ISATINTERNATIONALSAT ASSOCIATION

1. MISSION
The International SAT Association (ISAT) was founded originally in
2008, formally in 2010 to globally disseminate the social skills basedon structured image association technique (SAT) for empowering
members of the global citizen to satisfy the essential needs (affection
seeking need, self-trust need, affection for other need) of their hearts
through realizing their own “true” self for their own holistic well-being.
2. FOUNDING PRESIDENT
Professor Tsunetsugu Munakata, Dr H Sc
Director, Department of Human Care Science,
University of Tsukuba, Japan(Former Consultant, Global Program on AIDS, Word Health Organization.
Former Executive, International Sociological Association)

3. ISAT SECRETARIAT
DEPARTMENT OF HUMAN CARE SCIENCEUNIVERSITY OF TSUKUBA
D511, 1-1-1 TENNOUDAI, TSUKUBA, JAPAN 305-8577

STATUTES OF THE INTERNATIONAL SAT ASSOCIATIONINTRODUCTION

The Statutes were originally adopted at the Constituent Congress held in Tokyo, September 18th-19th 2010,
where the International SAT Association (hereinafter referred to as ISAT) was formally established.

ARTICLE ONE: PURPOSESThe ISAT is a non-profit association for scientific and educational purposes. Its function is to represent
Structural Association Technique (hereinafter referred to as SAT) counselors and therapists everywhere.

ARTICLE TWO: OBJECTIVES

2.1

The goal of the ISAT is to advance the knowledge and skills of SAT throughout the world.

2.2

To achieve these ends, the ISAT shall support activities to:(a)secure and develop institutional and personal contacts of SAT counselors and SAT therapists

throughout the world;(b)encourage the international dissemination and exchange of information on developments in SAT

knowledge and skills;(c)facilitate and promote international research and training;(d)convene meetings and regularly scheduled International Conferences of SAT;(e)promote publications which support its other activities.

ARTICLE THREE: MEMBERSHIP

3.1

There shall be both individual and collective members of the ISAT.

3.2

Individual membership is open to SAT counselors and SAT therapists active in practice, in research,

and/or in teaching.

3.3

Collective members shall be countrywide SAT associations duly established for scientific andeducational purposes and open to all active SAT counselors and3.4

SAT therapists.

Collective members shall be admitted to membership by a decision of the Executive Committee (EC)of the ISAT.

3.5

Both individual and collective members shall have the choice to become either general or managing

members of the ISAT.

3.5bManaging members shall have general responsibility in managing the ISAT, in participating in the

Assembly, in the election of Executive members, and in the implementation of the ISAT’s policy.

3.6

To remain members in good standing, individual members must have consecutively paid theirmembership dues of 5,000 yen （3000yen for student） for the last four years; also collective members musthave paid their yearly membership dues of 50，000 yen.

3.6

All individual and collective members shall respect the principles upon which the ISAT is founded andcontribute to its purpose.

ARTICLE FOUR: THE ASSEMBLY

4.1

The Assembly elects the President, the two Vice-Presidents, and other executive members. The

Assembly makes final decisions on the general policies of the ISAT, and fixes the ISAT’s membershipfees. It may also hear appeals against decisions taken by the Executive Committee.

4.2

The Assembly shall be composed of managing members and will be chaired by the President of the

ISAT (or in his/her absence by a Vice-President nominated by the President).

4.3

The Assembly shall meet at each International Conference, at a time and place set by the President.

4.4

A quorum of at least half of the managing members in good standing is necessary for decisions to bereached.

ARTICLE FIVE: THE EXECUTIVE COMMITTEE

5.1 The Executive Committee’s tasks shall include proposing policies to the Assembly and carrying out thepolicies established by it.

5.2

The Executive Committee shall consist of the President of the ISAT, its two Vice-Presidents, andother members elected by the Assembly

5.3

The Executive Committee shall be elected at each four year.

ARTICLE ＳIX: THE PRESIDENT AND THE VICE-PRESIDENTS

6.1

The ISAT President shall legally represent the ISAT both domestically and internationally, and shallhave general responsibility for the implementation of the ISAT’s policy and for supervision of the activity of
the Secretariat. The President shall chair the meetings of the Executive Committee; in his/her absence, themeeting will be chaired by a Vice-President nominated by the President.

6.2

The Executive Committee shall be responsible for the Program of the next International Conference,

Research and Development, Publications, and Finance and Membership.

6.2aResearch & Development - to maintain liaison with regular collective members, and to propose

policies and activities to respond to their Research and Development needs.

6.2bProgram - to develop the program for the next International Conference, in liaison with the Local

Organizing Committee.

6.2c

Publications - to oversee the running of the Association’s publications, and to propose policies in thearea of publications.

6.2dFinance and Membership - to oversee the Association’s financial affairs in liaison with the Secretariat,

and to propose policies in the area of finance and membership.

6.3

The ISAT headquarter shall hold office at ①Ｄ５１１，１－１－１ Ｔｅｎｎｏｕｄａｉ，Ｔｓｕｋｕｂａ，Ｊａｐａｎ ３０５－８５７７

Ｃ／Ｏ Ｐｒｏｆ Ｍｕｎａｋａｔａ Ｌａｂｏｒａｔｏｒｙ ② International SAT Association 501, 2-5-18 yawata, ichikawa, Japan
272-0021

for the time being.

ARTICLE SEVEN: NOMINATIONS AND ELECTIONS

7.1

There shall be the Nominations Committee of three members elected by the Executive Committee toorganize the ISAT elections

7.2

The Assembly shall elect the President, two Vice-Presidents and executive members by ballot.

7.3

The Executive Secretary of the ISAT, which shall be by appointment, shall not be a member of the

Executive Committee.

ARTICLE EIGHT: DISSOLUTION

8.1

The dissolution of the ISAT shall be decided by the Assembly

8.2

If practical, the proposal for dissolution shall be submitted to a meeting of the Assembly. If the

President does not judge a meeting practical, the proposal shall be put and votes given in writing without ameeting. Any such proposal must be circulated at least 6 months before the date of the meeting or postal
vote. The dissolution shall be declared provided that a quorum of at least two thirds of the members
participated in the meeting or postal vote, and that at least two-thirds of those participating have approved
it.

8.3

In the event of dissolution, the net assets of the ISAT shall be transferred to an internationalorganization or institution whose objectives are similar to those of the ISAT, or shall be assigned to otheruses considered consistent with the ISAT’s aims and objectives. The use of the assets shall be decided by

the Assembly, by meeting or postal vote, which shall mandate the President and/or the Executive Secretary
to execute its decision.

BY-LAWS OF THE INTERNATIONAL SAT ASSOCIATION

1. WORKING LANGUAGES

English is the recognized language of the ISAT. The administrative language of the ISAT shall be English.

2. VOTING

2.1

In the Statutes the expression "votes cast" shall mean all votes, whether affirmative, negative, orabstaining ballots.

2.2

Voting in meetings on issues shall be by show of hands; voting for elections shall always be by secretballot.

Founding Executive Committee

President:

Prof. Tsunetsugu MUNAKATA (Japan)

Vice President:

Prof. Sayuri HASHIMOTO (Japan)
Dr. Noriko HIGUCHI (Japan)

Executive:

Prof. Mantang ZHANG (China)
Prof. Jessica Campano (Philippines)
Prof. Ying FENG (China)
Dr. Nozomi DONOYAMA (Japan)
Dr. Francis ONUOHA (Nigeria)Prof. Pornsuk Hunnirun (Thailand)Prof. Linda Bell (USA)Prof. Chenying Lui (China)

Secretary

Ms. Wenyan Hu

International SAT Association
Application Form
Name in print
Last
First

Signature
Middle____________________________________________
Gender □Female □Male____________________________________________
Birthday date / month / year//____________________________________________
Address for Contacting
Phone
(
)
Fax
(
)

____________________________________________
Institution / Office Address
Phone
(
)
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____________________________________________
Email Address ①
Email Address ②____________________________________________
Membership□Individual member ( □Student )□Collective member□Managing member____________________________________________Fees
To remain members in good standing, members must
consecutively pay your membership for the lasting four
years.
Individual member 5,000 yen ( Student 3,000 yen)
Collective member 50,000 yen____________________________________________
Paying Bank: Mizuho Bank, LTD.
A/C with Branch: Motoyawata Branch
Address: 2-5-3 Yawata, Ichikawa-shi, Chiba
272-0021, Japan
Swift Code: MHBKJPJT
A/C Number: 284-1199424
Account Holder: ISAT MUNAKATA Tsunetsugu
みずほ銀行 本八幡支店
普通： 1199424
口座名： ＩＳＡＴ 宗像 恒次

International SAT Association
D511, 1-1-1 Tennoudai,
Tsukuba, JAPAN 305-8577
Department of Human Care Science,
University of Tsukuba
Tel&Fax: +81+29+853+3971
Email: munakata@hcs.tsukuba.ac.jp

INTERNATIONAL SAT ASSOCIATIONISAT
1. MISSION
The International SAT Association (ISAT) was founded originally in
2008, formally in 2010 to globally disseminate the social skills
based on structured image association technique (SAT) for
empowering members of the global citizen to satisfy the essential
needs (affection seeking need, self-trust need, affection for otherneed) of their hearts through realizing their own “true” self for theirown holistic well-being.
2. ACADEMIC PROGRAMSDIPLOMA IN SAT COACHER Basic
 Senior
 Executive
DIPLOMA IN SAT HEALTH PSYCHOTHERAPIST Basic
 Senior■ Executive
INTERNSHIP PROGRAMS
3. ELIGIBILITY
Eligibility for the ISAT academic programs is interdisciplinary. Clinicaland social health care providers, psychotherapists, counselors,
doctors, nurses, sports and exercise coachers, managers, clinicians,
academic researchers, school teachers, students, and general
citizens are all eligible to attend.
4. SAT SECRETARIAT
DEPARTMENT OF HUMAN CARE SCIENCEUNIVERSITY OF TSUKUBA
D511, 1-1-1 TENNOUDAI, TSUKUBA, JAPAN 305-8577

5.

FOUNDING PRESIDENT
Professor Tsunetsugu Munakata, Dr H Sc
Director, Department of Human Care Science,
University of Tsukuba, Japan(Former Consultant, Global Program on AIDS, Word Health Organization.
Former Executive, International Sociological Association)

SUCCESS CHECKLIST FOR SAT COACHER（ＳＥＮＩＯＲ）
STANDARD YEAR 2011
Name

□ signature or seal

１． B・A・M-TEMPERAMENT COACHING SKILL
２． Ｂ-HUMAN RELATION SKILL
３． B-LISTENING SKILL□ B□ A□ M□□

B□

４． B-DEBATE SKILL TRAINING □５． B-LEADERSHIP TRAINING □６． A-ASSERTION ＆ NEGOCIATION SKILL TRAINING □７． A-STRESS MANAGEMENT SKILL TRAINING □８． A-COLLABORATION SKILL TRAINING □９． A- GOAL SETTING ＣＯＡＣＨＩＮＧ ＦＯＲ PROBLEM-SOLVING □１０．

A-GROUP COUNSELING FOR SELF-DECISION □１１．

M- HEALTH COACHING □１２．

M-GROUP COUNSERING FOR BEHAVIOR CHANGE □１３．

M-STRESS REGILLIENCE TRAINING□

１４．

B・A・M-COACHER ASSESSMENT

B□ A□ M □ＩＮＴＥＲＮＡＴＩＯＮＡＬ ＳＡＴ ＡＳＳＯＣＩＡＴＩＯＮ

SUCCESS CHECKLIST FOR SAT COACHER（ＢＡＳＩＣ）
STANDARD YEAR 2011
Trainer Name

□ signature or seal

１． B・A・M-TEMPERAMENT COACHING SKILL
２． Ｂ-HUMAN RELATION SKILL
３． B-LISTENING SKILL□ B□ A□□B□

４． B-DEBATE SKILL TRAINING □５． B-LEADERSHIP TRAINING □６． A-ASSERTION ＆ NEGOCIATION SKILL TRAINING □７． A-STRESS MANAGEMENT SKILL TRAINING□

８． A-COLLABORATION SKILL TRAINING □９． A- GOAL SETTING COACHING FOR PROBLEM-SOLVING □１０．

A-GROUP COUNSELING FOR SELF-DECISION □１１．

B・A-COACHER ASSESSMENTB□ A□

ＩＮＴＥＲＮＡＴＩＯＮＡＬ ＳＡＴ ＡＳＳＯＣＩＡＴＩＯＮ

Rules and Regulations on Certified ISAT Qualifier
Article 1
Membership of International SAT Association is not necessarily
required for certified ISAT qualifier for the time being. The qualification is valid
for three years from the date of acquisition.
Article 2
For the renewal of the qualification, the SAT coachers of
beginner‟s level are required to constantly keep in mind to make good progress
and as the refresher training to participate either in the basic course or theadvance course of the SAT coachers training at the preferential fee of ¥20,000 at
least once during the ongoing three year term.
Article 3
For the renewal of the qualification, the SAT coachers ofintermediate level are required to constantly keep in mind to make good progress
and as the refresher training to participate either in the advance course or the
master course of the SAT coachers training at the preferential fee of ¥20,000 at
least once during the ongoing three year term.
Article 4
Those Certified ISAT Qualifiers who wish to renew thequalification are required to send in the Application for Renewal of the
Qualification with copies of certificates of completion of the training courses
stipulated in the preceding articles attached thereto to the below mentioned officein charge of the renewal of qualifications.
Article 5
In case necessary credits are not obtained by the designatedexpiration date for renewal of qualification, those Certified ISAT Qualifiers whowish to renew the qualification are required to be recertified by taking the SAT
coachers training courses at the regular fee; basic or advance course for the SAT
coachers of beginner‟s level and advance or master course for those ofintermediate level.
The office in charge of the renewal of qualifications : SDS Corporation at Room
501, No.3 Motoyawata Diamond Bldg., 2-6-18 Yawata, Ichikawa City, Chiba Pref.
272-0021 Japan
Phone : 047-332-3638
address : info@kksds. com

Fax : 047-332-3643

E-mailTHE FIRST INTERNATIONAL CONFERENCE OF SAT HEALTH COUNSELING

Welcome Message
The 1st INTERNATIONAL CONFERRECE OF SAT HEALTH COUNSELING
It is a great pleasure for us to welcome many distinguished professionals to join the first international conferenceof SAT health counseling, 21 September, Monday, 2009 in Tokyo Campus University of Tsukuba, Japan.
The first international conference of SAT health counseling highlights developing and spreading a counseling &therapy based on SAT Method. We hope to develop this conference into an international academic society forprobing SAT counseling & therapy as a behavioral scientific technique and as a research and global educational
method by designing effective training and remedial intervention programs in SAT Method. Especially, we are
expecting to discuss about SAT Method leading global strategies in the future for successful performance, stressmanagement, mental health maintenance, innovation in health care technology, chronic disease or
lifestyle-related disease management and health behavior change. We believe this conference will be of great
benefit to our future cooperation on developing the effective program to improve human’s well-being. Finally weare hoping that you will enjoy Japanese beautiful summer days.

Professor, Tsunetsugu Munakata, Dr H Sc

Chair, The First International Conference of SAT Health Counseling
Chair, Department of Human Care Science
School of Comprehensive Human Sciences
UNIVERSITY OF TSUKUBA
Advanced Research Building D511,
1-1-1 Tennoudai, Tsukuba, JAPAN
305-8577
Phone＆Fax: 81-29-853-3971
E-mail：munakata@hcs.tsukuba.ac.jphttp://www.hcs.tsukuba.ac.jp/~munakata/

The first international conference of SAT health counseling

The first international conference of SAT health counseling was convened on 21 September,
Monday, 2009 in Tokyo Campus University of Tsukuba, Japan. Many distinguished professionals
gathered here for discussing, developing and spreading a globle counseling & therapy based on SAT
Method.
The chair, Prof Tsunetsugu Munakata made the keynote speech about what is the SAT counselingand SAT therapy. And then 8 researchers presented their study results about the work of SAT
counseling and SAT therapy. Finally, the chair, Professor. Tsunetsugu Munakata made an agreementwith Professor Mantang Zhang who came from Health Counseling Center of Yun Nan University.
They determined to give the first public speech about SAT therapy in China to launch the Chinese
SAT Association next year 1-7 August.
This conference showed great benefit for discussing and developing SAT Method and it also
greatly contributed to the future cooperation with other countries professionals on developing
effective programs to improve human's well-being.

PROGRAMHEALTH COUNSELING AND SAT THERAPYPROGRAMACADEMY FOR HEALTH COUNSELINGINTERNATIONAL SAT ASSOCIATIONDEPARTMENT OF HUMAN CARE SCIENCEUNIVERSITY OF TSUKUBAWELCOME PARTY: 18:00-20:00 SEPTEMBER 20(SUN), 2009 Building E 364
SEPTEMBER 21(MON)：17：00－21：00, 2009 TOKYO CAMPUS Building G 501
UNIVERSITY OF TSUKUBA, JAPANTHE FIRST INTERNATIONAL CONFERENCE OF SAT HEALTHCOUNSELINGORGANIZATION
Organizer Organizing Committee of the First International Conference of SATHealth Counseling
Co-sponsors Academy for Health Counseling International SATAssociation

Organizing Committee
Chair Munakata, Tsunetsugu President,Academy for Health Counseling
President, International SATAssociation
Chair, Department of Human Care Science
University of Tsukuba

Secretary-General Associate Secretary-Generals
Hashimoto, Sayuri Hu,Wenyan

Executive Members
Higuchi, Noriko; Kobayasi, Keiichiro
Onuoha, N. Francis Donoyama, Nozomi
Camparo, Jessica Nakashima,Kazue
Iwanaga, Yuka Yang,Wenjie
Zhang, Mantang Zhao,Yuemei

SECRETARIAT: ORGANIZING COMMITTEE OF THE First International Conferenceof SAT Health Counseling, UNIVERSITY OF TSUKUBA,
D511, 1-1-1 Tennoudai, Tsukuba, JAPAN 305-8577
Tel&Fax: 81-29-853-3971, E-mail: munakata@hcs.tsukuba.ac.jp,

CONFERENCE INFORMATION
VENU
G501, Tokyo Campus University of Tsukuba, 3-29-1 Otsuka Bunnkyo-ku, Tokyo, Japan

Directions to Tokyo Campus Otsuka Area (Myougadani)
Directions to Tokyo Campus（Myogadani）
Arriving by Train
Tokyo Metro Marunouchi Line: Myogadani Station (about 2-minute walk)
Address
3-29-1 Otsuka, Bunkyo-ku, Tokyo 112-0012

DATE
WELCOME PARTY: 18:00-20:00 SEPTEMBER 20(SUN), 2009
INTERNATIONAL CONFERENCE: 17：00－21：00, SEPTEMBER 21(MON), 2009
JAPAN NATIONAL MEETING OF ACADEMY FOR HEALTH COUNSELING: SEPTEMBER 20 (SUN.)
9:50-18:00, SEPTEMBER 21 (MON.) 9:30-17:00

LANGUAGE
English and Japanese shall be the official language for the conference
REGISTRATION DESK
The registration desk is open as follow:
September 20 (Sun.) 9:50-18:00
September 21 (Mon.) 9:30-17:00
ACCOMODATION FOR INVITED GUESTS
http://www.tsukuba.ac.jp/access/tsukuba_access.html

TSUKUBA UNIVERSITY HALL ANNEX 4th FLOOR UNIVERSITY GUEST
HOUSES(DAIGAKU KAIKAN BETSUKAN )1-1-1 TENNNOUDAI, TSUKUBA, JAPAN 305-8577
029-853-2382/2386
2500 yen per one night

Access to Tsukuba Campus
Tsukuba Campus

1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8577 Japan
Ｒｏｕｔｅ Ｍａｐ － Ｔｓｕｋｕｂａ Ｃａｍｐｕｓ

The 1st INTERNATIONAL CONFERENCE OF SAT HEALTHCOUNSELING
Monday, September 21, 2009
Presentation time schedule
17:30-21:00 (Room 501-G) Keynote speech

17:30-18:10 Chair Tsunetsugu Munakata
18:10-18:40 Business Meeting with Evening Meal Oral section
18:40-18:55 Keiichiro Kobayashi
18:55-19:10 Sayuri Hashimoto
19:10-19:25 Noriko Higuchi
19:25-19:40 Nozomi Donoyama
19:40-20:00 Break
20:00-20:15 Wenjie Yang, Mantang Zhang, Yuemei Zhao
20:15-20:30 Kazue Nakashima
20:30-20:45 Yuka Iwanaga
20:45-21:00 Wenyan Hu

Keynote speech
SAT Counseling & Therapy

Munakata, Tsunetsugu

1. What is SAT(Structured Association Technique)?
Cognitive Behavioral Environmental Therapy for Awareness,
Behavioral and Environmental Change
by taking advantage of Structured Meditative &Regressive Association
2．SAT Intervention Method
UpgradingSelf-evaluation①
Re-scripting

essential
self

rational②③→Self-Imagery →Stress-coping

Upgradingsocial evaluationsocialself

irrational

functional→Well-being

malfunctional①Awareness②Awareness③Rational Expectation Coachingof Unconditional
Guardian
Representationof Essential
Self

Based on DNA Temperament

3．SAT Therapy Logic① Somatization→ Rainfall or Color Imagery→Mentalization② Behaviorization→ Clarifying Feeling→Mentalization③ Matter- focuse→ Clarifying Emotion→Emotion-focused④ Other-focused→ Self-Imagery→Self-focused⑤ Meditation→ Association→Awareness⑥ Externalization→ Resolution→ Internalization⑦ Supposition→ Goal-setting→ Realization⑧ Regression → Re-scripting→Progression⑨ Scripting→ Imagery Representation→Representation⑩ Large Goal→ DNA Temperament Coach→ Small Goal

Oral section
The 1st INTERNATIONAL CONFERENCE OF SAT HEALTH COUNSELING
ABSTRACT FORM
(Title) Expression of Tumor-suppressor Genes and Shift in Frequency of Human
Voice Observed in Cancer Patient with Application of SAT Imagery Therapy(Name) Kei-Ichiro Kobayashi（Counseling Room “Vivid Life”）
Tsunetsugu Munakata（University of Tsukuba）(Purpose)：In the SAT imagery therapy for the patients with cancer, because ofa high degree of alexithymia, psychological scales are not satisfactorily
effective as barometers of the memory of stress images. Therefore, byadopting natural scientific scale, we planned to improve the effectivenessof therapy.
(Method)：The expression of tumor-suppressor genes(p53, RB, BRCA2 andRUNX3)) and the number and the ratio of neutrophils and lymphocytes
were continuously measured, and the frequency of “AH” in Japanese word
“OKAHSAN (mother)” was evaluated with FFT-analysis through 26 timesof therapy for a female patient with breast cancer.
(Result and Discussion)：All the tumor-suppressor genes have been expressedmore than 200%, immune strength of white blood cells has been improved
to the desirable state. The frequency of “AH” in “OKAHSAN” was found to
decrease remarkably from 293-312Hz to 137-185Hz with a change ofimagery of her parents to the ideal one.
(Conclusion)：Through a series of SAT imagery therapy applied to a patientwith cancer, not only physiological measurement but also physicalproperty have been confirmed to be able to be adopted as a scale of latentstress images and their observed values have been significantly improved.

The 1st INTERNATIONAL CONFERENCE OF SAT HEALTH COUNSELING
ABSTRACT FORM
(Title) SAT Life Change Support and HbA1c Improvements in Diabetic Patients, Part One.
(Name) Hashimoto S1, Higuchi N2, Mukasa K1, Murakami K1, Hamamoto Y3, Toyoda M3, Funaoaka
M3, Kaneshiro M3, Nakajima S3, (Affiliations) 1:Department of Human Care Science, Graduate
School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan 2:Meikai
University, Chiba, Japan 3:Nakajima Medical Clinic, Kanagawa, Japan(Purpose) From a health counseling perspective, lifestyle diseases such as diabetes are approached as
stress prone personality diseases. In this study, we conducted a style of psychotherapy that supports
this kind of life change and compared short-term and mid-term effects on HbA1c levels to test
whether there were improvements in hyperglycemia related to stress.
(Method) (1) Subjects: The subjects of this study were twelve women patients (50-80 years old)
introduced by a clinic. (2) Intervention method: Structured Association Technique therapy for lifechange support was conducted between March to September 200X in a single session that lasted
approximately two hours. (3) Analysis: Average weight and HbA1c levels were compared for thetwo months prior to the start of therapy (baseline), two to four months (short-term effect) after theend of therapy, and four to six months (mid-term effect) after the end of therapy.
(Result and Discussion) After therapy, there was a significant (1% level) drop in HbA1c levels(Friedman test p=.002) for the short-term period compared to baselines levels (Z＝－2.903, p＝.008).
Likewise, there was a significant (1% level) drop for the mid-term period compared to baseline levels(Z＝－2.943, p＝.006). There was no significant change in weight (Friedman test p=.979). We caninfer that the significant drop in HbA1c levels after one therapy session was due to having less stressafter patients became aware of ways to cope with interpersonal stress and attachment styles andrealized the need to care for themselves and determine their own self-reward behavior goals. Patients
maintained the effects of the intervention by practicing self-reward behaviors in daily life.
(Concussion) These results suggest that SAT life change support is effective in improving the healthof patients with diabetes.

The 1st INTERNATIONAL CONFERENCE OF SAT HEALTH COUNSELING
ABSTRACT FORM
(Title) SAT Life Change Support and HbA1c Improvements in Diabetic Patients, Part Two.
(Name) Higuchi N1, Hashimoto S2, Mukasa K2, Murakami K2, Hamamoto Y3, Toyoda M3, Funaoaka
M3, Kaneshiro M3, Nakajima S3, (Affiliations) 1: Meikai University, Chiba, Japan 2: Graduate
School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan 3:Nakajima
Medical Clinic, Kanagawa, Japan(Purpose) Psycho-social Stress is a potential contributor to chronic hyperglycemia in type 1 and type2 diabetes, the support with psychosomatic medicine is needed. We paid our attention to the fact thatthe patients of diabetes have stress prone personality disease. We thought it imperative not only togive support to them for their acting-out toward proper lifestyle but also to cope with the essentialtask. So, we developed our original intervention aiming to improve hyperglycemia caused by stress.
In this study, to determined effect of SAT Life Change Support intervention, we analyzed the change
in HbA1c and body weight in short-term and mid-term. Furthermore, we analyzed it about thetransformation process of the internal experience(Method) Subject; After providing informed consent, we finally selected 7 cases (age = 42-78 ) as
the subject of study. Measure; the demographic data, glycemic control (HbA1c), Body weight,
psychological index, qualitative records. Intervention methods; Individual intervention for two hours
each was conducted 1~2 during the term from March to September 200X by a therapist. SAT Image
work to be aware of true self-imagery was conducted, Analysis; HbA1c and body weight werecomparatively assessed among T0 or baseline (average in two months immediately before
intervention), T1 (short-term average in 2 to 4 months after intervention) and T2 (mid-term averagein 4 to 6 months after intervention).
(Result and Discussion) Comparison between T0, T1 and T2 showed a significant improved in
HbA1c（Friedman test ; p=.006）. Both T1 and T2 showed a significant improvement compared withT0 ( post hoc test ; p=.032 ). But in body weight did not improve significantly.
(Concussion) Effects of SAT Life Change Support intervention were observed for mid-term
duration change in HbA1c. Followings are considered to have had an impact on dropped HbA1c; 1)
sympathetic listening to patient’s painful narratives, 2) Patient’s own awareness of essential task andcultivated self-understanding, and 3) Patient’s setting of specific goals for leading a new life to enjoy

stress less self. These findings suggest that the need to have a viewpoint of support to patient’s lifechange in diabetic care.

The 1st INTERNATIONAL CONFERENCE OF SAT HEALTH COUNSELING
ABSTRACT FORM
(Title) An Evaluation of the Structured Association Technique (SAT)-based Group Counseling

Program for Students with Low Vision(Name) Nozomi DONOYAMA (Department of Health, Faculty of Health Sciences, Tsukuba
University of Technology)
Noriko HIGUCHI (Health Service Center, Meikai University)
Tsunetsugu MUNAKATA (Graduate School of Comprehensive Human Sciences, University ofTsukuba)(Purpose) Since developing the group counseling program including the Structured Association

Technique (SAT) to reduce the levels of trait anxiety for students with low vision, we evaluatedthe effects of the program.
(Method) Fifteen male undergraduate students with low vision (mean age 23.3, SD 8.1) wererecruited in a special university for people with visual impairment. They attended a 240-minutegroup approach by the developed group counseling program; this program was composed of
SAT (self-imagery, social skills training including assertiveness skills and negotiation skills)
incorporating self-disclosure and peer support. Values of learned helplessness, self-repression,
self-esteem, self-confidence as self-efficacy, perceived emotional support, and trait anxiety were
measured before attending the group, after attending the group, at one-month follow-up, and at
three-month follow-up and analyzed by Dannet’s test using SPSS 15.0.
(Result and Discussion) In participants who had suffered high trait anxiety before attending thegroup, the values of learned helplessness after attending the group, at one-month follow-up, andat three-month follow-up were significantly lower, those of self-esteem at three-monthfollow-up were significantly higher, and those of trait anxiety at three-month follow-up weresignificantly lower than those before attending the group. Moreover, those of self-confidence atevery measured point were significantly higher than those before attending the group. These
results imply that the self-image script is modified to a positive new one by SAT; it isconsidered that a subjunctive, not real past experiences or knowledge, reconstructs new positive
self-image scripts.
(Concussion) The SAT-based group counseling program for students with low vision is effective

for reducing the levels of trait anxiety by modifying their self-image script.

The 1st INTERNATIONAL CONFERENCE OF SAT HEALTH COUNSELING
ABSTRACT FORM
The SAT treatment intervention
to Chinese mothers with high parenting stress—The attempt of the SAT treatment intervention—
Wenjie Yang1),Mantang Zhang, Yuemei Zhao
Objective: To discuss the efficacy and adaptability of the SAT treatment for Chinese mothers who
feel high parenting stress.
Methods: We did interventions to 3 Chinese mothers who reported that they felt high parenting
stress with the SAT basic counseling method and the temperament coaching, then compared to thescore’s change of the parenting stress scale before and after the intervention.
Results: All of these 3 mothers had Full-time job, and with the adhesion temperament which wasconspicuous for all of them. All of there children were “Only child” and 2-5-year –old kindergartners.
As for anxious for the child care, the answer “I wander that I don’t know whether it is correct or notof my education method to my child.” was correspondingly. After the SAT treatment intervention,
the parenting stress score of these 3 mothers were respectively from 72 to 59 and from 66 to 56 andfrom 59 to 44, which all decreased 10 or more points. Moreover, they described that their confidenceof parenting were increased after having understood their characters.
Discussion: The SAT treatment is developed in Japan, and used widely as an effective parenting
support method for Japanese mothers; but the study is the first attempt for Chinese mothers. Though
3 members were small, the result of the SAT treatment intervention showed that it was surely
effective for reducing the uneasiness to their children's characters and intelligence as well as
increasing the confidence to parenting for Chinese mothers. To examine the adaptability of the SAT
treatment, it is necessary to add the follow-up survey after the intervention, and to increase theobject’s number.
【KeyWords】Chinese mother, parenting stress, the SAT treatment intervention1): Lecturer of Yunnan University psychological counseling center in China

The 1st INTERNATIONAL CONFERENCE OF SAT HEALTH COUNSELING
ABSTRACT FORM
(Title) 題目 糖尿病性腎症により透析を受けている患者へのSAT イメージ療法の介入効果－三世代再物語自己イメージ法による介入症例の報告－(Name) 発表者氏名, (Affiliations) 所属先
中嶋 一恵 （筑波大学大学院 人間総合科学研究科）
宗像 恒次 （筑波大学大学院 人間総合科学研究科）(Purpose) 目的
糖尿病性腎症による透析患者数は増加しており、生涯にわたり透析を続けることへの不安、合併症や予後への不安などを抱えながらセルフケア行動をとることは困難である。
セルフケア行動は、一般に自己イメージの良否により実行自信度に影響を及ぼすため、
自己イメージを改善することが必要である。
自己イメージは、本人のもつ養育者イメージの影響を受けやすく、その嫌悪系イメー
ジ脚本が、本人のイメージをつくりあげ、価値観や生き方を決定付けている。そのため、養育者のイメージ変更が必要である。その改善方法として効果が知られている「三世代再物語自己イメージ法」を用い、セルフケア行動が困難な糖尿病性腎症の患者に対しても、幼少期までに条件付けられた嫌悪系イメージ脚本を報酬系イメージ脚本に変更し、セルフケア行動の実行に効果が認められるか検討する。
(Method) 方法
Ａ県内の透析専門クリニックにて人工透析を受けている糖尿病性腎症の患者に対して、三世代再物語自己イメージ法（幼少期までの恐怖の条件付けとして残っている嫌悪系イ
メージ脚本を報酬系イメージ脚本に変更することで、養育者の嫌悪系イメージ脚本を報酬系イメージ脚本に変更し、自己イメージを改善する技法）を実施し、イメージ療法前後のストレス耐性の低さを示す心理特性の変化と、イメージ脚本の変化などについて検討する。
(Result and Discussion) 結果と考察
心理特性の変化として、問題解決度の上昇、自己否定度やPTSS の低下が認められた。
また、行動の変化として、水分制限が可能になり体重のコントロールができる、適切な質問ができる、自分や家族の話ができるなどの変化がみられている。これは、幼少期までの恐怖の条件付けとして残っていた養育者の嫌悪系イメージ脚本が報酬系イメージ脚本に変更されたことで、自己イメージが改善したためと考えられる。
(Concussion) 結論
三世代再物語自己イメージ法を用いて、養育者の嫌悪系イメージ脚本である幼少期までの恐怖の条件付けを報酬系イメージ脚本に変更することは、ストレス耐性の低さを示
す心理特性を改善し、セルフケア行動の変化にも効果があることが示唆された。

The 1st INTERNATIONAL CONFERENCE OF SAT HEALTH COUNSELING
ABSTRACT FORM 発表要旨
(Title) 題目 乳幼児をもつ母親の虐待の気がかりに関連する要因の検討(Name) 発表者氏名, (Affiliations) 所属先
岩永由香（筑波大学大学院 人間総合科学研究科），奥富庸一（倉敷市立短期大学），
橋本佐由理（筑波大学大学院 人間総合科学研究科）(Purpose) 目的
児童虐待が深刻な問題になっている。専門機関によって把握される児童虐待の周囲には、児に感情的な言葉をぶつけ、叩き、自分は虐待をしているのではないかと思う虐待リスクのある家庭の存在が指摘され、こうした家庭の研究・支援が求められている。そこで、虐待の発生予防を目指し、虐待の気がかりに関連する要因を明らかにすることを目的とした。
(Method) 方法
Ａ・Ｂ市の幼稚園、保育園児をもつ母親3392 名に対し、自記式質問紙調査を2006 年6～9 月（有効回収率56.3％）に実施した。「子どもを虐待しているのではないかと思うことがある」の回答から虐待の気がかりあり、なしに群分けした。SPSS（ver.11）を使用し、虐待の気がかりを予測する因子を検討するため、X2 検定やロジスティック回帰分析を行った。
(Result and Discussion) 結果と考察
虐待の気がかりが認められた母親は1375 名（42.4%）であった。幼少期の両親の養育態
度をネガティブにとらえる母親は、ポジティブにとらえる母親に比べ虐待の気がかりがあるリスクが1.50 倍、自己価値感が低・中群の母親は、高群の母親と比べ虐待の気がかりがあるリスクが2.72 倍、特性不安が強群の母親は、弱群の母親と比べ虐待の気がかりがある

リスクが3.01 倍であった。虐待予防として、両親イメージ変容を通じた不安の抱えやすさのセルフケア、自分を愉しみ、人と愉しむことのできる生き方支援が必要であると考える。
(Concussion) 結論
母親のネガティブな両親イメージや自己イメージ、不安の抱えやすさは虐待不安に影響していた。自分を認め周りを信じることのできる生き方支援が虐待予防に求められている。

The 1st INTERNATIONAL CONFERENCE OF SAT HEALTH COUNSELINGThe Subjective Well-being and Its Association with Psycho-social
Factors among Chinese College Freshmen
HuWenyan1, Munakata T1, Hashimoto S1
1: Division of Health Counseling Science, Department of Human Care Science, Graduate School ofComprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan

Introduction: Attending a university for the first time can be stressful experience formany college freshmen. The main objectives were to investigate the subjective
well-being status of college freshmen and to examine the relationships among perceived
emotional supports, problem solving ability, negative mental health and subjective
well-being status.
Method: Cross-sectional study of 460 Chinese college freshmen (male=276,
female=184; age rage 17-23). Outcome measures: Subjective well-being was based onscores from Satisfaction with Life
Scale. State-trait Anxiety Inventory,
Zung’s Self-rating Depression
Scale, Perceived Emotional
Support from Family and from
Peers Scales, General Self-efficacy
Scale, Sense of Coherence Scale
and Coping Strategy Scale wasused to measure psycho-social
factors of study variables.
Results: The results showed thatthe profile of freshmen’s subjective
well-being was not as well as
expected. Covariance structure
model indicated that perceived emotional support from family members and/or friends
increased level of problem solving ability which in turn, contributed significantly in
reduction of negative mental health which decreases the level of subjective well-being
directly. Discussion and conclusions: According to the result we found that the effort
of improve perceived emotional support should be considered as the basic work when
we try to improve college student’s mental health and subjective well-being.

THE FIRST INTERNATIONAL CONFERENCE OF SAT HEALTHCOUNSELING PARTICIPANTS LIST
Name: Munakata Tsunetsugu
Institution: University of Tsukuba
Submission title: Keynote Speech: SAT counseling &Therapy as a behavioral scientifictechnique
E-Mail: munakata@hcs.tsukuba.ac.jp
Name: Sayuri Hashimoto
Institution: University of Tsukuba
Submission title: SAT Life Change Support and HbA1c Improvements in Diabetic Patients‟,
Part One
E-Mail: hasimoto@taiiku.tsukuba.ac.jp
Name: Noriko Higuchi
Institution: MeiKai University
Submission title: SAT Life Change Support and HbA1c Improvements in Diabetic Patients‟,
Part Two
E-Mail: nhiguchi@meikai.ac.jp
Name: Kei-Ichiro Kobayashi
Institution: Counseling Room „Vivid Life‟
Submission title: Expression of Tumor-suppressor Genes and Shift in Frequency of
Human Voice Observed in Cancer Patient with Application of SAT
Imagery Therapy
E-Mail: vivid-life@tea.ocn.ne.jp
Name: Nozomi Donoyama
Institution: Department of Health, Faculty of Health Sciences, Tsukuba University ofTechnology
Submission title: An Evaluation of the Structured Association Technique (SAT)-basedGroup Counseling Program for Students with Low Vision
E-Mail: donoyama@k.tsukuba-tech.ac.jp
Name: Wenjie Yang; Mantang Zhang; Yuemei Zhao
Institution: Yunnan University psychological counseling center, China
Submission title: The SAT Treatment Intervention
to Chinese Mothers with High Parenting Stress—The Attempt of the SAT Treatment Intervention—
E-Mail: ywj1322@hotmail.com
Name: 中嶋 一恵
Institution: 筑波大学大学院博士課程人間総合研究科ヒューマン・ケア科学専攻
Submission title: 糖尿病性腎症により透析を受けている患者へのSAT イメージ療法の介入効果 ―三世帯再物語自己イメージ法による介入症例の報告―
E-Mail: K.Nakashima@hcs.tsukuba.ac.jp
Name: 岩永由香
Institution: 筑波大学大学院博士課程人間総合研究科ヒューマン・ケア科学専攻

Submission title: 乳幼児を持つ母親の育児不安の心理社会的要因の検討

E-Mail: 11280531@mail.goo.ne.jp
Name: Wenyan Hu
Institution: Department of Human Care Science
Graduate School of Comprehensive Human Sciences University of Tsukuba
Submission title: The Subjective Well-being and Its Association with the Psycho-social
Factors among Chinese College Freshmen
E-Mail: hwy81@hotmail.co.jp
Name: Francis N. Onuoha
Institution: University of Tsukuba
E-Mail: fnonuoha@yahoo.com
Name: Mayumi Oka
Institution: Health counseling center international
E-Mail: mayumioka@gmail.com
Name: Lucie Mori
Institution: Alternative Medicine, Healthcare consulting
E-Mail: lucie@rondo.ocn.ne.jp
Name: 金子 学
Institution: 株式会社 建設技術研究所 国土文化研究所 (筑波大学大学院博士課程人間総合研究科ヒューマン・ケア科学専攻)
E-Mail: m-kaneko@ctie.co.jp
Name: 上田 敏子
Institution: 筑波大学大学院博士課程人間総合研究科ヒューマン・ケア科学専攻
E-Mail: toshiko.ueda@tyg.jp__

The 2nd INTERNATIONAL CONFERENCE
OF SAT HEALTH COUNSELING

Chiba JAPAN2010.9.18

ACADEMY FOR HEALTH COUNSELINGINTERNATIONAL SAT ASSOCIATION

From the Chair

THE 2nd INTERNATIONAL CONFERRECE OF
SAT

HEALTH COUNSELINGWe

herebysincerely

CONFERRENCE

invite

you

and

other

representatives from your organization to join the 2ndinternational conference of SAT health counseling,
September 18, Saturday, 2010 in Chiba, Japan.
The 2nd international conference of SAT health counseling highlights 〝SAT Enhancing
Resilience″. We hope to develop this conference into an international academic society
for probing SAT counseling & therapy as the 3rd advanced generation of CBT and as a researchand global educational method by designing effective training and remedial intervention
programs in SAT Method. Especially, we are expecting to discuss about SAT Method leading
global strategies in the future for successful performance, stress management, mental
healthmaintenance,

innovationinhealthcare

technology,

chronic

diseaseor

lifestyle-related disease management and health behavior change. We believe this conference
will be of great benefit to our future cooperation on developing the effective program to
improve human’s well-being.
We are all looking forward to seeing you soon, and should you have any questions, pleasefeel free to inform me.
Professor Tsunetsugu Munakata, Dr H Sc
Chair，Organizing Committee ofthe ２nd International Conference ofSAT Health Counseling
Chair, Department of Human Care Science
School of Comprehensive Human Sciences
UNIVERSITY OF TSUKUBA

Advanced Research Building D511,
1-1-1 Tennoudai, Tsukuba, JAPAN
305-8577
Phone＆Fax: 81-29-853-3971
E-mail：munakata@hcs.tsukuba.ac.jp
http://www.hcs.tsukuba.ac.jp/~munak
ata/THE 2nd INTERNATIONAL CONFERRECE OF SAT HEALTH COUNSELINGCONFERRENCE
Main Symposium: Improving Resilience with SAT Therapy
Date： September 18, 2010（SAT） 18：40～
Venue：Ichikawa City Cultural Hall,３F, The Second Conference Room
Organizer：NPO Corporation Academy for Health CounselingInternational SAT Association

Schedule
Entry:

By the deadline, July 15（Thur.）

Abstract Submission:

By the deadline, August 5 (Thur.）

Proceeding English Paper:

By the deadline, October 31, 2010 (Sun.)

Access to

Ichikawa City Cultural Hall

Ichikawa City Cultural Hall〒272-0025

1-1-5, Owata, Ichikawa, Chiba

TEL:047-379-5111 convinced
Ichikawa
To UenoMotoyawata station

citizen hall

CitizenConsulting

Kesei LineTo Narita

Ichikawa city hallroom
Motoyawata station

Motoyawata station

Toeishinjyuku Line

Fire station

JR LineTo Tokyo

To Chiba
Convenience shop

MK drug store

McDonald
Health center

Nagasaki store

Here

Chiba Bank

Police box

Owata primary schools

Ichikawa
cultural hall
Ichikawa IC

To Tokyo

Keiyou RoadTo Chiba

JR Line
Approximately 10 minutes from south exit of Motoyawata station by JR Sobu Line
Private Railroad
Approximately 15 minutes from Motoyawata station by Kesei Line
Underground Railway
Approximately 10 minutes from A3 exit of Motoyawata station by Toeishinjyuku LineBus
Take the bus for Motoyawata station and get off at the front of cultural hallCar
Get off at Ichikawa Inter※ Parking lot is not available

ORGANIZATION
Organizer

Organizing Committee of the 2nd International Conference ofSAT Health Counseling

Co-Sponsors

ACADEMY FOR HEALTH COUNSELINGINTERNATIONAL SAT ASSOCIATION

Conference ThemeSAT Enhancing Resilience
Organizing Committee

Chair Munakata, Tsunetsugu

President, Academy for Health Counseling
President, International SAT Association
Chair, Department of Human Care Science
University of Tsukuba

Secretary-General

Associate Secretary-Generals

Hashimoto, Sayuri

Higuchi, Noriko
Hu, Wenyan
Francis Onuoha

Secretariat: Organizing Committee of the 2nd International Conference of SAT HealthCounseling,

Meikai University, 1701, Faculty of Languages and Cultures Department ofEnglish、Noriko Higuchi
Akemi 1, Urayasu, Chiba, JAPAN 279-8550
Phone: 81-47-355-5120 FAX: 81-47-350-5504
E-Mail：nhiguchi@meikai.ac.jp

CONFERENCE INFORMATION
VENUE
Ichikawa City Cultural Hall〒272-0025

1-1-5, Owata, Ichikawa, Chiba

TEL: 047-379-5111
DATE
INTERNATIONAL CONFERENCE: 18:40－21：00 ,SEPTEMBER 18(SAT), 2010

JAPAN NATIONAL MEETING OF ACADEMY FOR HEALTH COUNSELING: SEPTEMBER 18 (SAT.) 9:50-18:00,
SEPTEMBER 19 (SUN.) 9:30-17:00
LANGUAGE
English shall be the official language for the conference
REGISTRATION DESK
The registration desk is open as follow:
September18 (SAT.) 9:50-18:00
September19 (SUN.) 9:30-17:00
WELCOME PARTY
Data: Satday, 18 September, 2010
Time: 17:40-18:30
Fee: 2,000 yen (Free for Invited Guests)
Venue: Ichikawa City HallON SITE REGISTRATION OF THE INTERNATIONAL CONFERENCE
The registration desk will be provided at the conference site and will be open throughout
the conference period. Those who intend to register during the conference period arerequested to pay the registration membership 1000 in Japanese Yen for participating in theInternational Conference at the registration desk in cash only.
SECRETARIAT: Organizing Committee of the 2nd International Conference of SAT HealthCounseling, Meikai University, 1701, Faculty of Languages and Cultures Department ofEnglishNoriko Higuchi
Akemi 1, Urayasu, Chiba, JAPAN 279-8550
Phone: 81-47-355-5120 FAX: 81-47-350-5504
E-Mail：nhiguchi@meikai.ac.jp

Time Table

9/18/2010 Sat.
Opening ceremony
18:40-18:45 Remarks
Chair: Dr. Higuchi
Keynote lecture
18:45-19:10 Chair: Dr. Hashimoto

Prof.Tsunetsugu Munakata

Prof.Tsunetsugu Munakata

Session 1
Childrearing support system andRoom
The 2ndmeeting

19:10-19:50 mental health
Chair: Dr. Onuoha

Chieko Tamura
Yuka Iwanaga
Onuoha Francis

19:50-20:00 coffee break
Session 2room(3F)

Mental health in undergraduate

Wenyan Hu

students

Noriko Higuchi

Chair: Ms. Tamura

20:00-20:55
Session 3

Kazue Nakashima

SAT therapy

Chair: Ms. Hu

20:55-21:00 Closing ceremony*Oral Session: 10min for Presentation

Sayuri Hashimoto

Launching International SAT
Association

3min for Question and answer

Opening Ceremony
18:40
Keynote Lecture
18：45

Reconstructing Life and Society with SAT Therapy : Foundations of
the New Generation CBTProfessor Dr Tsunetsugu Munakata

Session 1 Childrearing Support System and Mental Health
19：10

S1-1 The relationship between the perceived stress relating to pregnancy
and child- birth, birth weight and maternal mental health
Chieko Tamura

19：24

S1-2 Supportive psychological intervention for maternal stress reduction ofpre-school mothers
Yuka Iwanaga

19：38 S1-2 Predictors of mental distress in South African children orphaned by AIDS
Onuoha Francis
Coffee Break
19：50
Session 2 Mental Health in Undergraduate Students
20：00

S2-1 Human Competence Promotion Program for College Students: Applicationof SAT Therapy
Wenyan Hu

20：14

S2-2 The practical study of self-reward oriented social skill training for
Undergraduates
Noriko Higuchi

Session 3 SAT Therapy
20：28

S3-1 Effects of 20-minute Stress Management Programs on Salivary Immunologic
and Psychological Factors: A Comparison of SAT Re-scripting Parental Imagery
and Fitness Jazz
Nakashima K

20：42 S3-2 SAT Life Change Support and HbA1c Improvements in Diabetic Patients
Hashimoto S
Closing ceremony
20：55－21:00

KEYNOTE LECTURE

KEYNOTE LECTURE

Reconstructing Life and Society with SAT Therapy: Foundations of
the New Generation CBTProfessor Dr Tsunetsugu Munakata
President, Academy for Health Counseling
Professor & Chair, Department of Human Care Science, University of Tsukuba, D511,
1-1-1 Tennoudai, Tsukuba, Japan 305-8577 e-mail: munakata@hcs.tsukuba.ac.jp
Summary
All mammals, including humans, instinctively control through attachment behaviors
their fear of not being able to subsist. Under normal circumstances, a child's principal
care provider is his or her parents or guardians. However, if the latter are emotionallyunstable, the child, who is supposed to be the care recipient, unwittingly becomes the onethat provides the emotional care the parents or guardians covet. As a consequence, evenafter the child becomes an adult, he/she will unconsciously seek out an emotionallyunstable family member or colleague at work and build a codependent attachment
relationship replacing the former parent-child relationship in which one relies on theother and vice a versa. Such relationships, however, create a whirlpool of undue stressaccompanied by "insecurity, distrust and exploitation." To be able to overcome
subsistence fear and build a stable attachment relationship marked by "ease, respect andgratitude," the individual needs to change the facial expressions and images of "tension
and irritability" he/she remembers of their parents or guardians to those of "smile andserenity."
SAT is a structured imagery therapy used to promote reconstruction of stableattachment relations through the application of a subjunctive mood that takes clientsback through evolutionary time to their ancestors and ultimately to their particles. A
certified SAT therapist uses a retrospective image projection technique, including
pictures, paintings, religious paintings, and comic books, to help clients discover theirparental surrogate representations. By having clients observe these parental surrogate
representations instead of the expressions and images of their actual parents or
guardians, the SAT therapist helps clients reduce their negative emotions, thereby
helping them to break up their codependent attachment relationships. SAT therapy isthus a new-generation CBT (cognitive behavioral therapy) that promotes rational
thinking compatible with the client's genetic disposition.
Keywords: attachment, codependency, parental surrogate representation, cognitive
behavioral therapy, SAT therapy

Oral Session

S1-1
The relationship between the perceived stress relating to pregnancy and child-birth, birthweight and maternal mental health
Chieko Tamura1 Yuka Iwanaga1 Youichi Okutomi2 Sayuri Hashimoto1 Tsunetsugu Munakata
1

1, Department of Human Care Science,Graduate School of Comprehensive Human Sciences,
University of Tsukuba 2.Kurashiki City College[Purpose]
Maternal stress during pregnancy has been said to connect with the low birth weight.
Consequently, prenatal stress has been reported to have negative effects on the child as the
behavior inhibition, life disease and mental disorder in later life. In this study, therelationship with between the perceived stress relating to pregnancy and child birth, birthweight and mothers psycho-social factors.
[Method]This study was conducted for parents who have toddlers at kindergarten and nursery schoolin A, B, and C city from July 2006 to September 2007. 6003 mothers ware analyzed for thisstudy and the perceived stress relating to pregnancy and child-birth, child‟s birth weight,
child care anxiety, STAI, SDS and self-esteem were asked by self-report questionnaire.
Mother who had normal birth weight child and low birth weight and macrosomia child werecompared. The results were showed by unrelated t-test and odds ratio.
[Result and Discussion]
The result showed that mothers in highly perceived stress significantly higher score of childcare anxiety (t=-3.871, p<.001), STAI (t=-4.022, p<.001) and SDS (t=-3.182, p<.01), and also
lower score of self-esteem (t=-2.086, p<05). Mother who have high perceived stress relating topregnancy had risk for low birth weight（OR：8.11） and macrosomia（OR:1.91）compared
to no perceived stress mother.
[Concussion]
From these results, it might be said to be effective for psychological intervention for pregnant
mothers.

S1-2
Supportive psychological intervention for maternal stress reduction of pre-school
mothers
Yuka Iwanaga1),Chieko Tamura1), Sayuri Hashimoto1)
1: Department of Human Care Science, Graduate School of Comprehensive Human Sciences,

University of Tsukuba, Ibaraki, Japan[Purpose]
The number of mothers who suffers from maternal stress has been increasing. In addition,
many cases of child abuse have been reported. From these facts, a number of psychologicalsupport has been practiced by professionals and peer group.
In this study, a new method of imagery therapy is examined its effect for pre -school mothers
group in order to improve their mental health.
[Method]
The subject was 16 pre-school mothers who were from T city I prefecture. All were recruitedwhen they attended the class about the SAT theory-base temperament coaching.
These interventions were taken place in November in 2009. The method was based on SAT
imagery therapy, which was created new image of the signal from the mothers‟ parents‟ facial
expression. Self-image, perceived support, child care confidence and mental health were
examined by self-report questionnaire in pre-, post-intervention, one month after.
[Result and Discussion]
The results were: 1) around the time of intervention, self-esteem, cognition of child, child careconfidence, GHQ, depression showed significantly improved. 2) the follow up effects continued
to improve.
[Concussion]
These result suggested that a group intervention using the imagery therapy had thecapability to increase mental health, increase child care confidence level, and support the
reduction of maternal stress.

S1-3
Predictors of mental distress in South African children orphaned by AIDS
Onuoha Francis
University of Tsukuba
This paper examined mental distress and its predictors in South African children orphaned
by AIDS.
Method:The design had 458 children (mean age = 13.34, SD=2.20) in 4 categories: 96 AIDS-orphaned,
96 other-causes orphaned, 116 non-orphaned, and 150 “don‟t know cause” orphaned groups.
The last 3 were construed as control groups. The study variables included child abuse,depression, social discrimination, and anxiety as distress factors. Others were self-esteem,
parental/foster care, social support, and socio-demographic factors.
Results:
The multivariate analysis showed higher distress factors among the AIDS-orphaned children.
However, controlling for the socio-demographic factors, anxiety was highly significant among
the AIDS-orphaned group. The regression to predict anxiety for all the groups, showedsignificant influence of hunger for both the AIDS- and other-causes orphaned groups.
Between the two groups, however, hunger effect was stronger in the AIDS-orphaned group.
The AIDS-orphaned children showed higher rates of persons they were living with being
unkind to them. They scored the least perceived good health and reported highest loss of bothparents, particularly mother.
Conclusions: Generalized anxiety from hunger could occasion mental distress in orphans. In
those orphaned by AIDS, most of whom may have no parents, the effect of hunger to facilitateanxiety and mental distress could be higher.
Keywords: HIV/AIDS; psychological distress; orphans; anxiety; hunger

S2-1
Human Competence Promotion Program for College Students: Application of SAT
Therapy
Wenyan Hu１）, Tsunetsugu Munakata１）, Sayuri Hashimoto１）
１）
Department of Human Care Science, Graduate School of Comprehensive Human Science,
University of Tsukuba, Tennoudai, Tsukuba, Japan.
[Objectives]
An adolescent‟s level of human competence is associated with psychological well-being, goodacademic outcomes, successful marriage and have positive relationship with their own
children. However, with the development and industrialization, Chinese youth faces the factthat both parents working, less or no siblings, and with residential unstable neighborhoodcaused by city floating people. According to the literatures, all of these factors limit the
chances for youth to develop their human competence ability. The goals of the present study
were to development a human competence promotion program and to test its effectiveness.
[Methods]
within a longitudinal study, student‟s changes on mental and physical health, humancompetence factors and love awareness factors were evaluated using self-reported
questionnaires before, immediately after and 1 month after the program. The intervention
group (IG, n=24) were the students who received 6-hour human competence promotion
program training. There two control groups: control group 1 (CG1, n=12) were those who
received 6-hours stress management college lecture, and control group 2 (CG2, n=8) who
received 6-hours communication skill training. Data was analyzed with SPSS16.0 software,Friedman test and Wilcoxon signed-rank test was performed.
[Results]
The human competence promotion program had a continued effectiveness on improving
students‟ well-being, love awareness and human competence level: while IG students showedsignificantly improved on most of the mental health, love ability and human competenceindexes post, and 1 month after the intervention, the changes among CG1 and CG2 students
were limited after 1 month.
[Discussion and Conclusion]
The human competence promotion program for college students benefited students‟
well-being by improving their love ability which has a strong impact on raising their humancompetence level. With comparing to the control groups, this program demonstrates its
effectiveness among college student.

S2-2
The practical study of self-reward oriented social skill training for undergraduates
Noriko Higuchi1）

Naomi Niitsuma1）

Sayuri Hashimoto2)

1) Meikai University Faculty of Languages and Cultures Department of English
2)Division of Health Counseling Science, Department of Human Care Science, Graduate
School of Comprehensive Human Sciences, University of Tsukuba
PURPOSE: The purpose of this study was to examine the influence that self-reward orientedsocial skill training program (SST) in undergraduates gave acquisition of the social skill andimprovement of resilience.
METHODS: Intervention group; Following informed consent, 22 undergraduates (male:
female ratio = 10:12, the median age =20.8±1.8) participated the interventions of intensive
SST, and 64 undergraduates (male: female ratio = 45:13, the median age =19.4±3.1)
participated the interventions of distributed SST. Control group; 11 undergraduates who
participated in outdoor experience. Procedure: Participants completed questionnaires on
psychological indexes and demographics at pre/post SST and 1 month after such SST
interventions. The questionnaire items for participants are as follows; demographic data
(gender, age, and grade) psychological index (study1: self-esteem scale, loneliness scale, social
skills scale, study 2; social skills scale, resilience scale).
RESULTS: study 1; Significant improvements were seen in self-esteem score and social skill
score. Self-esteem score at post SST program as well as l month after SST were higher than at
pre SST. Social skills score at l month after SST was significantly higher than at pre SST.
Study 2; Significant improvements were seen in resilience score and social skill score on
distributed SST group. Resilience score at post SST distributed program was higher than at
pre SST. On the other hand, no change were seen in resilience score and social skill score on
Out Door group.
CONCLUSION: Self-reward oriented SST program for undergraduates appears to promote
the acquisition of social skills. Additionally, it appears to improve self-esteem and resilience.

S3-1
Effects of 20-minute Stress Management Programs on Salivary Immunologic andPsychological Factors: A Comparison of SAT Re-scripting Parental Imagery and Fitness
Jazz
Nakashima K, Munakata T
Graduate School of Comprehensive Human Sciences, University of Tsukuba[Purpose]
In today‟s stressful society, there is an urgent need to establish effective stress management
methods that do not require a lot of time and that are sustainable. The purpose of this study
is to compare the effects on psychological and immunological factors of two different
20-minute approaches: 1) Mental Fitness Jazz, and 2) group Structured Association
Technique (SAT).
[Method]
We selected 20 women in their 20s-30s from the general population to participate in a
20-minute program of either mental fitness jazz or SAT therapy. There were ten women ineach group. In the mental fitness jazz group, the participants practiced expressions ranging
from “healing” to “dynamism” according to five different awareness and emotion themes, andin the SAT therapy group, participants engaged in SAT re-scripting parental imagery. We
measured the psychological effects of these two approaches immediately after the sessions
and one month later. We also recorded Japanese POMS scores and biochemical indicators
immediately before and after the sessions. Finally, we analyzed changes in psychologicalattributes and Japanese POMS scores, and improved salivary immunity, with a Friedman
test and Wilcoxon signed rank test using SPSS17.0J.
[Results and Discussion]
For Japanese POMS, mental fitness jazz showed significant improvement effects onanger-hostility, fatigue, confusion, and vigor. There were no improvement effect fortension-anxiety and depression-dejection. SAT therapy showed significant improvement
effects for anger-hostility, fatigue, confusion, vigor, tension-anxiety, and depression-dejection.
For psychological attributes, mental fitness jazz showed significant improvement effects on
self esteem after the session, but these were not sustained one month later. There were noeffects on self-control, problem-solving, self-dissociation, and self-denial after the session or
one month later. SAT therapy showed significant improvement effects on self esteem both
after the session, and one month later. There was a significant declining trend in STAI scores
one month after the session compared to scores prior to the session. This may be attributed toreduced anticipatory anxiety stemming from an improved self image with high self esteem.
For immunological effects, we found biological evidence for the stress reducing effects ofboth mental fitness jazz and SAT therapy in that there were significant drops inadrenocortical hormone (cortisol) after the sessions.
These short 20-minute sessions using two different stress management methods suggestthat mental fitness jazz has a short term positive effect on mood, using reward based music
and video images, and cortisol levels, while SAT therapy is an effective short and long term
stress management method that reduces anxiety and cortisol by improving the self image
script through changing parental image representations.
＊This study was supported by a University of Tsukuba Grant-in-Aid (principal researcher: Tsunetsugu
Munakata).

S3-2
SAT Life Change Support and HbA1c Improvements in Diabetic Patients
Hashimoto S1, Higuchi N2, Mukasa K1, Hamamoto Y3,
Toyoda M3, Funaoaka M3, Kaneshiro M3, Nakajima S3, (Affiliations)
1:Department of Human Care Science, Graduate School of Comprehensive Human Sciences,
University of Tsukuba, Ibaraki, Japan

2:Meikai University, Chiba, Japan

3:Nakajima

Medical Clinic, Kanagawa, Japan[Purpose]
From a health counseling perspective, lifestyle diseases such as diabetes are approached as
stress prone personality diseases. In this study, we conducted a style of psychotherapy that
supports this kind of life change and compared short-term and mid-term effects on HbA1clevels to test whether there were improvements in hyperglycemia related to stress.
[Method](1) Subjects: The subjects of this study were 21 women patients (42-80 years old) introduced
by a clinic. (2) Intervention method: Structured Association Technique therapy for life change
support was conducted between March to September 200X in a single session that lasted
approximately two hours. (3) Analysis: Average weight and HbA1c levels were compared forthe two months prior to the start of therapy (baseline), two to four months (short-term effect)
after the end of therapy, and four to six months (mid-term effect) after the end of therapy.
[Result and Discussion]
After therapy, there was a significant (1% level) drop in HbA1c levels (Friedman test p=.000)
for the short-term period compared to baselines levels (Z＝－3.809, p＝.000). Likewise, there
was a significant (1% level) drop for the mid-term period compared to baseline levels (Z＝－3.842, p＝.000). There was no significant change in weight (Friedman test p=.168). We can inferthat the significant drop in HbA1c levels after one therapy session was due to having less stressafter patients became aware of ways to cope with interpersonal stress and attachment styles
and realized the need to care for themselves and determine their own self-reward behavior
goals. Patients maintained the effects of the intervention by practicing self-reward behaviors indaily life.
[Concussion]
These results suggest that SAT life change support is effective in improving the health ofpatients with diabetes.