2=Tiffany|last3=Hobson|first3=J Allan|last4=Stickgold|first4=Robert|date=9 October 2003|title=Dissociable stages of human memory consolidation and reconsolidation|url=http://walkerlab.berkeley.edu/reprints/Walker_Nature_2003_.pdf|journal=Nature|volume=425|issue=6958|pages=616–620|bibcode=2003Natur.425..616W|doi=10.1038/nature01930|pmid=14534587|s2cid=4431941- cite journal|last1=Winters|first1=Boyer D|last2=Tucci|first2=Mark C|last3=DaCosta-Furtado|first3=Melynda|year=2009|title=Older and stronger object memories are selectively destabilized by reactivation in the presence of new information|journal=Learning & Memory|volume=16|issue=9|pages=545–553|doi=10.1101/lm.1509909|pmid=19713353|doi-access=free

**外部リンク**
  CoherenceTherapy.org — Coherence Therapy (Depth Oriented Brief Therapy)