調査研究報告書
No. 139

社会的行動障害のある高次脳機能障害者の就労支援に関する研究〜医療機関での取組についての調査〜

2018年3月
独立行政法人高齢・障害・求職者雇用支援機構

障害者職業総合センター
NATIONAL INSTITUTE OF VOCATIONAL REHABILITATIONㄪᰝ◊✲ሗ࿌᭩㻌 㻌 㻌 㻌 㻌 㻌㻺㼛㻚㻝㻟㻥㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌

♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᑵປᨭ᥼࡟㛵ࡍࡿ◊✲㹼་⒪ᶵ㛵࡛ࡢྲྀ⤌࡟ࡘ࠸࡚ࡢㄪᰝ㹼
㻌
㻌
㻌
㻌




㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌

 ᖺ  ᭶⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ

㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮
㻺㻭㼀㻵㻻㻺㻭㻸㻌㻵㻺㻿㼀㻵㼀㼁㼀㻱㻌㻻㻲㻌㼂㻻㻯㻭㼀㻵㻻㻺㻭㻸㻌㻾㻱㻴㻭㻮㻵㻸㻵㼀㻭㼀㻵㻻㻺㻌
㻌

㻌



ࡲ࠼ࡀࡁ

㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮ࡣࠊ
ࠕ㞀ᐖ⪅ࡢ㞠⏝ࡢಁ㐍➼࡟㛵ࡍࡿἲᚊࠖ࡟ᇶ࡙ࡁࠊࢃࡀᅜ࡟࠾ࡅࡿ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢ୰᰾ⓗᶵ㛵࡜ࡋ࡚ࠊ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ࡟㛵ࡍࡿㄪᰝ࣭◊✲ࠊᢏἲ㛤Ⓨࠊᑓ㛛⫋ဨࡢ㣴ᡂ࣭◊ಟ➼ࡢ஦ᴗࢆ⾜ࡗ࡚࠾ࡾࡲࡍࠋ
ࡇࡢㄪᰝ◊✲ሗ࿌᭩ࡣࠊᙜࢭࣥࢱ࣮◊✲㒊㛛࡟࠾ࡅࡿࠕ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᑵປᨭ᥼࡟㛵ࡍࡿ◊✲㹼་⒪ᶵ㛵࡛ࡢྲྀ⤌࡟ࡘ࠸࡚ࡢㄪᰝ㹼㸦ᖹᡂ 28ࠊ29 ᖺᗘ㸧ࠖࡢᡂᯝ࡜ࡋ࡚࡜ࡾࡲ࡜ࡵࡓ
ࡶࡢ࡛ࡍࠋ
ᮏㄪᰝ◊✲࡛ࡣࠊ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᑵປᨭ᥼ᢏἲࡢ㛤Ⓨࡢᇶ♏㈨ᩱ࡜ࡍࡿࡇ࡜
ࢆ┠ⓗ࡟ࠊᩥ⊩ㄪᰝཬࡧᑓ㛛ᐙ࡬ࡢࣄ࢔ࣜࣥࢢㄪᰝࢆ⾜࠸ࡲࡋࡓࠋ
ㄪᰝ࡟ࡈ༠ຊࡃࡔࡉ࠸ࡲࡋࡓⓙᵝࠊ㛵ಀ⪅ࡢⓙᵝ࡟ᚰࡼࡾឤㅰ⏦ࡋୖࡆࡲࡍࠋ
ᮏㄪᰝ◊✲ሗ࿌᭩ࡀከࡃࡢ㛵ಀ⪅ࡢ᪉ࡢࡈཧ⪃࡟࡞ࢀࡤᖾ࠸࡛ࡍࠋ
2018 ᖺ㸱᭶⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ
㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮
◊✲୺ᖿ ᮌཎள⣖⏕



1



ᇳ➹ᢸᙜ

ᅵᒇ ▱Ꮚ㸦◊✲ဨ㸧ᴫせ㹼➨㸲❶㸦➨㸰❶➨㸰⠇ࢆྵࡴ㸧ᯇᑿ ຍ௦㸦◊✲༠ຊဨ㸧➨㸰❶➨㸰⠇◊✲ᢸᙜ⪅ ᮏ◊✲ࡣࠊ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮♫఍ⓗᨭ᥼㒊㛛ࡀᢸᙜࡋࡓࠋ ◊✲ᢸᙜ⪅㸦⫋ྡ㸧㹙ᢸᙜࡋࡓᖺᗘ㹛ࡣḟࡢ㏻ࡾ࡛࠶ࡿࠋ㕥ᮌ ᚭ 㸦⤫ᣓ◊✲ဨ㸧㹙ᖹᡂ 28 ᖺᗘ㹛ᯇᑿ ⩏ᘯ㸦⤫ᣓ◊✲ဨ㸧㹙ᖹᡂ 29 ᖺᗘ㹛⏣㇂ ຾ኵ㸦≉ู◊✲ဨ㸧㹙ᖹᡂ 28ࠊ29 ᖺᗘ㹛ᅵᒇ ▱Ꮚ㸦◊✲ဨ㸧㹙ᖹᡂ 28ࠊ29 ᖺᗘ㹛⥴᪉ ῟ 㸦◊✲༠ຊဨ㸧㹙ᖹᡂ 28 ᖺᗘ㹛ᯇᑿ ຍ௦㸦◊✲༠ຊဨ㸧㹙ᖹᡂ 29 ᖺᗘ㹛

2



┠ḟ
ࡣࡌࡵ࡟ ............................................................................................................................................................ 1
ᴫせ .................................................................................................................................................................... 2➨㸯❶ ⫼ᬒ࡜┠ⓗ .......................................................................................................................................... 7➨㸯⠇ ᮏሗ࿌᭩࡛⏝࠸ࡿ⏝ㄒ..................................................................................................................... 7㸦㸯㸧㧗ḟ⬻ᶵ⬟㞀ᐖ ........................................................................................................................... 7㸦㸰㸧♫఍ⓗ⾜ື㞀ᐖ ........................................................................................................................... 7㸦㸱㸧⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࠊᑵປᨭ᥼ .......................................................................................... 8➨㸰⠇ ᮏㄪᰝ◊✲ࡢ⫼ᬒ࡜┠ⓗ ................................................................................................................. 9㸦㸯㸧㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᩘཬࡧⓎ⑕⋡ .............................................................................................. 9㸦㸰㸧♫఍ⓗ⾜ື㞀ᐖࡢⓎ⑕⋡ ............................................................................................................ 9㸦㸱㸧♫఍ⓗ⾜ື㞀ᐖ࡜ᑵປࡢ㛵ಀ ..................................................................................................... 9㸦㸲㸧㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮࡟࠾ࡅࡿࡇࢀࡲ࡛ࡢྲྀ⤌ .................................................................. 10㸦㸳㸧ᮏㄪᰝ◊✲ࡢ┠ⓗ ..................................................................................................................... 13➨㸰❶ ᩥ⊩ㄪᰝ ............................................................................................................................................ 15➨㸯⠇ ᩥ⊩ㄪᰝࡢ᪉ἲ ............................................................................................................................. 15➨㸰⠇ ᩥ⊩ㄪᰝࡢ⤖ᯝ ............................................................................................................................. 16㸦㸯㸧♫఍ⓗㄆ▱ࡢ㞀ᐖ ..................................................................................................................... 16㸦㸰㸧ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖ ....................................................................................................... 19㸦㸱㸧࠺ࡘࠊ୙Ᏻ ................................................................................................................................ 24㸦㸲㸧ᛣࡾࠊᨷᧁⓗ⾜ື ..................................................................................................................... 28㸦㸳㸧Ⓨືᛶࡢపୗ ............................................................................................................................ 35㸦㸴㸧ໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛ .................................................................. 37➨㸱⠇ ᩥ⊩ㄪᰝࡢࡲ࡜ࡵ࡜⪃ᐹ ............................................................................................................... 40➨㸱❶ ࣄ࢔ࣜࣥࢢㄪᰝ ................................................................................................................................. 43➨㸯⠇ ࣄ࢔ࣜࣥࢢㄪᰝࡢ᪉ἲ................................................................................................................... 43➨㸰⠇ ࣄ࢔ࣜࣥࢢㄪᰝࡢ⤖ᯝ................................................................................................................... 45㸦㸯㸧࡞ࡸࢡࣜࢽࢵࢡ㸦⣡㇂ ᩔኵẶࠊࢥ࣓ࢹ࢕࢝ࣝࢫࢱࢵࣇࡢⓙᵝ㸧 ........................................... 45㸦㸰㸧ᗈᓥ┴㧗ḟ⬻ᶵ⬟ࢭࣥࢱ࣮㸦㏆⸨ ၨኴẶࠊࢥ࣓ࢹ࢕࢝ࣝࢫࢱࢵࣇࡢⓙᵝ㸧 ......................... 48

㸦㸱㸧⚄ዉᕝࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⑓㝔㸦㟷ᮌ 㔜㝧Ặࠊࢥ࣓ࢹ࢕࢝ࣝࢫࢱࢵࣇࡢⓙᵝ㸧.................. 52㸦㸲㸧⇃ᮏ኱Ꮫ་Ꮫ㒊㝃ᒓ⑓㝔㸦ᶫᮏ ⾨Ặࠊࢥ࣓ࢹ࢕࢝ࣝࢫࢱࢵࣇࡢⓙᵝ㸧 ................................ 56㸦㸳㸧ᑓಟ኱Ꮫே㛫⛉Ꮫ㒊 ᒸᮧ 㝧ᏊẶ .......................................................................................... 60㸦㸴㸧ி㒔኱Ꮫ་Ꮫ㒊㝃ᒓ⑓㝔 ୖ⏣ ᩗኴẶ ................................................................................... 63㸦㸵㸧ྡྂᒇᕷ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ ✄ⴥ ೺ኴ㑻Ặ .................................................. 67㸦㸶㸧ᅜ❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮⑓㝔 ᾆୖ ⿱ᏊẶ .................................................. 70➨㸱⠇ ࣄ࢔ࣜࣥࢢㄪᰝࡢࡲ࡜ࡵ࡜⪃ᐹ .................................................................................................... 76➨㸲❶ ௒ᚋࡢ◊✲ㄢ㢟 ................................................................................................................................. 79ᘬ⏝ᩥ⊩ .......................................................................................................................................................... 81
3



z

ᮏㄪᰝ◊✲ሗ࿌᭩࡟࠾ࡅࡿ␎ㄒࡣ௨ୗࡢ㏻ࡾ࡜ࡍࡿࠋ
ࣜࣁ㸸ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ
ࣔࢹࣝ஦ᴗ㸸㧗ḟ⬻ᶵ⬟㞀ᐖᨭ᥼ࣔࢹࣝ஦ᴗ1ᨭ᥼ᬑཬ஦ᴗ㸸㧗ḟ⬻ᶵ⬟㞀ᐖཬࡧࡑࡢ㛵㐃㞀ᐖ࡟ᑐࡍࡿᨭ᥼ᬑཬ஦ᴗ2
SST㸸Social Skills Training㸦ᑐேᢏ⬟カ⦎ࡲࡓࡣ♫఍ᢏ⬟カ⦎㸧z⫋ᴗࣜࣁᚑ஦⪅࡟࡜ࡗ࡚㥆ᰁࡳࡀᑡ࡞࠸ሙྜࡀ࠶ࡿ࡜⪃࠼ࡽࢀࡿ⏝ㄒ➼࡟ࡘ࠸࡚ࠊ⬮ὀ࡟࠾࠸࡚⡆༢࡞⏝ㄒゎㄝࡲࡓࡣཧ⪃ᩥ⊩࡟ࡘ࠸࡚ࡢ᝟ሗᥦ౪ࢆ⾜ࡗࡓࠋ1 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿໟᣓⓗ࡞་⒪࣭⚟♴ࢧ࣮ࣅࢫࢆ⾜࠺㝿࡟ᚲせ࡞デ᩿࣭カ⦎ཬࡧ♫఍ཧຍᨭ᥼ࡢ᪉ἲࢆ☜❧ࡍࡿࡓࡵࠊཌ⏕ປാ┬ࡀᖹᡂ 13㹼17 ᖺᗘ࡟ᐇ᪋ࡋࡓ஦ᴗ࡛࠶ࡿ㸦ཧ⪃㸸㧗ḟ⬻ᶵ⬟㞀ᐖ᝟ሗ࣭ᨭ᥼ࢭࣥࢱ࣮࢙࢘ࣈࢧ࢖ࢺ http://www.rehab.go.jp/brain_fukyu/shien/㸧ࠋ
2 㞀ᐖ⪅⥲ྜᨭ᥼ἲ㸦ᖹᡂ 18㹼24 ᖺᗘࡣࠊ㞀ᐖ⪅⮬❧ᨭ᥼ἲ㸧࡟ᇶ࡙ࡃᆅᇦ⏕άᨭ᥼஦ᴗࡢ࠺ࡕࠊ㒔㐨ᗓ┴ࡀᐇ᪋ࡍࡿ
┦ㄯᨭ᥼஦ᴗࡢ୍ࡘ࡛࠶ࡿࠋ㒔㐨ᗓ┴ࡀᣦᐃࡍࡿᨭ᥼ᣐⅬᶵ㛵࡟࠾࠸࡚ࠊᑓ㛛ⓗ࡞┦ㄯᨭ᥼ࠊ㛵ಀᶵ㛵࡜ࡢᨭ᥼ࢿࢵࢺ
࣮࣡ࢡࡢ඘ᐇࠊᬑཬ࣭ၨⓎ஦ᴗࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼ᡭἲ➼࡟㛵ࡍࡿ◊ಟ➼ࢆ⾜࠺㸦ཧ⪃㸸ྠୖ㸧ࠋ

4



ࡣࡌࡵ࡟
ᮏㄪᰝ◊✲ࡣࠊ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮⫋ᴗࢭࣥࢱ࣮㸦ᢏἲ㛤Ⓨ㒊㛛㸧ࡢせㄳ࡟ᇶ࡙ࡁࠊ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼ᢏἲ㛤Ⓨࡢࡓࡵࡢᇶ♏ㄪᰝ࡜ࡋ࡚ᐇ᪋ࡋࡓࡶࡢ࡛࠶ࡿࠋᅜෆእࡢ㛵㐃᝟ሗࢆ཰㞟ࡋࠊᨭ᥼ᢏἲ㛤Ⓨࡢᇶ♏㈨ᩱ࡜ࡍࡿࡇ࡜ࢆ୺┠ⓗ࡜ࡋࡓࡀࠊేࡏ࡚ࠊᚓࡽࢀࡓ᝟ሗࢆᩚ⌮ࡋ࡚ሗ࿌᭩࡜
ࡋ࡚ห⾜ࡍࡿࡇ࡜࡟ࡼࡾࠊᗈࡃ⫋ᴗࣜࣁᨭ᥼ࡢᐇ㊶ࡢཧ⪃࡟㈨ࡍࡿࡇ࡜ࢆ┠ᣦࡋࡓࠋㄪᰝ᪉ἲ࡜ࡋ࡚ࡣࠊᗈࡃ᝟ሗࢆᚓࡿࡇ࡜ࢆ┠ⓗ࡟ᅜෆእࡢᩥ⊩ㄪᰝࢆ⾜࠸ࠊࡑࡢୖ࡛ࠊᩥ⊩ࡢࡳ࡛ࡣヲࡋࡃᢕᥱࡋ࡟ࡃ࠸ᐇ㊶ୖࡢᕤኵࡸㄢ㢟࡞࡝࡟㛵ࡍࡿ᝟ሗࢆᚓࡿࡓࡵࠊᅜෆ࡟࠾࠸࡚✚ᴟⓗࠊඛ㐍ⓗ࡞ᐇ㊶ࢆ⾜࠺᪋タཬࡧᑓ㛛ᐙ࡬ࡢࣄ࢔ࣜࣥࢢㄪᰝࢆ⾜ࡗࡓࠋணഛⓗㄪᰝࡢẁ㝵࡟࠾࠸࡚ࠊ་⒪ศ㔝࡟࠾ࡅࡿ▱ぢࡀ୰ᚰ࡜࡞ࡿࡇ࡜ࡀண

ࡉࢀࡓࡓࡵࠊᮏሗ࿌᭩ࡢ๪㢟ࢆࠕ་⒪ᶵ㛵࡛ࡢྲྀ⤌࡟ࡘ࠸࡚ࡢㄪᰝࠖ࡜ࡋࡓࡀࠊᐇ㝿࡟ᚓࡽࢀࡓ᝟ሗࢆぢࡿ࡜ࠊ་Ꮫⓗ἞⒪࡟㛵ࡍࡿࡶࡢ࡟␃ࡲࡽࡎࠊ་⒪ࠊ⚟♴ࠊᑵປᨭ᥼ࡢศ㔝࡟ᗈࡃ࠿࠿ࢃࡿࡶ
ࡢ࡜࡞ࡗࡓࠋࡇࡢࡇ࡜ࡣࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᑵປᨭ᥼࡟࠾࠸࡚ࠊከ᪋タ㐃ᦠ࡟ᇶ࡙࠸ࡓ㛗ᮇⓗどⅬ࡛ࡢྲྀ⤌ࡀᚲせ࡜ࡉࢀࡿࡇ࡜ࡢ୍ࡘࡢ཯࡛ᫎ࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ ᩥ⊩ㄪᰝཬࡧࣄ࢔ࣜࣥࢢㄪᰝ࠿ࡽᚓࡽࢀࡓ᝟ሗࡣከᒱ࡟Ώࡾࠊ௒᪥࠿ࡽࡢ⫋ᴗࣜࣁᐇ㊶࡟ࡍࡄ࡟ᙺ❧ࡘ▱ぢࡀ࠶ࡿ୍᪉ࠊ⫋ᴗࣜࣁศ㔝࡛ࡣ㐺⏝ࡀࡋ࡟ࡃ࠸ࡶࡢࠊࡲࡓࠊ⫋ᴗࣜࣁศ㔝࡛ࡢᛂ⏝࡟ࡘ࠸᳨࡚ウࡸ᳨ドࡀᚲせ࡞ෆᐜࡶྵࡲࢀࡿࠋ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࢆྲྀࡾᕳࡃᨭ᥼ᶵ㛵ࡢࢿࢵࢺ࣮࣡ࢡ࡟࠾ࡅࡿ⫋ᴗࣜࣁᶵ㛵ࡢᙺ๭
ࢆ㋃ࡲ࠼ࡓୖ࡛ࠊ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࡓࡵࡢຠᯝⓗ࡞⫋ᴗࣜࣁᨭ᥼ᢏἲࡢ☜❧࡟ྥࡅࠊ᳨ウ࡜᳨ドࢆ㐍ࡵ࡚࠸ࡃࡇ࡜ࡀ௒ᚋࡢㄢ㢟࡛࠶ࡿࠋ

1

−1−



ᴫせ
➨㸯❶ ⫼ᬒ࡜┠ⓗ 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟࠾࠸࡚♫఍ⓗ⾜ື㞀ᐖࡣ㢖ᗘࡢ㧗࠸⑕≧࡛࠶ࡾࠊ⫋ᴗ⏕ά࡟኱ࡁࡃᙳ㡪ࡍࡿࡇ࡜ࡀ⪃࠼ࡽࢀࡿࠋ♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡍࡿ⫋ᴗୖࡢㄢ㢟࡟ࡘ࠸࡚ࠊ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮ࡣࡇࢀࡲ࡛࠸ࡃࡘ࠿
ࡢྲྀ⤌ࢆ⾜ࡗ࡚ࡁࡓࡀࠊᨭ᥼⌧ሙ࡟ࡣ᭦࡞ࡿᨭ᥼ᢏἲ㛤Ⓨ࡬ࡢࢽ࣮ࢬࡀ࠶ࡿࠋᮏㄪᰝ◊✲ࡣࠊ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮⫋ᴗࢭࣥࢱ࣮㸦ᢏἲ㛤Ⓨ㒊㛛㸧ࡢせㄳ࡟ᇶ࡙ࡁࠊᨭ᥼ᢏἲ㛤Ⓨࡢᇶ♏㈨ᩱ࡜ࡍࡿࡓࡵࠊ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼ᢏἲ࡟㛵ࡍࡿ᝟ሗࢆ཰㞟ࡍࡿࡶࡢ࡛࠶ࡿࠋ
➨㸰❶ ᩥ⊩ㄪᰝ㸯㸬᪉ἲ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡍࡿ⑕≧ࡸㄢ㢟ࠊ἞⒪ཬࡧᨭ᥼࡟㛵ࡋ࡚ࠊᅜෆእࡢඛ⾜◊✲ࢆᴫほࡋࡓࠋ㸦ͤ἞⒪ࡢ࠺ࡕࠊ⸆≀ࢆ⏝࠸ࡿࡶࡢ࡟ࡘ࠸࡚ࡣࠊ➨㸱❶ࡢࣄ࢔ࣜࣥࢢㄪᰝ࡟࠾࠸࡚୺࡟་ᖌࡼࡾ⫈ྲྀࡍࡿࡇ࡜࡜ࡋࠊ➨㸰❶࡛ࡣྲྀࡾᢅࢃ࡞࠸ࡇ࡜࡜ࡋࡓࠋ㸧㸰㸬⤖ᯝ⤖ᯝࡣࠊ㸦㸯㸧♫఍ⓗㄆ▱ࡢ㞀ᐖࠊ㸦㸰㸧ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖࠊ㸦㸱㸧࠺ࡘࠊ୙Ᏻࠊ㸦㸲㸧ᛣࡾࠊᨷᧁⓗ⾜ືࠊ㸦㸳㸧Ⓨືᛶࡢపୗࡢ㸳ࡘࡢ⑕≧ཬࡧㄢ㢟࡟ศࡅ࡚グ㍕ࡋࡓࠋࡇࡢ௚࡟ࠊ⥲ྜⓗ࡞௓ධ᪉ἲ࡛࠶ࡿࡓ
ࡵ㸦㸯㸧㹼㸦㸳㸧ࡢ࠸ࡎࢀ࠿ࡢ⑕≧࡬ࡢ௓ධ᪉ἲ࡜ࡋ࡚఩⨨࡙ࡅࡀࡓ࠸ࠕໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩ
ࣙࣥࣉࣟࢢ࣒ࣛࠖ࡟ࡘ࠸࡚ࠊ㸦㸴㸧࡜ࡋ࡚グ㍕ࡋࡓࠋ㸦㸯㸧♫఍ⓗㄆ▱ࡢ㞀ᐖ௚⪅ࡢ⾲᝟ࡸኌࡢㄪᏊ࠿ࡽឤ᝟ࢆㄆ㆑ࡋࡓࡾࠊ⾜ືࡢ⫼ᚋ࡟࠶ࡿពᅗࢆ᥎ ࡋࡓࡾࡍࡿࡇ࡜ࡢᅔ㞴ࢆᣦࡍࠋእയᛶ⬻ᦆയࡸ⬻⾑⟶㞀ᐖ࡞࡝ࡢ⬻ᦆയ࡟ࡼࡗ࡚♫఍ⓗㄆ▱ࡢ㞀ᐖࡀ⏕ࡌࡿሙྜࡀ࠶ࡾࠊ♫఍ⓗ⾜ືࡸ♫఍ཧຍ࡟ᙳ㡪ࢆ୚࠼ࡿࠋ἞⒪ࡸᨭ᥼࡟㛵ࡍࡿ◊✲ࡢᩘࡣከࡃ࡞࠸ࡀࠊ⾲᝟ࡢㄞࡳྲྀࡾࡢ⦎⩦ࡢຠᯝࢆሗ࿌ࡍࡿ
◊✲ࡀ࠶ࡿࠋ
㸦㸰㸧ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖὀពࡸグ᠈ࠊ㐙⾜ᶵ⬟࡞࡝ࡢㄆ▱ᶵ⬟ࡢ㞀ᐖ࡟㉳ᅉࡍࡿࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖࡣࠊࠕㄆ▱ࢥ࣑ࣗࢽࢣ࣮
ࢩࣙࣥ㞀ᐖࠖ࡜࿧ࡤࢀࠊ⬻ᦆയ⪅࡟࠾࠸࡚㧗࠸㢖ᗘ࡛⏕ࡌࡿࠋ἞⒪ࡸᨭ᥼࡟㛵ࡍࡿ◊✲ࡣࠊᨭ᥼ᑐ㇟⪅ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝ࡬ࡢ௓ධ㸦SST㸧࡜ࠊ࿘ᅖࡢேࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝ࡬ࡢ௓ධ㸦ࢥ࣑ࣗࢽࢣ
࣮ࢩࣙࣥࣃ࣮ࢺࢼ࣮カ⦎㸧ࡢ㸰ࡘࡢ᪉ྥ࡛㐍ࡵࡽࢀ࡚࠾ࡾࠊࡑࢀࡒࢀ࡟ᡂᯝࢆୖࡆ࡚࠸ࡿࠋ
㸦㸱㸧࠺ࡘࠊ୙Ᏻ
࠺ࡘࡸ୙Ᏻࡣ⬻ᦆയ⪅࡟࠾࠸࡚㧗࠸㢖ᗘ࡛ぢࡽࢀࡿࠋ⸆≀⒪ἲ௨እࡢ௓ධ࡜ࡋ࡚ࠊㄆ▱⾜ື⒪ἲࢆ⏝࠸ࡓ௓ධࡀ㏆ᖺ┒ࢇ࡟◊✲ࡉࢀ࡚࠸ࡿࠋຠᯝࡀᚓࡽࢀࡓ࡜ࡍࡿ◊✲࡜ࠊຠᯝࡀᚓࡽࢀ࡞࠿ࡗࡓࠊ࠶ࡿ࠸ࡣ㒊ศⓗ࡞ຠᯝ࡟␃ࡲࡗࡓ࡜ࡍࡿ◊✲ࡀ࠶ࡾࠊຠᯝࡀᚓࡽࢀࡸࡍ࠸᮲௳࡞࡝࡟ࡘ࠸࡚ࡉࡽ࡟◊✲ࡀ㐍ࡵࡽࢀ࡚࠸ࡿࠋ
ㄆ▱ᶵ⬟㞀ᐖࡀ࠶ࡿேࢆᑐ㇟࡜ࡋ࡚ㄆ▱⾜ື⒪ἲࢆ⾜࠺ୖ࡛ࡣࠊ㓄௜㈨ᩱࢆ౑⏝ࡍࡿࠊ㔜せ࡞Ⅼࢆせ⣙ࡋ࡚⧞ࡾ㏉ࡍ࡞࡝ࡢᕤኵࡀᚲせ࡛࠶ࡿࠋ㸦㸲㸧ᛣࡾࠊᨷᧁⓗ⾜ື⬻ᦆയ⪅ࡢ࠺ࡕ࡝ࡢ⛬ᗘࡢ๭ྜࡢே࡟ᛣࡾࡗࡱࡉࡸᨷᧁᛶࡀぢࡽࢀࡿࡢ࠿ࡣࠊㄪᰝ࡟ࡼࡗ࡚␗࡞ࡾ᫂☜࡛ࡣ࡞࠸ࠋ㐺ษ࡞௓ධࡀ࡞࠸≧ἣ࡛ࡣᛣࡾࡗࡱࡉࡸᨷᧁᛶࡀᝏ໬ࡍࡿሙྜࡀ࠶ࡿࠋ௓ධ᪉ἲ࡜ࡋ࡚ࡣࠊ⎔ቃㄪ
2

−2−


ᩚࠊ⾜ື⒪ἲࠊㄆ▱⾜ື⒪ἲࡀ◊✲ࡉࢀ࡚࠾ࡾࠊࡑࢀࡒࢀ࡟ᡂᯝࢆୖࡆ࡚࠸ࡿࠋㄆ▱⾜ື⒪ἲ࡟ࡘ࠸࡚ࡣࠊ
ㄆ▱ᶵ⬟ࡀẚ㍑ⓗಖࡓࢀ࡚࠸ࡿேࢆᑐ㇟࡜ࡍࡿሙྜࡀከ࠸ࠋ
㸦㸳㸧Ⓨືᛶࡢపୗ
ㄆ▱ᶵ⬟ࡢ㞀ᐖࡸឤ᝟㠃࡛ࡢⱞᝎࡀཎᅉ࡛ࡣ࡞ࡃືᶵ௜ࡅࡀῶᑡࡋࡓ≧ែࢆᣦࡋࠊ⫋ᴗࡶྵࡵࡓ♫఍ⓗ࡞⮬❧ᛶࢆᦆ࡞࠺ࠋ┠ᶆ࡜ࡍࡿ⾜ືࡢᕤ⛬ࢆ⣽ศ໬ࡍࡿࡇ࡜ࡸࠊࢳ࢙ࢵࢡࣜࢫࢺࡸ࣐ࣜ࢖ࣥࢲ࣮࡞࡝ࡢእⓗ⿵ຓᡭẁࢆᑟධࡍࡿࡇ࡜࡟ࡼࡗ࡚ࠊ⏕άሙ㠃ࡢ⮬❧ᛶྥୖ࡟ຠᯝࢆୖࡆࡓ஦౛ࡀሗ࿌ࡉࢀ࡚࠸ࡿࠋ
㸦㸴㸧ໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛ
」ᩘࡢᑓ㛛⫋✀ࡢᢏ⾡ࢆ⤫ྜࡋࡓᨭ᥼ࣉࣟࢢ࣒࡛ࣛ࠶ࡿࠋ㞀ᐖ࡬ࡢẼ࡙ࡁ࡜ཷᐜࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ
ၥ㢟ࢆᢅ࠺ࢢ࣮ࣝࣉࢭࢵࢩࣙࣥࡸࠊㄆ▱カ⦎ࠊಶே࢝࢘ࣥࢭࣜࣥࢢ࡞࡝ࡀྵࡲࢀࡿࠋ⫋ᴗ᚟ᖐ࡬ࡢ᭷ຠᛶࡀ
ሗ࿌ࡉࢀ࡚࠸ࡿࠋᚑ᮶ࠊ㢖ᗘ࡜ᮇ㛫ࡢ୧㠃࡛㠀ᖖ࡟㞟୰ⓗ࡞ᙧ࡛⾜ࢃࢀ࡚࠸ࡓࡀࠊ㏆ᖺ࡛ࡣ⡆⣲໬ࡋࡓᙧ࡛
ᐇ᪋ࡉࢀࡿࡇ࡜ࡶ࠶ࡿࠋ㸱㸬⪃ᐹඛ⾜◊✲࡟࠾࠸࡚ຠᯝࡀሗ࿌ࡉࢀࡓ௓ධ᪉ἲࡢ୰࡟ࡣࠊ୺࡟་⒪ศ㔝࡛἞⒪࡜ࡋ࡚ᐇ᪋ࡉࢀࡿࡶࡢ࡛࠶ࡾ
⫋ᴗࣜࣁ㡿ᇦࡢᐇ㊶࡟ࡣ㐺ࡉ࡞࠸ࡶࡢ࡜ࠊ⫋ᴗࣜࣁ㡿ᇦ࡟࠾࠸࡚ࡶᐇ㊶ࡀྍ⬟࡛࠶ࡿࡶࡢ࡜ࡢ୧᪉ࡀ࠶ࡿࡇ
࡜ࡀ⪃࠼ࡽࢀࡿࠋ௓ධ᪉ἲࢆࠊձᨭ᥼ᑐ㇟⪅ࡢ⑕≧ࡑࡢࡶࡢࡢᨵၿࢆ┠ᣦࡍࠊղ㞀ᐖࢆ⿵࠺ࢫ࢟ࣝࢆᨭ᥼ᑐ
㇟⪅⮬㌟ࡀ⋓ᚓ࡛ࡁࡿࡼ࠺ᨭ᥼ࡍࡿࠊճᨭ᥼ᑐ㇟⪅࡛ࡣ࡞ࡃ⎔ቃ࡟ാࡁ࠿ࡅࡿࠊࡢ㸱ࡘ࡟ศ㢮ࡍࡿ࡜ࠊ⫋ᴗࣜࣁ㡿ᇦࡢᐇ㊶࡟㥆ᰁࡳࡸࡍ࠸ࡶࡢࡣࠊղཬࡧճ࡟ヱᙜࡍࡿᨭ᥼ᢏἲ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
♫఍ⓗㄆ▱ࡢ㞀ᐖ࡟ᑐࡍࡿඛ⾜◊✲࡟࠾ࡅࡿ௓ධ᪉ἲࡣࠊձࡲࡓࡣղ࡜ᤊ࠼ࡽࢀࡿࠋඛ⾜◊✲࡛ࡣゐࢀࡽࢀ࡚࠸࡞࠿ࡗࡓࡀࠊճ࡟ヱᙜࡍࡿ௓ධ᪉ἲ࡜ࡋ࡚ࠊᨭ᥼ᑐ㇟⪅࡟ᑐࡋ࡚ࠕᐹࡍࡿࠖࡇ࡜ࢆồࡵࡎࠊᚲせ࡞᝟ሗࢆゝⴥ࡛᫂☜࡟ఏ࠼ࡿ㓄៖ࡢ࠶ࡿ⎔ቃࢆᩚ࠼ࡿࡇ࡜ࡣࠊ⫋ᴗࣜࣁ࡟࠾࠸࡚ᐇ㊶ࡀྍ⬟࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖ࡟ᑐࡍࡿ௓ධ࡛ࡣࠊᨭ᥼ᑐ㇟⪅࡟ᑐࡋ࡚⾜࠺ SST ࡣղࠊ࿘ᅖࡢேࢆᑐ㇟࡜ࡍࡿ
ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࣃ࣮ࢺࢼ࣮カ⦎ࡣճࡢ௓ධ᪉ἲ࡜ᤊ࠼ࡽࢀࡿࠋ๓⪅࡟ࡘ࠸࡚ࡣᅜෆࡢ⫋ᴗࣜࣁᶵ㛵࡟࠾࠸࡚᪤࡟ᗈࡃᐇ㊶ࡉࢀ࡚࠸ࡿࡀࠊᚋ⪅࡟ࡘ࠸࡚ࡣᐇ㊶౛ࡀᑡ࡞ࡃࠊ௒ᚋࠊྲྀ⤌ࡢ᳨ウࡀᮃࡲࢀࡿᨭ᥼ᢏἲ࡛
࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
࠺ࡘࡸ୙Ᏻ࡟ᑐࡋ࡚ࡣࠊඛ⾜◊✲࡟࠾࠸࡚ࡣㄆ▱⾜ື⒪ἲࡀከࡃ⾜ࢃࢀ࡚࠸ࡓࠋㄆ▱⾜ື⒪ἲ࡟ࡣᖜᗈ࠸
ᢏἲࡀྵࡲࢀࠊࡑࡢ୰࡟ࡣ⫋ᴗࣜࣁ㡿ᇦ࡟࠾࠸࡚ࡶᐇ㊶ࡀྍ⬟࡞௓ධ᪉ἲࡀྵࡲࢀࡿࡇ࡜ࡀ⪃࠼ࡽࢀࡿࠋ౛
࠼ࡤࠊࢫࢺࣞࢫ࡬ࡢᑐฎࢫ࢟ࣝࡢ⋓ᚓ࡟㛵ࡍࡿᨭ᥼ࡣղ࡟ヱᙜࡍࡿ࡜⪃࠼ࡽࢀࠊ⫋ᴗࣜࣁ㡿ᇦ࡛ࡶ᪤࡟ᐇ㊶ࡉࢀ࡚࠸ࡿ࡜ࡇࢁ࡛࠶ࡿࠋࡓࡔࡋࠊ࠺ࡘࡸ୙Ᏻ࡟ࡘ࠸࡚ࡣ⸆≀⒪ἲࡶྵࡵࡓ་⒪ⓗࢣ࢔ࡀ㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࡇ࡜࠿ࡽࠊ་⒪ᶵ㛵࡜㐺ษ࡟㐃ᦠࡋࡓᨭ᥼ࡀ୙ྍḞ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
ᛣࡾࡸᨷᧁᛶ࡟ࡘ࠸࡚ࡶࠊ་⒪ⓗࢣ࢔ࡀඃඛࡉࢀࡿ࡭ࡁሙྜࡀ࠶ࡿ࡜⪃࠼ࡽࢀࡿࡇ࡜࠿ࡽࠊ་⒪ᶵ㛵࡜ࡢ㐃ᦠࡀ㔜せ࡛࠶ࡿࠋࡑࡢୖ࡛ࠊඛ⾜◊✲࡛ሗ࿌ࡉࢀ࡚࠸ࡓ⾜ື⒪ἲࡸㄆ▱⾜ື⒪ἲࡢᢏἲࡢ࠺ࡕࠊࢱ࢖࣒࢔
࢘ࢺἲࡸ࢔ࢧ࣮ࢩࣙࣥカ⦎࡞࡝ࠊղ࡟ヱᙜࡍࡿ࡜⪃࠼ࡽࢀࡿᨭ᥼ᢏἲࢆ⫋ᴗࣜࣁ࡟࠾࠸࡚ྲྀࡾධࢀࡿࡇ࡜ࡣ
ྍ⬟࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋࡲࡓࠊճ࡟ヱᙜࡍࡿ࿘ᅖࡢ≀⌮ⓗ⎔ቃཬࡧࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⎔ቃࡢㄪᩚࡶࠊ⫋ᴗࣜࣁ࡟࠾࠸࡚㔜せ࡞ᨭ᥼ᢏἲ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
Ⓨືᛶࡢపୗ࡟ࡘ࠸࡚ࠊ⏕άሙ㠃ࡢ⮬❧ᛶྥୖ࡟ຠᯝࢆୖࡆࡓ஦౛◊✲࡛ࡣࠊእⓗ⿵ຓᡭẁࡀά⏝ࡉࢀ࡚࠾ࡾࠊࡇࢀࡽࡣղ࡜ճࡢ୧᪉ࡢせ⣲ࡀ࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋࡲࡓࠊࡇࢀࡽࡣ⫋ᴗࣜࣁ࡟࠾࠸࡚ࡋࡤࡋࡤά⏝ࡉࢀࡿᨭ᥼ᢏἲ࡛࠶ࡾࠊ⫋ᴗࣜࣁᚑ஦⪅ࡢᑓ㛛ᛶࢆά࠿ࡏࡿ㡿ᇦ࡛࠶ࡿࡇ࡜ࡀ⪃࠼ࡽࢀࡿࠋ
ໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࡣࠊᵝࠎ࡞ᨭ᥼ᢏἲࢆ⤫ྜࡋࡓࣉࣟࢢ࣒࡛ࣛ࠶ࡾࠊࣉࣟ
ࢢ࣒ࣛࡀ඲య࡜ࡋ࡚ᶵ⬟ࡍࡿࡇ࡜ࡀᙉㄪࡉࢀ࡚࠸ࡿࡓࡵࠊࡑࡢᵓᡂせ⣲ࢆྲྀࡾฟࡋ࡚⫋ᴗࣜࣁ࡬ࡢᛂ⏝ࢆ᳨
3

−3−


ウࡍࡿࡇ࡜ࡣ㐺ษ࡛ࡣ࡞࠸࠿ࡶࡋࢀ࡞࠸ࠋࡋ࠿ࡋࠊᨭ᥼ᑐ㇟⪅ࡢ඲యീࢆᤊ࠼ࠊᨭ᥼⪅㛫ࡢ⥥ᐦ࡞ពぢ஺᥮࡟ࡼࡾ⤫ྜⓗ࡟ᨭ᥼ࡋ࡚࠸ࡃ⪃࠼᪉࡟ࡘ࠸࡚ࡣࠊཧ⪃࡜ࡍ࡭ࡁⅬࡀከ࠸࡜⪃࠼ࡽࢀࡿࠋ
➨㸱❶ ࣄ࢔ࣜࣥࢢㄪᰝ㸯㸬᪉ἲ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡬ࡢᨭ᥼࡟㛵ࡋ࡚ࠊᅜෆ࡟࠾ࡅࡿ⌧ᅾࡢྲྀ⤌ࡸㄢ㢟࡟ࡘ࠸࡚᝟ሗ
ࢆᚓࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࠊ✚ᴟⓗ࣭ඛ㐍ⓗ࡞ᐇ㊶ࢆ⾜ࡗ࡚࠸ࡿ᪋タࡸࠊᙜᶵᵓእ㒊ࡢᏛ㆑⤒㦂⪅࠿ࡽ᥎⸀ࡀ࠶
ࡗࡓᑓ㛛ᐙࢆᑐ㇟࡜ࡋ࡚ࣄ࢔ࣜࣥࢢㄪᰝࢆ⾜ࡗࡓࠋෆᐜࡣࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࢆᑐ㇟࡜ࡋࡓࠊᑵປᨭ᥼ࡲࡓ
ࡣᑵປᨭ᥼ࡢ๓ẁ㝵ࡢ་Ꮫⓗ἞⒪ཬࡧᨭ᥼࡟㛵ࡍࡿ⪃࠼᪉ࡸྲྀ⤌࡟㛵ࡍࡿࡇ࡜ࢆ኱ᯟ࡜ࡋࡓୖ࡛ࠊྛㄪᰝᑐ㇟᪋タࡢ≉Ⰽࡸྛᑓ㛛ᐙࡢᑓ㛛㡿ᇦ࡟ᛂࡌࡓࡶࡢ࡜ࡋࡓࠋ
ࣄ࢔ࣜࣥࢢㄪᰝࢆᐇ᪋ࡋࡓ᪋タࠊᑓ㛛ᐙ➼ࡢᴫ␎ࡣḟࡢ㏻ࡾ࡛࠶ࡿ㸦ㄪᰝᐇ᪋㡰㸧ࠋ㸦㸯㸧࡞ࡸࢡࣜࢽࢵࢡ㸦⣡㇂ ᩔኵẶࠊࢥ࣓ࢹ࢕࢝ࣝࢫࢱࢵࣇࡢⓙᵝ㸧y♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡬ࡢ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉y㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࢆᑐ㇟࡜ࡋࡓࢹ࢖ࢣ࢔

y

SCIT㸦Social Cognition and Interaction Training㸧ࢆ⏝࠸ࡓࢢ࣮ࣝࣉ἞⒪㸦㸰㸧ᗈᓥ┴㧗ḟ⬻ᶵ⬟ࢭࣥࢱ࣮㸦㏆⸨ ၨኴẶࠊࢥ࣓ࢹ࢕࢝ࣝࢫࢱࢵࣇࡢⓙᵝ㸧y♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉yࠕᶍᨃⓗᑵປࢢ࣮ࣝࣉࠖ࡞࡝ࡢ㞟ᅋカ⦎ࡢྲྀ⤌㸦㸱㸧⚄ዉᕝࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⑓㝔㸦㟷ᮌ 㔜㝧Ặࠊࢥ࣓ࢹ࢕࢝ࣝࢫࢱࢵࣇࡢⓙᵝ㸧yࠕ㏻㝔ࣉࣟࢢ࣒ࣛࠖ࡟ࡘ࠸࡚

㸦㸲㸧⇃ᮏ኱Ꮫ་Ꮫ㒊㝃ᒓ⑓㝔㸦ᶫᮏ ⾨Ặࠊࢥ࣓ࢹ࢕࢝ࣝࢫࢱࢵࣇࡢⓙᵝ㸧y♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉y࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺᨭ᥼

㸦㸳㸧ᑓಟ኱Ꮫே㛫⛉Ꮫ㒊㸦ᒸᮧ 㝧ᏊẶ㸧y᫆ᛣᛶࡢ࠶ࡿே࡬ࡢ SST

㸦㸴㸧ி㒔኱Ꮫ་Ꮫ㒊㝃ᒓ⑓㝔㸦ୖ⏣ ᩗኴẶ㸧y㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼࡟࠾ࡅࡿ㸦≉࡟⢭⚄⛉㸧་⒪ࡢᙺ๭ཬࡧᆅᇦ㐃ᦠy♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉㸦㸵㸧ྡྂᒇᕷ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮㸦✄ⴥ ೺ኴ㑻Ặ㸧yᑵປᨭ᥼ㄢ࡟࠾ࡅࡿྲྀ⤌yࢭࣥࢱ࣮ෆእࡢ㒊⨫ࠊᶵ㛵࡜㐃ᦠࡋࡓᑵປᨭ᥼

㸦㸶㸧ᅜ❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮⑓㝔㸦ᾆୖ ⿱ᏊẶ㸧y♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉y

FFGW㸦feeling-focused group work㸧㸰㸬⤖ᯝࣄ࢔ࣜࣥࢢㄪᰝ࡛ᚓࡽࢀࡓ᝟ሗࡣࠊྛㄪᰝᑐ㇟᪋タࡢ≉Ⰽࡸྛᑓ㛛ᐙࡢᑓ㛛㡿ᇦ࡟ᛂࡌࠊከᒱ࡟Ώࡿࠋ௨
ୗ࡟ࡣࠊ」ᩘࡢ᪋タ࣭ᑓ㛛ᐙ࠿ࡽඹ㏻ࡋ࡚ᚓࡽࢀࡓពぢࢆ୰ᚰ࡟ࠊ
㸦㸯㸧࢔ࢭࢫ࣓ࣥࢺࠊ
㸦㸰㸧἞⒪ཬࡧᨭ᥼ࠊ
㸦㸱㸧ᨭ᥼⪅ࡢࢣ࢔ࡢ㸱ࡘ࡟ศ㢮ࡋ࡚せⅬࢆグ㍕ࡍࡿࠋ
4

−4−


㸦㸯㸧࢔ࢭࢫ࣓ࣥࢺ
୙㐺ษ࡞⾜ືࡀ㉳ࡇࡿ⫼ᬒࢆಶูࡢᨭ᥼ᑐ㇟⪅࡟ࡘ࠸࡚⌮ゎࡋࠊ≧ែീ࡟ྜ⮴ࡋࡓᑐᛂࢆ⾜࠺ࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋᨭ᥼ᑐ㇟⪅ࡢヰࢆࡼࡃ⪺ࡃࡇ࡜ࡀ㔜せ࡛࠶ࡿࡇ࡜࡟ຍ࠼ࠊ୙㐺ษ࡞⾜ືࡢࡁࡗ࠿ࡅࡸ⫼ᬒ࡟࠶ࡿ஦
㇟࡟ࡘ࠸࡚ࠊᙜ஦⪅ࡀព㆑ࡋࡓࡾゝㄒ໬ࡋࡓࡾࡍࡿࡇ࡜ࡀ㞴ࡋ࠸ሙྜࡀ࠶ࡿࡓࡵࠊ⾜ືほᐹࡸ࿘ᅖ࠿ࡽࡢ᝟
ሗ཰㞟ࡀ㔜せ࡛࠶ࡿࠋ㸦㸰㸧἞⒪ཬࡧᨭ᥼
ᨭ᥼ᑐ㇟⪅ࡢ≧ែീ࡟ᛂࡌࠊ⸆≀⒪ἲࡸ⎔ቃㄪᩚࠊᚰ⌮ᩍ⫱ࡸᑐேᢏ⬟カ⦎࡞࡝ࡢᚰ⌮ⓗᨭ᥼ࢆ⤌ࡳྜࢃࡏ࡚⾜࠺ࠋ⎔ቃኚ໬࡞࡝࡟క࠺≧ែീࡢኚ໬࡟ᑐᛂࡍࡿࡓࡵࠊ㛗ᮇⓗ࡞㛵ࢃࡾࡀᚲせ࡛࠶ࡿࠋ࢔㸬⸆≀⒪ἲ
㢧ⴭ࡞᫆ᛣᛶ࣭ᨷᧁᛶࠊ࠺ࡘࠊⓎືᛶࡢపୗ࡞࡝࠸ࡃࡘ࠿ࡢ⑕≧࡟ࡘ࠸࡚ࡣࠊ⸆≀⒪ἲࡀ㔜せ࡛࠶ࡿࠋ࢖㸬⸆≀⒪ἲ௨እࡢ἞⒪ཬࡧᨭ᥼௓ධࢆ⾜࠺ୖ࡛ࡢࢢ࣮ࣝࣉᙧᘧࡢά⏝ࡣࠊ┦஫ほᐹ࡟ࡼࡿㄢ㢟࡬ࡢẼ࡙ࡁࡢಁ㐍ࡸᙜ஦⪅ྠኈࡢᚰ⌮ⓗᨭᣢ࡞࡝ࡢຠᯝࡀᮇᚅ࡛ࡁࡿࠋ୍᪉ࠊៅ㔜࡞ࢢ࣮ࣝࣉ⦅ᡂࡸ༑ศ࡞ᩘࡢᨭ᥼⪅ࡢ㓄⨨ࠊ๓ᚋࡢಶูሙ㠃࡛ࡢ୎ᑀ࡞ࣇ࢛࣮ࣟࡀ୙ྍḞ࡛࠶ࡾࠊࡇࢀࡽࡢ᮲௳ࡀᩚࢃ࡞࠸ሙྜࡣ༷ࡗ࡚ᨭ᥼ᑐ㇟⪅࡟ΰ஘ࢆ⏕ࡌࡉࡏࡿࣜࢫࢡࡀ࠶ࡿࠋ㞀ᐖ⛬ᗘࡸಶูࡢㄢ㢟ࢆ⪃៖ࡋࡓࢢ࣮ࣝࣉ⦅ᡂࡀ㞴ࡋ࠸ሙྜࡢᕤኵ࡜ࡋ࡚ࠊ㸰㹼㸱ேࡢᑡேᩘࢢ࣮ࣝࣉࡸࠊసᴗάືࡢ୍㒊ࢆά⏝ࡋࡓᑐே஺ὶሙ㠃ࢆタᐃࡍࡿሙྜࡶ࠶ࡿࠋ
௓ධຠᯝࡢᐃ࡟ࡘ࠸࡚ࡣࠊᨭ᥼ᑐ㇟⪅ࡢಶูᛶࡢ㧗ࡉࡸࠊ㐺⏝ྍ⬟࡞ホ౯ᑻᗘࡀ㝈ࡽࢀ࡚࠸ࡿࡇ࡜ࠊ

௓ධ࠿ࡽ᫬㛫ࢆ⤒࡚࠿ࡽຠᯝࡀ⾲ࢀࡿሙྜࡀ࠶ࡿࡇ࡜࡞࡝࠿ࡽࠊᕤኵࡀᚲせ࡛࠶ࡿࠋ㸦㸱㸧ᨭ᥼⪅ࡢࢣ࢔ᨭ᥼⪅ࡢ㐣㈇Ⲵ࡬ࡢᑐ⟇࡜ࡋ࡚ࡣࠊᨭ᥼ᑐ㇟⪅࡟ᑐࡋ࡚」ᩘయไࠊከ⫋✀࡛࠿࠿ࢃࡿࡇ࡜ࠊᨭ᥼⪅┦஫࡟᝟ሗ஺᥮ࡸ┦ㄯࡀࡋࡸࡍ࠸㛵ಀᛶࡀ࠶ࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋ㸱㸬⪃ᐹࣄ࢔ࣜࣥࢢㄪᰝ࡛ᚓࡽࢀࡓ⤖ᯝ࡟ࡘ࠸࡚ࠊ⫋ᴗࣜࣁࡢほⅬ࠿ࡽ⪃ᐹࢆຍ࠼ࡿࠋ
㸦㸯㸧࢔ࢭࢫ࣓ࣥࢺ⾜ືほᐹࡸᨭ᥼ᑐ㇟⪅ཬࡧ࿘ᅖ࠿ࡽࡢ᝟ሗ཰㞟ࡣࠊ⫋ᴗࣜࣁ㡿ᇦ࡟࠾࠸࡚ࡶ㔜せ࡞࢔ࢭࢫ࣓ࣥࢺᡭἲ࡜ࡋ
࡚ㄆ㆑ࡉࢀ࡚࠸ࡿࡀࠊࡇࢀࡽࢆຠᯝⓗ࣭ຠ⋡ⓗ࡟⾜࠺࡟ࡣࠊ㞀ᐖ≉ᛶ࡟㛵ࡍࡿ▱㆑ࡀ୙ྍḞ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ㞀ᐖ≉ᛶ࡟ࡘ࠸࡚ࡢ▱㆑ࢆ῝ࡵࡿࡇ࡜ࡣ⫋ᴗࣜࣁᚑ஦⪅࡜ࡋ࡚ດຊࡍ࡭ࡁⅬ࡛࠶ࡿࡀࠊከࡃࡢ⫋ᴗࣜࣁᶵ㛵ཬࡧ⫋ᴗࣜࣁᚑ஦⪅ࡣ≉ᐃࡢ㞀ᐖ㡿ᇦ࡟≉໬ࡋ࡚࠸࡞࠸⌧≧ࢆ⪃࠼ࡿ࡜ࠊྛ㞀ᐖ࡟ࡘ࠸࡚㧗ᗘ࡞ᑓ㛛▱㆑ࢆᣢࡘࡇ࡜࡟ࡣ㝈⏺ࡀ࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋⓗ☜࡞ᨭ᥼ࢆᐇ᪋ࡍࡿࡓࡵ࡟ࡣࠊ㞀ᐖ≉ᛶ࡟㛵ࡍࡿᑓ㛛▱㆑ࢆᣢࡘᑓ㛛ᐙࡸ㛵ಀᶵ㛵࡜ࡢᐦ࡞㐃ᦠࡀ㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
㸦㸰㸧἞⒪ཬࡧᨭ᥼࢔㸬⸆≀⒪ἲ㸦ࢆྵࡴ་⒪ⓗࢣ࢔㸧⫋ᴗࣜࣁࡢሙ㠃࡟࠾࠸࡚ࠊᨭ᥼ᑐ㇟⪅ࡢ⫋ᴗ⏕άୖ࡟㢧ⴭ࡞ㄢ㢟ࡀㄆࡵࡽࢀࠊࡑࡢㄢ㢟ゎỴ࡟་⒪ⓗࢣ࢔ࡀᚲせ࡛࠶ࡿ࡜ุ᩿ࡉࢀࡓሙྜࡣࠊ་⒪ᶵ㛵࡬ࡢཷデࢆ່ࡵࡿࡇ࡜࡟࡞ࡿࠋࡋ࠿ࡋࠊཷデࢆ່ࡵࡿ࡭ࡁ
≧ἣ࡛࠶ࡿ࠿࡝࠺࠿ࡢุ᩿ࡀࠊ⫋ᴗࣜࣁᚑ஦⪅࡟࡜ࡗ࡚㞴ࡋ࠸ሙྜࡀࡋࡤࡋࡤ࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋุ᩿࡟
㏞࠺ሙྜ࡟ࠊ㐺ษ࡞ᑓ㛛ᐙ࡟ᑐࡋ࡚ࠊ᫬ᶵࢆ㏨ࡉࡎ┦ㄯ࡛ࡁࡿయไࢆᩚ࠼࡚࠾ࡃࡇ࡜ࡀᮃࡲࢀࡿࠋ་⒪ࣜࣁ࡜⫋ᴗࣜࣁࡢ㐃ᦠ࡟ࡘ࠸࡚ࡣࠊᨭ᥼ᑐ㇟⪅ࡢ་⒪ࣜࣁ࠿ࡽ⫋ᴗࣜࣁ࡬ࡢ⛣⾜࡟ὀ┠ࡀ㞟ࡲࡿሙྜࡀከ࠸
ࡀࠊ୍᪉ྥⓗ࡞ࢣ࣮ࢫࡢ⤂௓࡟␃ࡲࡽࡎࠊ཮᪉ྥⓗ࡞㐃ᦠࡀ㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
5

−5−


࢖㸬⸆≀⒪ἲ௨እࡢ἞⒪ཬࡧᨭ᥼ᑡேᩘࡢࢢ࣮ࣝࣉᙧᘧ࡛ࡢᨭ᥼ࡸࠊసᴗάືࡢ୰࡛ࡢᑐே஺ὶሙ㠃ࡢタᐃ࡟ࡘ࠸࡚ࡣࠊ⫋ᴗࣜࣁᶵ㛵࡟࠾࠸࡚ࡶྲྀࡾධࢀࡸࡍࡃࠊᐇ㊶ࡢཧ⪃࡟ࡋࡸࡍ࠸࡜⪃࠼ࡽࢀࡿࠋ
௓ධຠᯝࡢᐈほⓗ࡞ ᐃࡣࠊ་⒪ࣜࣁ࡜⫋ᴗࣜࣁࡢඹ㏻ࡢ㔜せ࡞ㄢ㢟࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
㸦㸱㸧ᨭ᥼⪅ࡢࢣ࢔ᨭ᥼ᑐ㇟⪅࡟ᑐࡋ࡚」ᩘయไ࡛࠿࠿ࢃࡿࡇ࡜ࡣࠊ⫋ᴗࣜࣁ࡟࠾࠸࡚ࡶྠࡌࡃ㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ⫋ᴗࣜࣁᶵ㛵࡛ࡣࠊ୍ࡘࡢ᪋タࡢ୰࡛ከ⫋✀యไࢆసࡿࡇ࡜ࡣ㞴ࡋ࠸ሙྜࡀ࠶ࡿࡀࠊከᶵ㛵యไ࡛㢮ఝࡢᶵ⬟ࢆᚓࡿࡇ࡜ࡀྍ⬟࡛࠶ࡿ࠿ࡶ▱ࢀ࡞࠸ࠋ➨㸲❶ ௒ᚋࡢ◊✲ㄢ㢟➨㸰❶ཬࡧ➨㸱❶ࡢ⤖ᯝ࡜⪃ᐹࢆ㋃ࡲ࠼ࠊ⫋ᴗࣜࣁ㡿ᇦࡢ௒ᚋࡢ◊✲ㄢ㢟࡜ࡋ࡚㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿ஦㡯ࢆᣲࡆࡿࠋ
㸦㸯㸧㛵ಀᶵ㛵࡜ࡢ㐃ᦠ࡟ࡘ࠸࡚
་⒪ᶵ㛵ࢆࡣࡌࡵ࡜ࡍࡿ㛵ಀᶵ㛵࡜ࡢ㐃ᦠࡢ㔜せᛶࡀᨵࡵ࡚ᙉㄪࡉࢀࡿࠋ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼࡟࠾࠸
࡚ࠊ་⒪ࣜࣁ࡜⫋ᴗࣜࣁ࡜ࡢ㐃ᦠࡣᚑ᮶࡟ẚ࡭ᨵၿࡉࢀ࡚ࡁ࡚ࡣ࠸ࡿࡶࡢࡢࠊ౫↛࡜ࡋ࡚ㄢ㢟ࡀṧࡿࡇ࡜ࡀ㛵㐃ࡢㄪᰝ࠿ࡽᣦ᦬ࡉࢀ࡚࠸ࡿࠋ௒ᚋࡢ◊✲ㄢ㢟࡜ࡋ࡚ࠊṧࡿㄢ㢟ゎỴ࡟ྥࡅࡓࡼࡾලయⓗ࡞᳨ウࢆ㐍ࡵࡿࡇ࡜ࡀᚲせ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋࡲࡓࠊ௒ᅇࡢ᳨ウࡢ⤖ᯝࠊ་⒪ᶵ㛵ࡢ୰࡛ࡶࣜࣁ་⒪ࡔࡅ࡛࡞ࡃ⢭⚄⛉་⒪࡜ࡢ㐃ᦠࠊࡉࡽ࡟ࠊ⚟♴ᶵ㛵࡜ࡢ㐃ᦠࡸࠊ⫋ᴗࣜࣁᶵ㛵ྠኈࡢ㐃ᦠࡶ㔜せ࡛࠶ࡿࡇ࡜ࡀᣦ᦬ࡉࢀࡿࡇ࡜࠿
ࡽࠊከᶵ㛵ࢆࡘ࡞ࡄᨭ᥼ࢿࢵࢺ࣮࣡ࢡࡢほⅬ࠿ࡽ㐃ᦠࢆ᳨ウࡋ࡚࠸ࡃࡇ࡜ࡀᚲせ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
㸦㸰㸧⫋ᴗࣜࣁ㡿ᇦ࡛ࡢྲྀ⤌࡟ࡘ࠸࡚
௚ᶵ㛵࡜ࡢ㐃ᦠࡀ㔜せ࡛࠶ࡿ୍᪉ࠊ⫋ᴗࣜࣁᶵ㛵ࡢᐇ㊶ࡢࣇ࢕࣮ࣝࢻࡸᑓ㛛ᛶࢆά࠿ࡋࠊ⋡ඛࡋ࡚ྲྀࡾ⤌ࡴࡇ࡜ࡀᮃࡲࡋ࠸㡿ᇦࡶ࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ୍౛࡜ࡋ࡚ࡣࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࣃ࣮ࢺࢼ࣮カ⦎ࢆ⫋ᴗࣜࣁ࡟ᛂ⏝ࡍࡿࡇ࡜ࡀ⪃࠼ࡽࢀࡿࠋᨭ᥼ᑐ㇟⪅ࡢୖྖࡸྠ൉ࠊ࠶ࡿ࠸ࡣ௻ᴗᅾ⡠ᆺࢪࣙࣈࢥ࣮ࢳ࡜࠸ࡗࡓ⫋ሙࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⎔ቃ࡟✚ᴟⓗ࡟௓ධࡍࡿࡇ࡜ࡣࠊ⫋ᴗࣜࣁᶵ㛵࡞ࡽ࡛ࡣࡢᐇ㊶࡛࠶ࡿ࡜ゝ࠼ࡿࡔࢁ࠺ࠋ
ࡲࡓࠊ㛗ᮇⓗどⅬ࡛ࡢᨭ᥼ࡢ㔜せᛶࡀᣦ᦬ࡉࢀ࡚࠸ࡿࡀࠊ་⒪ᶵ㛵ࡸ⚟♴ᶵ㛵ࡼࡾࡶ᫬㛫ⓗ࡟ᚋ᪉ࡢࢱ࢖
࣑ࣥࢢ࡛ᨭ᥼ᑐ㇟⪅࡟ᑐࡋ࡚ᐦ᥋࡟࠿࠿ࢃࡿሙྜࡀከ࠸⫋ᴗࣜࣁࡢ❧ሙࢆά࠿ࡋࠊ⫋ሙ㐺ᛂࡀ෇⁥࡛࠶ࡗࡓࠊ
࠶ࡿ࠸ࡣᚲせ࡜ࡍࡿᨭ᥼ࡢ㔞ࡀከ࠿ࡗࡓᨭ᥼ᑐ㇟⪅ࡢ≉ᚩࡸㄢ㢟࡟ࡘ࠸࡚ࠊ᝟ሗࢆ⵳✚࣭ศᯒࡋ࡚࠸ࡃࡇ࡜
ࡣࠊᑵ⫋ࡸ᚟⫋ࡢ๓ẁ㝵࡛ࡢᨭ᥼࡟࠾࠸࡚ྛ㛵ಀศ㔝ࡀὀຊࡍ࡭ࡁⅬࢆ≉ᐃࡍࡿࡓࡵ࡟᭷⏝࡞᝟ሗ࡜࡞ࡾᚓ
ࡿࡇ࡜ࡀ⪃࠼ࡽࢀࠊ⫋ᴗࣜࣁ㡿ᇦ࡟࠾ࡅࡿ㔜せ࡞◊✲ㄢ㢟࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ




6

−6−

➨䠍❶
⫼ᬒ䛸┠ⓗ

➨㸯❶ ⫼ᬒ࡜┠ⓗ➨㸯⠇ ᮏሗ࿌᭩࡛⏝࠸ࡿ⏝ㄒ㸦㸯㸧㧗ḟ⬻ᶵ⬟㞀ᐖࠕ㧗ḟ⬻ᶵ⬟㞀ᐖࠖཬࡧࠕ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࠖࡢᐃ⩏࡜ࡋ࡚ࠊ2001 ᖺᗘ࠿ࡽᅜࡢ஦ᴗ࡜ࡋ࡚⾜ࢃࢀࡓࠕ㧗ḟ⬻ᶵ⬟㞀ᐖᨭ᥼ࣔࢹࣝ஦ᴗࠖ࡟࠾࠸࡚సᡂࡉࢀࡓࠕ㧗ḟ⬻ᶵ⬟㞀ᐖデ᩿ᇶ‽ࠖ㸦ཌ⏕ປാ┬♫఍࣭᥼ㆤᒁ㞀ᐖಖ೺⚟♴㒊࣭ᅜ❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮㸪2008㸧ࡀࠊࠕ⾜ᨻⓗᐃ⩏ࠖ࡜ࡋ࡚▱ࡽࢀ࡚࠸ࡿࡀࠊ
ࡑࡢ๓ᩥ࡟ࡶ♧ࡉࢀ࡚࠸ࡿ࡜࠾ࡾࠊࣔࢹࣝ஦ᴗ௨๓࠿ࡽࠕ㧗ḟ⬻ᶵ⬟㞀ᐖࠖࡸࠕ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࠖࡢㄒࡣ⬻ᦆയ࡟㉳ᅉࡍࡿㄆ▱㞀ᐖ඲⯡ࢆᣦࡍㄒ࡜ࡋ࡚⏝࠸ࡽࢀ࡚࠸ࡓࠋ⫋ᴗࣜࣁ㡿ᇦ࡟࠾࠸࡚ࡶྠᵝ࡛࠶ࡾࠊ౛࠼
ࡤࠊ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮ࡢ 1990 ᖺ௦ࡢห⾜≀࡟ࡣࠕ㧗ḟ⬻ᶵ⬟㞀ᐖࠖࢆࢱ࢖ࢺࣝ࡟ྵࡴࡶࡢࡀ࠶ࡿࠋ
๓㏙ࡢ㏻ࡾࠊࣔࢹࣝ஦ᴗ௨๓࠿ࡽ౑⏝ࡉࢀ࡚࠸ࡓࠕ㧗ḟ⬻ᶵ⬟㞀ᐖ㸦⪅㸧ࠖࡢㄒࡣࠊ⬻ᦆയ࡟㉳ᅉࡍࡿㄆ▱㞀ᐖ඲⯡ࢆᣦࡋࠊ⾜ᨻⓗᐃ⩏࡟࠾ࡅࡿࠕ㧗ḟ⬻ᶵ⬟㞀ᐖ㸦⪅㸧ࠖࡼࡾࡶᗈ⩏࡛࠶ࡾ㸦ᒾ⏣㸪2011㸹Ṋ⏣㸪2016㸧ࠊ⾜ᨻⓗᐃ⩏࡟࠾࠸࡚୺せ⑕≧࡜ࡉࢀࡿࠕグ᠈㞀ᐖࠖࠕὀព㞀ᐖࠖ
ࠕ㐙⾜ᶵ⬟㞀ᐖࠖࠕ♫఍ⓗ⾜ື㞀ᐖࠖࡢ௚ࠊኻ
ㄒ⑕ࠊኻ⾜⑕ࠊኻㄆ⑕➼ࡢᵝࠎ࡞ㄆ▱ᶵ⬟㞀ᐖࡀྵࡲࢀࡿࠋ⾜ᨻⓗᐃ⩏࡟࠾࠸࡚ࡣ㝖እࡉࢀࡿ㐍⾜ᛶ⑌ᝈ➼࡟ࡼࡿㄆ▱⑕ࡶᗈ⩏ࡢࠕ㧗ḟ⬻ᶵ⬟㞀ᐖࠖ࡟ྵࡲࢀࡿࡀࠊⱝᖺᛶㄆ▱⑕ࡢሙྜࢆ㝖ࡁࠊᨭ᥼ࡸ᪋⟇ࡢほⅬ࠿ࡽࡣ༊ูࡋ࡚⪃࠼ࡿ࡯࠺ࡀ⌧ᐇⓗ࡛࠶ࡿ࡜ᣦ᦬ࡉࢀ࡚࠸ࡿ㸦୕ᮧ㸪2011㸧ࠋ ⌧ᅾࠊ⫋ᴗࣜࣁ㡿ᇦ࡟࠾ࡅࡿࠕ㧗ḟ⬻ᶵ⬟㞀ᐖࠖࡢㄒࡢ౑ࢃࢀ᪉ࢆぢࡿ࡜ࠊ⾜ᨻⓗᐃ⩏ࢆពᅗࡋ࡚౑⏝ࡉࢀࡿሙྜ࡜ࠊᗈ⩏࡛౑⏝ࡉࢀࡿሙྜ࡜ࡀΰᅾࡋ࡚࠸ࡿࡼ࠺࡛࠶ࡿࠋ౛࠼ࡤࠊ᪥ᮏ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛ
఍ࡢ᭱㏆㸳ᖺ㛫㸦2012㹼2016 ᖺ㸧ࡢ኱఍ࡢⓎ⾲ㄽᩥ㞟ࢆぢࡿ࡜ࠊࠕ㧗ḟ⬻ᶵ⬟㞀ᐖࠖࢆࢱ࢖ࢺࣝ࡟ྵࡴ₇㢟ࡣィ 19 㢟࠶ࡾࠊ࠺ࡕ㸯㢟࡛ࡣࠕ㧗ḟ⬻ᶵ⬟㞀ᐖࠖࢆ⾜ᨻⓗᐃ⩏࡟ἢࡗ࡚౑⏝ࡍࡿࡇ࡜ࡀᮏᩥ࡟᫂グࡉࢀ࡚࠸ࡿ୍᪉ࠊ㸱㢟࡛ࡣ୺ࡓࡿ⑕≧ࡀኻㄒ⑕࡛࠶ࡿேࢆ஦౛ࡸㄪᰝᑐ㇟⪅࡜ࡋ࡚ྲྀࡾୖࡆ࡚࠾ࡾࠊ
ࠕ㧗ḟ⬻ᶵ⬟㞀ᐖࠖࢆᗈ⩏࡟ᤊ࠼࡚࠸ࡿࡇ࡜ࡀ❚ࢃࢀࡓࠋṧࡾࡢ 15 㢟࡟ࡘ࠸࡚ࡣࠊⓎ⾲ㄽᩥ㞟࠿ࡽࡣุ᩿࡛ࡁ࡞࠿ࡗࡓࠋ
ᙜᶵᵓࡢห⾜≀➼࡟࠾࠸࡚ࡣࠊ
ࠕ㧗ḟ⬻ᶵ⬟㞀ᐖࠖࢆᗈ⩏࡛౑⏝ࡍࡿࡇ࡜ࡀ័౛࡜࡞ࡗ࡚࠸ࡿ㸦ࡓࡔࡋࠊ㧗㱋ᮇࡢㄆ▱⑕⪅ࢆ⫋ᴗࣜࣁࡢᨭ᥼ࡸ◊✲ࡢᑐ㇟࡜ࡍࡿࡇ࡜ࡣࡲࢀ࡛࠶ࡿࡓࡵࠊㄆ▱⑕࡟ࡘ࠸࡚ࡣ୺࡟ⱝᖺⓎ⑕࡛࠶ࡿሙྜࡀᑐ㇟࡜࡞ࡿ㸧ࠋࡑࡇ࡛ࠊᮏሗ࿌᭩࡟࠾࠸࡚ࡶࠊ≉࡟ㄝ᫂ࡋ࡞࠸ሙྜࡣᗈ⩏ࡢ㧗ḟ⬻ᶵ⬟㞀ᐖࡢព࿡࡛⏝࠸ࡿࡇ࡜࡜ࡋࠊ⾜ᨻⓗᐃ⩏ࢆ≉࡟ᣦࡋ♧ࡍሙྜࡣࠕ⾜ᨻⓗᐃ⩏ࡢ㧗ḟ⬻ᶵ⬟㞀ᐖࠖ࡜グࡍࡇ࡜࡜ࡍ
ࡿࠋ㸦㸰㸧♫఍ⓗ⾜ື㞀ᐖࠕ♫఍ⓗ⾜ື㞀ᐖࠖࡣࠊ⾜ᨻⓗᐃ⩏ࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ࡟࠾࠸࡚ࠊࠕグ᠈㞀ᐖࠖࠕὀព㞀ᐖࠖࠕ㐙⾜ᶵ⬟㞀ᐖࠖ࡜୪ࡪ୺せ⑕≧࡜ࡉࢀࡿࠋࣔࢹࣝ஦ᴗࡢᡂᯝ≀ࡢ୍ࡘ࡜ࡋ࡚సᡂࡉࢀࡓࠕ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ᨭ᥼ࡢᡭᘬࡁ㸦ᨵゞ➨㸰∧㸧ࠖ㸦ཌ⏕ປാ┬♫఍࣭᥼ㆤᒁ㞀ᐖಖ೺⚟♴㒊࣭ᅜ❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮㸪2008㸧ࡢࠕ୺せ⑕≧ࡢゎㄝࠖࡢ㡯㸦pp.3-6㸧࡛ࡣࠊࠕ♫఍ⓗ⾜ື㞀ᐖ㸦social behavioural disorder㸧ࠖ࡟ࡣࠊࠕពḧ࣭
Ⓨືᛶࡢపୗࠖࠕ᝟ືࢥࣥࢺ࣮ࣟࣝࡢ㞀ᐖࠖࠕᑐே㛵ಀࡢ㞀ᐖࠖࠕ౫Ꮡⓗ⾜ືࠖࠕᅛᇳࠖࡀྵࡲࢀࡿ࡜ࡉࢀࡿࠋ
ࡲࡓࠊྠ᭩ࠕ་Ꮫⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࠖ
㸦pp.14-21㸧ࡢ㡯࡛ࡣࠊࠕ౫Ꮡᛶ࣭㏥⾜ࠖࠕḧồࢥࣥࢺࣟ
࣮ࣝపୗࠖࠕឤ᝟ࢥࣥࢺ࣮ࣟࣝపୗࠖࠕᑐேᢏ⬟ᣋຎࠖࠕᅛᇳᛶࠖࠕពḧ࣭Ⓨືᛶపୗࠖࠕᢚ࠺ࡘࠖࠕឤ᝟ኻ⚗ࠖࠕᘬࡁࡇࡶࡾࠖࠕ⬺ᢚไࠖࠕ⿕ᐖዶ᝿ࠖࠕᚔᚉࠖࡀᣲࡆࡽࢀ࡚࠸ࡿࠋ
୰ᓥ㸦2009㸧ࡣࠊࣔࢹࣝ஦ᴗ࡟࠾࠸࡚ࠕ♫఍ⓗ⾜ື㞀ᐖࠖࡢㄒࢆ᥇⏝ࡋࡓពᅗ࡟ࡘ࠸࡚ࠊࠕჾ㉁ᛶ⢭⚄㞀ᐖࡢ⾜ᨻⓗྲྀࡾᢅ࠸ࡢ࠺࠼࡛ᚲせ࡞ࠊᐙேࢆྵࡵࡓᑐே㛵ಀࢆ୰ᚰ࡜ࡋ࡚♫఍⏕άࢆ㏦ࡿ࠺࠼࡛ࡢᅔ㞴ࡢせ
7

−7−


ᅉࢆ᧯సⓗ࡟ᐃ⩏ࡍࡿࡇ࡜㸦p.1066㸧ࠖ࡜ࡋࠊᵝࠎ࡞⑕≧࡟ࡘ࠸࡚ࠕࡇࢀࡽࢆ୍ᣓࡾ࡟ࡍࡿࡇ࡜ࡣṇ⤫࡞⢭⚄་Ꮫ࡛ࡣཷࡅධࢀࡀࡓ࠸㠃ࡀ࠶ࢁ࠺࠿࡜ᛮ࠺ࡀ㸦p.1066㸧ࠖࠊ⾜ᨻⓗ࡞ᐃ⩏࡛࠶ࡾࠊ㞀ᐖࡢㄆᐃࢆᐜ᫆࡟ࡋ
ࡓព⩏ࡀ࠶ࡿ࡜㏙࡭࡚࠸ࡿࠋࠕ♫఍ⓗ⾜ື㞀ᐖࠖࡣࣔࢹࣝ஦ᴗ࡟࠾࠸࡚⾜ᨻⓗ࡟ᐃࡵࡽࢀࡓ⏝ㄒ࡛ࡣ࠶ࡿࡀࠊࣔࢹࣝ஦ᴗ௨๓ࡢࣜࣁ་
Ꮫ㡿ᇦࡢᩥ⊩࡟࠾࠸࡚ࠊࠕ♫఍ⓗ⾜ື㞀ᐖࠖ࡜㢮ఝࡋࡓ⏝ㄒࡢ౑⏝౛ࡣ࠸ࡃࡘ࠿ぢࡽࢀࡿࠋ౛࠼ࡤࠕ♫఍ⓗ⾜ືࡢ㞀ᐖ㸦conduct disorder ࡞࠸ࡋࡣ disorder of social behaviour㸧ࠖ㸦㮵ᓥ࣭ຍ⸨࣭ᮏ⏣㸪1999㸧ࠊࠕᚰ⌮♫఍ⓗ⾜ື㸦psychosocial behavior㸧ࡢ㞀ᐖࠖ㸦኱ᶫ㸪1990㸧࡞࡝࡛࠶ࡿࠋ
୍᪉ࠊࡼࡾ᭱㏆ࡢᩥ⊩࡟࠾࠸࡚ࠊࠕ♫఍ⓗ⾜ື㞀ᐖࠖ࡜࠶ࡿ⛬ᗘࡢព࿡ࡢ㔜࡞ࡾࡀ࠶ࡿ࡜᥎ᐃࡉࢀࡿูࡢㄒ
ࡀ౑⏝ࡉࢀࡿሙྜࡀ࠶ࡿࠋ౛࠼ࡤࠊᮾி㒔㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ᐇែㄪᰝ᳨ウጤဨ఍㸦2008㸧࡟ࡼࡿㄪᰝ࡛ࡣࠊ
ࠕ⾜ື࡜ឤ᝟ࡢ㞀ᐖࠖࠊࡲࡓࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ඲ᅜᐇែㄪᰝጤဨ఍㸦2016㸧࡟ࡼࡿㄪᰝ࡛ࡣࠕ⾜ື࡜᝟⥴ࡢ㞀ᐖࠖࡢㄒࡀ⏝࠸ࡽࢀ࡚࠸ࡿࠋࡲࡓࠊᩥ⊩࡟ࡼࡗ࡚ࡣࠊ⾜ᨻⓗᐃ⩏ࡢࠕ♫఍ⓗ⾜ື㞀ᐖࠖ࡟ヱᙜࡍࡿ⾜ື≉ᚩࡀ㐙⾜ᶵ⬟㞀ᐖࡢ୍㒊࡜ࡋ࡚ㄝ᫂ࡉࢀࡿሙྜ㸦౛࠼ࡤࠊ㙊಴㸪2010b㸧ࡸࠊ⬻ࡢᦆയ㒊఩࡜ࡢ㛵ಀ࠿ࡽࠕ๓
㢌ⴥᶵ⬟㞀ᐖࠖࡢ୍㒊࡜ࡋ࡚⾲⌧ࡉࢀࡿሙྜࡶ࠶ࡿ㸦౛࠼ࡤࠊᰘᓮ㸪2012㸧ࠋᮏሗ࿌᭩࡛ࡣࠊࠕ♫఍ⓗ⾜ື㞀ᐖࠖࡢㄒࢆ⾜ᨻⓗᐃ⩏࡟࠾ࡅࡿㄝ᫂࡟ᇶ࡙ࡁ౑⏝ࡋ࡚࠸ࡃࡇ࡜࡜ࡍࡿࠋୖ㏙ࡋࡓ㛵㐃ㄒ࡟ࡘ࠸࡚ࡣࠊࠕ♫఍ⓗ⾜ື㞀ᐖࠖ࡜ࡢព࿡ࡢ㔜࡞ࡾࡸ┦㐪ࡀᚲࡎࡋࡶ᫂☜࡛࡞࠸Ⅼ࡟␃ពࡋࡘࡘࠊᚲせ࡟ᛂࡌ࡚ࡇࢀࡽࡢㄒࢆ౑⏝ࡋࡓᩥ⊩ࡸ⤫ィ㈨ᩱࢆཧ↷ࡍࡿᙧ࡛౑⏝ࡋ࡚࠸ࡃࡇ࡜࡜ࡍࡿࠋ
㸦㸱㸧⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࠊᑵປᨭ᥼ ⫋ᴗࣜࣁࡢᐃ⩏࠾ࡼࡧ⌮ᛕࡸࠊࠕ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࠖ࡜ࠕᑵປᨭ᥼ࠖࡢព࿡ࡢ㐪࠸ࡣᡂ᭩࡟ヲࡋ࠸㸦ᮅ᪥㸪2012㸹⳥ụ࣭ᯇⅭ㸪2006㸧ࡀࠊࡇࡇ࡛ࡣヲ⣽࡟ࡣ❧ࡕධࡽ࡞࠸ࠋᮏሗ࿌᭩࡟࠾࠸࡚ࡣࠊࠕ⫋ᴗࣜࣁࣅࣜ
ࢸ࣮ࢩࣙࣥࠖࡣ㞀ᐖ⪅ࡢᑵ⫋ࡸ᚟⫋ࠊ⫋ᴗ⏕άࡢ⥔ᣢࡸ඘ᐇࢆ┠ⓗ࡜ࡋࡓᙜ஦⪅ࠊᨭ᥼⪅ࠊ㛵ಀ⪅ࡢάື࡜ࡋ࡚኱ࡲ࠿࡟ᤊ࠼ࠊ
ࠕᑵປᨭ᥼ࠖࡣࠊ⫋ᴗࣜࣁ࡟࠿࠿ࢃࡿᨭ᥼⪅ࡢάືࢆᣦࡍࡇ࡜࡜ࡍࡿࠋᨭ᥼⪅࡜ࡋ࡚ࡣࠊ
㞀ᐖ⪅ࡢᑵປᨭ᥼ᶵ㛵㸦ᆅᇦ㞀ᐖ⪅⫋ᴗࢭࣥࢱ࣮ࠊ㞀ᐖ⪅ᑵᴗ࣭⏕άᨭ᥼ࢭࣥࢱ࣮ࠊᑵປ⛣⾜ᨭ᥼஦ᴗᡤ➼㸧࡟ᡤᒓࡍࡿ⪅ࡢ௚ࠊ⾜ᨻ࣭་⒪࣭⚟♴➼ࡢ㛵ಀᶵ㛵࡟࠾࠸࡚ࠊᴗົࡢ୺ࡓࡿ㒊ศ࠶ࡿ࠸ࡣ୍㒊ศ࡜ࡋ࡚⫋ᴗࣜࣁ࡟ᦠࢃࡿ⪅ࢆ᝿ᐃࡍࡿࠋ

8

−8−



➨㸰⠇ ᮏㄪᰝ◊✲ࡢ⫼ᬒ࡜┠ⓗ㸦㸯㸧㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᩘཬࡧⓎ⑕⋡᪥ᮏᅜෆࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ᩘ࡟㛵ࡍࡿ⤫ィࡣ」ᩘ࠶ࡾࠊࠕ㧗ḟ⬻ᶵ⬟㞀ᐖࠖࡢ⠊ᅖࢆ࡝ࡢࡼ࠺࡟ᤊ࠼ࡿ࠿
࡟ࡼࡾᩘ್࡟࠿࡞ࡾࡢ㐪࠸ࡀ࠶ࡿࠋࣔࢹࣝ஦ᴗ࡟࠾࠸࡚ࡣࠊ኱㜰ᗓ࡜ᗈᓥ┴࡛⾜ࢃࢀࡓㄪᰝࢆඖ࡟ࠊᅜ❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ࡀࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᩘࢆ඲ᅜ࡛⣙ 27 ୓ேࠊ࠺ࡕ 18 ᡯ௨ୖ 65 ᡯᮍ‶ࡣ⣙㸵୓ே࡜᥎ィࡋࡓ㸦୰ᓥ㸪2006a㸧ࠋᮾி㒔ࡀ 2008 ᖺ࡟⾜ࡗࡓㄪᰝ㸦Ώ㑓࣭ᒣཱྀ࣭ᶫᮏ࣭⊦ཱྀ࣭Ⳣཎ㸪
2009㸧࡛ࡣࠊᮾி㒔ෆࡢ⑓㝔࡬ࡢ࢔ࣥࢣ࣮ࢺㄪᰝࡢ⤖ᯝࢆඖ࡟ࠊ㒔ෆࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡣ 49,408 ே࡜᥎ィࡋࠊࡇࡇ࠿ࡽ඲ᅜࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ᩘࡣ࠾ࡼࡑ 50 ୓ே࡜᥎ィࡋࡓࠋᮾி㒔ࡢㄪᰝ࡟࠾࠸࡚ࡣࠊ⾜ᨻⓗᐃ⩏ࡢ㧗ḟ⬻ᶵ⬟㞀ᐖࡔࡅ࡛࡞ࡃࠊኻㄒ⑕ࡸኻ⾜⑕ࠊኻㄆ⑕➼ࡶ㧗ḟ⬻ᶵ⬟㞀ᐖ࡜ࡋ࡚ㄪᰝᑐ㇟࡜ࡉࢀ࡚࠾
ࡾࠊᗈ⩏ࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟㛵ࡍࡿㄪᰝ࡜࠸࠼ࡿࠋࡓࡔࡋࠊ㐍⾜ᛶ⑌ᝈ࡟ࡼࡿሙྜࡣᑐ㇟እ࡜ࡉࢀ࡚࠸ࡿࠋ
⻏㡲㈡࣭ຍ⸨࣭ᒾỌ࣭ᒸᓮ㸦2011㸧ࡀ 2008 ᖺ࡟⾜ࡗࡓㄪᰝ࡛ࡣࠊ⚟ᒸ┴ෆࡢ⑓㝔࡬ࡢ࢙࢘ࣈㄪᰝ࠿ࡽࠊ㧗ḟ⬻ᶵ⬟㞀ᐖࡢᖺ㛫ࡢⓎ⑕⋡ࡣேཱྀ 10 ୓ே࠶ࡓࡾ 2.3 ேࠊ඲ᅜ࡛ࡣ㸯ᖺ㛫࡟ 2,884 ேࡀ᪂つ࡟Ⓨ⑕ࡍࡿ࡜᥎
ィࡋࡓࠋࡇࡢㄪᰝ࡟࠾ࡅࡿ㧗ḟ⬻ᶵ⬟㞀ᐖࡢᐃ⩏ࡣ⾜ᨻⓗᐃ⩏࡟ࡼࡿࡶࡢ࡜ࡉࢀࠊࡓࡔࡋࠊ᪥ᖖ⏕ά࡟඲௓ຓࢆせࡍࡿ㔜ᗘࡢ⪅ࡣㄪᰝᑐ㇟እ࡜ࡉࢀࡓࠋ
㸦㸰㸧♫఍ⓗ⾜ື㞀ᐖࡢⓎ⑕⋡୍ேࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟࠾࠸࡚」ᩘࡢ⑕≧ࡀ࠶ࡿࡇ࡜ࡣ୍⯡ⓗ࡛࠶ࡿࡀࠊࡑࡢ࠺ࡕࡢ୍ࡘ࡜ࡋ࡚♫఍ⓗ⾜ື㞀ᐖࡀ࠶ࡿ๭ྜࡣ㧗࠸ࠋࣔࢹࣝ஦ᴗࡢㄪᰝᑐ㇟⪅࡟࠾࠸࡚ࠊᑐேᢏ⬟ᣋຎࠊᅛᇳᛶࠊឤ᝟ࢥࣥࢺ࣮ࣟࣝ
పୗ࡞࡝ࡢ♫఍ⓗ⾜ື㞀ᐖࡢ⑕≧ࡢ࠸ࡎࢀ࠿୍ࡘ࡛ࡶぢࡽࢀࡿேࡣ 70㸣࡜ሗ࿌ࡉࢀࡓ㸦୰ᓥ㸪2006b㸧ࠋᮾி㒔㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ᐇែㄪᰝ᳨ウጤဨ఍㸦2008㸧࡟ࡼࡿሗ࿌࡛ࡣࠊ㏻㝔ᝈ⪅ࠊධ㝔ᝈ⪅ࠊ㏥㝔ᝈ⪅ࢆᑐ㇟࡜ࡋࡓྛㄪᰝ࡟࠾࠸࡚ࠊ
ࠕ⾜ື࡜ឤ᝟ࡢ㞀ᐖࠖࡀ࠶ࡿேࡣࡑࢀࡒࢀ 44.5㸣ࠊ91.4㸣ࠊ45.6㸣࡛࠶ࡗࡓࠋ㧗ḟ⬻ᶵ⬟㞀ᐖ඲ᅜᐇែㄪᰝጤဨ఍㸦2011㸧࡟ࡼࡿㄪᰝ3࡛ࡣࠊࠕ⾜ື࡜᝟⥴ࡢ㞀ᐖࠖࡀ࠶ࡿேࡣ 59.8㸣㸦➨㸯ḟㄪᰝ㸧࡛࠶ࡾࠊࡲࡓࠊ
ࠕ⾜ື࡜᝟⥴ࡢ㞀ᐖࠖࡀ୺ࡓࡿ㞀ᐖ࡛࠶ࡿேࡣ 11.7㸣㸦➨㸰ḟㄪᰝ㸧࡛࠶ࡗࡓࠋ࡞࠾ࠊ
᪥ᮏ㧗ḟ⬻ᶵ⬟㞀ᐖᏛ఍࡟ࡼࡿㄪᰝࡣ㧗ḟ⬻ᶵ⬟㞀ᐖࢆᗈ⩏࡟ᤊ࠼࡚࠾ࡾࠊㄆ▱⑕⪅ࡶㄪᰝᑐ㇟࡟ྵࡲࢀࡿࠋ
㸦㸱㸧♫఍ⓗ⾜ື㞀ᐖ࡜ᑵປࡢ㛵ಀ♫఍ⓗ⾜ື㞀ᐖ࡜ᑵປ࡜ࡢ㛵ಀ࡟㛵㐃ࡍࡿᑓ㛛ᐙࡢពぢࢆᣲࡆࡿ࡜ࠊ౛࠼ࡤࠊྡྂᒇᕷ⥲ྜࣜࣁࣅࣜࢸ࣮
ࢩࣙࣥࢭࣥࢱ࣮࡟࠾࠸࡚㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᚰ⌮ⓗᨭ᥼࡟Ọᖺ࡟ࢃࡓࡾᦠࢃࡗࡓ㜿㒊㸦2009㸧ࡣࠊࠕ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ♫఍᚟ᖐ࡟࠶ࡓࡗ࡚ࠊ♫఍ⓗ⾜ື㞀ᐖࡀ㜼ᐖせᅉ࡜࡞ࡿࡇ࡜ࡣࠊ⌧ሙࡢᨭ᥼⪅࡟ࡣ⮬᫂ࡢ⌮࡛࠶ࡿ㸦p.1094㸧ࠖ࡜㏙࡭࡚࠸ࡿࠋࡲࡓࠊ⮬㈺㈐ಖ㝤࡟࠾ࡅࡿ㧗ḟ⬻ᶵ⬟㞀ᐖㄆᐃࢩࢫࢸ᳨࣒ウጤဨ఍㸦2011㸧࡟ࡼࡿሗ࿌᭩࡟࠾࠸࡚ࡣࠊ
ࠕ≉࡟ᑵປࢆ㜼ᐖࡍࡿせᅉ࡜ࡋ࡚ࡣࠊㄆ▱㞀ᐖࡔࡅ࡛࡞ࡃࠊ⾜ື㞀ᐖ࠾ࡼࡧே᱁ኚ
໬ࢆཎᅉ࡜ࡋࡓ♫఍ⓗ⾜ື㞀ᐖࢆ㔜どࡍ࡭ࡁ࡛࠶ࡗ࡚ࠊ♫఍ⓗ⾜ື㞀ᐖࡀ࠶ࢀࡤປാ⬟ຊࢆ࠿࡞ࡾࡢ⛬ᗘ႙ኻࡍࡿ࡜⪃࠼ࡿ࡭ࡁ࡛࠶ࡿ㸦p.12㸧ࠖ࡜㏙࡭ࡽࢀ࡚࠸ࡿࠋ

3 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢデ⒪ࢆ⾜ࡗ࡚࠸ࡿྍ⬟ᛶࡢ࠶ࡿ඲ᅜࡢ་⒪ᶵ㛵ࢆᑐ㇟࡜ࡋࡓ➨ 1 ḟㄪᰝ࡜ࠊࡼࡾヲ⣽࡞ㄪᰝ࡬ࡢ

༠ຊࡀྍ⬟࡜ᅇ⟅ࡋࡓ᪋タࢆᑐ㇟࡜ࡋࡓ➨㸰ḟㄪᰝࡢ㸰ࡘࡢㄪᰝࢆྵࡴࠋ࠸ࡎࢀࡶㄪᰝᐇ᪋ࡣ 2009 ᖺࠋ

9

−9−


㸦㸲㸧㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮ࡢࡇࢀࡲ࡛ࡢྲྀ⤌ࡇࡇ࡛ࡣࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ⫋ᴗࣜࣁ࡟㛵ࡍࡿ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮ࡢࡇࢀࡲ࡛ࡢ◊✲ཬࡧᢏἲ㛤Ⓨࡢྲྀ⤌ࡢ࠺ࡕࠊ♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡍࡿྲྀ⤌࡟ࡘ࠸࡚㏙࡭ࡿࠋ⾲㸯࡟ࡣࠊ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮ࡢห⾜≀ࡢ࠺ࡕࠊ୺࡟㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼ࢆࢸ࣮࣐࡜ࡍࡿࡶࡢࠊ࠶ࡿ࠸ࡣࠊ」ᩘࡢ㞀ᐖ✀㢮ࢆᢅ࠺ࡀࡑࡢ୰ࡢ
୍ࡘ࡜ࡋ࡚㧗ḟ⬻ᶵ⬟㞀ᐖ࡟࠶ࡿ⛬ᗘࡢグ㍕ศ㔞ࡀ࠶࡚ࡽࢀ࡚࠸ࡿࡶࡢࢆᣲࡆࡓࠋ
㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮ࡢห⾜≀ࡢ࠺ࡕࠊࢱ࢖ࢺࣝ࡟ࠕ㧗ḟ⬻ᶵ⬟㞀ᐖࠖࢆྵࡴ᭱ࡶྂ࠸ࡶࡢࡣࠊ
ࠕㄪᰝ◊✲ሗ࿌᭩Ɋ32 㧗ḟ⬻ᶵ⬟㞀ᐖࢆ᭷ࡍࡿ⪅࡟ᑐࡍࡿ⫋ᴗㅮ⩦ࡢᣦᑟᢏἲ࡟㛵ࡍࡿ◊✲ࠖ㸦㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸪1998㸧࡛࠶ࡿࠋࡇࡢ୰࡛ࠊ㧗ḟ⬻ᶵ⬟㞀ᐖࡢ⑕≧ࡢ୍ࡘ࡜ࡋ࡚ࠕᛶ᱁ኚᐜ࡜ᑐேᢏ⬟ࡢపୗࠖࡀᣲࡆ
ࡽࢀࠊࡇࢀࡽࡀ⫋ሙᐃ╔ࢆጉࡆࡿࡇ࡜ࡀ࠶ࡿ࡜ࡢㄆ㆑ࡀ♧ࡉࢀ࡚࠸ࡿࠋࡇࢀࡽࡢ⑕≧࡟ࡘ࠸࡚ࡣᮘୖ᳨ᰝ࡛
ࡣᢕᥱࡋ࡟ࡃ࠸ࡓࡵ᪥ᖖࡢ⾜ືほᐹࡀ㔜せ࡛࠶ࡿࡇ࡜ࡀグࡉࢀ࡚࠸ࡿࡀࠊලయⓗ࡞ᨭ᥼᪉ἲ࡟ࡘ࠸࡚ࡣ௒ᚋ
◊✲ࡀᚲせ࡞ㄢ㢟ࡢ୍ࡘ࡜ࡋ࡚ᣦ᦬ࡍࡿ࡟␃ࡲࡗ࡚࠸ࡿࠋ
1999 ᖺ࠿ࡽ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮⫋ᴗࢭࣥࢱ࣮࡟࠾࠸࡚ࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࢆᑐ㇟࡜ࡋࡓࠕ⫋ሙ᚟ᖐᨭ᥼ࣉࣟࢢ࣒ࣛࠖࡀ㛤ጞࡉࢀࠊᮏࣉࣟࢢ࣒ࣛ࡟࠾ࡅࡿྲྀ⤌࡟ࡘ࠸࡚ࡣࠕᐇ㊶ሗ࿌᭩ࠖ࡜ࡋ࡚ྲྀࡾࡲ࡜ࡵࡽࢀ࡚
࠸ࡿ㸦㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸪1999㸹2001㸹2005b㸹2006a㸹2008㸧ࠋࡇࢀࡽࡢሗ࿌᭩࡟࠾࠸࡚ࠊ♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡍࡿㄢ㢟࡜ࡑࡢᨭ᥼࡟ࡘ࠸࡚ࡣࠊ୺࡟஦౛࡟㛵ࡍࡿグ㍕ࡢ୰࡛ゐࢀࡽࢀ࡚࠾ࡾࠊࣉࣟࢢ࣒ࣛ
඲యࢆ㏻ࡌࡓయ⣔ⓗ࡞ྲྀ⤌࡜࠸࠺ࡼࡾࡣࠊಶูࡢᨭ᥼ᑐ㇟⪅ࡢ≧ἣ࡟ᛂࡌࡓᨭ᥼ᑐ㇟⪅ࡸ㛵ಀ⪅࡬ࡢຓゝࡀ୰ᚰ࡛࠶ࡗࡓࠋ
ࡼࡾయ⣔ⓗ࡞ྲྀ⤌࡜ࡋ࡚ࡣࠊ
ࠕ㹋-ࢫࢺࣞࢫ࣭⑂ປ࢔ࢭࢫ࣓ࣥࢺࢩ࣮ࢺࠖࡢ㛤Ⓨ㸦㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸪
2002㸧ࡸࠊࢢ࣮ࣝࣉ࣮࣡ࢡࡢ࣐ࢽࣗ࢔ࣝ໬㸦㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸪2010d㸧ࡀᣲࡆࡽࢀࡿࠋ๓⪅ࡣ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࡳࢆᑐ㇟࡜ࡋ࡚㛤Ⓨࡉࢀࡓࡶࡢ࡛ࡣ࡞࠸ࡀࠊࢫࢺࣞࢫࡸ⑂ປࡢཎᅉ࡟࡞ࡾࡸࡍ࠸஦㇟ࠊࢫࢺ
ࣞࢫࡸ⑂ປࡢࢧ࢖ࣥࡢᢕᥱࠊ⪃࠼ࡽࢀࡿᑐฎἲ࡞࡝ࢆᩚ⌮ࡍࡿࡓࡵ࡟┦ㄯࡢ୰࡛⏝࠸ࡿࡶࡢ࡜ࡋ࡚సᡂࡉࢀࠊ
♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡍࡿㄢ㢟࡬ࡢᑐฎ࡜ࡋ୍࡚ᐃࡢά⏝ࡀ࡛ࡁࡿྍ⬟ᛶࡀ࠶ࡿࠋᚋ⪅ࡣࠊ๓㏙ࡢ⫋ሙ᚟ᖐᨭ᥼ࣉࣟࢢ࣒ࣛ࡟࠾ࡅࡿྲྀ⤌ࢆᇶ࡟ࠊ௚ࡢᑵປᨭ᥼᪋タ࡟࠾࠸࡚ࢢ࣮ࣝࣉ࣮࣡ࢡࢆ⾜࠺㝿ࡢཧ⪃࡟㈨ࡍࡿࡇ
࡜ࢆ┠ⓗ࡜ࡋ࡚ࠊᨭ᥼⪅⏝ࡢ࣐ࢽࣗ࢔ࣝ࡜ᑐ㇟⪅࡟㓄ᕸࡍࡿ࣮࣡ࢡࢩ࣮ࢺࢆ෉Ꮚ໬ࡋࡓࡶࡢ࡛࠶ࡿࠋ28 ࢸ࣮࣐ࡢࢢ࣮ࣝࣉ࣮࣡ࢡࡀ⏝ពࡉࢀࠊࡑࡢ୰࡟ࡣࠕࣜࣛࢡࢮ࣮ࢩࣙࣥἲࠖࠕࢫࢺࣞࢫࡢᑐฎἲࠖࠕࢥ࣑ࣗࢽࢣ࣮ࢩ
ࣙࣥࡢࢫࢱ࢖ࣝ㸦࢔ࢧ࣮ࢩࣙࣥ㸧ࠖ࡞࡝ࠊ♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡍࡿㄢ㢟࡬ࡢᑐฎ࡟㛵ಀࡍࡿࡶࡢࡀྵࡲࢀ࡚
࠸ࡿࠋࡲࡓࠊ2012 ᖺ࠿ࡽヨ⾜ᐇ᪋ࡉࢀࡓࠕ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᑟධࣉࣟࢢ࣒ࣛࠖ
㸦㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸪2015㸧࡛ࡣࠊᑐ㇟⪅ࡢពḧ࡟╔┠ࡋࡓྲྀ⤌ࡀሗ࿌ࡉࢀࡓࠋ
௨ୖࡢࡼ࠺࡟ࠊ♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡍࡿㄢ㢟࡬ࡢྲྀ⤌ࡣ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮࡟࠾࠸࡚ࡇࢀࡲ࡛࠶ࡿ
⛬ᗘ⾜ࢃࢀ࡚ࡁࡓࡀࠊᆅᇦ㞀ᐖ⪅⫋ᴗࢭࣥࢱ࣮࠿ࡽ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮࡟ᐤࡏࡽࢀࡿᨭ᥼ᢏἲ㛤Ⓨࡢせᮃࡢෆᐜࢆぢࡿ࡜ࠊ♫఍ⓗ⾜ື㞀ᐖ࡬ࡢᑐᛂࢆᣲࡆࡿࡶࡢࡀ┠❧ࡕࠊ᭦࡞ࡿᢏἲ㛤Ⓨ࡬ࡢࢽ࣮ࢬࡀ࠶ࡿࡇ࡜
ࡀ❚ࢃࢀࡿࠋᨭ᥼⌧ሙ࡟࠾ࡅࡿࢽ࣮ࢬࢆศᯒࡍࡿࡓࡵ࡟ࠊ2015 ᖺ࡟㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2016a㸧ࡀ඲ᅜࡢᆅᇦ㞀ᐖ⪅⫋ᴗࢭࣥࢱ࣮ࡢ㞀ᐖ⪅⫋ᴗ࢝࢘ࣥࢭ࣮ࣛ࡟ᑐࡋ࡚⾜ࡗࡓㄪᰝ࡟࠾࠸࡚ࠊ♫఍ⓗ⾜ື㞀ᐖࡢ୰࡛ᨭ᥼࡟ⱞ៖ࡍࡿ༳㇟ࡢ࠶ࡿ㞀ᐖ≉ᛶࢆᑜࡡࡓ࡜ࡇࢁࠊ64㸣ࡀࠕ᝟ືࢥࣥࢺ࣮ࣟࣝࡢ㞀ᐖࠖࠊ33㸣ࡀࠕᑐே㛵ಀࡢ㞀ᐖࠖ
ࠊྠࡌࡃ 33㸣ࡀࠕពḧ࣭Ⓨືᛶࡢపୗࠖࢆᣲࡆࠊࠕヱᙜ࡞ࡋࠖࡣ 18㸣࡟␃ࡲࡗࡓࠋ㞟ィ⤖ᯝࢆᅗ㸯࡟㌿㍕ࡍࡿࠋ


10− 10 −⾲㸯 㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮ࡢห⾜≀ࡢ࠺ࡕࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ࡟㛵ࡍࡿෆᐜࡀ≉࡟ྵࡲࢀࡿࡶࡢ
Ⓨ⾜ᖺ
1997

✀㢮࣭␒ྕ

ࢱ࢖ࢺࣝㄪᰝ◊✲ሗ࿌᭩Ɋ21ᆅᇦ㞀ᐖ⪅⫋ᴗࢭࣥࢱ࣮ࡢᴗົ⤫ィୖ“ࡑࡢ௚”࡟ศ㢮ࡉࢀ࡚࠸ࡿ㞀ᐖ⪅ࡢᑵᴗୖ
ࡢㄢ㢟

1998

ㄪᰝ◊✲ሗ࿌᭩Ɋ32㧗ḟ⬻ᶵ⬟㞀ᐖࢆ᭷ࡍࡿ⪅࡟ᑐࡍࡿ⫋ᴗㅮ⩦ࡢᣦᑟᢏἲ࡟㛵ࡍࡿ◊✲1999

ᐇ㊶ሗ࿌᭩Ɋ4㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࡓࡵࡢຠᯝⓗ࡞ᨭ᥼᪉ἲ㸦ᵓ᝿㸧 ̿་Ꮫⓗࣜࣁ࠿ࡽ⫋ሙ᚟ᖐ࡬ࡢ෇⁥࡞ᨭ᥼ࢆ୰ᚰ࡜ࡋ࡚̿

2001

ᐇ㊶ሗ࿌᭩Ɋ9㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿ⫋ሙ᚟ᖐᨭ᥼ ̿⫋ሙ᚟ᖐᨭ᥼ࣉࣟࢢ࣒ࣛ࡟࠾ࡅࡿ㸰ᖺ㛫ࡢᐇ㊶࠿ࡽ̿

2002

ㄪᰝ◊✲ሗ࿌᭩Ɋ52⢭⚄㞀ᐖ⪅➼ࢆ୰ᚰ࡜ࡍࡿ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᢏἲ࡟㛵ࡍࡿ⥲ྜⓗ◊✲㸦୰㛫
ሗ࿌᭩㸧

2003

㈨ᩱࢩ࣮ࣜࢬɊ28⬻ᦆയ⪅ࡢᑵᴗᐃ╔࡟㛵ࡍࡿ◊✲ᐇ㊶ሗ࿌᭩Ɋ11㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿ⫋ሙ᚟ᖐᨭ᥼ ̿⫋ሙ᚟ᖐᨭ᥼ࣉࣟࢢ࣒ࣛ࡟࠾ࡅࡿ஦
ᴗ୺ᨭ᥼㸦஦๓ㄪᰝ㸧࠿ࡽ̿

2004

ㄪᰝ◊✲ሗ࿌᭩Ɋ57⢭⚄㞀ᐖ⪅➼ࢆ୰ᚰ࡜ࡍࡿ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᢏἲ࡟㛵ࡍࡿ⥲ྜⓗ◊✲㸦᭱⤊ሗ࿌᭩㸧ㄪᰝ◊✲ሗ࿌᭩Ɋ58㧗ḟ⬻ᶵ⬟㞀ᐖࢆ᭷ࡍࡿ⪅ࡢᑵᴗࡢࡓࡵࡢᐙ᪘ᨭ᥼ࡢ࠶ࡾ᪉࡟㛵ࡍࡿ◊✲ㄪᰝ◊✲ሗ࿌᭩Ɋ63㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᑵປᨭ᥼ ̿㞀ᐖ⪅⫋ᴗࢭࣥࢱ࣮ࡢ฼⏝ᐇែཬࡧ་⒪ᶵ㛵࡜ࡢ㐃ᦠࡢ⌧≧࡜ㄢ㢟Ɇㄪᰝ◊✲ሗ࿌᭩Ɋ64⢭⚄㞀ᐖ⪅➼ࢆ୰ᚰ࡜ࡍࡿ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᢏἲ࡟㛵ࡍࡿ⥲ྜⓗ◊✲㸦ά⏝⦅㸧ᨭ᥼ࢶ࣮ࣝɊ21-1

ࢺ࣮ࢱࣝࣃࢵࢣ࣮ࢪࡢά⏝ࡢࡓࡵ࡟ ࣮̿࣡ࢡࢧࣥࣉࣝᖥᙇ∧㸦MWS㸧࡜࢘࢕ࢫࢥࣥࢩ࣭࣮ࣥ࢝ࢻࢯ࣮ࢸ࢕ࣥࢢࢸࢫࢺ㸦WCST)ᖥᙇᘧࢆ୰ᚰ࡜ࡋ࡚̿

2005

ᨭ᥼ࢶ࣮ࣝɊ21-2

࣓࣮ࣔࣜࣀ࣮ࢺ

ᐇ㊶ሗ࿌᭩Ɋ13㧗ḟ⬻ᶵ⬟㞀ᐖࢆ⌮ゎࡍࡿࡓࡵ࡟㸦஦౛㞟㸧ᨭ᥼ࢶ࣮ࣝɊ18㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢὀពᶵ⬟᳨ᰝ ̿ࣃࢯࢥࣥ∧ ✵㛫ᛶὀព᳨ᰝ࣭㍍ᗘὀព᳨ᰝ
࣐ࢽࣗ࢔ࣝ̿

2006

2007

ᐇ㊶ሗ࿌᭩Ɋ16㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿ⫋ሙ᚟ᖐᨭ᥼ ̿ᐇ㊶஦౛⦅̿ᐇ㊶ሗ࿌᭩Ɋ18㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿᨭ᥼ࣉࣟࢢ࣒ࣛ̿฼⏝⪅ᨭ᥼ࠊ஦ᴗ୺ᨭ᥼ࡢどⅬ࠿ࡽ̿ᨭ᥼࣐ࢽࣗ࢔ࣝɊ1㧗ḟ⬻ᶵ⬟㞀ᐖࡢ᪉࡬ࡢᑵປᨭ᥼

ㄪᰝ◊✲ሗ࿌᭩Ɋ79㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ㞠⏝ಁ㐍➼࡟ᑐࡍࡿᨭ᥼ࡢ࠶ࡾ᪉࡟㛵ࡍࡿ◊✲ ̿ࢪࣙࣈࢥ
࣮ࢳᨭ᥼ࡢ⌧≧ࠊ་⒪ᶵ㛵࡜ࡢ㐃ᦠࡢㄢ㢟̿

2008

ᐇ㊶ሗ࿌᭩Ɋ21㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿᨭ᥼ࣉࣟࢢ࣒ࣛ ̿ᐙ᪘ᨭ᥼ࡢどⅬ࠿ࡽ̿

2009ㄪᰝ◊✲ሗ࿌᭩Ɋ92㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᑵᴗࡢ⥅⥆ࢆྍ⬟࡜ࡍࡿせᅉ࡟㛵ࡍࡿ◊✲2010

ㄪᰝ◊✲ሗ࿌᭩Ɋ93≉ูࡢ㓄៖ࢆᚲせ࡜ࡍࡿ㞀ᐖ⪅ࢆᑐ㇟࡜ࡋࡓࠊᑵປᨭ᥼ᶵ㛵➼࠿ࡽ஦ᴗᡤ࡬ࡢ⛣⾜ẁ㝵࡟࠾ࡅࡿᑵ⫋࣭᚟⫋ࡢࡓࡵࡢᨭ᥼ᢏἲࡢ㛤Ⓨ࡟㛵ࡍࡿ◊✲ㄪᰝ◊✲ሗ࿌᭩Ɋ96ⱝᖺᛶㄆ▱⑕⪅ࡢᑵປ⥅⥆࡟㛵ࡍࡿ◊✲ᨭ᥼ࢶ࣮ࣝɊ32࣮࣡ࢡࢧࣥࣉࣝᖥᙇ∧ ̿MWS ࡢά⏝ࡢࡓࡵ࡟̿

11− 11 −


2010ᨭ᥼࣐ࢽࣗ࢔ࣝɊ5㧗ḟ⬻ᶵ⬟㞀ᐖࡢ᪉࡬ࡢᑵປᨭ᥼ ̿⫋ሙ᚟ᖐᨭ᥼ࣉࣟࢢ࣒ࣛ࡟࠾ࡅࡿࢢ࣮ࣝࣉ
࣮࣡ࢡ̿

2011

ㄪᰝ◊✲ሗ࿌᭩Ɋ99㧗ḟ⬻ᶵ⬟㞀ᐖ࣭Ⓨ㐩㞀ᐖࡢ࠶ࡿ⪅ࡢ⫋ᴗ⏕ά࡟࠾ࡅࡿᨭ᥼ࡢᚲせᛶ࡟ᛂࡌࡓ㞀ᐖㄆᐃࡢ࠶ࡾ᪉࡟㛵ࡍࡿᇶ♏ⓗ◊✲ㄪᰝ◊✲ሗ࿌᭩Ɋ104ኻㄒ⑕ࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿᑵປᨭ᥼ࡢ࠶ࡾ᪉࡟㛵ࡍࡿᇶ♏ⓗ◊✲㈨ᩱࢩ࣮ࣜࢬɊ59ㄆ▱࡟㞀ᐖࡢ࠶ࡿ㞀ᐖ⪅ࡢ⮬ᕫ⌮ゎಁ㐍ࡢࡓࡵࡢᨭ᥼ᢏἲ࡟㛵ࡍࡿㄪᰝ◊✲ᨭ᥼ࢶ࣮ࣝɊ34ㄆ▱࡟㞀ᐖࡢ࠶ࡿே࡟ᑐࡍࡿ┦ㄯ⿵ຓࢩ࣮ࢺ

ᨭ᥼ࢶ࣮ࣝɊ37ኻㄒ⑕ࡢ࠶ࡿேࡢ㞠⏝ᨭ᥼ࡢࡓࡵ࡟… ஦ᴗ୺࡜ኻㄒ⑕ࡢ࠶ࡿேࡢࡓࡵࡢ㞠⏝ᨭ
᥼࢞࢖ࢻ

2012

ㄪᰝ◊✲ሗ࿌᭩Ɋ111

ⱝᖺᛶㄆ▱⑕⪅ࡢᑵປ⥅⥆࡟㛵ࡍࡿ◊✲ II

ᐇ㊶ሗ࿌᭩Ɋ25㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿ⫋ሙ᚟ᖐᨭ᥼ ̿ኻㄒ⑕ࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡬ࡢ
ᨭ᥼̿

2013

ᨭ᥼࣐ࢽࣗ࢔ࣝɊ11㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࡓࡵࡢᑵປᨭ᥼ ̿ᑐ㇟⪅ᨭ᥼⦅̿2014ㄪᰝ◊✲ሗ࿌᭩Ɋ121㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢാࡁ᪉ࡢ⌧≧࡜௒ᚋࡢᨭ᥼ࡢ࠶ࡾ᪉࡟㛵ࡍࡿ◊✲2015

ᐇ㊶ሗ࿌᭩Ɋ28㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࡓࡵࡢ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᑟධࣉࣟࢢ࣒ࣛࡢヨ⾜ᐇ᪋≧ἣ࡟ࡘ࠸࡚ ̿㸱ᖺ㛫ࡢྲྀ⤌ࢆ࡜࠾ࡋ࡚̿

2016

2017

ㄪᰝ◊✲ሗ࿌᭩Ɋ129㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢാࡁ᪉ࡢ⌧≧࡜௒ᚋࡢᨭ᥼ࡢ࠶ࡾ᪉࡟㛵ࡍࡿ◊✲ϩᨭ᥼ࢶ࣮ࣝɊ50ⱝᖺᛶㄆ▱⑕ࢆⓎ⑕ࡋࡓேࡢᑵປ⥅⥆ࡢࡓࡵ࡟ᨭ᥼࣐ࢽࣗ࢔ࣝɊ14㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࡓࡵࡢᑵປᨭ᥼ ̿་⒪ᶵ㛵࡜ࡢ㐃ᦠ⦅̿

ᐇ㊶ሗ࿌᭩Ɋ30グ᠈㞀ᐖࢆ᭷ࡍࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ⿵᏶ᡭẁ⩦ᚓࡢࡓࡵࡢᨭ᥼ͤ ⾲㸯࡟ᣲࡆࡓห⾜≀ࡣࡍ࡭࡚ᙜᶵᵓ࢙࢘ࣈࢧ࢖ࢺ࡛බ㛤ࡋ࡚࠸ࡿ㸦http://www.nivr.jeed.or.jp/㸧ࠋͤ ࠕᨭ᥼ࢶ࣮ࣝࠖࡣࠊୖグ࢙࢘ࣈࢧ࢖ࢺ࡟࡚ࠕྛ✀ᩍᮦࠊࢶ࣮ࣝࠊ࣐ࢽࣗ࢔ࣝ➼ࠖ࡜ࡋ࡚ᣲࡆ࡚࠸ࡿࡶࡢࢆᣦࡍࠋ

64%᝟ືࢥࣥࢺ࣮ࣟࣝࡢ㞀ᐖᑐே㛵ಀࡢ㞀ᐖ33%

ពḧ㺃Ⓨືᛶࡢపୗ

33%

ᅛᇳ

27%

౫Ꮡⓗ⾜ື

7%

ࡑࡢ௚

7%

ヱᙜ࡞ࡋ

18%
㻜㻑

㻞㻜㻑

㻠㻜㻑

㻢㻜㻑

㻤㻜㻑

㻝㻜㻜㻑

ᅗ㸯ᆅᇦ㞀ᐖ⪅⫋ᴗࢭࣥࢱ࣮ࡢ㞀ᐖ⪅⫋ᴗ࢝࢘ࣥࢭ࣮ࣛࡀᨭ᥼࡟ⱞ៖ࡍࡿ༳㇟ࡢ࠶ࡿ㞀ᐖ≉ᛶ㸦」ᩘᅇ⟅࠶ࡾ㸧ͤㄪᰝ◊✲ሗ࿌᭩Ɋ129㸦㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮ࠊ2016a㸧ࠊp.45 ࡼࡾ㌿㍕

12

− 12 −

㸦㸳㸧ᮏㄪᰝ◊✲ࡢ┠ⓗ௨ୖࡼࡾࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟࠾࠸࡚♫఍ⓗ⾜ື㞀ᐖࡣ㢖ᗘࡢ㧗࠸⑕≧࡛࠶ࡾࠊ⫋ᴗ⏕ά࡟኱ࡁࡃᙳ㡪ࡍࡿࡇ࡜ࡀ⪃࠼ࡽࢀࡿࠋ♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡍࡿ⫋ᴗୖࡢㄢ㢟࡟ࡘ࠸࡚ࠊ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮ࡣࡇࢀࡲ
࡛࠸ࡃࡘ࠿ࡢྲྀ⤌ࢆ⾜ࡗ࡚ࡁࡓࡀࠊᨭ᥼⌧ሙ࡟ࡣ᭦࡞ࡿᢏἲ㛤Ⓨ࡬ࡢࢽ࣮ࢬࡀ࠶ࡿࠋࡇࡢ≧ἣࢆ㋃ࡲ࠼ࠊ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮⫋ᴗࢭࣥࢱ࣮㸦ᢏἲ㛤Ⓨ㒊㛛㸧࡛ࡣࠊ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ⫋ᴗୖࡢㄢ㢟࡟ᑐࡍࡿຠᯝⓗ࡞ᑵປᨭ᥼ᢏἲࡢ㛤Ⓨࢆィ⏬ࡋ࡚࠸ࡿࠋ
ᮏㄪᰝ◊✲ࡣࠊ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮⫋ᴗࢭࣥࢱ࣮ࡢせㄳ࡟ᇶ࡙ࡁࠊᨭ᥼ᢏἲ㛤Ⓨࡢᇶ♏㈨ᩱ࡜ࡍࡿࡓ
ࡵࠊ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼ᢏἲ࡟㛵ࡍࡿ᝟ሗࢆ཰㞟ࡍࡿࡶࡢ࡛࠶ࡿࠋࡑࡢ┠ⓗ࡟ຍ࠼ࠊᚓࡽࢀࡓ᝟ሗࢆᩚ⌮ࡋ࡚ሗ࿌᭩࡜ࡋ࡚ห⾜ࡍࡿࡇ࡜࡟ࡼࡾࠊᗈࡃ⫋ᴗࣜࣁᨭ᥼ࡢᐇ㊶ࡢཧ⪃࡟㈨ࡍࡿࡇ
࡜ࢆ┠ᣦࡋࡓࠋ

13− 13 −



14

➨䠎❶
ᩥ⊩ㄪᰝ



➨㸰❶ ᩥ⊩ㄪᰝ➨㸯⠇ ᩥ⊩ㄪᰝࡢ᪉ἲ
๓❶࡛㏙࡭ࡓ┠ⓗࢆ㋃ࡲ࠼ࠊࡇࢀࡲ࡛࡟⫋ᴗࣜࣁ࡜ࡑࡢ㛵㐃㡿ᇦ࡛࠶ࡿ་⒪ࡸ⚟♴ศ㔝࡟࠾࠸࡚⾜ࢃࢀ࡚ࡁࡓࠊ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟㛵ࡍࡿ◊✲ࢆ୰ᚰ࡟ᩥ⊩ㄪᰝࢆ⾜࠺ࡇ࡜࡜ࡋࡓࠋᑐ㇟࡜ࡋ
ࡓᩥ⊩ࡣࠊ࠾࠾ࡴࡡ 2000 ᖺ௨㝆࡟ฟ∧ࡉࢀࡓ᪥ᮏㄒᩥ⊩࡜ⱥㄒᩥ⊩࡛ࠊᡂேᮇࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅㸦⬻ᦆയ⪅㸧ࡢ♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡍࡿ⑕≧ࡸㄢ㢟ࠊࡑࡢ἞⒪ཬࡧᨭ᥼ࢆྲྀࡾᢅ࠺ࡶࡢ࡜ࡋࡓࠋ⫋ᴗࣜࣁᚑ஦⪅ࡢཧ⪃࡟㈨ࡍࡿ࡜࠸࠺ᮏㄪᰝ◊✲ࡢ┠ⓗ࠿ࡽࠊ௓ධ࡟ࡘ࠸࡚ࡣ⸆≀⒪ἲ௨እࡢ௓ධࢆ୰ᚰ࡜ࡋࡓࠋࡲࡓࠊᑠ
ඣࢆᑐ㇟࡜ࡋࡓ◊✲ࡸ㧗㱋ᮇࡢㄆ▱⑕⪅ࢆᑐ㇟࡜ࡋࡓ◊✲ࠊࡲࡓࠊᮏ㑥࡛ࡣ୍⯡ⓗ࡛ࡣ࡞࠸㏥ᙺ㌷ேࢆᑐ㇟࡜ࡋࡓ◊✲࡟ࡘ࠸࡚ࡣᑐ㇟እ࡜ࡋࡓࠋ
᪥ᮏㄒᩥ⊩ࡢ཰㞟࡟࠶ࡓࡗ࡚ࡣࠊࠕ♫఍ⓗ⾜ື㞀ᐖࠖࠕ⾜ື࡜ឤ᝟ࡢ㞀ᐖࠖࠕ⾜ື࡜᝟⥴ࡢ㞀ᐖࠖࢆ࣮࣮࢟࣡
ࢻ࡟Ꮫ⾡ࢹ࣮ࢱ࣮࣋ࢫ㸦CiNii ཬࡧ Google Scholar㸧ࢆ᳨⣴ࡋࡓ௚ࠊ㛵㐃Ꮫ఍ࡢᐃᮇห⾜≀࡛࠶ࡿࠕ㧗ḟ⬻ᶵ⬟◊✲ࠖࠊࠕ⚄⤒ᚰ⌮Ꮫࠖ
ࠕసᴗ⒪ἲࠖཬࡧࠕ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࠖࡢࣂࢵࢡࢼࣥࣂ࣮ࡢㄽᩥࢱ࢖ࢺࣝࢆ
ཧ↷ࡋࠊ㛵㐃ࡀ῝࠸࡜⪃࠼ࡽࢀࡿᩥ⊩ࢆ཰㞟ࡋࡓࠋࡑࡇ࡛ぢ࠸ࡔࡉࢀࡓᩥ⊩ࡢⴭ⪅ྡࡸ࣮࣮࢟࣡ࢻࢆඖ࡟᭦
࡟᳨⣴ࢆ⾜࠸ࠊࡲࡓࠊᚲせ࡟ᛂࡌ࡚ࡑࢀࡽࡢᘬ⏝ᩥ⊩ࢆ཰㞟ࡍࡿࠊࠕ㞷ࡔࡿࡲᘧࠖ
㸦኱ᮌ㸪2013㸧ࡢᩥ⊩཰㞟ࢆ⾜ࡗࡓࠋⱥㄒᩥ⊩ࡢ཰㞟࡟࠶ࡓࡗ࡚ࡣࠊࠕhigher brain dysfunction㸦㧗ḟ⬻ᶵ⬟㞀ᐖ㸧ࠖཬࡧࠕsocial behavioral
disorder㸦♫఍ⓗ⾜ື㞀ᐖ㸧ࠖࡢ࠸ࡎࢀࡶ᪥ᮏ࡛⊂⮬࡟ᬑཬࡋ࡚࠸ࡿ⏝ㄒ࡜࠸࠺㠃ࡀ࠶ࡾ㸦㙊಴㸪2010a㸹ᶫᮏ㸪2012㸧ࠊࡇࢀࡽࢆᡭࡀ࠿ࡾ࡟ⱥㄒᩥ⊩ࢆ᳨⣴ࡍࡿࡇ࡜ࡣຠ⋡ⓗ࡛ࡣ࡞࠸࡜⪃࠼ࡓࠋࡑࡇ࡛ࠊ᪥ᮏㄒᩥ⊩ࡢㄪᰝ࡟࠾࠸࡚ぢฟࡉࢀࡓ⥲ㄝཬࡧゎㄝグ஦㸦Ώ㑓㸪2013㸹Ώ㑓㸪2015㸹ᒣ㔛㸪2016㸧ཬࡧᡂ᭩㸦᪥ᮏ⬻༞୰Ꮫ఍⬻༞୰࢞࢖ࢻࣛ࢖ࣥጤဨ఍㸪2015㸧࡟࠾࠸࡚ࠊ♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡋ࡚ᘬ⏝ࡉࢀࡓⱥㄒᩥ⊩ࡢࢱ࢖ࢺࣝࡸ࣮࣮࢟࣡ࢻ࡟ྵࡲࢀࡿㄒ㸦brain injury, stroke, behaviour disorder, emotional processing, emotion
perception, social skills, social communication skills, behavioural intervention, behavior therapy,
intervention, rehabilitarion, psychotherapy㸧࡟ࠊ௒ᅇࡢㄪᰝࡢ┠ⓗ࡜≉࡟㛵㐃ࡀ῝࠸࡜⪃࠼ࡽࢀࡓㄒ
㸦anger, aggression, challenging behavior, apathy, depression㸧ࢆຍ࠼ࠊࡇࢀࡽࢆ࣮࣮࢟࣡ࢻ࡟Ꮫ⾡ࢹ࣮ࢱ
࣮࣋ࢫ㸦PsycBITE ཬࡧ Google Scholar㸧ࢆ᳨⣴ࡋࡓࠋࡲࡓࠊୖグࡢⱥㄒᩥ⊩ࡀᥖ㍕ࡉࢀࡓᏛ⾡ㄅ㸦Archivesof Physical Medicine and Rehabilitation, Brain Injury, Journal of Head Trauma Rehabilitation㸧ཬࡧ㛵㐃ศ㔝ࡢᏛ⾡ㄅ㸦Disability and Rehabilitation, Journal of Vocational Rehabilitation㸧ࡢࣂࢵࢡࢼࣥࣂ࣮
ࢆཧ↷ࡋࠊ㛵㐃ࡀ῝࠸࡜⪃࠼ࡽࢀࡿᩥ⊩ࢆ཰㞟ࡋࡓࠋࡑࡢୖ࡛ࠊ᪥ᮏㄒᩥ⊩࡜ྠᵝ࡟ࠕ㞷ࡔࡿࡲᘧࠖ
㸦኱ᮌ㸪
2013㸧ࡢᩥ⊩཰㞟ࢆ⾜ࡗࡓࠋ௨ୖࡢࡼ࠺࡞᪉ἲࢆ࡜ࡗࡓࡇ࡜࠿ࡽࠊ඲య࡜ࡋ࡚⣔⤫ⓗ࡛ࡣ࡞ࡃࠊ⥙⨶ⓗ࡛࠶ࡿ࡜ࡶゝ࠼࡞࠸ࡀࠊ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ⑕≧ࡸㄢ㢟ࠊ἞⒪ཬࡧᨭ᥼࡟㛵㐃ࡍࡿᩥ⊩ࢆ࡛ࡁࡿࡔࡅᗈࡃ཰㞟ࡋࠊ⌧ᅾࡲ࡛ࡢඛ⾜◊✲ࢆᴫほࡋࡓࠋ15− 15 −

➨㸰⠇ ᩥ⊩ㄪᰝࡢ⤖ᯝᮏ❶࡛ࡣࠊ♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡍࡿ⑕≧ࡸㄢ㢟ࢆࠊ㸦㸯㸧♫఍ⓗㄆ▱ࡢ㞀ᐖࠊ㸦㸰㸧ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ
ࡢ㞀ᐖࠊ㸦㸱㸧࠺ࡘࠊ୙Ᏻࠊ
㸦㸲㸧ᛣࡾࠊᨷᧁⓗ⾜ືࠊ㸦㸳㸧Ⓨືᛶࡢపୗࡢ㸳ࡘ࡟ศ㢮ࡋ࡚グ㍕ࡍࡿࠋࡇࢀࡣࠊ
௒ᅇ཰㞟ࡋࡓඛ⾜◊✲࡟࠾ࡅࡿࢸ࣮࣐タᐃࡢഴྥࡸෆᐜࡢࡲ࡜ࡲࡾ࠿ࡽ౽ᐅⓗ࡟༊ศࡋࡓࡶࡢ࡛࠶ࡿࠋ
ྛ⑕≧ࡸㄢ㢟ࠊ἞⒪ཬࡧᨭ᥼࡟㛵㐃ࡍࡿඛ⾜◊✲ࢆᴫほࡋࡓୖ࡛ࠊຠᯝࡀ࠶ࡗࡓ࡜ࡍࡿ௓ධ◊✲ࢆᩘ౛ࡎࡘ⤂௓ࡍࡿࠋ௓ධ◊✲஦౛࡟ࡘ࠸࡚ࡣࠊᅜෆ࡛⾜ࢃࢀࡓ◊✲࡟ࡘ࠸࡚ࡶ࡛ࡁࡿࡔࡅ⤂௓ࡍࡿࡼ࠺ດࡵࡓࡀࠊ
ㄽᩥ࡜ࡋ࡚Ⓨ⾲ࡉࢀࡓ◊✲ࡢᩘࡀ㝈ࡽࢀ࡚࠾ࡾࠊ⤖ᯝ࡜ࡋ࡚⡿ᅜࡸ࣮࢜ࢫࢺࣛࣜ࢔ࠊḢᕞ࡟࠾࠸࡚⾜ࢃࢀࡓ◊✲ࡀ୰ᚰ࡜࡞ࡗࡓࠋࡲࡓࠊእയᛶ⬻ᦆയ⪅ࢆᑐ㇟࡜ࡋࡓ◊✲ࡀከࡃࠊእയᛶ௨እࡢ⬻ᦆയ⪅ࢆᑐ㇟࡜ࡋࡓ
◊✲ࡣ┦ᑐⓗ࡟ᑡ࡞࠸⤖ᯝ࡜࡞ࡗࡓࠋ
ࡲࡓࠊ㸦㸯㸧㹼㸦㸳㸧ࡢ௚࡟ࠊࡇࢀࡽࡢ࠸ࡎࢀ࠿ࡢ⑕≧࡬ࡢ௓ධ᪉ἲ࡜ࡋ࡚ࡣ఩⨨࡙ࡅࡀࡓ࠸⥲ྜⓗ࡞ᨭ᥼ࣉࣟࢢ࣒࡛ࣛ࠶ࡿࠕໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࠖࢆ㸦㸴㸧࡜ࡋ࡚グ㍕ࡋࡓࠋ㸦㸯㸧♫఍ⓗㄆ▱ࡢ㞀ᐖ࢔㸬ᴫせ࣭Ⓨ⏕㢖ᗘ➼ McDonald (2013) ࡟ࡼࡿ࡜ࠊ♫఍ⓗㄆ▱㸦social cognition㸧࡜ࡣࠊ௚⪅ࡢ⾜ື࡟ᑐࡋ࡚♫఍ⓗ࡟㐺ษ࡟ᛂ⟅ࡍࡿࡓࡵ࡟ࠊ௚⪅ࡢ⾜ືࡢ⫼ᚋ࡟࠶ࡿព࿡ࡸពᅗࢆ᥎

ࡍࡿ♫఍ⓗᡭࡀ࠿ࡾࢆ౑࠺⬟ຊࡢࡇ࡜ࢆᣦࡍࠋࡇ

ࡢ⬟ຊ࡟ࡣࠊ㢦ࡢ⾲᝟ࡸኌࡢㄪᏊࠊࡋࡄࡉ࠿ࡽ௚⪅ࡢឤ᝟ࢆㄆ㆑ࡍࡿࠕឤ᝟ࡢㄆ▱㸦emotion perception㸧ࠖࠊ⾜ືࡢ⫼ᚋ࡟࠶ࡿ௚⪅ࡢᛮ⪃ࡸពᅗࢆุ᩿ࡍࡿࠕᚰࡢ⌮ㄽ㸦Theory of Mind㸧ࠖࠊ௚⪅ࡢ❧ሙ࠿ࡽ≀஦ࢆぢࡿࠕㄆ▱ⓗඹឤ㸦cognitive empathy㸧ࠖࠊ௚⪅࡜ឤ᝟ࢆศ࠿ࡕྜ࠺ࠕ᝟ືⓗඹឤ㸦affective empathy㸧ࠖࡀྵࡲࢀࡿࠋඹឤ㸦empathy㸧࡟ࡣࠊ⮬ศ⮬㌟ࢆㄆ㆑ࡋࠊ⮬ᕫࡢឤ᝟࡜௚⪅ࡢឤ᝟ࢆ༊ู࡛ࡁࡿࡇ࡜ࡀᚲせ࡜ࡉࢀࡿ (McDonald, 2017)ࠋ
እയᛶ⬻ᦆയࡸ⬻⾑⟶㞀ᐖ࡞࡝ࡢ⬻ᦆയ࡟ࡼࡗ࡚♫఍ⓗㄆ▱ࡢ㞀ᐖࡀ⏕ࡌࡿࡇ࡜ࡣࠊᵝࠎ࡞◊✲࡟ࡼࡾ᫂ࡽ࠿࡟ࡉࢀ࡚࠸ࡿ (Bornhofen & McDonald, 2008a; Cassel, McDonald, Kelly, & Togher, 2016; Hamilton,
Radlak, Morris, & Phillips, 2017; McDonald, 2013)ࠋࡲࡓࠊ♫఍ⓗㄆ▱ࡢ㞀ᐖࡣࠊ኱⬻ࡢᕥ༙⌫ࡼࡾࡶྑ༙
⌫ࡢᦆയ࡛⏕ࡌࡸࡍ࠸ࡇ࡜ (Hamilton, Radlak, Morris, & Phillips, 2017)ࠊ⾲᝟ࡢㄆ▱࡟ࡘ࠸࡚ࡣࠊᛌឤ᝟
ࡼࡾࡶࠊᝒࡋࡳࠊᛣࡾࠊᜍᛧ࡜࠸ࡗࡓ୙ᛌឤ᝟ࡢ᪉ࡀࡼࡾᅔ㞴࡟࡞ࡾࡸࡍ࠸ࡇ࡜ (Radice-Neumann, Zupan,
Babbage, & Willer, 2007) ࡞࡝ࠊ㞀ᐖࡢヲ⣽࡟ࡘ࠸࡚ࡶ᫂ࡽ࠿࡟ࡉࢀࡘࡘ࠶ࡿࠋ
⬻ᦆയࡢ࠶ࡿேࡢ࠺ࡕࠊ࡝ࡢ⛬ᗘࡢ๭ྜࡢே࡟♫఍ⓗㄆ▱ࡢ㞀ᐖࡀ⏕ࡌࡿࡢ࠿ࡣࠊ༑ศ࡟᫂☜࡟ࡣ࡞ࡗ࡚
࠸࡞࠸ (Cassel et al., 2016)ࠋㄪᰝࡢ୍౛࡜ࡋ࡚ࠊKelly, McDonald, & Frith (2017) ࡀእയᛶ⬻ᦆയ⪅ࡢ἞⒪ࢆ⾜࠺⮫ᗋᐙ㸦ᚰ⌮ኈࠊゝㄒ⒪ἲኈࠊసᴗ⒪ἲኈ࡞࡝㸧ࢆᑐ㇟࡟⾜ࡗࡓᅜ㝿ⓗㄪᰝࢆᣲࡆࡿ࡜ࠊᅇ⟅⪅ 443
ྡ୰ 84㸣ࡀࠊ⮬㌟ࡢᢸᙜࡍࡿ㔜ᗘࡢእയᛶ⬻ᦆയ⪅ࡢ༙ᩘ௨ୖ࡟♫఍ⓗㄆ▱ࡢ㞀ᐖࡀぢࡽࢀࡿ࡜ᅇ⟅ࡋࠊ37㸣ࡀ⮬㌟ࡢᢸᙜࡍࡿ㍍ᗘ㹼୰➼ᗘࡢእയᛶ⬻ᦆയ⪅ࡢ༙ᩘ௨ୖ࡟♫఍ⓗㄆ▱ࡢ㞀ᐖࡀぢࡽࢀࡿ࡜ᅇ⟅ࡋࡓࠋ♫఍ⓗㄆ▱ࡢ㞀ᐖࡣࠊ௚⪅࡜ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢆࡣࡌࡵ࡜ࡍࡿ♫఍ⓗ⾜ື࡟㈇ࡢᙳ㡪ࢆ୚࠼ (Byom& Turkstra, 2011; May, et al., 2017; Watts & Douglas, 2006)ࠊࡑࡢ⤖ᯝ࡜ࡋ࡚ᑵປ࡞࡝ࡢ♫఍ཧຍ࡟㈇ࡢ
ᙳ㡪ࢆ୚࠼ࡿࡇ࡜ࡀᣦ᦬ࡉࢀ࡚࠸ࡿ (Knox & Douglas, 2009; Struchen, et al., 2008; Yeates, et al., 2016)ࠋ
་⒪ࣜࣁࡢ㡿ᇦ࡟࠾࠸࡚ࠊ⬻ᦆയ⪅࡟♫఍ⓗㄆ▱ࡢ㞀ᐖࡀぢࡽࢀࡿࡇ࡜ࡣㄆ㆑ࡉࢀ࡚࠸ࡿࡀࠊ㏻ᖖࡢ⮫ᗋάື࡟࠾࠸࡚ヲ⣽࡞ホ౯ࡀ࠸ࡘࡶ⾜ࢃࢀ࡚࠸ࡿ࡜ࡣゝ࠼࡞࠸ࡼ࠺࡛࠶ࡿࠋ๓㏙ࡢ Kelly et al. (2017) ࡢㄪᰝ࡛ࡣࠊᢸᙜᝈ⪅ࡢ⾲᝟࠿ࡽࡢឤ᝟ࡢㄞࡳྲྀࡾ⬟ຊ࡟ࡘ࠸࡚ࠊ᪥ᖖⓗ࡟ホ౯ࢆᐇ᪋ࡋ࡚࠸ࡿ࡜⟅࠼ࡓᅇ⟅⪅ࡣ
16− 16 −


඲యࡢ 9.4㸣ࠊᚰࡢ⌮ㄽ࡟ࡘ࠸࡚ࡣ 3.6㸣ࡢࡳ࡛࠶ࡗࡓࠋホ౯ࡀ⾜ࢃࢀࡿሙྜ࡟࠾࠸࡚ࡶࠊᶆ‽໬ࡉࢀࡓ᳨ᰝ
ࡀ౑⏝ࡉࢀࡿ๭ྜࡣప࠿ࡗࡓࠋ
࢖㸬௓ධ
Cassel et al. (2016) ࡟ࡼࡿ࡜ࠊእയᛶ⬻ᦆയ⪅࡟࠾࠸࡚♫఍ⓗㄆ▱ࡢ㞀ᐖࡀ⏕ࡌࡿࡇ࡜ࡣ 40 ᖺ⛬๓࠿ࡽ▱ࡽࢀ࡚࠾ࡾࠊ㐣ཤ 10 ᖺ⛬࡛㞀ᐖࡢ࣓࢝ࢽࢬ࣒ࡸホ౯ἲ࡟ࡘ࠸࡚ࡢ◊✲ࡀ㐍ࢇࡔࡀࠊ἞⒪࡟㛵ࡍࡿ◊✲ࡣ❧ࡕᚋࢀ࡚࠸ࡿࠋලయⓗ࡟ࡣࠊグ᠈㞀ᐖࡸὀព㞀ᐖ࡜࠸ࡗࡓ௚ࡢ⑕≧࡬ࡢ἞⒪࡜ẚ࡭࡚◊✲ࡢᩘࡀᑡ࡞ࡃࠊ
ࡲࡓࠊ⤫ྜኻㄪ⑕ࡸ⮬㛢⑕࡞࡝࡟ࡼࡿ♫఍ⓗㄆ▱ࡢ㞀ᐖ࡜ẚ࡭࡚ࡶ⬻ᦆയ⪅ࡢ♫఍ⓗㄆ▱ࡢ㞀ᐖࡢ἞⒪࡟㛵ࡍࡿ◊✲ࡣᑡ࡞࠸ࠋࡉࡽ࡟ࠊእയᛶ⬻ᦆയ⪅ࡢ♫఍ⓗㄆ▱࡟㛵ࡍࡿ௓ධ◊✲࡛ࡣࠊ㢦ࡢ⾲᝟࠿ࡽࡢឤ᝟ࡢㄞ
ࡳྲྀࡾ࡟↔Ⅼࡀᙜ࡚ࡽࢀࡿࡇ࡜ࡀከࡃࠊࡑࡢ௚ࡢ♫఍ⓗㄆ▱࡟ࡘ࠸࡚ࡣ࡯࡜ࢇ࡝◊✲ࡉࢀ࡚࠸࡞࠸ࠋ
Roelofs, Wingbermühle, Egger, & Kessels (2016) ࡀࠊ2003㹼2015 ᖺ࡟Ⓨ⾲ࡉࢀࡓ♫఍ⓗㄆ▱ࡢ㞀ᐖ࡬ࡢ௓ධ◊✲ࢆ⣔⤫ⓗ࡞᪉ἲ᳨࡛⣴ࡋࡓ࡜ࡇࢁࠊ41 ௳ࡢ◊✲ࡀぢࡘ࠿ࡾࠊࡑࡢ࠺ࡕ⬻ᦆയ⪅ࢆᑐ㇟࡜ࡋࡓ◊✲ࡣ㸴௳࡛࠶ࡗࡓࠋ௓ධࡢຠᯝࡀሗ࿌ࡉࢀ࡚࠸ࡓࡢࡣࡑࡢ࠺ࡕ㸲௳࡛࠶ࡗࡓࠋຠᯝࡀ࠶ࡗࡓ࡜ࡍࡿ㸲௳ࡢ࠺ࡕ㸱௳ࡢ◊✲࡟ࡘ࠸࡚௨ୗ࡟ᴫせࢆ⤂௓ࡍࡿࠋṧࡾࡢ㸯௳㸦McDonald et al., 2008㸧࡟ࡘ࠸࡚ࡣࠊḟ㡯ࠕ㸦㸰㸧ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖ࡛ࠖྲྀࡾᢅ࠺ࠋ࡞࠾ࠊୗグ㸱௳ࡢ࠺ࡕ㸰௳ࡣྠ୍ࡢⴭ⪅ࡽ࡟ࡼࡿ◊✲࡛࠶ࡿࡓࡵࠊ
ࡲ࡜ࡵ࡚⤂௓ࡍࡿࠋຍ࠼࡚ࠊୖグࡢ㸴௳࡟ࡣྵࡲࢀ࡚࠸࡞࠸ࡀࠊ᪥ᮏᅜෆ࡛⾜ࢃࢀࡓ◊✲ࢆ㸯௳⤂௓ࡍࡿࠋ㸦࢔㸧Bornhofen & McDonald (2008b; 2008c) ୍ࡘ┠ࡢ◊✲ࡣࠊ㔜ᗘࡢእയᛶ⬻ᦆയࡢᚋࠊᖹᆒ㸵ᖺ㸷࠿᭶⤒㐣ࡋࡓᡂேࡢእ᮶ᝈ⪅ 12 ேࢆᑐ㇟࡟ᐇ᪋
ࡉࢀࡓࠋཧຍ⪅ࡣࠊ⮬ᕫホ౯ࡲࡓࡣ⮫ᗋᐙ࡟ࡼࡿホ౯࡟࠾࠸࡚ࠊ㛗ᮇ࡟Ώࡿ♫఍ⓗᅔ㞴ࡸᏙ❧ࠊ♫఍ⓗ࡞ࡸࡾ࡜ࡾ࡟࠾ࡅࡿ୙ჾ⏝ࡉࠊ♫఍ⓗᡭࡀ࠿ࡾ࡬ࡢẼ࡙ࡁࡢᙅࡉ࡞࡝ࡀぢࡽࢀࡿேࡓࡕ࡛࠶ࡗࡓࠋཧຍ⪅ࢆ௓ධ⩌࡜ᑐ↷⩌࡟↓సⅭ࡟๭ࡾ௜ࡅࡓᚋࠊ௓ධ⩌࡟ᑐࡋ࡚ࡣࠊ㸰㹼㸱ேࡢᑠࢢ࣮ࣝࣉ࡛ࠊ1.5 ᫬㛫ࡢࢭࢵࢩࣙࣥ
ࢆ㐌㸰ᅇࠊ㸶㐌㛫࡟Ώࡗ࡚⾜ࡗࡓࠋࢭࢵࢩ࡛ࣙࣥࡣࠊ⥺⏬ࡸ෗┿࠿ࡽᇶᮏⓗ࡞ឤ᝟ࢆ༊ูࡍࡿㄢ㢟࡟ጞࡲࡾࠊ
ື⏬ࡸ࣮ࣟࣝࣉࣞ࢖ࢆ౑ࡗ࡚ឤ᝟ࢆุ᩿ࡍࡿㄢ㢟ࠊࡑࡋ࡚ࠊヰ⪅ࡀ⓶⫗ࡸბࢆゝࡗ࡚࠸ࡿࡇ࡜ࢆุ᩿ࡍࡿㄢ
㢟࡜ࠊẁ㝵ⓗ࡟」㞧࡞ㄢ㢟ࡀㄢࡏࡽࢀࡓࠋࡇࢀࡽࡣࠊཧຍ⪅ࡢពḧࢆ⥔ᣢࡍࡿࡓࡵ࡟ࢤ࣮࣒ᙧᘧ࡛⾜ࢃࢀࡓࠋຠᯝᐃࡣࠊ㢦෗┿ࢆぢ࡚ឤ᝟ࢆุ᩿ࡍࡿ᳨ᰝ㸦Facial Expressin Naming Task ཬࡧ Facial Expression

Matching Task㸧ࡸື⏬ࢆぢ࡚ឤ᝟ࢆุ᩿ࡍࡿ᳨ᰝ㸦Awareness of Social Inference Test: TASIT ࡢ part1㸧ࠊື⏬ࡢ୰ࡢⓎゝࡢ⓶⫗ࡸბࢆุ᩿ࡍࡿ᳨ᰝ㸦TASIT ࡢ part2 ཬࡧ part3㸧ࠊᚰ⌮♫఍ⓗ࡞ၥ㢟࡟㛵ࡍࡿ㉁ၥ
⣬㸦Sydney Psychosocial Reintegration Scale, Current Status-Self Ratings㸧ࢆ⏝࠸࡚⾜ࢃࢀࡓࠋ௓ධ๓ᚋ
ཬࡧࢢ࣮ࣝࣉ㛫ࡢẚ㍑ࢆ⾜ࡗࡓ࡜ࡇࢁࠊ௓ධ⩌࡟࠾࠸࡚ TASIT ࡢ Part1 ཬࡧ Part3 ࡢᚓⅬࡀ⤫ィⓗ࡟᭷ព࡟ᨵၿࡋ࡚࠸ࡓࠋⴭ⪅ࡽࡣࠊᑡேᩘࢆᑐ㇟࡜ࡋࡓ◊✲ࡢࡓࡵ㝈⏺ࡀ࠶ࡿ࡜ࡋ࡞ࡀࡽࡶࠊ௓ධࡀཧຍ⪅ࡢឤ᝟ࡢㄆ▱ࢆᨵၿࡉࡏࡓ࡜⤖ㄽ࡙ࡅࡓࠋ
஧ࡘ┠ࡢ◊✲࡛ࡣࠊឤ᝟ࡢㄆ▱࡬ࡢ௓ධࢆ⾜࠺ୖ࡛ࠊㄗࡾ࡞ࡋᏛ⩦㸦errorless learning㸧4࡜⮬ᕫᩍ♧ἲ㸦self-instruction training㸧5ࡢ࡝ࡕࡽࡢ᪉ἲࢆ౑⏝ࡍࡿࡇ࡜ࡀࡼࡾຠᯝⓗ࡛࠶ࡿ࠿ࢆ᳨ウࡋࡓࠋእയᛶ⬻ᦆയᚋᑡ࡞ࡃ࡜ࡶ㸴࠿᭶ࡀ⤒㐣ࡋࡓእ᮶ᝈ⪅ 18 ேࢆᑐ㇟࡜ࡋࡓࠋཧຍ⪅ࡢ≉ᚩࡣ୍ࡘ┠ࡢ◊✲࡜ྠᵝ࡛࠶ࡗࡓࠋཧຍ⪅ࢆࠊձㄗࡾ࡞ࡋᏛ⩦⩌ࠊղ⮬ᕫᩍ♧ἲ⩌ࠊճᑐ↷⩌ࡢ㸱⩌࡟ศࡅ࡚ࠊձ⩌࡜ղ⩌࡟ᑐࡋ࡚๓㏙ࡢ

4ㄗࡾ࡞ࡋᏛ⩦ࡣࠊᏛ⩦ᮇ㛫࡟࠾࠸࡚ṇࡋࡃ࡞࠸ᅇ⟅ࢆࡍࡿࡇ࡜ࢆ㜵ࡄ᪉ἲ࡛࠶ࡿࠋᖸ΅ࢆ㝖ཤ࡛ࡁࡿࡓࡵࠊヨ⾜㘒ㄗᏛ⩦ࡼࡾࡶࡼࡾຠᯝⓗ࡛࠶ࡿ࡜⪃࠼ࡽࢀ࡚࠸ࡿ (Vandenbos, 2015)ࠋ
⮬ᕫᩍ♧ἲࡣࠊ⮬ศࡢ⾜ື࡟ᑐࡍࡿไᚚࢆ㧗ࡵࡿࡓࡵ࡟ࠊㄆ▱࣭ゝㄒⓗ࡞ไᚚࢆ௓ᅾࡉࡏࡿ᪉ἲ࡛࠶ࡿࠋ୍⯡ⓗ࡟ࡣゝㄒࡀ⏝࠸ࡽࢀࠊ⮬ศࡢ⾜ືࢆゝㄒⓗ࡟ླྀ㏙ࡍࡿࡇ࡜࡟ࡼࡗ࡚ࠊ᪤Ꮡࡢ⾜ືࡢไᚚࡸ᪂ࡋ࠸⾜ືࡢ⋓ᚓࢆಁࡍ ᆏ∎2008 ࠋ

17− 17 −

◊✲࡜ྠᵝࡢᯟ⤌ࡢ௓ධࢆ⾜ࡗࡓࠋࡑࡢ㝿ࠊձ⩌࡟ᑐࡋ࡚ࡣࠊᴟ➃࡟⡆༢࡞ㄢ㢟࠿ࡽጞࡵࠊྛẁ㝵࡛ከᩘᅇࡢ⦎⩦ࢆ⾜࠸ࠊ☜ಙࡀ࡞࠸࡜ࡁ࡟ࡣ࠶࡚ࡎࡗࡱ࠺࡛ᅇ⟅ࡋ࡞࠸ࡼ࠺ཧຍ⪅࡟ᙉࡃᩍ♧ࡋࡓࠋղ⩌࡟ᑐࡋ࡚ࡣࠊ
ࠕ௒Ỵࡵࡼ࠺࡜ࡋ࡚࠸ࡿࡢࡣఱ࠿㸽ࠖࠕࡑࢀ࡟ࡘ࠸࡚᪤࡟ศ࠿ࡗ࡚࠸ࡿࡢࡣఱ࠿㸽ࠖࠕぢࡿ㸦⪺ࡃ㸧࡭ࡁࡣఱ࠿㸽ࠖ࡜࠸ࡗࡓẁ㝵ⓗ࡞㉁ၥࡀ἞⒪⪅࡟ࡼࡗ࡚Ⓨࡏࡽࢀࡓࠋ௓ධࢆ⾜ࢃ࡞࠿ࡗࡓճ⩌࡟ẚ࡭ࡿ࡜ࠊձ࡜ղࡢ
୧⩌ࡣឤ᝟ࡢㄆ▱࡟㛵ࡋ࡚ᨵၿࡀぢࡽࢀࡓࠋձ⩌࡜ղ⩌ࡢᕪࡣ᫂☜࡛ࡣ࡞ࡃࠊឤ᝟ࡢㄆ▱࡬ࡢ௓ධࢆ⾜࠺ୖ࡛ࠊࡼࡾຠᯝⓗ࡞᪉ἲࢆ≉ᐃࡍࡿ࡟ࡣ᭦࡞ࡿ◊✲ࡀᚲせ࡛࠶ࡿ࡜⤖ㄽ࡙ࡅࡽࢀࡓࠋ
㸦࢖㸧Radice-Neumann, Zupan, Tomita, & Willer (2009)
㔜ᗘࡢᚋኳᛶ⬻ᦆയᚋᑡ࡞ࡃ࡜ࡶ㸯ᖺࡀ⤒㐣ࡋ࡚࠸ࡿ 18㹼65 ᡯࡢ 19 ேࢆᑐ㇟࡟◊✲ࢆᐇ᪋ࡋࡓࠋཧຍ⪅ࡣࠊࣜࣁ᪋タࡲࡓࡣࢧ࣏࣮ࢺࢢ࣮ࣝࣉࢆ㏻ࡋ࡚ເ㞟ࡋࠊ⾲᝟ࡢㄆ▱࡟㛵ࡍࡿ᳨ᰝࡢᚓⅬࡀᖹᆒࡼࡾᑡ࡞ࡃ࡜
ࡶᶆ‽೫ᕪ㸯ࡘศప࠸ࡇ࡜࡞࡝ࢆ᮲௳࡟㑅ᐃࡋࡓࠋཧຍ⪅ࢆࠊ㢦෗┿ࡢ⾲᝟࠿ࡽឤ᝟ࡢㄞࡳྲྀࡾࢆ୰ᚰ࡟⦎
⩦ࡍࡿ⩌㸦ㄞࡳྲྀࡾ⩌㸧࡜ࠊ▷࠸≀ㄒࡢᩥ⬦࠿ࡽⓏሙே≀ࡢឤ᝟ࡢ᥎
๭ࡾ௜ࡅࠊྛ௓ධἲࡢຠᯝࢆ᳨ウࡋࡓࠋ᥎ࢆ⦎⩦ࡍࡿ⩌㸦᥎ ⩌㸧࡟↓సⅭ࡟⩌ࡢ⦎⩦᪉ἲࡣࠊ⮬㛢ᛶ㞀ᐖࡢᏊ࡝ࡶ࡬ࡢ἞⒪࡜ࡋ࡚⾜ࢃࢀ࡚࠸ࡿ᪉ἲࢆཧ⪃࡜ࡋࡓࠋ୧⩌࡟࠾࠸࡚ࠊ㸯ᅇ㸯᫬㛫ࠊ㐌㸱ᅇࠊྜィ㸴㹼㸷ᅇࡢಶேࢭࢵࢩࣙࣥࡀ⾜ࢃࢀࡓࠋຠᯝࡢ ᐃ࡟ࡣࠊ⾲᝟࠿ࡽឤ᝟ࢆ⌮ゎࡍࡿ᳨ᰝ㸦Diagnostic Assessment of Nonverbal Affect 2-Adult Faces:
DANVA2-AF 㸧ࠊ ኌ ࠿ ࡽ ឤ ᝟ ࢆ ⌮ ゎ ࡍ ࡿ ᳨ ᰝ 㸦 Diagnostic Assessment of Nonverbal Affect 2-Adult
Paralanguage㸧ࠊື⏬࠿ࡽឤ᝟ࢆ⌮ゎࡍࡿ᳨ᰝ㸦Emotional Evaluation Test㸧ࠊᩥ⬦࠿ࡽឤ᝟ࢆ᥎ ࡍࡿ᳨ᰝ㸦Levels of Emotional Awareness Scale: LEAS㸧࡟ຍ࠼ࠊ⾜ື࡟㛵ࡍࡿ㉁ၥ⣬㸦Brock Adaptive
Functioning Questionnaire: BAFQ ࡢ࠺ࡕࠕ♫఍࣭ឤ᝟ⓗ⾜ືࠖࡢ㡯┠㸧ࡀ⏝࠸ࡽࢀࡓࠋ᭱ᚋࡢ㉁ၥ⣬ࡣ௓ㆤ⪅ࡀᅇ⟅ࡋࡓࠋ௓ධ๓ᚋࡢẚ㍑࡛ࡣࠊㄞࡳྲྀࡾ⩌࡛ࡣࠊDANVA2-AFࠊLEASࠊBAFQ ࡢࠕ♫఍࣭ឤ᝟ⓗ⾜ືࠖࡢ࠺ࡕࠕᨷᧁᛶࠖࡢᚓⅬ࡟࠾࠸࡚⤫ィⓗ࡟᭷ព࡞ᨵၿࡀㄆࡵࡽࢀࡓࠋ᥎ ⩌࡛ࡣࠊLEAS ࡢࡳ࡟⤫ィⓗ࡟᭷ព࡞ᨵၿࡀㄆࡵࡽࢀࡓࠋ୧⩌ࡢཧຍ⪅ࡢ௓ㆤ⪅࠿ࡽࡣࠊ௚⪅ࡢឤ᝟࡟௨๓ࡼࡾࡶẼ࡙ࡃࡼ࠺࡟࡞ࡾࡩ
ࡉࢃࡋ࠸ᑐᛂ࡟ດࡵ࡚࠸ࡿᵝᏊࡀぢࡽࢀࡿࠊឤ᝟ࡢ஺ὶࡢែᗘࡸ⬟ຊࡀྥୖࡋࡓࠊ࡜࠸ࡗࡓࢥ࣓ࣥࢺࡀᐤࡏ
ࡽࢀࡓࠋࡇࢀࡽࡢ⤖ᯝ࠿ࡽⴭ⪅ࡽࡣࠊᚋኳᛶ⬻ᦆയ⪅ࡢឤ᝟ࡢㄆ▱ࢆ⦎⩦࡟ࡼࡗ࡚ྥୖࡉࡏࡿࡇ࡜ࡀྍ⬟࡛
࠶ࡿ࡜㏙࡭࡚࠸ࡿࠋ
㸦࢘㸧ሯ㉺࣭ಥ࣭ᯇᒸ࣭⏕᪉࣭⣡㇂㸦2016㸧Ⓨ⑕࠿ࡽ㸯ᖺ㸶࠿᭶㹼13 ᖺ 3 ࠿᭶⤒㐣ࡋ࡚࠾ࡾࠊᐙᗞࡸࢹ࢖ࢣ࢔ሙ㠃࡛⾲᝟ㄆ▱࡞࡝ࡢ♫఍ⓗㄆ▱ࡢ㞀ᐖࡀㄆࡵࡽࢀࡓ⬻ᦆയ⪅㸲ே࡟ᑐࡋ࡚ࠊRoberts, Penn, & Combs (2009) ࡀ㛤Ⓨࡋࡓ㞟ᅋ⢭⚄⒪ἲ࡛࠶ࡿࠕ♫఍ⓗㄆ▱࡞ࡽࡧ࡟ᑐே㛵ಀࡢࢺ࣮ࣞࢽࣥࢢࠖ㸦Social Cognition and Interaction Training : SCIT㸧ࢆ㐌 1 ᅇ
20 㐌㛫ᐇ᪋ࡋࡓࠋSCIT ࡟ࡼࡿ௓ධ๓ᚋࡢẚ㍑࡟࠾࠸࡚ࠊ඲ဨ࡟ࡘ࠸࡚⾲᝟ㄆ▱ㄢ㢟ࡢᚓⅬ࡟ྥୖࡀぢࡽࢀࡓࠋⴭ⪅ࡽࡣࠊSCIT ࢆ㏻ࡋ࡚࠶࠸ࡲ࠸࡞่⃭࡟ᑐࡋ࡚࡛ࡁࡿࡔࡅ᝟ሗࢆ㞟ࡵࠊ⮬ศࡢุ᩿ࡀṇࡋ࠸࠿ఱᗘ
ࡶ☜ㄆࡍࡿጼໃࡀ㌟࡟ࡘ࠸ࡓ⤖ᯝࠊ⾲᝟ㄆ▱ㄢ㢟ࡢᡂ⦼ࡀྥୖࡋࡓ࡜⪃ᐹࡋ࡚࠸ࡿࠋࡲࡓࠊ20 㐌㛫ࡢ SCITࡢᚋ࡟ࠊ࣮ࣟࣝࣉࣞ࢖࡜ࣅࢹ࢜࡟ࡼࡿࣇ࢕࣮ࢻࣂࢵࢡࢆྲྀࡾධࢀࡓ SST ࢆ㐌 1 ᅇ㸶㐌㛫ᐇ᪋ࡋࡓࠋSST ࡢᐇ᪋๓ᚋࡢẚ㍑࡟࠾࠸࡚ࠊ඲ဨ࡟ࡘ࠸࡚ Kikuchi’s Social Skill ᑻᗘ࣭18 㡯┠∧㸦KiSS-186㸧࡟࠾ࡅࡿ⮬ᕫホ౯࡜ᨭ᥼⪅࡟ࡼࡿホ౯ࡢࡎࢀࡀᑠࡉࡃ࡞ࡗࡓࠋ
ⴭ⪅ࡽࡣࠊᑐ㇟⪅ࡢ⮬ᕫㄆ㆑ࡀಟṇࡉࢀࡓ࡜⪃ᐹࡋ࡚࠸ࡿࠋ
ᮏ◊✲ࢆᐇ᪋ࡋࡓ᪋タ࡛࠶ࡿࠕ࡞ࡸࢡࣜࢽࢵࢡࠖ࡟ࣄ࢔ࣜࣥࢢㄪᰝࢆ⾜ࡗࡓࠋ➨㸱❶➨㸰⠇࡛㏙࡭ࡿࠋ

6

KiSS-18 ࡟ࡘ࠸࡚ࡣ⳥ụ㸦1988㸹1999㸧ࢆཧ↷ࠋ

18− 18 −

㸦㸰㸧 ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖ࢔㸬ᴫせ࣭Ⓨ⏕㢖ᗘ➼⬻ᦆയ࡟ࡼࡿࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖ࡜ࡋ࡚ࡣࠊゝㄒᶵ⬟ࡢ㞀ᐖ࡛࠶ࡿኻㄒ⑕ࡀᗈࡃ▱ࡽࢀ࡚࠸ࡿࡀ
(Pinhasi-Vittorio, 2007)ࠊࡑࢀ࡜ࡣู࡟ࠊὀពࡸグ᠈ࠊ᝟ሗࡢ⤌⧊໬ࠊ㐙⾜ᶵ⬟࡜࠸ࡗࡓㄆ▱ᶵ⬟ࡢ㞀ᐖ࡟ࡼࡗ࡚ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ࡟ᅔ㞴ࡀ⏕ࡌࡿሙྜࡀ࠶ࡿ (Larkins, 2007; Pearce, Cartwright, Cocks, &Whitworth, 2016; Tate, et al., 2014b)ࠋࡇࡢࡼ࠺࡞ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢᅔ㞴ࡣࠕㄆ▱ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ
㞀ᐖ(Cognitive-communication disorders)ࠖ ࡜࿧ࡤࢀࡿ (MacDonald & Wiseman-Hakes, 2010; ✀ᮧ࣭ᳺ
ཎ㸪2006)ࠋㄆ▱ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ㞀ᐖ࡜ព࿡ⓗ࡟㔜࡞ࡾࡢ࠶ࡿ⏝ㄒ࡜ࡋ࡚ࠊ
ࠕ♫఍ⓗ࣭ㄒ⏝ㄽⓗࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ㞀ᐖ㸦social-pragmatic communication disorders㸧ࠖ (Tate, Aird, & Taylor, 2014a)ࡸࠊࠕ♫఍ⓗࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ㞀ᐖ㸦social communication difficulties㸧ࠖ (Finch, Copley, Cornwell, & Kelly, 2016)࡜࠸ࡗࡓ⏝ㄒࡀ౑ࢃࢀࡿሙྜࡶ࠶ࡿࠋ๓㡯࡛㏙࡭ࡓ㏻ࡾࠊ♫఍ⓗㄆ▱ࡢ㞀ᐖࡶࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ࡟㈇ࡢᙳ
㡪ࢆ୚࠼ࡿ (Byom & Turkstra, 2011)ࠋᮏ㡯࡛ࡣࡇࡢࡼ࠺࡞ࠊゝㄒࡑࡢࡶࡢࡢ㞀ᐖ௨እࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙ
ࣥࡢ㞀ᐖࢆᢅ࠺ࠋ
MacDonald & Wiseman-Hakes (2010) ࡟ࡼࡿ࡜ࠊᚋኳᛶ⬻ᦆയ⪅ࡢㄆ▱ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ㞀ᐖ࡟ࡣࠊෆᐜࡀஈࡋ࠸ࠊ₍↛࡜ࡋ࡚࠸ࡿࠊ⬺⥺ࡋࡀࡕࠊࡲ࡜ࡲࡾࡀ࡞࠸࡜࠸ࡗࡓࠊゝㄒ⾲ฟ࡟࠾ࡅࡿ≉ᚩࡀ࠶ࡿࠋ⌮ゎ㠃࡟࠾࠸࡚ࡣࠊẚ႘ࡸ෕ㄯ࡞࡝ࡢ┤᥋ⓗ࡛࡞࠸⾲⌧ࡸࠊ㛗࠸ヰࠊ」㞧࡞ෆᐜࠊ」ᩘࡢヰ⪅࡟ࡼࡿ఍ヰࠊ㦁㡢ࡢ࠶ࡿ⎔ቃࠊヰ㢟ࡢ㌿᥮ࡀከ࠸࡜࠸ࡗࡓሙྜ࡟㞴ࡋࡉࡀ࠶ࡿ࡜ࡋ࡚࠸ࡿࠋࡲࡓࠊ఍ヰࢆጞࡵࡿࡇ࡜ࠊヰ⪅ࡢ஺௦ࠊୖᡭࡃఏࢃࡽ࡞࠸࡜ࡁࡢゝ࠸᥮࠼࡞࡝ࠊᐇ⏝ⓗ࣭♫఍ⓗ࡞ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ㠃࡛ࡢ㞴ࡋࡉࡀ࠶ࡿ
࡜ࡋ࡚࠸ࡿࠋࡉࡽ࡟ࠊStruchen et al. (2008) ࡀᣲࡆ࡚࠸ࡿࠊୖグ࡜㔜」ࡋ࡞࠸እയᛶ⬻ᦆയᚋ࡟㉳ࡇࡾᚓࡿࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥୖࡢၥ㢟࡜ࡋ࡚ࡣࠊ௚⪅࡬ࡢ↓㛵ᚰࠊከᘚࠊ㐣๫࡟ࡃࡔࡅࡓⓎゝࡸ୙㐺ษ࡞Ⓨゝ࡜࠸ࡗࡓࡶࡢࡀ࠶ࡿࠋTogher, McDonald, Coelho, & Byom (2014a) ࡣࠊࡇ࠺࠸ࡗࡓࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢၥ㢟࡟ࡘ࠸࡚ࠊゝㄒ⬟ຊࡑࡢࡶࡢࡢ୙㊊࡟ࡼࡿࡢ࡛ࡣ࡞ࡃࠊゝㄒ⬟ຊࢆ᪥ᖖࡢ఍ヰ࡟࠾࠸࡚㐺ษ࠿ࡘᰂ㌾࡟㐺⏝ࡍࡿࡇ࡜ࡀ㞴ࡋ࠸࡜㏙࡭࡚࠸ࡿࠋ
እയᛶ⬻ᦆയࡸ⬻⾑⟶㞀ᐖ࡞࡝ࡢ⬻ᦆയ࡟ࡼࡗ࡚ࠊࡇࡢࡼ࠺࡞ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖࡀ⏕ࡌࡿ㢖ᗘࡣ㧗࠸ࠋ౛࠼ࡤࠊ」ᩘࡢඛ⾜◊✲ࢆㄪ࡭ࡓ MacDonald & Wiseman-Hakes (2010) ࡢሗ࿌࡟ࡼࡿ࡜ࠊᚋኳᛶ⬻ᦆയ⪅࡟࠾࠸࡚ㄆ▱ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ㞀ᐖࡀ⏕ࡌࡿ㢖ᗘࡣࠊ80㹼100㸣࡜㠀ᖖ࡟㧗࠸๭ྜ࡛࠶ࡗࡓࠋࡲࡓࠊ
Côté, Payer, Giroux & Joanette (2007) ࡀ⾜ࡗࡓㄪᰝ࡛ࡣࠊ㏻ᖖࠊኻㄒ⑕ࡣ⏕ࡌ࡟ࡃ࠸࡜ࡉࢀࡿ኱⬻ྑ༙⌫ᦆയ⪅࡟࠾࠸࡚ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖࡀ࠶ࡿ๭ྜࡣ 50㸣௨ୖ࡛࠶ࡗࡓࠋ
ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖࡀࠊᑵປࢆྵࡴ♫఍ཧຍ࡟㈇ࡢᙳ㡪ࢆ୚࠼ࡿࡇ࡜ࡀከᩘࡢ◊✲࡛ゝཬࡉࢀ࡚࠸
ࡿ (Dahlberg, et al., 2006; Douglas, Bracy, & Snow, 2016; Heweston, Cornwell, & Shum, 2018;
Meulenbroek & Turkstra, 2016; Rietdijk, Simpson, Togher, Power, & Gillett, 2013; Sale, West, Sherron,& Wehman, 1991; Struchen, Pappadis, Sander, Burrows, & Myszka, 2011) ࠋ࢖㸬௓ධ
ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖ࡬ࡢ௓ධ࡟㛵ࡍࡿ◊✲ࡣࠊእയᛶ⬻ᦆയࡢ㡿ᇦ࡛ࡣẚ㍑ⓗከࡃࠊ」ᩘࡢ௓ධ◊✲ࢆᴫほࡍࡿࣞࣅ࣮ࣗࡶ⾜ࢃࢀ࡚࠸ࡿࠋCicerone et al. (2011) ࡟ࡼࡿ⣔⤫ⓗࣞࣅ࣮ࣗ7ࡢ⤖ᯝ࡟࠾࠸࡚ࡣࠊ
እയᛶ⬻ᦆയᚋࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ㞀ᐖ࡟ᑐࡍࡿࣜࣁ௓ධࢆࠊ༑ศ࡞࢚ࣅࢹࣥࢫࡢ࠶ࡿࠕᐇ㊶ࡢᶆ‽7࠶ࡽ࠿ࡌࡵᐃࡵࡓᡭ⥆ࡁ࡟ࡋࡓࡀࡗ࡚ඛ⾜◊✲ࢆ᳨⣴ࡋࠊ㑅ᢥᇶ‽࣭㝖እᇶ‽ࢆ᫂☜࡟ࡋࡓୖ࡛ࠊ୍ᐃ௨ୖࡢ㉁ࡢ◊✲ࢆᢳฟࡋ࡚⤖ᯝࢆ⤫ྜࡍࡿ◊✲ᡭἲ࡛࠶ࡿ㸦኱ᮌ, 2013㸧ࠋ

19− 19 −


㸦Practice Standard㸧8ࠖ࡜఩⨨࡙ࡅ࡚࠸ࡿࠋࡇࢀࡣࠊ↓సⅭ໬ẚ㍑ヨ㦂9ࢆྵࡴ」ᩘࡢ௓ධ◊✲࡟࠾࠸࡚ຠ
ᯝࡀㄆࡵࡽࢀ࡚࠸ࡿࡇ࡜ࢆ㋃ࡲ࠼ࡓ⤖ᯝ࡛࠶ࡿࠋ୍᪉ࠊ⬻⾑⟶㞀ᐖࡢᚋ㑇⑕ࢆ୰ᚰ࡜ࡍࡿࠕྑ༙⌫ᦆയࠖ࡜࠸࠺ษࡾཱྀࡢࣞࣅ࣮࡛ࣗࡣࠊ௓ධ◊✲ࡢᩘ⮬యࡀᑡ࡞ࡃࠊ࠶ࡗ࡚ࡶᑠつᶍ࡞ࡶࡢ࡟㝈ࡽࢀ࡚࠸ࡿࡓࡵࠊ᭦࡞
ࡿ◊✲ࡀᚲせ࡛࠶ࡿ࡜⤖ㄽࡉࢀ࡚࠸ࡿ (Blake, Frymark, & Venedictov, 2013)ࠋ
እയᛶ⬻ᦆയ⪅ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖ࡟㛵ࡋ࡚ࡣࠊ࡝ࡢࡼ࠺࡞௓ධ᪉ἲࡀࡼࡾຠᯝⓗ࡛࠶ࡿ࠿࡟ࡘ
࠸࡚ࡶ᳨ウࡉࢀ࡚࠸ࡿࠋTogher et al. (2014b) ࡣࠊእയᛶ⬻ᦆയ⪅ࡢㄆ▱ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ㞀ᐖ࡟㛵ࡍࡿ௓ධ◊✲࡟㛵ࡋ࡚ࠊ◊✲ࢹࢨ࢖ࣥࠊ௓ධ᪉ἲࠊᡂᯝ࡜࠸ࡗࡓほⅬ࠿ࡽඛ⾜◊✲ࢆศ㢮ࡋࡓ⣔⤫ⓗࣞࣅ࣮ࣗࢆ⾜ࡗࡓ⤖ᯝࠊ≉࡟᥎ዡࡉࢀࡿ௓ධ᪉ἲ࡜ࡋ࡚ࠊ௨ୗࠊձ㹼ճࢆᣲࡆ࡚࠸ࡿࠋձࡣࠊᑐ㇟⪅ࡢ⏕άᐇែ࡟༶ࡋ
ࡓࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ⦎⩦ᶵ఍ࢆᥦ౪ࡍࡿࡇ࡜࡛࠶ࡿࠋࡑࡢேࡀ⨨࠿ࢀࡓ♫఍ࡸᩥ໬࡟ࡼࡗ࡚ఱࡀࠕ㐺ษ࡞ࠖࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⾜ື࡛࠶ࡿ࠿ࡣ␗࡞ࡾࠊࡲࡓࠊእയᛶ⬻ᦆയ⪅ࡣ࠶ࡿ⎔ቃ࡛⩦ᚓࡋࡓࢫ࢟ࣝࢆูࡢ
⎔ቃ࡛ᛂ⏝ࡍࡿࡇ࡜࡟㞴ࡋࡉࡀ࠶ࡿࡓࡵࠊࡑࡢேࡀᐇ㝿࡟⏕άࡋࡓࡾാ࠸ࡓࡾࡍࡿሙ㠃タᐃ࡛⦎⩦ࢆ⾜࠺ࡇ࡜ࡀ㔜せ࡛࠶ࡿ࡜㏙࡭࡚࠸ࡿࠋղࡣࠊᑐ㇟⪅ࡢᐙ᪘ࡸ㌟㏆࡞ே㸦ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࣃ࣮ࢺࢼ࣮㸧࡬ࡢᩍ⫱࡜カ⦎ࢆᥦ౪ࡍࡿࡇ࡜࡛࠶ࡿࠋTogher, McDonald, Code, & Grant (2004) ࡣࠊእയᛶ⬻ᦆയ⪅ࡢㄆ▱ᶵ⬟㞀ᐖࢆ⪃៖ࡍࡿ࡜ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝࡢྥୖ࡟ࡣ㝈⏺ࡀ࠶ࡿ࡜㏙࡭ࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࣃ࣮ࢺࢼ࣮࡬ࡢカ⦎ࡣࠊእയᛶ⬻ᦆയ⪅ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢆᨵၿࡍࡿࡶ࠺୍ࡘࡢ᪉ἲ࡛࠶ࡿ࡜㏙࡭࡚࠸ࡿࠋࡲࡓࠊ
Ylvisaker, Turkstra, & Coelho (2005) ࡣࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࣃ࣮ࢺࢼ࣮カ⦎ࡣࠊ㞀ᐖࡢ࠶ࡿಶேࡢ୰࡟ၥ
㢟ࡸゎỴ᪉ἲࡀ࠶ࡿ࡜ᤊ࠼ࡿᚑ᮶ࡢ௓ධ᪉ἲ࡜ࡣ␗࡞ࡾࠊ⎔ቃࡸ࿘ᅖࡢែᗘࢆ㔜どࡍࡿᅜ㝿⏕άᶵ⬟ศ㢮
㸦ICF㸧ࡢ⌮ᛕ࡜୍⮴ࡍࡿ࡜㏙࡭࡚࠸ࡿࠋճࡣࠊ┠ᶆタᐃࡣᑐ㇟⪅ಶேࡈ࡜࡟⾜࠸ࠊ௓ධࡢຠᯝࡣᑐ㇟⪅ࡢ♫఍ཧຍࡢ⛬ᗘ࡟ࡼࡾ ᐃࡍ࡭ࡁ࡛࠶ࡿࡇ࡜ࡀᣲࡆࡽࢀ࡚࠸ࡿࠋ
እയᛶ⬻ᦆയ⪅ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖ࡬ࡢ௓ධ᪉ἲ࡟ࡘ࠸࡚ࡣࠊFinch et al. (2016) ࡶ⣔⤫ⓗࣞࣅ࣮ࣗࢆ⾜ࡗ࡚࠸ࡿࠋࡇࡢࣞࣅ࣮࡛ࣗࡣඛ⾜◊✲ࢆࠕcontext-specific㸦≧ἣ࡟≉໬ࡋࡓ㸧ࠖ௓ධ᪉ἲ࡜ࠊ
ࠕimpairment-specific㸦㞀ᐖ࡟≉໬ࡋࡓ㸧ࠖ௓ධ᪉ἲ࡟ศ㢮ࡋࡓୖ࡛ࣞࣅ࣮ࣗࢆ⾜࠸ࠊ୧᪉ࡢ௓ධ᪉ἲ࡜ࡶ
ຠᯝࡀᚓࡽࢀࡿࡀࠊ๓⪅ࡢ᪉ࡀࡼࡾຠᯝⓗ࡛࠶ࡿ࡜ࡋࡓࠋࡇࡢࣞࣅ࣮ࣗ࡟࠾ࡅࡿࠕcontext-specificࠖཬࡧࠕ impairment-specific ࠖ ࡜ ࡣ ࠊ Ylvisaker (2003) ࡀ ᥦ ၐ ࡋ ࡓ ⏝ ㄒ ཬ ࡧ ᴫ ᛕ ࡟ ᇶ ࡙ ࠸ ࡚ ࠾ ࡾ ࠊࠕimpairment-specificࠖࡣపୗࡋࡓㄆ▱ᶵ⬟࡟↔Ⅼࢆᙜ࡚࡚ࡑࡢᅇ᚟ࢆᅗࡿఏ⤫ⓗ࡞࢔ࣉ࣮ࣟࢳࢆᣦࡍ୍᪉ࠊ
ࠕcontext-specificࠖࡣᑐ㇟⪅ࡀᮃࡴ᪥ࠎࡢάືࡀ࡛ࡁࡿࡼ࠺࡟࡞ࡿࡓࡵ࡟ࠊㄆ▱ᶵ⬟㠃࡬ࡢ௓ධࡔࡅ࡛࡞ࡃࠊ
άືࡸ♫఍࡬ࡢཧຍ࡟ᑐࡍࡿᨭ᥼ࢆྵࡵࡿࡇ࡜࡜ㄝ᫂ࡉࢀ࡚࠸ࡿࠋ
௨ୗ࡟ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖ࡬ࡢ௓ධ஦౛࡜ࡋ࡚ࠊ㞀ᐖࡢ࠶ࡿேࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝ࡟ാࡁ
࠿ࡅࡓ஦౛ࢆᾏእࡢ㸰௳࡜ᅜෆࡢ㸯௳ࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࣃ࣮ࢺࢼ࣮カ⦎ࢆ㸰௳⤂௓ࡍࡿࠋ㸦࢔㸧Dahlberg et al. (2007)
እയᛶ⬻ᦆയᚋ㸯ᖺ௨ୖࡀ⤒㐣ࡋ࡚࠾ࡾࠊ♫఍ⓗࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝ࡟㛵ࡍࡿ㉁ၥ⣬㸦Social
Communication Skills Questionnaire-Adapted: SCSQ-A㸧࡬ࡢᮏேࡲࡓࡣ㏆ぶ⪅ࡢᅇ⟅࠿ࡽࠊఱࡽ࠿ࡢ
♫఍ⓗ࡞ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖࡀ࠶ࡿ࡜ุ᩿ࡉࢀࡓᡂே 52 ேࢆᑐ㇟࡜ࡋࡓࠋཧຍ⪅ࢆ௓ධ⩌ 26 ே࡜ᚅᶵ⩌ 26 ே࡟↓సⅭ࡟๭ࡾ௜ࡅࠊ௓ධ⩌࡟ᑐࡋ࡚㐌㸯ᅇࠊ㸯ᅇ 1.5 ᫬㛫ࠊ12 㐌㛫ࡢ௓ධࢆ⾜ࡗࡓࠋ࢝ࣜ
࣒࢟ࣗࣛࡣ௨ୗࡢ㸲ࡘࡢᵓᡂせ⣲࡟ᇶ࡙࠸࡚సᡂࡉࢀࡓࠋࡍ࡞ࢃࡕࠊձ␗࡞ࡿᑓ㛛㡿ᇦࡢ」ᩘࡢᨭ᥼⪅㸦౛ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢᐇ㊶࡟࠾ࡅࡿ᥎ዡࣞ࣋ࣝࢆ㸱ẁ㝵࡟ศࡅࠊ᥎ዡࣞ࣋ࣝࡀ㧗࠸᪉࠿ࡽࠊ
ࠕpractice standard㸦ᐇ㊶ࡢᶆ‽㸧ࠖࠕpractice guideline㸦ᐇ㊶ࡢᣦ㔪㸧ࠖࠕpractice option㸦ᐇ㊶ࡢ㑅ᢥ⫥㸧ࠖ࡜ࡋ࡚࠸ࡿࠋ
9 ◊✲ཧຍ⪅ࢆࠊホ౯ᑐ㇟࡜ࡍࡿ௓ධࢆ⾜࠺⩌࡜ࠊ௓ධࡋ࡞࠸࠶ࡿ࠸ࡣูࡢẚ㍑ᑐ㇟࡜ࡍࡿ௓ධࢆ⾜࠺⩌࡜࡟↓సⅭ࡟๭ࡾ௜ࡅ࡚௓ධࡢຠᯝࢆẚ㍑ࡍࡿ᪉ἲࠋ⮫ᗋ◊✲࡟࠾࠸࡚᭱ࡶ㡹೺࡞◊✲ࢹࢨ࢖࡛ࣥ࠶ࡿ࡜ࡉࢀࡿ㸦ཎ⏣, 2015㸧ࠋ
8

20− 20 −

࠼ࡤࠊࢯ࣮ࢩ࣮࣮ࣕࣝ࣡࢝࡜ゝㄒ⒪ἲኈ㸧ࡀ༠ാࡍࡿࡇ࡜ࠊղಶูࡢ┠ᶆタᐃ࡟ࡘ࡞ࡀࡿ⮬ᕫ࡬ࡢẼ࡙ࡁ࡜⮬ᕫホ౯ࢆ㔜どࡍࡿࡇ࡜ࠊճ┦஫స⏝ࠊࣇ࢕࣮ࢻࣂࢵࢡࠊၥ㢟ゎỴࠊ♫఍ⓗࢧ࣏࣮ࢺ࡞࡝ࢆಁ㐍ࡍࡿࡓࡵ࡟ࢢ࣮ࣝࣉࢆ⏝࠸ࡿࡇ࡜ࠊմᐙ᪘ࡸ཭ேࢆᕳࡁ㎸ࢇ࡛ࢫ࢟ࣝࡢ⯡໬ࢆ㔜どࡍࡿࡇ࡜࡛࠶ࡿࠋࢭࢵࢩࣙࣥ
ࡣ㸯⤌ࡢୖ㝈ࢆ㸶ே࡜ࡋࡓࢢ࣮ࣝࣉ࡛⾜ࢃࢀࠊ㸰ྡࡢᨭ᥼⪅ࡀ࣮࣡ࢡࣈࢵࢡ10࡟ἢࡗ࡚㐍⾜ࡋࡓࠋ࣮࣡ࢡ
ࣈࢵࢡࡣཧຍ⪅࡟㓄௜ࡉࢀࠊཧຍ⪅ࡢᐙ᪘ࡸ㏆ぶ⪅࡜ࡶෆᐜࢆඹ᭷ࡍࡿࡼ࠺ồࡵࡽࢀࡓࠋึᮇࡢࢭࢵࢩࣙ
࡛ࣥࡣࠊཧຍ⪅ࡢ⮬ᕫホ౯࡜┠ᶆタᐃࠊⰋ࠸ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢぢᮏ࠿ࡽᏛࡪࡇ࡜࡟↔Ⅼࡀᙜ࡚ࡽࢀࡓࠋ
୰ᮇࡢࢭࢵࢩ࡛ࣙࣥࡣࠊ┠ᶆ࡟ᛂࡌࡓࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ᪉ἲࢆᏛࢇࡔୖ࡛ࠊ
ࢢ࣮ࣝࣉࡸ⮬Ꮿ࡛ᐇ㊶ࡋࠊ
ࣇ࢕࣮ࢻࣂࢵࢡࢆཷࡅࡓࠋᚋᮇࡢࢭࢵࢩ࡛ࣙࣥࡣࢫ࢟ࣝࡢ⯡໬࡜♫఍ⓗ࡞ၥ㢟ゎỴ࡟㔜ࡁࡀ⨨࠿ࢀࡓࠋຠ
ᯝᐃࡣ♫఍ⓗࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡸࠊ♫఍ཧຍࠊ⏕ά‶㊊ᗘ࡞࡝࡟㛵ࡍࡿ㸴✀㢮ࡢᑻᗘࢆ⏝࠸࡚⾜ࢃࢀࡓࠋࡇࢀࡽࡢᑻᗘ࡟࠾ࡅࡿ௓ධ⩌࡜ᚅᶵ⩌ࡢ௓ධ๓ᚋࡢᚓⅬᕪࢆẚ㍑ࡋࡓ࡜ࡇࢁࠊ♫఍ⓗࢥ࣑ࣗࢽࢣ࣮ࢩ
ࣙࣥ࡟㛵ࡍࡿᑻᗘ㸦Profile of Functional Impairment in Communication ࡜ࠊ๓㏙ࡢ SCSQ-A㸧࡟ࡘ࠸࡚ࠊ
௓ධ⩌࡟࠾࠸࡚ᚅᶵ⩌ࡼࡾࡶ⤫ィⓗ࡟᭷ព࡟኱ࡁ࡞ᨵၿࡀぢࡽࢀࡓࠋࡲࡓࠊ
ᚅᶵ⩌࡟㛵ࡋ࡚ࡶ௓ධࢆ⾜࠸ࠊ୧⩌࡟ࡘ࠸࡚ࠊ௓ධᚋ㸱࠿᭶ཬࡧ㸴࠿᭶ࡢホ౯ࢆ௓ධ๓࡜ẚ㍑ࡋࡓ࡜ࡇࢁࠊ♫఍ⓗࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ࡟
㛵ࡍࡿᑻᗘࡢ௚ࠊཧຍ⪅ᮏேࡀ❧࡚ࡓ┠ᶆࡢ㐩ᡂ㸦Goal Attainment Scaling㸧ࡸ⏕άࡢ‶㊊ᗘࡢᑻᗘ㸦Satisfaction With Life Scale㸧࡟࠾࠸࡚ࡶࠊ⤫ィⓗ࡟᭷ព࡞ᨵၿࡀぢࡽࢀࡓࠋⴭ⪅ࡽࡣࠊእയᛶ⬻ᦆയ⪅ࡢ♫఍ⓗࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝࢆᨵၿࡍࡿ෌⌧ྍ⬟࡞௓ධ᪉ἲࡢຠᯝࡀ♧ࡉࢀࡓ࡜ࡋ࡚࠸ࡿࠋ
㸦࢖㸧McDonald et al. (2008)㔜ᗘࡢᚋኳⓗ⬻ᦆയ࠿ࡽ㸯ᖺ௨ୖ⤒ࡕࠊᆅᇦ࡛⏕άࡋ࡚࠾ࡾࠊ♫఍ⓗࢫ࢟ࣝ࡟㞀ᐖࡀ࠶ࡿ࡜⮫ᗋⓗ࡟ุ᩿ࡉࢀࡓ 51 ேࢆᑐ㇟࡜ࡋࡓࠋཧຍ⪅ࢆࠊձ♫఍ࢫ࢟ࣝࣉࣟࢢ࣒ࣛ⩌ࠊղࣉࣛࢭ࣎௓ධ⩌ࠊճᑐ↷⩌ࡢ࠸ࡎࢀ࠿࡟↓సⅭ࡟๭ࡾ௜ࡅࡓࠋձ♫఍ࢫ࢟ࣝࣉࣟࢢ࣒ࣛ⩌ࡢཧຍ⪅࡟ࡣࠊ㸱᫬㛫ࡢࢢ࣮ࣝࣉࢭࢵࢩࣙࣥ࡜
㸯᫬㛫ࡢಶேࢭࢵࢩࣙࣥࡀࠊ㐌㸯ᅇࡎࡘ 12 㐌㛫ᐇ᪋ࡉࢀࡓࠋࢢ࣮ࣝࣉࢭࢵࢩࣙࣥࡣࠊ㸱㹼㸳ேࡢཧຍ⪅ࢆ㸯⤌࡜ࡋࠊ㸱᫬㛫ࡢ࠺ࡕ㸰᫬㛫ࡣࠊᣵᣜࠊ⮬ᕫ⤂௓ࠊ┦ᡭࡢヰࢆ⪺ࡃࠊ〔ࡵࡿࠊ఍ヰࢆጞࡵࡿ࡜࠸ࡗࡓ
♫఍ⓗ⾜ືࡢᙧᡂ࡟඘࡚ࡽࢀࡓࠋࢭࢵࢩࣙࣥࡢෆᐜࡣ࣐ࢽࣗ࢔ࣝ໬ࡉࢀ࡚࠸ࡓࡀࠊཧຍ⪅ಶேูࡢㄢ㢟ࡸ┠ᶆࡶྲྀࡾᢅࢃࢀࡓࠋṧࡿ㸯᫬㛫࡛ࡣࠊ㢦ࡢ⾲᝟ࡸኌࠊࡋࡄࡉࠊែᗘ࡞࡝࠿ࡽ┦ᡭࡢឤ᝟ࡸពᅗࢆㄞࡳྲྀ
ࡿ⦎⩦ࡀ⾜ࢃࢀࡓࠋಶேࢭࢵࢩ࡛ࣙࣥࡣࠊ୙Ᏻࡸ࠺ࡘࠊ⮬ᑛᚰ࡜࠸ࡗࡓᚰ⌮ⓗ࡞ၥ㢟ࡀྲྀࡾᢅࢃࢀࡓࠋղ
ࣉࣛࢭ࣎௓ධ⩌࡛ࡣࠊᩱ⌮ࡸᕤసࠊ࣮࣎ࢻࢤ࣮࣒ࠊ⌫ᢏ࡞࡝ࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡀᚲせ࡞ࢢ࣮ࣝࣉάື
ࡀ㐌࡟㸲᫬㛫ࠊ12 㐌㛫ᐇ᪋ࡉࢀࡓࠋຠᯝࡢ

ᐃࡣࠊึᑐ㠃ࡢே࡜ヰࡍ㝿ࡢ♫఍ⓗ⾜ື㸦Behaviorally

Referenced Rating System of Intermediary Social Skills-Revised : BRISS-R ࢆ⏝࠸࡚ ᐃ㸧ࠊ♫఍ⓗㄆ▱㸦TASIT㸧ࠊ࠺ࡘࡸ୙Ᏻࡢ⛬ᗘ㸦Depression, Anxiety and Stress Scale㸧࡜࠸ࡗࡓ」ᩘࡢ㠃࠿ࡽ⾜ࢃࢀࡓࠋ௓ධࡢ⤖ᯝࠊձ♫఍ࢫ࢟ࣝࣉࣟࢢ࣒ࣛ⩌࡟࠾࠸࡚ࠊึᑐ㠃ࡢே࡜ヰࡍሙ㠃࡛ࠊBRISS-R ࡢ࠺ࡕࠊ┦ᡭࡢࡇ࡜ࢆ⪃៖ࡋࡓ⾜ື࡟㛵ࡍࡿୗ఩ᑻᗘ㸦Partner Directed Behavior Scale㸧࡟࠾࠸࡚ࠊ௓ධ๓ᚋ࡛⤫ィⓗ࡟᭷ព࡞ᨵၿࡀぢࡽࢀࡓࠋࡑࡢ௚ࡢホ౯ᑻᗘ࡛ࡣᨵၿࡣㄆࡵࡽࢀ࡞࠿ࡗࡓࠋࡲࡓࠊղࣉࣛࢭ࣎௓ධ⩌࡛ࡣᨵၿࡀぢࡽࢀ࡞࠿ࡗࡓࠋⴭ⪅ࡽࡣࠊ㔜ᗘࡢ៏ᛶⓗ࡞⬻ᦆയ⪅࡬ࡢ♫఍ᢏ⬟カ⦎ࡣࠊ♫఍ⓗ⾜ືࢆ┤᥋࡟ ࡗࡓሙྜ࡟㝈ᐃࡋ࡚ࠊ࠶ࡿ⛬ᗘࡢຠᯝࡀ࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ࡜ࡋ࡚࠸ࡿࠋ
㸦࢘㸧ᒸᮧ࣭኱ሯ㸦2010㸧 Ⓨ⑕࠿ࡽᩘᖺࡀ⤒㐣ࡋࠊᅾᏯ࡛⏕άࡍࡿ 20 ௦ࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅㸱ேࢆᑐ㇟࡟௓ධࢆ⾜ࡗࡓࠋ࠸ࡎࢀ
10

Hawley, L. & Newman, J. (2006). Social Skills and Traumatic Brain Injury: A Workbook for Group Treatment.
ͤⴭ⪅ࡽ࡟ࡼࡾฟ∧ࡉࢀ࡚࠸ࡿࠋ

21− 21 −ࡶグ᠈㞀ᐖࠊὀព㞀ᐖࠊ♫఍ⓗ⾜ື㞀ᐖࡀ࠶ࡾࠊᛣࡾࡢឤ᝟ࢆᢚ࠼ࡿࡇ࡜ࡀ㞴ࡋ࠸ࠊ⮬ศࡢࡇ࡜ࢆே࡟ୖ
ᡭࡃఏ࠼ࡽࢀ࡞࠸࡜࠸ࡗࡓ⾜ືୖࡢၥ㢟ࡀ࠶ࡆࡽࢀ࡚࠸ࡓࠋ㸯ᅇ㸯᫬㛫ࡢࢢ࣮ࣝࣉ࡛ࡢ SST ࢆࠊ㐌㸰ᅇ㸴࠿᭶㛫඲ 40 ᅇᐇ᪋ࡋࡓࠋࢭࢵࢩࣙࣥࡢࢸ࣮࣐ࡣࠊ
ࠕ┦ᡭࡢヰࡀࢃ࠿ࡽ࡞࠸࡜ࡁࡢᑐᛂ᪉ἲࠖ
ࠊࠕᛣࡾࡢẼᣢ
ࡕࢆఏ࠼ࡿࠖ࡞࡝㸷✀㢮࡛࠶ࡗࡓࠋ௓ධ๓࡟ࡣ᪥ᮏ∧ Profile of Mood States㸦POMS㸧11ࡢ▷⦰∧࡟࠾࠸࡚ࠕ⥭ᙇ㸫୙Ᏻࠖࠕᢚ࠺ࡘࠖ
ࠕᛣࡾ㸫ᩛពࠖࠕ⑂ປࠖ
ࠕΰ஘ࠖ࡞࡝ࡢᣦᶆࡀᖹᆒࡼࡾࡶ㧗࠸Ỉ‽࡟࠶ࡗࡓࡀࠊ
௓ධᚋࡣ࡯ࡰᖺ㱋ᖹᆒࣞ࣋ࣝ࡜࡞ࡗࡓࠋࡲࡓࠊ⏕ά㠃ࡢ㉁ⓗኚ໬࡟㛵ࡋ࡚ᮏேࡸᐙ᪘࠿ࡽ⮬⏤ᙧᘧ࡛ᅇ⟅ࢆồࡵࡓ࡜ࡇࢁࠊ࢖ࣛ࢖ࣛࡀῶࡗࡓ࡞࡝ࡢឤ᝟㠃ࡢᏳᐃࠊࡸࡉࡋ࠸ゝⴥࡀ࠿ࡅࡽࢀࡿࡼ࠺࡟࡞ࡗࡓ࡜࠸࠺
ᑐேࢫ࢟ࣝࡢ⋓ᚓࠊእฟࡢቑຍ࡟ࡘ࠸࡚ゐࢀࡽࢀ࡚࠸ࡓࠋ
ᮏ◊✲࡟ࡘ࠸࡚ࡣࠊᙜヱ◊✲ࢆᐇ᪋ࡋࡓᒸᮧ㝧ᏊẶ࡟ࣄ࢔ࣜࣥࢢㄪᰝࢆ⾜ࡗࡓࠋ➨㸱❶➨㸰⠇࡛㏙࡭ࡿࠋ㸦࢚㸧Togher et al. (2004)20 ேࡢ㆙ᐹᐁࢆࠊ௓ධ⩌ 10 ே࡜ᑐ↷⩌ 10 ே࡟↓సⅭ࡟๭ࡾ௜ࡅࠊ௓ධ⩌࡟ᑐࡋ࡚እയᛶ⬻ᦆയ⪅࡜ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ࡟㛵ࡍࡿࣉࣟࢢ࣒ࣛࢆࠊ㐌㸯ᅇ㸰᫬㛫ࠊ㸴㐌㛫ᐇ᪋ࡋࡓࠋࣉࣟࢢ࣒ࣛࡣእയᛶ⬻ᦆയ࡟㛵ࡍࡿ▱㆑ࡢ௜୚ࠊ᭩ࡁ㉳ࡇࡉࢀࡓ఍ヰࢆศᯒࡋ࡚ၥ㢟Ⅼࢆぢࡘࡅࡿ⦎⩦ࠊእയᛶ⬻ᦆയ⪅࡜ࡢ఍ヰ
₇⩦ࠊ࣮ࣟࣝࣉࣞ࢖࡞࡝࡛ᵓᡂࡉࢀࡓࠋຠᯝ ᐃࡣࠊࣉࣟࢢ࣒ࣛࡢ๓ཬࡧᚋ࡟ 20 ேࡢእയᛶ⬻ᦆയ⪅㸦◊✲༠ຊ⪅㸧࠿ࡽ୧⩌ࡢ㆙ᐹᐁ࡬࠿ࡅࡓၥ࠸ྜࢃࡏࡢ㟁ヰࡢ఍ヰࢆศᯒࡍࡿࡇ࡜࡛⾜ࢃࢀࡓࠋၥ࠸ྜࢃࡏࡢ
ෆᐜࡣࠊ⮬ື㌴㐠㌿චチࡢ෌ྲྀᚓࡢᡭ⥆ࡁ࡟㛵ࡍࡿၥ࠸ྜࢃࡏࠊཬࡧ෌ᑵ⫋ࡢࡓࡵࡢ≢⨥ᒚṔド᫂᭩ࡢྲྀᚓᡭ⥆ࡁ࡟㛵ࡍࡿၥ࠸ྜࢃࡏ࡛࠶ࡗࡓࠋ఍ヰෆᐜࡢศᯒࡣࠊ
ࠕࢪࣕࣥࣝᵓ㐀ࡢ㑅ᢥྍ⬟ᛶศᯒࠖ12㸦Generic
Structure Potential analysis㸧࡜࠸࠺ᡭἲࢆ⏝࠸࡚⾜ࢃࢀࡓࠋศᯒࡢ⤖ᯝࠊ௓ධ⩌ࡢࣉࣟࢢ࣒ࣛ๓ᚋࡢẚ㍑࡟࠾࠸࡚ࠊၥ࠸ྜࢃࡏෆᐜࢆ≉ᐃࡍࡿࡇ࡜ࡸၥ࠸ྜࢃࡏ࡬ࡢᅇ⟅࡜࠸ࡗࡓᮏ㉁ⓗ࡞ෆᐜ࡟㛵ࡍࡿⓎヰࡀቑ࠼ࡓ୍᪉ࠊෆᐜ࡜㛵ಀࡢ࡞࠸Ⓨヰࡣῶࡾࠊ඲యࡢ఍ヰ᫬㛫ࡀ⤫ィⓗ࡟᭷ព࡟▷ࡃ࡞ࡗࡓࠋᑐ↷⩌࡟࠾࠸࡚ࡣ⤫ィⓗ࡟᭷ព࡞ኚ໬ࡣぢࡽࢀ࡞࠿ࡗࡓࠋⴭ⪅ࡽࡣࠊࣉࣟࢢ࣒ࣛࢆཷࡅࡓ㆙ᐹᐁࡣせⅬࢆ⤠ࡗࡓຠᯝⓗ࡞఍ヰࡀ࡛ࡁࡿࡼ࠺࡟࡞ࡗࡓ࡜⤖ㄽ࡙ࡅ࡚࠸ࡿࠋࡲࡓࠊࡇࡢ◊✲࡛ࡣ◊✲༠ຊ⪅࡛࠶ࡿእയᛶ⬻ᦆയ⪅࡟ᑐࡋ࡚ࡣ௓ධࢆ⾜ࡗ࡚࠸࡞࠸ࡀࠊ௓ධ⩌࣭ᑐ↷⩌ࡢ㆙ᐹᐁࡑࢀࡒࢀ࡜఍ヰࡋࡓ◊✲༠ຊ⪅ࡢⓎヰࢆศᯒࡋࡓ࡜ࡇࢁࠊ௓ධ⩌ࡢ㆙ᐹᐁ࡜఍ヰࡋࡓሙྜ࡟࠾࠸࡚ࠊࣉࣟࢢ࣒ࣛ๓ᚋ࡛୙㐺ษ࣭୙༑ศ࡞Ⓨヰࡀ᭷ព࡟ῶ
ᑡࡋ࡚࠸ࡓࠋᑐ↷⩌࡜ࡢ఍ヰ࡛ࡣࡇࡢࡼ࠺࡞ኚ໬ࡣぢࡽࢀࡎࠊⴭ⪅ࡽࡣࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࣃ࣮ࢺࢼ࣮
࡟௓ධࡍࡿࡇ࡜ࡀእയᛶ⬻ᦆയ⪅ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ࡟ࡶኚ໬ࢆཬࡰࡋࡓ࡜⪃ᐹࡋ࡚࠸ࡿࠋ
㸦࢜㸧Behn, Togher, Power, & Heard (2012) ⬻ᦆയ⪅ࢆᑐ㇟࡜ࡋࡓධᡤᆺࣜࣁࢭࣥࢱ࣮࡟໅ࡵࡿ௓ㆤ⫋ᚑ஦⪅ 10 ேࢆࠊ௓ධ⩌㸳ே࡜ᑐ↷⩌㸳ே࡟
↓సⅭ࡟๭ࡾ௜ࡅࡓࠋ௓ධ⩌࡟ᑐࡋእയᛶ⬻ᦆയ⪅࡜ࡢ఍ヰ࡟㛵ࡍࡿカ⦎ࣉࣟࢢ࣒ࣛࢆࠊ㸰᫬㛫ࡢᑟධࢭࢵࢩࣙࣥ㸯ᅇ࡜ࠊ㸱᫬㛫ࡢࢭࢵࢩࣙࣥ㸳ᅇࡢィ 17 ᫬㛫ࢆ㸶㐌㛫࠿ࡅ࡚⾜ࡗࡓࠋࢭࢵࢩࣙࣥࡢ኱㒊ศࡣ㸰㹼㸱ேࡢࢢ࣮ࣝࣉ࡛⾜ࢃࢀࠊእയᛶ⬻ᦆയ⪅࡜ࡢ఍ヰ࡟ࡘ࠸࡚ࠊㅮ⩏ࡸࢹ࢕ࢫ࢝ࢵࢩࣙࣥࠊ࣮ࣟࣝࣉࣞ࢖
ࡀ⾜ࢃࢀࡓࠋຠᯝ

ᐃࡣࠊࣉࣟࢢ࣒ࣛ๓ཬࡧᚋ࡟ྛཧຍ⪅࡜እയᛶ⬻ᦆയ⪅㸦◊✲༠ຊ⪅㸧ࡀ⾜ࡗࡓ఍ヰሙ㠃ࡢ㘓⏬ࢆ⏝࠸࡚ࠊ2 ேࡢホ౯⪅࡟ࡼࡾ⾜ࢃࢀࡓࠋ㉁ၥ஦㡯ࡀỴࡵࡽࢀ࡚࠸ࡿᵓ㐀໬ࡉࢀࡓ఍ヰ࡜ࠊ⮬⏤࡞఍ヰࡑࢀࡒࢀ࡟ࡘ࠸࡚ 15 ศ㛫ࡎࡘࠊ㸯ᑐ㸯ࡢ఍ヰࡀ⾜ࢃࢀࡓࠋホ౯࡟࠶ࡓࡗ࡚ࡣࠊࢥ࣑ࣗࢽࢣ࣮ࢩ
ࣙࣥ㞀ᐖࡢ࠶ࡿேࡢ఍ヰ࡬ࡢཧຍᗘྜ࠸࡟ࡘ࠸࡚ࡢᑻᗘ㸦Adapted Measure of Participation in
11

POMS ࠾ࡼࡧ POMS㸰ࡢ᪥ᮏㄒ∧࡟ࡘ࠸࡚ࡣࠊᶓᒣ࣭Ⲩグ㸦1994㸧࠾ࡼࡧᶓᒣ࣭Ώ㑔㸦2015㸧ࢆཧ↷ࠋ

12 ᣓᘼෆ࿴ヂࡣ௨ୗࡢ᭩⡠࡟ࡼࡿࠋ⟍ ᑑ㞝㸦ヂ㸧
㸦1991㸧 ᶵ⬟ᩥἲࡢࡍࡍࡵ ኱ಟ㤋᭩ᗑ㸦Deakin, U.P. (1985 ).

Language, Context, and Text: Aspects of Language in a Social-semiotic Perspective㸧

22− 22 −


Conversation㸧ࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࣃ࣮ࢺࢼ࣮࡜ࡋ࡚ࡢࢫ࢟ࣝࢆ♧ࡍᑻᗘ㸦Measure of Support inConversation: MSC㸧ࠊ఍ヰሙ㠃ࡢ඲యⓗ࡞༳㇟ࢆホ౯ࡍࡿᑻᗘ㸦Global Impression Scale ofConversation㸧࡞࡝ࡢ」ᩘࡢホ౯ᑻᗘࡀ⏝࠸ࡽࢀࡓࠋࣉࣟࢢ࣒ࣛ๓ᚋࡢホ౯⤖ᯝࢆẚ㍑ࡋࡓ࡜ࡇࢁࠊᵓ㐀໬ࡉࢀࡓ఍ヰሙ㠃࡟࠾࠸࡚ࠊMSC ࡢホⅬࡀ⤫ィⓗ࡟᭷ព࡟ᨵၿࡋࡓ௚ࠊGlobal Impression Scale ofConversation ࡢ㸲ࡘࡢ࠺ࡕ㸰ࡘࡢୗ఩ᑻᗘ࡟࠾࠸࡚⤫ィⓗ࡟᭷ព࡞ᨵၿࡀぢࡽࢀࡓࠋࡇࢀࡽࡢຠᯝࡣ㸴࠿᭶ᚋࡶᣢ⥆ࡋ࡚࠸ࡓࠋⴭ⪅ࡽࡣࠊࡇࢀࡽࡢ⤖ᯝ࡟ࡘ࠸࡚ࠊ௓ㆤ⫋ࡢ఍ヰᢏ⬟ࡢ⫱ᡂ࡟↔Ⅼࢆᙜ࡚ࡓカ⦎ࢆ⾜࠺ࡇ࡜ࡣࠊ௓ㆤ⫋⪅࡜እയᛶ⬻ᦆയ⪅ࡢ཮᪉࡟࡜ࡗ࡚Ⰻ࠸ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⎔ቃࢆసࡿࡇ࡜࡟ࡘ࡞ࡀ
ࡿ࡜㏙࡭࡚࠸ࡿࠋࡇࡢ◊✲࡛ࡣࠊ⮬⏤࡞఍ヰ࡟࠾࠸࡚ࡣࣉࣟࢢ࣒ࣛࡢຠᯝࡣㄆࡵࡽࢀ࡞࠿ࡗࡓࠋࡑࡢ⌮⏤࡟ࡘ࠸࡚ⴭ⪅ࡽࡣࠊカ⦎࡟ཧຍࡋࡓ௓ㆤ⫋⪅ࡣᬑẁࡢᴗົ࡟࠾࠸࡚ධᒃ⪅࡜⮬⏤࡞఍ヰࢆࡍࡿᶵ఍ࡀᑡ࡞
ࡃࠊࣉࣟࢢ࣒ࣛࡢ୰࡛⮬⏤࡞఍ヰࡢ㔜せᛶ࡟ࡘ࠸࡚ヰࡋྜ࠺ࡇ࡜࡟࠶ࡲࡾ᫬㛫ࡀ๭࠿ࢀ࡞࠿ࡗࡓࡇ࡜ࡀ⪃࠼ࡽࢀࡿ࡜ࡋ࡚࠸ࡿࠋ

23− 23 −

㸦㸱㸧 ࠺ࡘࠊ୙Ᏻ
࢔㸬ᴫせ࣭Ⓨ⏕㢖ᗘ➼እയᛶ⬻ᦆയࡸ⬻⾑⟶㞀ᐖ࡜࠸ࡗࡓ⬻ᦆയᚋ࡟࠺ࡘࡸ୙Ᏻࡀ⏕ࡌࡿࡇ࡜ࡣከ࠸ࠋHibbard, Uysal, Kepler,
Bogdany, & Silver (1998) ࡀእയᛶ⬻ᦆയ⪅ࢆᑐ㇟࡟ࢽ࣮࣮ࣗࣚࢡ࡛⾜ࡗࡓㄪᰝ࡛ࡣࠊㄪᰝᑐ㇟⪅ 100 ே㸦ཷയᚋ㸯㹼37 ᖺ㸧ࡢ࠺ࡕࠊእയᛶ⬻ᦆയᚋ࡟ࠕ⢭⚄㞀ᐖࡢデ᩿࡜⤫ィ࣐ࢽࣗ࢔ࣝ➨㸲∧ࠖ㸦Diagnostic andStatistical Manual of mental disorders, Fourth Edition: DSM-ϫ㸧ࡢᇶ‽࡟ྜ⮴ࡍࡿ኱࠺ࡘ⑓㸦major
depression㸧13࡟⨯ᝈࡋࡓ⤒⦋ࡀ࠶ࡿேࡣ 48㸣14࡛࠶ࡾࠊྠࡌࡃ DSM-ϫࡢ୙Ᏻ㞀ᐖ㸦anxiety disorders㸧ࡢᇶ‽࡟ྜ⮴ࡍࡿே࡟㛵ࡋ࡚ࡣࠊእയᚋࢫࢺࣞࢫ㞀ᐖ 17㸣ࠊᙉ㏕ᛶ㞀ᐖ 14㸣ࠊࣃࢽࢵࢡ㞀ᐖ 11㸣ࠊ඲⯡ᛶ୙Ᏻ㞀ᐖ㸶㸣ࠊᜍᛧ⑕㸵㸣࡜ሗ࿌ࡉࢀࡓࠋ኱࠺ࡘ⑓࡜࠸ࡎࢀ࠿ࡢ୙Ᏻ㞀ᐖࡢ୧᪉࡟⨯ᝈࡋࡓ⤒㐣ࡢ࠶ࡿேࡣ
඲యࡢ 25㸣࡛࠶ࡗࡓࠋHackett & Pickles (2014) ࡟ࡼࡿ࡜ࠊ⬻༞୰ᚋ࡟࠺ࡘ⑓ࡸ࠺ࡘ⑕≧ࡢ࠶ࡿேࡣࠊⓎ⑕ᚋ㸳ᖺࡲ࡛ࡢ࡝ࡢ᫬Ⅼ࡟࠾࠸࡚ࡶᖹᆒ 31㸣࡛࠶ࡗࡓࠋࡲࡓࠊAyerbe, Ayis, Crichton, Wolfe, & Rudd (2014)ࡀ༡ࣟࣥࢻࣥࡢࢹ࣮ࢱ࣮࣋ࢫࢆ౑ࡗ࡚ศᯒࡋࡓ࡜ࡇࢁ࡟ࡼࡿ࡜ࠊ⬻༞୰㸱࠿᭶㹼10 ᖺᚋࡢᮇ㛫࡟࠾࠸࡚୙Ᏻ
ࡢ⑕≧ࡀ࠶ࡿேࡣ 31.9㸣㹼38.3㸣࡛࠶ࡗࡓࠋ
࠺ࡘࡸ୙Ᏻࡣࠊᑵປ࡞࡝ࡢ♫఍᚟ᖐࡢ㞴ࡋࡉ࡜㛵ಀࡀ῝࠸ࡇ࡜ࡀᣦ᦬ࡉࢀ࡚࠸ࡿࠋFranulic, Carbonell,
Pinto, & Sepulveda (2004) ࡀࠊእയᛶ⬻ᦆയࡢཷയᚋ㸰ᖺࡢ 71 ேࠊཷയᚋ㸳ᖺࡢ 73 ேࠊཷയᚋ 10 ᖺࡢ
58 ேࢆࠊࡑࢀࡒࢀ㞠⏝⩌࡜㠀㞠⏝⩌࡟ศࡅ࡚ẚ㍑ࡋࡓ◊✲࡛ࡣࠊཷയ㸳ᖺᚋ࡟࠾ࡅࡿ࠺ࡘࠊཷയ 10 ᖺᚋ࡟࠾ࡅࡿ୙Ᏻ࡟ࡘ࠸࡚ࠊ㠀㞠⏝⩌ࡀ㞠⏝⩌ࡼࡾࡶ⑕≧ࡢᗘྜ࠸ࡀ⤫ィⓗ࡟᭷ព࡟㧗࠿ࡗࡓࠋ࠺ࡘ࡜♫఍᚟ᖐ࡜ࡢ㛵ಀ࡟ࡘ࠸࡚ࡣࠊ࠺ࡘ⑕≧ࡀ♫఍᚟ᖐࢆጉࡆࡿࡇ࡜ࠊ㏫࡟ࠊ♫఍᚟ᖐࡢ㞴ࡋࡉࡀ࠺ࡘࢆᙉࡵࡿࡇ࡜ࡢ୧㠃࠿ࡽ᳨ウࡉࢀ࡚࠸ࡿ (Dawson, Schwartz, Winocur, & Stuss, 2007; Gomez-Hernandez, Max, Kosier,Paradiso, & Robinson, 1997)ࠋ
ࡲࡓࠊ࠺ࡘࡣḟ㡯࡛㏙࡭ࡿᨷᧁᛶ࡜㛵㐃ࡀ࠶ࡿࡇ࡜ࡀᣦ᦬ࡉࢀ࡚࠸ࡿࠋBaguley, Cooper, & Felmingham(2006) ࡀࠊእയᛶ⬻ᦆയᚋ㸴࠿᭶ࡢ 149 ேࠊ24 ࠿᭶ᚋࡢ 133 ேࠊ60 ࠿᭶ᚋࡢ 67 ே࡟ࡘ࠸࡚ࠊᨷᧁᛶ࡟㛵㐃ࡍࡿ࡜⪃࠼ࡽࢀࡿከᩘࡢせᅉࢆㄪ࡭ࡓ࡜ࡇࢁࠊⓎ⑕ᚋࡢ࡝ࡢ᫬ᮇ࡟࠾࠸࡚ࡶᨷᧁᛶ࡜᭱ࡶ㛵㐃ࡀ῝࠿ࡗࡓࡢࡣ࠺ࡘ⑕≧ࡢ⛬ᗘ࡛࠶ࡗࡓࠋ࠺ࡘ࡜ᨷᧁᛶ࡜ࡢ㛵ಀࡣ௚ࡢ◊✲࡛ࡶሗ࿌ࡉࢀ࡚࠸ࡿ (Neumann, Malec, &Hammond, 2017; Tateno, Jorge, & Robinson, 2003)ࠋ

࢖㸬௓ධ
⬻ᦆയᚋࡢ࠺ࡘࡸ୙Ᏻ࡟ᑐࡋ࡚ࡣࠊ⸆≀⒪ἲ࡜⸆≀௨እࡢ௓ධࡢ୧᪉ࡀ㔜せ࡛࠶ࡿ㸦ඛᓮ㸪2009㸧ࠋ⸆≀⒪ἲ௨እࡢ௓ධ◊✲࡜ࡋ࡚ࡣࠊㄆ▱⾜ື⒪ἲ㸦Cognitive Behavioral Therapy㸧ࢆ⏝࠸ࡓ௓ධࡀ௚ࡢ
἞⒪ἲࡼࡾࡶከࡃぢࡽࢀࡿࠋStalder-Lüthy et al. (2013) ࡀ⬻ᦆയ⪅ࡢ࠺ࡘ⑕≧࡟ᑐࡍࡿᚰ⌮Ꮫⓗ࡞௓ධ࡟ࡘ࠸࡚⣔⤫ⓗࣞࣅ࣮ࣗࢆ⾜ࡗࡓ࡜ࡇࢁࠊ᳨ウᑐ㇟࡜࡞ࡗࡓ 13 ௳ࡢ◊✲ࡢ࠺ࡕ 10 ௳ࡀㄆ▱⾜ື⒪ἲࢆ⏝࠸ࡓࡶࡢ࡛࠶ࡗࡓࠋㄆ▱⾜ື⒪ἲࡣࠊㄆ▱ࡸᏛ⩦࡟㛵ࡍࡿ⌮ㄽࢆࠊㄆ▱⒪ἲࡸ⾜ື⒪ἲ࡟⏤᮶ࡍࡿ἞⒪ࢸࢡࢽࢵࢡ࡟⤫ྜࡋࡓᚰ⌮⒪ἲࡢ୍ᙧែ࡛࠶ࡾࠊᑐ㇟⪅ࡢ୙㐺ᛂⓗ࡞ᛮ⪃ࣉࣟࢭࢫࡸၥ㢟⾜ືࡢ≉ᐃཬࡧಟṇ࡟↔Ⅼࢆᙜ࡚ࠊㄆ▱෌ᵓᡂࡸ⾜ືⓗᢏἲࢆ㏻ࡋ࡚ኚᐜࡍࡿࡇ࡜ࢆ┠ᣦࡍࡶࡢ࡛࠶ࡿ (Vandenbos, 2015)ࠋㄆ▱⾜ື⒪ἲࡣࠊ⬻ᦆയ௨እࡢேࡢ࠺ࡘࡸ୙Ᏻࡢᨵၿࠊࡑࡢ௚ࡢ⢭⚄⑕≧࡟ᑐࡋ࡚ᡂᯝࢆୖࡆ࡚࠸ࡿ (Butler,
Chapman, Forman, & Beck, 2006; Tolin, 2010)ࠋ

13

DSM-IV㸦American Psychiatruc Association, 㧘ᶫ࣭኱㔝࣭ᰁ㇂ヂ㸪2004㸧࡛ࡣࠊࠕ኱࠺ࡘ⑓ᛶ㞀ᐖ㸦major depressive
disorder㸧ࠖࡢྡ⛠ࡀ౑ࢃࢀ࡚࠸ࡿࡀࠊࡇࡇ࡛ࡣ Hibbard ࡽࡢグ㍕ࡢࡲࡲ࡜ࡍࡿࠋ
14 እയᛶ⬻ᦆയ๓࡟Ⓨ⑕ࡋࡓሙྜࡣ㝖ࡃࠋእയᛶ⬻ᦆയᚋ࡟Ⓨ⑕ࡋㄪᰝ᫬Ⅼ࡛ࡶᣢ⥆ࡋ࡚࠸ࡿே࡜ࠊእയᛶ⬻ᦆയᚋ࡟Ⓨ⑕ࡋㄪᰝ᫬Ⅼ࡛ࡣ᪤࡟ᅇ᚟ࡋ࡚࠸ࡿேࡢ୧᪉ࢆྵࡴࠋ୙Ᏻ㞀ᐖ࡟ࡘ࠸࡚ࡶྠᵝࠋ

24− 24 −

⬻ᦆയ⪅ࡢ࠺ࡘࡸ୙Ᏻࡢᨵၿࢆ┠ⓗ࡟ㄆ▱⾜ື⒪ἲࢆ⏝࠸ࡓ௓ධ◊✲࡛ࡣࠊຠᯝࡀᚓࡽࢀࡓ࡜ሗ࿌ࡍࡿ◊✲ (Ponsford, et al., 2016; Tiersky, et al., 2005) ࡀ」ᩘ࠶ࡿ୍᪉ࠊຠᯝࡀᚓࡽࢀ࡞࠿ࡗࡓ࡜ሗ࿌ࡍࡿ◊✲ࠊ࠶ࡿ࠸ࡣ㒊ศⓗ࡞ຠᯝ࡟␃ࡲࡗࡓ࡜ሗ࿌ࡍࡿ◊✲ (Anson & Ponsford, 2006a; Ashman, Cantor,
Tsaousides, Spielman, & Gordon, 2014 ; Lincoln & Flannaghan, 2003 ) ࡶ」ᩘ࠶ࡿࠋㄆ▱⾜ື⒪ἲࡢຠᯝࡀ◊✲࡟ࡼࡗ࡚ᵝࠎ࡛࠶ࡿࡇ࡜ࡢせᅉ࡟ࡘ࠸࡚ࡣࠊ」ᩘࡢゅᗘ࠿ࡽ᳨ウࡉࢀ࡚࠸ࡿࠋ
ࡑࡢ୍ࡘࡣࠊᑐ㇟⪅ࡢᒓᛶࡸ≉ᛶ࡟ࡼࡾㄆ▱⾜ື⒪ἲࡢຠᯝࡀ␗࡞ࡿྍ⬟ᛶ࡛࠶ࡿࠋ౛࠼ࡤࠊAnson &Ponsford (2006b) ࡣࠊ௓ධ◊✲ࡢ⤖ᯝࡢヲ⣽࡞ศᯒ࠿ࡽࠊ⬻ᦆയࡢ⛬ᗘࠊグ᠈㞀ᐖࡢ⛬ᗘࠊ௓ධ㛤ጞ᫬Ⅼ࡛ࡢ㞀ᐖ࡬ࡢẼ࡙ࡁࡢ⛬ᗘࠊཷയ๓ࡢㄆ▱⬟ຊ࡜࠸ࡗࡓせᅉࡀ௓ධࡢຠᯝ࡟ᙳ㡪ࡍࡿ࡜㏙࡭࡚࠸ࡿࠋࡲࡓࠊ୙
Ᏻ࡟ࡘ࠸࡚ࡣࠊHsieh, Ponsford, Wong, & McKay (2012) ࡀࠊᑐ㇟⪅ࡢ⬻ᦆയࡢ⛬ᗘࡸグ᠈㞀ᐖࡢ⛬ᗘࡀ௓ධຠᯝ࡟ᙳ㡪ࡍࡿࡇ࡜ࢆᣦ᦬ࡋ࡚࠸ࡿࠋูࡢほⅬ࡜ࡋ࡚ࠊWaldon, Casserly, & O'Sullivan (2013) ࡣࠊ⬻ᦆയ⪅ࢆᑐ㇟࡜ࡋࡓㄆ▱⾜ື⒪ἲ࡟㛵ࡍࡿ⣔⤫ⓗࣞࣅ࣮ࣗ࠿ࡽࠊ࠺ࡘࡸ୙Ᏻࡢᨵၿࢆ୺┠ⓗ࡜ࡋ࡚⾜ࢃࢀࡓㄆ▱⾜ື⒪ἲ࡛ࡣࡇࢀࡽࡢ⑕≧࡬ࡢຠᯝࡀぢࡽࢀࡿࡇ࡜ࡀከ࠸୍᪉ࠊ࠺ࡘࡸ୙Ᏻࡢᨵၿ௨እࢆ୺┠ⓗ࡜ࡋ࡚⾜ࢃࢀࡓㄆ▱⾜ື⒪ἲ㸦౛࠼ࡤࠊ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺ㸧࡛ࡣ࠺ࡘࡸ୙Ᏻ࡬ࡢຠᯝࡢἼཬࡣぢࡽࢀ࡟ࡃ࠸ࡇ࡜
ࢆᣦ᦬ࡋࠊㄆ▱⾜ື⒪ἲࡣㄢ㢟࡟↔Ⅼ໬ࡋ࡚⾜࠺ࡇ࡜ࡀ㔜せ࡛࠶ࡿ࡜㏙࡭࡚࠸ࡿࠋࡲࡓࠊㄆ▱⾜ື⒪ἲ࡟ࡣ
ከᵝ࡞ᢏἲࡀྵࡲࢀ࡚࠾ࡾࠊ◊✲ࡈ࡜࡟౑⏝ࡍࡿᢏἲࡀ␗࡞ࡿࡇ࡜ࠊࡲࡓࠊຠᯝ ᐃࡢ᪉ἲ࡟ࡘ࠸࡚ࡶᵝࠎ࡛࠶ࡿࡇ࡜ࡀࠊㄆ▱⾜ື⒪ἲࡢຠᯝ࡟ࡘ࠸୍࡚⮴ࡋࡓぢゎࡀᚓࡽࢀ࡟ࡃ࠸ࡇ࡜ࡢ⫼ᬒ࡟࠶ࡿ࡜⪃࠼ࡽࢀࡿ(Waldron, Casserly, & O'Sullivan, 2013 ࢆཧ↷ ࠋ⬻ᦆയ⪅ࢆᑐ㇟࡜ࡋ࡚ㄆ▱⾜ື⒪ἲࢆᐇ᪋ࡍࡿ࡟࠶ࡓࡗ࡚ࡣࠊὀពࡸグ᠈ࠊ㐙⾜ᶵ⬟࡞࡝ࡢㄆ▱ᶵ⬟㞀ᐖࢆ⪃៖ࡋࠊ୍⯡ⓗ࡞ㄆ▱⾜ື⒪ἲࡢᡭ⥆ࡁ࡟ᨵኚࡀຍ࠼ࡽࢀࡿࡇ࡜ࡀከ࠸ࠋGallagher, McLeod, & McMillan(2016) ࡢ⣔⤫ⓗࣞࣅ࣮ࣗ࡟ࡼࡿ࡜ࠊ≉࡟ከࡃ⾜ࢃࢀ࡚࠸ࡿᨵኚ࡟ࡣࠊձ⬻ᦆയࡢ⤖ᯝ࡜ࡋ࡚ࠊㄆ▱ࠊឤ᝟ࠊ⾜ື࡟࡝ࡢࡼ࠺࡞ኚ໬ࡀ㉳ࡇࡿࡢ࠿ࡢ⌮ゎಁ㐍࡟㔜Ⅼࢆ⨨࠸࡚ㄆ▱⾜ື⒪ἲࡢࣔࢹࣝ࡟ࡘ࠸࡚ᩍ⫱ࡍࡿࡇ࡜ࠊ
ղࣀ࣮ࢺࡸ࣮࢜ࢹ࢕࢜ࢸ࣮ࣉ࡞࡝グ᠈ࢆ⿵࠺ᡭẁࢆ౑⏝ࡍࡿࡇ࡜ࠊճ㔜せ࡞Ⅼࢆせ⣙ࡋ࡚ࢭࢵࢩࣙࣥ୰࡟ఱ
ᗘࡶ⧞ࡾ㏉ࡍࡇ࡜ࠊմᐟ㢟ࡢࡸࡾ᪉࡟ࡘ࠸࡚ᡭᮏࢆぢࡏࠊᵝࠎ࡞≧ἣ࡛ࡢㄢ㢟ࡢ㐙⾜ࢆບࡲࡋࠊ୍⯡໬ࢆಁ㐍ࡍࡿࡇ࡜ࠊ࡞࡝ࡀྵࡲࢀ࡚࠸ࡓࠋ௨ୗ࡟⤂௓ࡍࡿ௓ධ஦౛࡟࠾࠸࡚ࡶࡇࡢࡼ࠺࡞ᡭ⥆ࡁୖࡢᨵኚࢆຍ࠼ࡓ
ࡇ࡜ࡀグࡉࢀ࡚࠸ࡿࠋ
㒊ศⓗ࡞ຠᯝ࡟␃ࡲࡗࡓ◊✲ࡶྵࡵࠊ㸲ࡘࡢ◊✲஦౛ࢆ௨ୗ࡟⤂௓ࡍࡿࠋ࡞࠾ࠊ௨ୗ࡟⤂௓ࡍࡿ◊✲࡟࠾࠸࡚௓ධࡢᑐ㇟࡜ࡉࢀ࡚࠸ࡿࡢࡣࠊ་ᖌ࡟ࡼࡗ࡚࠺ࡘ⑓ࡸ୙Ᏻ㞀ᐖ࡜デ᩿ࡉࢀࡓே࡟㝈ࡽࡎࠊࡴࡋࢁࠊᮏே
࠿ࡽࡢッ࠼ࡸᚰ⌮ኈ➼ࡢほᐹ࠿ࡽࠊ࠺ࡘࡸ୙Ᏻࡢ⑕≧ࡀ࠶ࡿ࡜ุ᩿ࡉࢀࡓேࡀ኱㒊ศ࡛࠶ࡿࠋ
㸦࢔㸧Tiersky et al. (2005)ࡇࡢ◊✲ࡣࠊᚰ⌮⒪ἲ࡜ㄆ▱ᶵ⬟ࡢ἞⒪࠿ࡽᵓᡂࡉࢀࡿ⚄⤒ᚰ⌮Ꮫⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛ15
ࡢࠊ㍍ᗘ㹼୰➼ᗘࡢእയᛶ⬻ᦆയ⪅࡬ࡢຠᯝࢆ᳨ウࡍࡿ┠ⓗ࡛⾜ࢃࢀࡓࠋᑐ㇟⪅࡜ࡋ࡚ࠊ㍍ᗘ㹼୰➼ᗘࡢእയᛶ⬻ᦆയᚋᑡ࡞ࡃ࡜ࡶ㸯ᖺࡀ⤒㐣ࡋ࡚࠾ࡾࠊᆅᇦ࡛⏕άࡋࠊὀពຊࡸグ᠈ຊࡢపୗཬࡧឤ᝟㠃ࡢⱞ③࡟ࡘ࠸࡚ࡢッ࠼ࡀ࠶ࡿ 29 ேࡀ㑅ࡤࢀࡓࠋཧຍ⪅ࢆ௓ධ⩌࡜ᑐ↷⩌࡟↓సⅭ࡟๭ࡾ௜ࡅࠊ௓ධ⩌࡟ᑐࡋ࡚ㄆ▱ᶵ⬟カ⦎࡜ㄆ▱⾜ື⒪ἲࢆేࡏ࡚⾜࠸ࠊࡑࡢຠᯝࢆ᳨ウࡋࡓࠋ௓ධ⩌࡟ᑐࡋ࡚ࡣࠊ11 㐌㛫ࡢಶูࢭࢵ
ࢩࣙࣥࢆ㐌㸱ᅇ㸦ㄆ▱ᶵ⬟カ⦎࡜ㄆ▱⾜ື⒪ἲࢆྛ 50 ศ㸧⾜ࡗࡓࠋㄆ▱ᶵ⬟カ⦎࡛ࡣࠊὀពࡸグ᠈࡟㛵

15 Tiersky et al. ࡣࠊᚰ⌮⒪ἲ࡜ㄆ▱ᶵ⬟ࡢ἞⒪࠿ࡽᵓᡂࡉࢀࡿ⚄⤒ᚰ⌮Ꮫⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛ࡜ࡋ࡚ࠊ

Ben-Yshay ࡸ Prigatano ࡟ࡼࡿࣉࣟࢢ࣒ࣛࢆᣲࡆ࡚࠾ࡾࠊࡇࢀࡽࡣࡼࡾ㔜ᗘࡢ⬻ᦆയ⪅ࡢࡓࡵ࡟సࡽࢀࡓࡶࡢ࡛࠶ࡿ࡜
㏙࡭࡚࠸ࡿࠋBen-Yshay ࡸ Prigatano ࡟ࡼࡾࡑࡢཎᆺࡀసࡽࢀࡓࣉࣟࢢ࣒ࣛࡣࠊࠕໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙ
ࣥࣉࣟࢢ࣒ࣛࠖ࡜࿧ࡤࢀࠊࡇࢀ࡟ࡘ࠸࡚ࡣᮏ⠇㸦㸴㸧࡛㏙࡭ࡿࠋ

25− 25 −

ࡍࡿᶵ⬟ࡢᅇ᚟࡜ࠊࡑࢀࡽࡢᶵ⬟㞀ᐖࢆ⿵࠺ࢫ࢟ࣝ㸦౛࠼ࡤࠊㄢ㢟࡟୍ࡘࡎࡘྲྀࡾ⤌ࡴࡇ࡜ࠊグ᠈ࢆ⿵࠺ࣀ࣮ࢺࡢ౑⏝㸧ࡢ⋓ᚓࡢ཮᪉࡟ࡘ࠸࡚⾜ࡗࡓࠋㄆ▱⾜ື⒪ἲࡢ┠ⓗࡣࠊձຠᯝⓗ࡞ࢥ࣮ࣆࣥࢢ⾜ືࢆቑࡸࡍࡇ࡜ࠊղࢫࢺࣞࢫࢆపῶࡍࡿࡇ࡜ࠊճⱞ③࡟෌ᗘ㝗ࡿࡇ࡜ࢆண㜵ࡍࡿࢫ࢟ࣝࢆᏛࡪࡇ࡜ࠊմㄆ▱ⓗ࣭㌟
యⓗᶵ⬟ࡢపୗ࡟㛵㐃ࡍࡿ႙ኻឤ࡟ᑐฎ࡛ࡁࡿࡼ࠺࡟࡞ࡿࡇ࡜࡛࠶ࡗࡓࠋຠᯝ ᐃࡣࠊㄆ▱ᶵ⬟࡟㛵ࡍࡿ」ᩘࡢ᳨ᰝࠊᚰ⌮♫఍ⓗ࡞ഃ㠃࡟㛵ࡍࡿᑻᗘ㸦Coping Response Inventory, Symptom
Checklist-90-Revised: SCL90-R16㸧ࠊᆅᇦ♫఍࡬ࡢ⤫ྜ࡟㛵ࡍࡿᑻᗘ㸦Community Integration
Questionnaire: CIQ17㸧ࢆ⏝࠸࡚⾜ࡗࡓࠋࣉࣟࢢ࣒ࣛ⤊஢ᚋࠊ◊✲࡬ࡢཧຍࢆ୰᩿ࡋࡓ㸷ேࡢཧຍ⪅ࢆ㝖࠸࡚ࠊ௓ධ⩌࡜ᑐ↷⩌ࡢ᳨ᰝ⤖ᯝࢆẚ㍑ࡋࡓ࡜ࡇࢁࠊ௓ධ⩌࡟࠾࠸࡚ࠊSCL90-R ࡢ⥲ᚓⅬ࡜࠺ࡘࠊ୙Ᏻࡢ
ୗ఩ᑻᗘࡢࡑࢀࡒࢀ࡟⤫ィⓗ࡟᭷ព࡞ᨵၿࡀㄆࡵࡽࢀࡓࠋⴭ⪅ࡽࡣࠊཧຍࢆ୰᩿ࡋࡓே࡟࠾࠸࡚ᩍ⫱Ṕࡀ▷࠸ഴྥࡀ࠶ࡗࡓࡇ࡜ࠊ௓ධ⩌࡟࠾࠸࡚ SCL90-R ࡟ᨵၿࡀぢࡽࢀࡓࡶࡢࡢ೺ᗣ࡜ุ᩿ࡉࢀࡿỈ‽࡟ࡣ㐩ࡋ࡚࠸࡞࠸ࡇ࡜࡞࡝ࡢ㝈⏺ࢆᣲࡆࡓୖ࡛ࠊࣉࣟࢢ࣒ࣛࡣᚰ⌮♫఍ⓗⱞᝎࢆ㍍ῶࡍࡿຠᯝࡀぢࡽࢀࡓ࡜⤖ㄽ࡙ࡅ࡚࠸ࡿࠋ
㸦࢖㸧Anson & Ponsford (2006a)⮬Ꮿࡲࡓࡣᆅᇦࡢ᪋タ࡛⏕άࡍࡿእയᛶ⬻ᦆയ⪅ 31 ேࢆᑐ㇟࡜ࡋ࡚ࠊㄆ▱⾜ື⒪ἲࢆᇶ┙࡜ࡋࠊឤ᝟
㠃ࡸ㐺ᛂࡢၥ㢟࡬ࡢᑐฎᢏἲ㸦ࢥ࣮ࣆࣥࢢࢫ࢟ࣝ㸧ࡢ⋓ᚓ࡟㔜Ⅼࢆ⨨࠸ࡓࣉࣟࢢ࣒ࣛࡢຠᯝࢆ᳨ウࡋࡓࠋཧຍ⪅ࡣࠊࢢ࣮ࣝࣉࣉࣟࢢ࣒ࣛ࡟ཧຍࡍࡿࡓࡵࡢㄆ▱ᶵ⬟ࡸࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⬟ຊࡀ༑ศ࡟࠶ࡿ࡜ᢸᙜ
ࡢ⚄⤒ᚰ⌮ኈ࡟ࡼࡗุ࡚᩿ࡉࢀࡓேࡓࡕ࡛࠶ࡗࡓࠋཧຍ⪅ࡢ୰࡟ࡣࠊឤ᝟㠃ࡸ㐺ᛂ㠃࡛ࡢၥ㢟ࡀ࠶ࡿ࡜ุ
᩿ࡉࢀࡿேࡀ」ᩘ࠸ࡓࡀࠊࡑࡢࡇ࡜⮬యࡣཧຍ᮲௳࡜ࡋ࡞࠿ࡗࡓࠋཧຍ⪅ࡢ࠺ࡕᑡ࡞ࡃ࡜ࡶ㸶ேࡣࣉࣟࢢ
࣒ࣛ㛤ጞࡢ᫬Ⅼ࡛ᢠ࠺ࡘ⸆ࢆฎ᪉ࡉࢀ࡚࠸ࡓࠋ⬻ᦆയᚋࡢ⤒㐣᫬㛫ࡣ 46 ᪥㹼㸵ᖺ㏆ࡃ࡜ᖜᗈ࠿ࡗࡓࠋཧ
ຍ⪅ࢆ௓ධ⩌࡜ᑐ↷⩌࡟↓సⅭ࡟๭ࡾ௜ࡅࠊ௓ධ⩌࡟ᑐࡋ㐌㸰ᅇ㸦ྛ 90 ศ㸧ࠊ㸳㐌㛫ࡢࢢ࣮ࣝࣉࢭࢵࢩࣙ
ࣥࢆ⾜ࡗࡓࠋࢭࢵࢩ࡛ࣙࣥࡣࠊࡲࡎࠊㄆ▱ࠊẼศࠊ⾜ືࡢ㛵ಀ࡟ࡘ࠸࡚ࡢㄝ᫂ࡀ⾜ࢃࢀࡓࠋࡑࡢᚋࠊၥ㢟ゎỴᢏἲࡸࠊ୙㐺ᛂⓗ࡞ᛮ⪃ࡢㄆ㆑࡜ኚᐜࠊᛌάື┠㘓ࡸࣜࣛࢡࢮ࣮ࢩࣙࣥカ⦎࡜࠸ࡗࡓࢫ࢟ࣝࡀྲྀࡾᢅ
ࢃࢀࡓࠋᚋ༙ࡢࢭࢵࢩ࡛ࣙࣥࡣࠊᐇ㝿ࡢ⏕άࡢ୰࡛ࡢ୙Ᏻࡸ࠺ࡘࠊ⮬ᑛᚰࡢၥ㢟࡟ᑐࡋ࡚ࠊ๓༙ࡢࢭࢵࢩ
࡛ࣙࣥᏛࢇࡔࡇ࡜ࢆᐇ㊶ࡍࡿࡼ࠺ཧຍ⪅࡟ಁࡋࡓࠋ௓ධࡢຠᯝࢆ ᐃࡋࡓ࡜ࡇࢁࠊ௓ධ⩌࡟࠾࠸࡚ࠊ㐺ᛂⓗ࡞ᑐฎᢏἲ฼⏝㸦Coping Scale for Adults ࡛ᐃ㸧࡟ࡘ࠸࡚ࠊ⤫ィⓗ࡟᭷ព࡞ᨵၿࡀぢࡽࢀࡓࠋࡋ࠿ࡋࠊ

ᑐฎᢏἲࡢᨵၿ࡟కࡗ࡚ᨵၿࡍࡿ࡜ண ࡋ࡚࠸ࡓ࠺ࡘࡸ୙Ᏻ㸦Hospital Anxiety and Depression Scale:
HADS18࡛ᐃ㸧ࠊ⮬ᑛឤ᝟㸦Rosenberg Self Esteem scale19࡛ᐃ㸧࡞࡝௚ࡢ ᐃ㡯┠࡟ࡣᨵၿࡀぢࡽࢀ࡞࠿ࡗࡓࠋⴭ⪅ࡽࡣࠊຠᯝࡀ㒊ศⓗ࡛࠶ࡗࡓ⌮⏤࡜ࡋ࡚ࠊࣉࣟࢢ࣒ࣛࡢ㢖ᗘࡸᮇ㛫ࡀ༑ศ࡛࡞࠿ࡗࡓྍ⬟ᛶ࡟ࡘ࠸࡚⪃ᐹࡋ࡚࠸ࡿࠋ

㸦࢘㸧Ashman et al. (2014)ᆅᇦ࡛⏕άࡍࡿእയᛶ⬻ᦆയ⪅ 77 ேࢆᑐ㇟࡟ࠊㄆ▱⾜ື⒪ἲ࡜ᨭᣢⓗᚰ⌮⒪ἲࡢ௓ධࡢຠᯝࢆẚ㍑ࡋ
ࡓࠋཧຍ⪅ࡣࠊDSM-IV ࡛࠺ࡘ⑓ᛶ㞀ᐖ㸦depressive disorder㸧ࡢデ᩿࡟ヱᙜࡍࡿேࠊࡶࡋࡃࡣ Beck
Depression Inventory20࡛ 20 Ⅼ௨ୖࡢே࡛࠶ࡗࡓࠋཧຍ⪅ࢆࠊㄆ▱⾜ື⒪ἲ⩌࡜ᨭᣢⓗᚰ⌮⒪ἲ⩌࡟↓స
16᪥ᮏㄒ∧ࡀసᡂࡉࢀࠊಙ㢗ᛶ࣭ጇᙜᛶࡢ᳨ウࡀ⾜ࢃࢀ࡚࠸ࡿ㸦୰ᑿ࣭㧗▼1995㸹Tomioka, Shimura, Hidaka, & Kubo,
2008㸧
17ྠୖ㸦ቑ⏣, 2006㸹 Saeki, Okazaki, & Hachisuka, 2006㸧ࠋ
18 ྠୖ㸦ඵ⏣௚, 1998㸹ᮾ௚, 1996㸹 Zigmond, & Snaith, ໭ᮧ㸦ヂ㸧, 1993㸧ࠋ
19 ྠୖ㸦ᱜ஭㸪2000㸹ෆ⏣࣭ୖᇣ㸪2010㸹ᒣᮏ࣭ᯇ஭࣭ᒣᡂ㸪1982㸧ࠋ
20 ྠୖ㸦ᯘ㸪1988㸹ᯘ࣭℧ᮏ㸪1991㸧

26− 26 −


Ⅽ࡟๭ࡾ௜ࡅࠊ࠸ࡎࢀࡢ⩌ࡢཧຍ⪅࡟ᑐࡋ࡚ࡶࠊ㸱㹼㸲࠿᭶ࡢ㛫࡟ 16 ᅇ㸦ึᅇ 90 ศࠊ௨ᚋྛ 50 ศ㸧ࡢಶேࢭࢵࢩࣙࣥࡀᐇ᪋ࡉࢀࡓࠋㄆ▱⾜ື⒪ἲࡣࠊᶆ‽ⓗ࡞᪉ἲ࡟እയᛶ⬻ᦆയ࡟ࡼࡿㄆ▱ᶵ⬟㞀ᐖࢆ⪃៖ࡋࡓಟṇࢆຍ࠼࡚⾜ࢃࢀࡓࠋᨭᣢⓗᚰ⌮⒪ἲࡣࠊၥ㢟ࢆ᫂☜࡟ࡍࡿࡇ࡜ࠊ㐺ᛂⓗ࡞⾜ືࢆ㈹㈶ࡍࡿࡇ࡜ࠊ
ཧຍ⪅ࢆᏳᚰࡉࡏࡿࡇ࡜ࠊບࡲࡍࡇ࡜ࠊᚰ⌮ᩍ⫱ࠊຓゝ࡞࡝ࡀྵࡲࢀࡓࠋຠᯝ ᐃࡣࠊ௓ධࡢ๓ᚋ࡟ࠊDSM-IV࡟ᇶ࡙࠸ࡓデ᩿ࡢࡓࡵࡢ㠃᥋㸦Structured Clinical Interview for DSM-IV㸧ࠊ࠺ࡘ࡟㛵ࡍࡿ㉁ၥ⣬㸦Beck
Depression Inventory II㸧21ࠊ୙Ᏻ࡟㛵ࡍࡿ㉁ၥ⣬㸦State-Trait Anxiety Inventory22) ➼ࢆ⏝࠸࡚⾜ࢃࢀࡓࠋ௓ධ๓ᚋࡢẚ㍑࡛ࡣࠊ୧⩌࡜ࡶ࡟࠺ࡘࡸ୙Ᏻࡢᨵၿࡀぢࡽࢀࡓࠋㄆ▱⾜ື⒪ἲ⩌ࡢ᪉ࡀᨭᣢⓗᚰ⌮⒪ἲ⩌ࡼࡾࡶᨵၿࡢ⛬ᗘࡀ኱ࡁ࠸ഴྥࡀ࠶ࡗࡓࡀࠊ୧⩌ࡢ㛫࡟⤫ィⓗ࡟᭷ព࡞ᕪࡣ࡞࠿ࡗࡓࠋⴭ⪅ࡽࡣࠊᚰ⌮⒪ἲⓗ࡞௓ධࡣእയᛶ⬻ᦆയ⪅ࡢ࠺ࡘࢆ㍍ῶࡍࡿࡇ࡜࡟᭷ຠ࡛࠶ࡿࡀࠊ἞⒪᪉ἲ࡟ࡼࡿຠᯝࡢ㐪࠸ࢆ᫂ࡽ࠿࡟ࡍࡿ࡟ࡣࠊ᭦࡟ཧຍ⪅ࢆቑࡸࡋ᳨࡚ウࡍࡿᚲせࡀ࠶ࡿ࡜㏙࡭࡚࠸ࡿࠋ

㸦࢚㸧Ponsford et al. (2016)࠺ࡘࡲࡓࡣ୙Ᏻࠊ࠶ࡿ࠸ࡣ୧᪉ࡢ⑕≧ࡢ࠶ࡿ㍍ᗘ࠿ࡽ㔜ᗘࡢእയᛶ⬻ᦆയ⪅ 75 ே㸦ཷയᚋࡢᖹᆒ⤒㐣ᮇ㛫ࡣ㸱ᖺ㸷࠿᭶㸧ࢆᑐ㇟࡜ࡋࡓࠋཧຍ⪅ࢆࠊձືᶵ௜ࡅ㠃᥋㸩ㄆ▱⾜ື⒪ἲ⩌ࠊղ㠀ᣦ♧ⓗ㠃᥋㸩ㄆ▱⾜ື⒪ἲ⩌ࠊճᑐ↷⩌ࡢ㸱⩌࡟↓సⅭ࡟๭ࡾ௜ࡅࠊㄆ▱⾜ື⒪ἲࡢຠᯝཬࡧືᶵ௜ࡅ㠃᥋࡜ㄆ▱⾜ື⒪ἲ
ࡢ⤌ྜࡏࡢຠᯝࢆ᳨ウࡋࡓࠋձ⩌ཬࡧղ⩌࡟ࡣࠊㄆ▱⾜ື⒪ἲ๓ࡢ㠃᥋㸦ືᶵ௜ࡅ㠃᥋ࡲࡓࡣ㠀ᣦ♧ⓗ㠃᥋㸧ࡀ㸱㐌㛫ࠊㄆ▱⾜ື⒪ἲ࡟ࡼࡿ௓ධࡀ㸷㐌㛫⾜ࢃࢀࡓࠋࡲࡓࠊ21 㐌࠿ࡽ 30 㐌ࡢ㛫࡟㸱ᅇࡢ㏣ຍࢭࢵ
ࢩࣙࣥࡀᐇ᪋ࡉࢀࡓࠋㄆ▱⾜ື⒪ἲ࡜ືᶵ௜ࡅ㠃᥋ࡣࠊእയᛶ⬻ᦆയ⪅ࡢ㞀ᐖ≉ᛶࢆ⪃៖ࡋ࡚సᡂࡉࢀࡓ
࣐ࢽࣗ࢔ࣝ࡟ἢࡗ࡚⾜ࢃࢀࡓࠋຠᯝࡢ ᐃ࡟ࡣ Depression, Anxiety and Stress Scale ࡢ࠺ࡘᑻᗘ࡜ HADSࡢ୙Ᏻᑻᗘ࡞࡝ࡀ⏝࠸ࡽࢀࡓࠋ௓ධ⩌㸦ձ࡜ղ㸧࡟㛵ࡋ࡚ࠊ௓ධ㛤ጞᚋ 12 㐌┠ࡢ࠺ࡘ࣭୙Ᏻࡢᨵၿࡣࢃ
ࡎ࠿࡛࠶ࡗࡓࡶࡢࡢࠊ30 㐌┠ࡢ ᐃ࡛ࡣࠊ୧⩌࡜ࡶ࠺ࡘࡸ୙Ᏻࡀ㢧ⴭ࡟ᨵၿࡋ࡚࠸ࡓࠋᨵၿ࡟ᐤ୚ࡋࡓせᅉࢆศᯒࡋࡓ࡜ࡇࢁࠊ௓ධࢆࡋࡓࡇ࡜㸦ձ⩌࡜ղ⩌㸧ࡢຠᯝࡣ⤫ィⓗ࡟᭷ព࡛࠶ࡗࡓࡀࠊձ⩌ࡀղ⩌ࡼࡾࡶຠᯝࡀ኱ࡁ࠿ࡗࡓ࡜ࡣゝ࠼ࡎࠊㄆ▱⾜ື⒪ἲ࡟ඛ⾜ࡋ࡚ືᶵ௜ࡅ㠃᥋ࢆ⾜࠺ࡇ࡜ࡢຠᯝࡣ᫂☜࡛ࡣ࡞࠿ࡗࡓࠋ

21 ᪥ᮏㄒ∧ࡀసᡂࡉࢀࠊಙ㢗ᛶ࣭ጇᙜᛶࡢ᳨ウࡀ⾜ࢃࢀ࡚࠸ࡿ㸦ᑠᔱ࣭ྂᕝ㸪2002㸧ࠋ
22 ྠୖ㸦୰㔛࣭Ỉཱྀ㸪1982㸹ΎỈ࣭௒ᰤ㸪1981㸧
ࠋ

27− 27 −

㸦㸲㸧 ᛣࡾࠊᨷᧁⓗ⾜ື࢔㸬ᴫせ࣭Ⓨ⏕㢖ᗘ➼ᮏ㡯࡛ࡣࠊᛣࡾࡗࡱࡉ㸦irritability㸧ࠊᛣࡾ㸦anger㸧ࠊᨷᧁᛶ㸦aggression㸧ࠊᨷᧁⓗ⾜ື㸦aggressive behavior㸧ࢆᢅ࠺ࠋᛣࡾࡢឤ᝟ࡀᖖ࡟ᨷᧁⓗ⾜ື࡜ࡋ࡚⾜ື໬ࡉࢀࡿࢃࡅ࡛ࡣ࡞ࡃࠊࡲࡓࠊᨷᧁⓗ⾜ືࡢ⫼ᚋ࡟ᚲࡎࡋ
ࡶᛣࡾࡢឤ᝟ࡀ࠶ࡿ࡜ࡶ㝈ࡽ࡞࠸ (Vandenbos, 2015) ࡀࠊᛣࡾ࡜ᨷᧁⓗ⾜ືࡢ㛫࡟ࡣᙉ࠸㛵ಀࡀ࠶ࡿ࡜⪃࠼ࡽࢀࠊඛ⾜◊✲࡟࠾࠸࡚ࡶࡇࢀࡽࢆྠ᫬࡟ᢅ࠺ሙྜࡀぢࡽࢀࡿࡓࡵࠊᮏ㡯࡛ࡶ୧⪅ࢆࡲ࡜ࡵ࡚ྲྀࡾᢅ࠺ࠋ
እയᛶ⬻ᦆയࡸ⬻⾑⟶㞀ᐖ࡜࠸ࡗࡓ⬻ᦆയ⪅඲య࡟࠾ࡅࡿࠊᛣࡾࡗࡱࡉࡸᨷᧁⓗ⾜ືࡢ㢖ᗘࡣࠊㄪᰝ࡟ࡼ
ࡗ࡚␗࡞ࡿࡓࡵࠊ᫂☜࡛ࡣ࡞࠸ࠋ౛࠼ࡤࠊ1981 ᖺ࠿ࡽ 1990 ᖺ࡟ᐇ᪋ࡉࢀࡓ㸴௳ࡢㄪᰝ࡛ࡣࠊᛣࡾࡗࡱࡉࡣ
38㹼71㸣ࡢ㛫࡛ሗ࿌ࡉࢀ࡚࠸ࡓ (Prigatano, 1992)ࠋࡲࡓࠊ1985 ᖺ࠿ࡽ 2009 ᖺࡢㄪᰝ 12 ௳࡛ࡣࠊᛣࡾࡗ
ࡱ࠸࠶ࡿ࠸ࡣ≀⌮ⓗ࣭ゝㄒⓗ࡞ᨷᧁᛶࡣࠊ11㸣㹼96㸣࡜ᗈࡃࡤࡽࡘ࠸࡚࠸ࡓ (Sabaz, 2014)ࠋࡇࡢࡼ࠺࡟ㄪ
ᰝ⤖ᯝࡀ␗࡞ࡿ⌮⏤࡟ࡣࠊㄪᰝࡢᑐ㇟⪅ࡀከᵝ࡛࠶ࡿ㸦⬻ᦆയࡢ㔜⑕ᗘࠊⓎ⑕࠿ࡽࡢᮇ㛫ࠊᖺ㱋ࠊㄪᰝ⎔ቃ࡞࡝㸧ࡇ࡜ࠊ
ࠕᨷᧁᛶࠖ࡞࡝ࡢᐃ⩏ࡀඹ㏻࡛࡞࠸ࡇ࡜ࠊㄪᰝ࡛౑⏝ࡉࢀࡓ ᐃᑻᗘࡀᵝࠎ࡛࠶ࡿࡇ࡜࡞࡝ࡀᣲ
ࡆࡽࢀࡿ (Byrne & Coetzer, 2016)ࠋ
ᨷᧁᛶࡣࠊ࿘ᅖࡀࠕၥ㢟ࠖ࡜ࡳ࡞ࡍ⾜ືࡢ࠺ࡕࠊ኱ࡁ࡞๭ྜࢆ༨ࡵࡿࡶࡢ࡜⪃࠼ࡽࢀࡿࠋKelly, Brown, Todd
& Kremer (2008)ࡀࠊၥ㢟⾜ື㸦challenging behavior㸧ࡀ࠶ࡿ࡜ࡋ࡚ࡑࡢホ౯ࡸ἞⒪ࡢࡓࡵ࡟ᑓ㛛᪋タ࡟⤂௓ࡉࢀࡓ⬻ᦆയ⪅ 190 ேࡢ⾜ືࡢෆᐜࢆศᯒࡋࡓ࡜ࡇࢁࠊᑐ㇟⪅ࡢ 85.8㸣࡟ゝⴥ࡟ࡼࡿᨷᧁᛶࡀぢࡽࢀࠊ
41.1%ࡀ௚⪅࡬ࡢ≀⌮ⓗ࡞ᨷᧁᛶࠊ35.3%࡟≀࡬ࡢᨷᧁᛶࠊ5.3㸣࡟⮬ศ⮬㌟࡬ࡢᨷᧁᛶࡀぢࡽࢀࡓ23ࠋ⬻ᦆയ࡟㛵㐃ࡋ࡚ᛣࡾࡗࡱࡉࡸᨷᧁⓗ⾜ືࡀ⏕ࡌࡿ⫼ᬒࡣከᵝ࡛࠶ࡿࠋᨷᧁⓗ⾜ືࢆ⏕ࡌࡸࡍࡃࡍࡿせᅉ࡜ࡋ࡚⬻ࡢᦆയ㒊఩௨እ࡛ᣦ᦬ࡉࢀ࡚࠸ࡿࡶࡢ࡜ࡋ࡚ࡣࠊ࠺ࡘ⑕≧ (Baguley, Cooper, & Felmingham,
2006; Tateno, Jorge, & Robinson, 2003; Ylvisaker et al., 2007)ࠊど✵㛫⬟ຊࠊゝㄒグ᠈ࠊ▱⬟ᣦᩘ࡜࠸ࡗࡓ
ㄆ▱ⓗ࣭▱⬟ⓗ࡞せᅉࠊ♫఍⤒῭ⓗ≧ἣࠊᛶู㸦⏨ᛶ㸧 (Wood & Liossi, 2006)ࠊ⬻ᦆയ᫬ࡢᖺ㱋 (Baguley,
Cooper, & Felmingham, 2006)ࠊ࢔ࣝࢥ࣮ࣝࡸ⸆≀ࡢ஘⏝ (Tateno, Jorge, & Robinson, 2003) ࡞࡝ࡀ࠶ࡿࠋ
ࡲࡓࠊᨷᧁⓗ⾜ືࡣࠊ⬻ᦆയࡢⓎ⑕࠿ࡽᩘ࠿᭶㹼ᩘᖺ௨ୖ⤒ࡗ࡚࠿ࡽᝏ໬ࡋࡓࡾࠊ᪂ࡓ࡟ฟ⌧ࡋࡓࡾࡍࡿ
ሙྜࡀ࠶ࡿࡇ࡜ࡀሗ࿌ࡉࢀ࡚࠸ࡿ (Baguley, Cooper, & Felmingham, 2006; Johnson & Balleny, 1996)ࠋࡇ
ࡢᝏ໬➼ࡢ⫼ᬒ࡟ࡣࠊ⎔ቃ࡜ࡢ┦஫స⏝ࡀ᝿ᐃࡉࢀ࡚࠸ࡿࠋAlderman, Knight, & Brooks (2013) ࡣࠊᨷᧁⓗ⾜ືࡢࡁࡗ࠿ࡅࡢ୍ࡘ࡜ࡋ࡚ࠕᮏேࡀᮃࡲ࡞࠸άືࠖࢆᣲࡆ࡚࠾ࡾࠊᨷᧁⓗ⾜ືࡣࠊࠕᮃࡲ࡞࠸άືࠖࢆᅇ
㑊ࡍࡿࡓࡵࡢᡭẁ࡜ࡋ࡚⥔ᣢࡉࢀࡿሙྜࡀ࠶ࡿ࡜㏙࡭࡚࠸ࡿࠋࡲࡓࠊYlvisaker, Turkstra, & Coelho (2005)
ࡣࠊᚲせ௨ୖࡢไ㝈ࡸᠬ⨩ⓗ࡞⎔ቃ࡟ࡼࡗ࡚⾜ືࡀᝏ໬ࡍࡿࡇ࡜ࡣ⌋ࡋࡃ࡞࠸࡜㏙࡭࡚࠸ࡿࠋ
ᛣࡾࡗࡱࡉࢆྵࡴឤ᝟ࡢ୙Ᏻᐃࡉࡸࠊᨷᧁⓗ࡞⾜ືࢆྵࡴၥ㢟⾜ືࡣࠊㄆ▱ᶵ⬟ࡢ㞀ᐖ࡜ྠᵝ࡟ᑵປ࡞࡝
ࡢ♫఍ཧຍ࡟㈇ࡢᙳ㡪ࢆ୚࠼ࡿࡇ࡜ࡀᣦ᦬ࡉࢀ࡚࠸ࡿ (Benedictus, Spikman, & van der Naalt, 2010;
Brooks, McKinlay, Symington, Beattie, & Campsie, 1987)ࠋࡋ࠿ࡋࠊᑵປࡋ࡚࠸ࡿே࡜ࡑ࠺࡛࡞࠸ேࡢᨷᧁ
ᛶࢆẚ㍑ࡋࡓሙྜࠊ୧⪅࡟㐪࠸ࡀ࡞࠸ࡇ࡜ࢆሗ࿌ࡋ࡚࠸ࡿ◊✲ࡶ࠶ࡿ (Rao, et al., 2009; Roy, Vaishnavi,Han, & Rao, 2017; Sander, Kreutzer, & Fernandez, 1997)ࠋ
࢖㸬௓ධ ᨷᧁᛶ࡟ᑐࡋ࡚ࡣ⸆≀⒪ἲ࡜⸆≀⒪ἲ௨እࡢ௓ධࡢ୧᪉ࡀ⾜ࢃࢀࡿ㸦ᮧ஭࣭⏕᪉㸪2016㸧ࡀࠊࡇࡇ࡛ࡣࠊ⸆≀⒪ἲ௨እࡢ௓ධ࡟ࡘ࠸࡚㏙࡭ࡿࠋ
23 ᙜヱㄪᰝ⤖ᯝ࡛ࡣࠊࠕ♫఍ⓗ࡟୙㐺ษ࡞⾜ື㸦inappropriate social behaviour㸧ࠖࡶゝⴥ࡟ࡼࡿᨷᧁᛶ࡜ྠ⋡ࡢ 85.5㸣

࡛࠶ࡗࡓࡀࠊࡇࡢ࢝ࢸࢦࣜ㸫ࡣࠕࡂࡇࡕ࡞ࡉ㸦awkward㸧ࠖࠊࠕ㏞ᝨ࡞⾜ື㸦nuisance㸧ࠖࠊࠕ୙ᚑ㡰㸦non-compliant㸧ࠖ࡞࡝࠿࡞ࡾᖜࡢ࠶ࡿෆᐜࢆྵࡴࡶࡢ࡛࠶ࡗࡓࠋ

28− 28 −

ᛣࡾࡸᨷᧁⓗ⾜ື࡬ࡢ௓ධ࡟ࡘ࠸࡚ࡣࠊ
ᩘከࡃࡢ◊✲ࡀ࡞ࡉࢀ࡚࠸ࡿࡓࡵࠊ
ࡲࡎࣞࣅ࣮ࣗㄽᩥࢆᴫほࡍࡿࠋᛣࡾࡸᨷᧁⓗ⾜ື࡬ࡢ௓ධ◊✲ࢆྵࡴẚ㍑ⓗ㏆ᖺࡢ⣔⤫ⓗࣞࣅ࣮ࣗ࡜ࡋ࡚ࠊYlvisaker et al. (2007)ࠊ
Cattelani, Zettin, & Zoccolotti (2010)ࠊByrne & Coetzer (2016) ࢆྲྀࡾୖࡆࡿࠋࡑࢀࡒࢀࡢࣞࣅ࣮ࣗࡀᑐ㇟
࡜ࡍࡿ⠊ᅖࡣᑡࡋࡎࡘ␗࡞ࡿࠋ౛࠼ࡤࠊYlvisaker et al.ࡣ୺࡟እയᛶ⬻ᦆയ⪅ࢆᑐ㇟࡜ࡍࡿ୍᪉ࠊ௚ࡢ஧⪅ࡣእയᛶࡶྵࡴᚋኳᛶ⬻ᦆയ⪅඲⯡ࢆᑐ㇟࡜ࡋ࡚࠸ࡿࠋ⑕≧࡟㛵ࡋ࡚ࡣࠊByrne & Coetzer ࡣࠕᨷᧁⓗ⾜ື㸦aggressive behavior㸧ࠖ࡟≉໬ࡋࡓࣞࣅ࣮࡛ࣗ࠶ࡿࡀࠊYlvisaker et al.ࡣࠊࠕ⾜ືୖࡢ㞀ᐖ㸦behaviour
disorder㸧ࠖࢆࢸ࣮࣐࡜ࡋ࡚࠾ࡾࠊᛣࡾࡸᨷᧁⓗ⾜ືࡔࡅ࡛࡞ࡃࡼࡾᗈ࠸⠊ᅖࢆᢅࡗ࡚࠸ࡿࠋCattelani et al.
ࡣ᭦࡟ᗈࡃࠊ
ࠕ⾜ື࡜ᚰ⌮♫఍ⓗ࡞㞀ᐖ㸦behavioral and psychosocial disorders㸧ࠖ࡟ᑐࡍࡿ௓ධ඲⯡ࢆᢅࡗ࡚࠸ࡿࠋࡋࡓࡀࡗ࡚ࠊ๓㡯࡛ᢅࡗࡓ࠺ࡘࡸ୙Ᏻࠊ㞀ᐖ࡬ࡢẼ࡙ࡁ࡞࡝࡬ࡢ௓ධࡶྵࡲࢀࡿࠋྲྀࡾୖࡆࡿ௓ධ
᪉ἲࡸࡑࡢศ㢮ࡢ௙᪉ࡶࣞࣅ࣮ࣗࡈ࡜࡟␗࡞ࡿࡓࡵࠊ⾲㸰࡟ᴫ␎ࢆ♧ࡍࠋ⾲㸰 ᛣࡾࡸᨷᧁⓗ⾜ື࡬ࡢ௓ධ◊✲ࢆྵࡴ㏆ᖺࡢࣞࣅ࣮ࣗ
ⴭ⪅

ᑐ㇟㡿ᇦ

ᑐ㇟⑕≧

Ylvisaker et al.

୺࡟እയᛶ⬻ᦆയ⾜ືୖࡢ㞀ᐖ

㸦2007㸧

㸦඲ᖺ㱋㸧ᑐ㇟࡜ࡍࡿ௓ධ᪉ἲ࣭ศ㢮zఏ⤫ⓗ࡞ᛂ⏝⾜ືศᯒz࣏ࢪࢸ࢕ࣈ࡞⾜ື௓ධ࡜ᨭ᥼z㸦๓஧⪅ࡢ㸧⤌ྜࡏ

Cattelani et al.

ᚋኳᛶ⬻ᦆയ

⾜ື࡜ᚰ⌮♫఍ⓗ࡞zᛂ⏝⾜ືศᯒ

㸦2010㸧

㸦ᡂேࡢࡳ㸧ၥ㢟zㄆ▱⾜ື⒪ἲzໟᣓⓗ࣭඲యⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛ

z

⾜ືⓗ௓ධ

z

ㄆ▱⾜ືⓗ௓ධ

Byrne &

ᚋኳᛶ⬻ᦆയ

Coetzer

㸦඲ᖺ㱋㸧

ᨷᧁⓗ⾜ື

㸦2016㸧

Ylvisaker et al. (2007) ࡣࠊ⾜ືୖࡢ㞀ᐖ࡟ᑐࡍࡿ௓ධ◊✲ࢆ⣔⤫ⓗ࡞᪉ἲ࡛ᢳฟࡋࠊྛ◊✲ࡢ௓ධ᪉ἲ
ࢆࠕఏ⤫ⓗ࡞ᛂ⏝⾜ືศᯒ㸦traditional applied behaviour analysis㸧ࠖࠕ࣏ࢪࢸ࢕ࣈ࡞⾜ື௓ධ࡜ᨭ᥼
㸦positive behaviour interventions and supports㸧ࠖࠕ୧⪅ࡢ⤌ྜࡏ㸦combined㸧ࠖࡢ㸱ࡘ࡟ศ㢮ࡋ࡚ࠊࡑࢀ
ࡒࢀࡢຠᯝࢆ᳨ウࡋࡓࠋఏ⤫ⓗ࡞ᛂ⏝⾜ືศᯒ࡜ࡣࠊᮃࡲࡋ࠸⾜ື࡟ᑐࡋ࡚ሗ㓘ࢆ୚࠼ࠊᮃࡲࡋࡃ࡞࠸⾜ື࡟ᑐࡋ࡚⨩ࢆ୚࠼ࡿࠊ࠶ࡿ࠸ࡣ཯ᛂࡋ࡞࠸᪉ἲ࡛࠶ࡿࠋ⾜ືࡢ⤖ᯝ㸦㝶కᛶ㸧ࢆ᧯సࡍࡿࡇ࡜࡛ࠊᮃࡲࡋ࠸
⾜ືࢆቑࡸࡋࠊᮃࡲࡋࡃ࡞࠸⾜ືࢆῶࡽࡍࡇ࡜ࢆ≺࠸࡜ࡍࡿࠋ୍᪉ࠊ࣏ࢪࢸ࢕ࣈ࡞⾜ື௓ධ࡜ᨭ᥼࡜ࡣࠊ⾜ືࡀ㉳ࡇࡿ๓ࡢ⎔ቃタᐃࡸ࿘ᅖࡢാࡁ࠿ࡅ㸦ඛ⾜่⃭㸧࡟㔜Ⅼࢆ⨨ࡁࠊᮃࡲࡋ࠸⾜ືࢆ⏕㉳ࡋࡸࡍࡃࡋࠊᮃ
ࡲࡋࡃ࡞࠸⾜ືࢆண㜵ࡍࡿࡇ࡜ࢆ୰ᚰ࡜ࡋࡓ௓ධ᪉ἲ࡛࠶ࡿࠋ65 ࡢ◊✲ࡢ◊✲ࢹࢨ࢖ࣥཬࡧ⤖ᯝࢆྫྷ࿡ࡋࡓ
⤖ᯝࠊ✀㢮ࢆၥࢃ࡞࠸⾜ືⓗ௓ධ඲య࡟ࡘ࠸࡚ࡣ୍ᐃࡢ࢚ࣅࢹࣥࢫࡀ࠶ࡿ࡜ࡋࠊ
ࠕpractice guideline24㸦ᐇ㊶ࡢᣦ㔪㸧࡛ࠖ࠶ࡿ࡜⤖ㄽ࡙ࡅ࡚࠸ࡿࠋࡋ࠿ࡋࠊఏ⤫ⓗ࡞ᛂ⏝⾜ືศᯒࡸ࣏ࢪࢸ࢕ࣈ࡞⾜ື௓ධ࡜ᨭ᥼࡜࠸ࡗࡓ
ಶࠎࡢ௓ධᡭ⥆ࡁ࡟ࡘ࠸࡚ࡣࠊ࢚ࣅࢹࣥࢫࡀ୙㊊ࡋ࡚࠸ࡿࡇ࡜࠿ࡽࠊࡑࢀࡒࢀࢆࠕpractice option㸦ᐇ㊶ࡢ㑅ᢥ⫥㸧ࠖ࡜ࡋ࡚࠸ࡿࠋ
 Cattelani et al. (2010) ࡣࠊ⾜ື࡜ᚰ⌮♫఍ⓗ࡞ၥ㢟࡟ᑐࡍࡿ௓ධ◊✲ࢆ⣔⤫ⓗ࡞᪉ἲ࡛ᢳฟࡋࠊྛ◊✲24

๓㏙ࡋࡓ Cicerone et al. (2011) ࡜ྠࡌࡃࠊYlvisaker et al. 㸦2007㸧࡜ࠊࡇࡢᚋ࡟㏙࡭ࡿ Cattelani et al.㸦2010㸧࡟࠾࠸࡚ࡶࠊᐇ㊶࡟࠾ࡅࡿ᥎ዡࣞ࣋ࣝࢆ㸱ẁ㝵࡟ศࡅࠊ᥎ዡࣞ࣋ࣝࡀ㧗࠸᪉࠿ࡽࠊࠕpractice standard㸦ᐇ㊶ࡢᶆ‽㸧ࠖࠕpractice guideline㸦ᐇ㊶ࡢᣦ㔪㸧ࠖࠕpractice option㸦ᐇ㊶ࡢ㑅ᢥ⫥㸧ࠖ࡜ࡋ࡚࠸ࡿࠋྛࣞ࣋ࣝ࡜ุ᩿ࡍࡿᇶ‽ࡀྠ୍࡛ࡣ࡞࠸ࡇ࡜࡟␃ពࡀᚲせ࡛࠶ࡿࠋ29− 29 −

ࡢ௓ධ᪉ἲࢆࠕᛂ⏝⾜ືศᯒ㸦applied behaviour analysis㸧ࠖࠕㄆ▱⾜ື⒪ἲࠖ
ࠕໟᣓⓗ࣭඲యⓗࣜࣁࣅࣜࢸ
࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࠖ25ࡢ㸱ࡘ࡟ศ㢮ࡋࡓୖ࡛ࠊࡑࢀࡒࢀࡢຠᯝࢆ᳨ウࡋࡓࠋࡇࡢࣞࣅ࣮࡛ࣗࡣᛂ⏝⾜ືศᯒࢆࠊ㝶కᛶࡢ࣐ࢿࢪ࣓ࣥࢺࢆ୰ᚰ࡜ࡍࡿఏ⤫ⓗ᪉ἲ࡜ࠊ࣏ࢪࢸ࢕ࣈ࡞⾜ື௓ධࡢ୧᪉ࢆྵࡴࡶࡢ࡜ࡋ࡚࠸
ࡿࠋ63 ࡢ◊✲ࡢ◊✲ࢹࢨ࢖ࣥࡸ௓ධຠᯝࢆྫྷ࿡ࡋࡓ⤖ᯝࠊໟᣓⓗ࣭඲యⓗ࢔ࣉ࣮ࣟࢳ࡟ࡘ࠸࡚ࡣࠊ༑ศ࡞࢚
ࣅࢹࣥࢫࡀ☜ㄆࡉࢀࠊࠕpractice standard㸦ᐇ㊶ࡢᶆ‽㸧ࠖ࡟ヱᙜࡍࡿ࡜ࡋ࡚࠸ࡿࠋ୍᪉ࠊᛂ⏝⾜ືศᯒ࡜ㄆ
▱⾜ື⒪ἲ࡟ࡘ࠸࡚ࡣࠊࠕpractice option㸦ᐇ㊶ࡢ㑅ᢥ⫥㸧ࠖ࡜⤖ㄽ࡙ࡅ࡚࠸ࡿࠋᛂ⏝⾜ືศᯒࡀࠕpractice
optionࠖ࡟␃ࡲࡗࡓ⌮⏤࡜ࡋ࡚ࡣࠊࡇࢀࡲ࡛⾜ࢃࢀࡓ◊✲ࡢ࡯࡜ࢇ࡝ࡀᑡேᩘࡢཧຍ⪅ࢆᑐ㇟࡜ࡋࡓࡶࡢ࡛
࠶ࡿࡓࡵࠊᙉ࠸⤖ㄽࢆฟࡍࡇ࡜ࡀ࡛ࡁ࡞࠸࡜ࡋࠊᛂ⏝⾜ືศᯒ࡟ຠᯝࡀ࡞࠸࡜࠸࠺⤖ㄽ࡛ࡣ࡞࠸࡜㏙࡭࡚࠸ࡿࠋㄆ▱⾜ື⒪ἲ࡟ࡘ࠸࡚ࡣࠊᨵၿࢆሗ࿌ࡍࡿ◊✲ࡀከᩘ࠶ࡿ୍᪉࡛ࠊᑡᩘࡢሀ∼࡞◊✲ࢹࢨ࢖࡛ࣥᨵၿࡀ
ぢࡽࢀ࡞࠿ࡗࡓ◊✲ࡶ࠶ࡿࡇ࡜࠿ࡽࠊ࢚ࣅࢹࣥࢫࡢࣞ࣋ࣝࢆᐃࡵࡿࡇ࡜ࡀ㞴ࡋ࠸࡜ࡋ࡚࠸ࡿࠋ
Byrne & Coetzer (2016) ࡣࠊᚋኳᛶ⬻ᦆയᝈ⪅ࡢᨷᧁⓗ⾜ື࡟ᑐࡍࡿ௓ධ◊✲ࢆࠊ⣔⤫ⓗ࡞᪉ἲ࡛ᢳฟࡋ
࡚ࡑࡢຠᯝࢆ᳨ウࡋࡓࠋByrne & Coetzer ࡣ๓஧⪅ࡢࣞࣅ࣮ࣗ࡜␗࡞ࡾࠊᨷᧁⓗ⾜ື࡟ᑐࡍࡿᚰ⌮ⓗ௓ධ࡟ࡣࠕ⾜ືⓗ௓ධ㸦behavioral interventions㸧ࠖ࡜ࠕㄆ▱⾜ືⓗ௓ධ㸦cognitive-behavioral interventions㸧ࠖࡀ࠶ࡿ࡜ࡋࡓୖ࡛ࠊ௓ධ᪉ἲ࡛ࡣ࡞ࡃ◊✲ࢹࢨ࢖࡛ࣥ◊✲ࢆศ㢮ࡋࡓࠋලయⓗ࡟ࡣࠊ༢୍⑕౛ࢹࢨ࢖ࣥ26࡜
」ᩘ⑕౛ࢆᑐ㇟࡜ࡍࡿ◊✲ࢹࢨ࢖ࣥ㸦↓సⅭ໬ẚ㍑ヨ㦂ࡲࡓࡣࠊᑐ↷⩌ࢆタࡅࡎ௓ධ๓ᚋࡢẚ㍑ࢆࡍࡿࢹࢨ
࢖ࣥ㸧࡜࡟஧ศࡋࠊࡑࢀࡒࢀ࡟ࡘ࠸࡚࣓ࢱゎᯒ27ࡢᡭἲࢆ⏝࠸࡚ࡑࡢຠᯝࢆ⟬ฟࡋࡓࠋ㸵ࡘࡢ༢୍⑕౛ࢹࢨ
࢖ࣥ◊✲࠿ࡽࡣࠊ௓ධ๓ᚋ࡛ᨷᧁⓗ⾜ືࡀ 59㸣ῶᑡࡋࡓࡇ࡜ࡀ♧ࡉࢀࡓࠋ」ᩘ⑕౛ࢆᑐ㇟࡜ࡍࡿ㸲ࡘࡢ◊✲࠿ࡽࡣࠊ୰⛬ᗘࡢຠᯝ㔞28㸦d=-0.46㸧ࡀ⟬ฟࡉࢀࡓࠋࡇࢀࡽ࠿ࡽࠊByrne & Coetzer ࡣᚋኳᛶ⬻ᦆയ⪅ࡢᨷᧁⓗ⾜ື࡬ࡢᚰ⌮Ꮫⓗ࡞௓ධࡣࠊᑡ࡞ࡃ࡜ࡶ୰➼ᗘࡢຠᯝࡀ࠶ࡿ࡜⤖ㄽ࡙ࡅ࡚࠸ࡿࠋ ࡇࡇࡲ࡛ぢ࡚ࡁࡓࡼ࠺࡟ࠊ௓ධ᪉ἲࡢศ㢮ࡣ◊✲⪅࡟ࡼࡾ␗࡞ࡿࡀࠊ኱ࡲ࠿࡟ࡣࠊᛂ⏝⾜ືศᯒ㸦⾜ື⒪ἲ㸧࡜ㄆ▱⾜ື⒪ἲࡢ㸰ࡘࠊ࠶ࡿ࠸ࡣໟᣓⓗ࣭඲యⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢆຍ࠼࡚㸱ࡘ࡟ศ㢮ࡍࡿࡇ࡜ࡀ࡛
ࡁࡿࠋࡑࡋ࡚ࠊࡑࢀࡒࢀࡢ௓ධ᪉ἲ࡟࠾࠸࡚࠶ࡿ⛬ᗘࡢຠᯝࡀᮇᚅ࡛ࡁࡿ࡜ゝ࠼ࡿࠋࡓࡔࡋࠊㄆ▱⾜ື⒪ἲ
ࡢ㐺⏝ࡣࠊAlderman et al. (2013) ࡀᣦ᦬ࡍࡿࡼ࠺࡟ࠊᨭ᥼ᑐ㇟⪅ࡢㄆ▱ᶵ⬟ࡀ࠶ࡿ⛬ᗘಖࡓࢀ࡚࠸ࡿࡇ࡜ࡀᚲせ࡜ࡉࢀࡿࠋ
ᛣࡾ࡟↔Ⅼࢆᙜ࡚ࡿㄆ▱⾜ື⒪ἲࡣࠊ≉࡟ࠕ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺࠖ࡜࿧ࡤࢀࡿሙྜࡀከ࠸ࠋ࢔࣮࣐ࣥ࢞
ࢿࢪ࣓ࣥࢺࢆྲྀࡾᢅ࠺◊✲ࡢ࠸ࡃࡘ࠿࡛ࡣࠊNovaco (1976; 1977) ࡀ㛤Ⓨࡋࡓ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺࣉࣟࢢ
࣒ࣛࡸࢫࢺࣞࢫච␿カ⦎ࢆᅵྎ࡜ࡋࡓୖ࡛ࠊㄆ▱ᶵ⬟㞀ᐖ࡟ᑐᛂࡍࡿࡓࡵ࡟ᨵኚࢆຍ࠼ࡓ௓ධ᪉ἲ࡛࠶ࡿࡇ
࡜ࡀグࡉࢀ࡚࠸ࡿࠋᨵኚࡢෆᐜ࡜ࡋ࡚ࡣࠊ๓㡯࡛㏙࡭ࡓ࠺ࡘࡸ୙Ᏻ࡟ᑐࡍࡿㄆ▱⾜ື⒪ἲ࡜ྠࡌࡃࠊㄝ᫂ࡢ
⡆␎໬ࠊ⧞ࡾ㏉ࡋࠊどぬⓗ㈨ᩱࡢά⏝࡞࡝ࡀᣲࡆࡽࢀ࡚࠸ࡿࠋ ௨ୗ࡟௓ධ஦౛ࢆ⤂௓ࡍࡿࠋᛣࡾࡸᨷᧁᛶࡢၥ㢟࡟㛵ࡍࡿ௓ධ◊✲ࡣከᩘ⾜ࢃࢀ࡚࠸ࡿࡓࡵࠊ⫋ᴗࣜࣁ㡿ᇦ࡬ࡢཧ⪃࡜ࡍࡿほⅬ࠿ࡽࠊⓎ⑕࠿ࡽ࠶ࡿ⛬ᗘࡢᮇ㛫ࢆ⤒࡚ࠊ୺࡟ᆅᇦ࡛⏕άࡍࡿ⬻ᦆയ⪅࡬ࡢ௓ධ஦౛ࢆ
୰ᚰ࡟⤂௓ࡍࡿࠋ
㸦࢔㸧Uomoto & Brockway (1992) ⬻ᦆയᙜ஦⪅࡜ࡑࡢᐙ᪘ࢆᑐ㇟࡜ࡋࡓ㸰஦౛ࡀሗ࿌ࡉࢀ࡚࠸ࡿࠋ࠸ࡎࢀ࡟࠾࠸࡚ࡶ㸯᫬㛫㹼㸯᫬㛫 30

25 ໟᣓⓗ࣭඲యⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛ࡟ࡘ࠸࡚ࡣࠊᮏ⠇㸦㸴㸧࡛㏙࡭ࡿࠋ
26

 ேࡢᑐ㇟⪅࡟ᑐࡋࠊ࣮࣋ࢫࣛ࢖ࣥᮇ㸦௓ධࡏࡎほᐹࢆ⾜࠺᫬ᮇ㸧࡜἞⒪ᮇࢆタᐃࡋࡓୖ࡛ࠊ἞⒪࡟ᑐࡍࡿ཯ᛂࢆ᫬
㛫⤒㐣ࢆ㏣ࡗ࡚ほᐹࡍࡿ᪉ἲࠋ⤒㐣ࢆ㏣ࡗࡓࡔࡅࡢ⑕౛◊✲ࡼࡾࡶ἞⒪ࡢຠᯝࢆุᐃࡋࡸࡍࡃ࡞ࡿ㸦ᑠྥ, 2017㸧ࠋ
27 」ᩘࡢ◊✲⤖ᯝࢆ⤫ྜࡍࡿ⤫ィⓗᡭἲࢆᣦࡍ㸦ཎ⏣, 2015㸧ࠋ
28 ௓ධ࡟ࡼࡿຠᯝࡢ኱ࡁࡉࢆ♧ࡍ⤫ィ㔞㸦ཎ⏣, 2015㸧30− 30 −

ศࡢࢭࢵࢩࣙࣥࡀ㐌㸯ᅇࡢ㢖ᗘ࡛ࠊྜィ㸶ᅇࡲࡓࡣ 12 ᅇᐇ᪋ࡉࢀࡓࠋ
㸦஦౛㸯㸧⬻⭘⒆ࡢᡭ⾡ᚋ࡟ࠊ኱ኌࢆୖࡆࡿࠊቨࢆẀࡿ࡞࡝ࡢᛣࡾࡢ⇿Ⓨࡀぢࡽࢀࡿࡼ࠺࡟࡞ࡗࡓ 43 ᡯࡢ⏨ᛶ࡜ࡑࡢᐙ᪘㸦ጔࠊ17 ᡯࡢፉ㸧࡟ᑐࡋ࡚ᐇ᪋ࡉࢀࡓࠋ௓ධࡣᡭ⾡࠿ࡽ㸰ᖺᚋࡢ᫬Ⅼ࡛ࠊᮏே࡜ᐙ᪘ࢆ
ࡑࢀࡒࢀูࡢᚰ⌮⮫ᗋᐙࡀᢸᙜࡋࡓࠋᮏே࡟ᑐࡋ࡚ࡣࠊᛣࡾࡀ⇿Ⓨࡋࡑ࠺࡟࡞ࡗࡓ᫬࡟ࡑࡢሙࢆ㞳ࢀࡿ᪉ἲ㸦ࢱ࢖࣒࢔࢘ࢺ㸧ࡀᣦᑟࡉࢀࡓࠋලయⓗ࡟ࡣࠊ≟ࢆ㐃ࢀ࡚㏆ᡤࢆᩓṌࡍࡿࡇ࡜ࠊ࠶ࡿ࠸ࡣࠊዲࡁ࡞ࡔࡅ
኱ࡁ࡞㡢࡛ࣆ࢔ࣀࢆᙎࡃࡇ࡜࡛࠶ࡗࡓࠋፉࡣࠊ᪩ཱྀ࡛㛗࠸ヰࢆࡋࡀࡕ࡛࠶ࡾࠊࡑࢀࡀ∗ぶࢆⱔ❧ࡓࡏ࡚࠸ࡿࡇ࡜࠿ࡽࠊ▷ࡃ༊ษࡗ࡚ࡺࡗࡃࡾ࡜ヰࡍ⦎⩦ࢆ⾜ࡗࡓࠋࡲࡓࠊ∗ぶࡢᛣࡾࡀቑࡋ࡚ࡁ࡚࠸ࡿሙྜ࡟ࡣࠊ
ヰ㢟ࢆኚ࠼ࡓࡾࠊࡑࡢሙࢆ㞳ࢀࡿ࡞࡝ࡢᑐᛂ᪉ἲࡀᣦᑟࡉࢀࡓࠋጔ࡟ࡣࠊࢱ࢖࣒࢔࢘ࢺࡢࡁࡗ࠿ࡅࢆᮏே
࡟ఏ࠼ࡿ᪉ἲࡀᣦᑟࡉࢀࡓࠋࡇࢀࡽࡢ⤖ᯝࠊ௓ධ๓࡟ࡣ㐌࡟㸷ᅇࡳࡽࢀࡓᛣࡾࡢ⇿Ⓨࡀ௓ධ୰࡟ࡣ㐌࡟ᖹ
ᆒ 1.9 ᅇࡲ࡛ῶᑡࡋࡓࠋࡑࢀࡣࠊᐙ᪘࡟࡜ࡗ࡚ᡃ៏࡛ࡁࡿ㢖ᗘ࡛࠶ࡗࡓࠋ௓ධ⤊஢㸯࠿᭶ᚋࠊ㸱࠿᭶ᚋࠊ㸴࠿᭶ᚋࡢࣇ࢛࣮ࣟ࢔ࢵࣉ࡟࠾࠸࡚ࡶຠᯝࡣ⥔ᣢࡉࢀ࡚࠸ࡓࠋ
㸦஦౛㸰㸧እയᛶ⬻ᦆയᚋ࡟ࠊᐙᗞෆࡸ♫఍ⓗሙ㠃࡛ᭀゝࡀぢࡽࢀ࡚࠸ࡓ 22 ᡯࡢ⏨ᛶ࡜ࠊࡑࡢ୧ぶ࡟ᑐࡋ࡚ᐇ᪋ࡉࢀࡓࠋ௓ධࡣࠊ⬻ᦆയ࠿ࡽ㸱ᖺ༙ᚋࡢ᫬Ⅼ࡛࠶ࡗࡓࠋᮏேࡣࠊᛣࡾࡢၥ㢟ࡣ୧ぶࡢసࡾヰ࡛࠶ࡿ࡜ྰᐃࡋࡓࡀࠊ἞⒪ࢆཷࡅࡿࡇ࡜࡟ࡣྠពࡋࡓࠋᛣࡾࡢ⇿Ⓨࡢࡁࡗ࠿ࡅࡣࠊ⑂ປࠊὀពࢆᡶ࠺ࡢࡀᅔ㞴࡞ࡇ࡜ࠊ㸰ே௨ୖࡀྠ᫬࡟ヰࡍࡇ࡜ࠊ⫈ぬⓗ࣭どぬⓗ่⃭ࡀከࡍࡂࡿࡇ࡜ࠊ୧ぶࡀᮏேࢆ࠿ࡽ࠿࠺ࡼ࠺࡞
෕ㄯࢆゝ࠺ࡇ࡜࡛࠶ࡿ࡜≉ᐃࡉࢀࡓࠋࡑࡇ࡛୧ぶ࡟ࡣࠊ୍ᗘ࡟㸯ேࡎࡘヰࡍࡇ࡜ࠊᐙࢆ∦௜ࡅࠊど⫈ࡋ࡚࠸࡞࠸ࢸࣞࣅࡸࣛࢪ࢜ࢆษࡿࡇ࡜ࠊ෕ㄯࢆゝ࠺ࡢࡣᮏேࡢẼศࡢⰋ࠸᫬ࡔࡅ࡟ࡍࡿࡇ࡜࡞࡝ࡢᣦᑟࡀࡉࢀ
ࡓࠋࡲࡓࠊᛣࡾࡀቑ኱ࡋ࡚࠸ࡿ࡜ࡁ࡟ࠊᐙ᪘ࡸᮏேࡀ⾜࠺ࢱ࢖࣒࢔࢘ࢺࡢᡭ⥆ࡁࡀỴࡵࡽࢀࡓࠋࡇࢀࡽࡢ
௓ධࡢ⤖ᯝࠊ௓ධ๓࡟ࡣ㐌࡟ 13 ᅇぢࡽࢀࡓᛣࡾࡢ⾲ฟࡀࠊ௓ධ୰ࡣ㐌࡟ᖹᆒ 3.8 ᅇࡲ࡛ῶᑡࡋࡓࠋ㸯࠿᭶ᚋࠊ㸱࠿᭶ᚋࡢࣇ࢛࣮ࣟ࢔ࢵࣉ࡟࠾࠸࡚ࡶࠊࡑࡢຠᯝࡣ⥔ᣢࡉࢀ࡚࠸ࡓࠋ ⴭ⪅ࡽࡣࠊ⬻ᦆയ⪅ࡢ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺࢆ⾜࠺㝿ࠊ≉࡟ㄆ▱ᶵ⬟ࡢ㞀ᐖ࠿ࡽᚰ⌮⒪ἲࡢෆᐜࢆಖᣢ
ࡋࡓࡾά࠿ࡍࡇ࡜ࡀ㞴ࡋ࠸ࡼ࠺࡞ሙྜ࡟ࡣࠊᐙ᪘ࢆᕳࡁ㎸ࡴࡇ࡜ࡀ㔜せ࡛࠶ࡿ࡜㏙࡭࡚࠸ࡿࠋ
㸦࢖㸧O’Leary (2000)⬻ᦆയ⪅ࢆᑐ㇟࡜ࡍࡿ᪋タ࡟ධᡤࡍࡿ 21㹼42 ᡯࡢ⏨ᛶ࡛ࠊゝⴥࡲࡓࡣ㌟యⓗ࡞ᨷᧁⓗ⾜ືࡀぢࡽࢀࡓ㸳ே࡟ᑐࡋ࡚௓ධࡀ⾜ࢃࢀࡓࠋཧຍ⪅ࡢ⬻ᦆയᚋࡢ⤒㐣ᮇ㛫ࡣ㸲࠿᭶㹼㸳ᖺ࡛࠶ࡗࡓࠋ㸯ᅇ 60 ศࡢࢭࢵࢩࣙࣥࡀ㐌࡟㸰ᅇࠊ10 㐌㛫⾜ࢃࢀࡓࠋ㐌㸰ᅇࡢࢭࢵࢩࣙࣥࡢ࠺ࡕ 1 ᅇࡣࢥ࣮ࣆࣥࢢࢫ࢟ࣝ࡜᪥ࠎࡢࢫࢺࣞ
ࢫ࣐ࢿࢪ࣓ࣥࢺࠊࡶ࠺ 1 ᅇࡣ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺ࡟≉࡟↔Ⅼࡀᙜ࡚ࡽࢀࡓࠋ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺࡢࢭ
ࢵࢩ࡛ࣙࣥࡣࠊⱝᖺ⪅ࡢ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺྥࡅ࡟సࡽࢀࡓᩍᮦࢆᡂேࡢ⬻ᦆയ⪅࡟ྜࢃࡏ࡚ᨵኚࡋ࡚
౑⏝ࡋࠊ࣮ࣟࣝࣉࣞ࢖ࡸࢹ࢕ࢫ࢝ࢵࢩࣙࣥࠊㅮ⩏ࡀ⾜ࢃࢀࡓࠋྛࢭࢵࢩࣙࣥࡢࢸ࣮࣐ࡣࠊ౛࠼ࡤࠊᛣࡾࡢ
ࡁࡗ࠿ࡅࢆ≉ᐃࡍࡿࡇ࡜ࠊᨷᧁⓗ⾜ືࡢ⤖ᯝࢆ⪃࠼ࡿࡇ࡜ࠊᨷᧁⓗ⾜ືࡢ௦ࢃࡾ࡟࡞ࡿ᪂ࡋ࠸⾜ື࡞࡝࡛࠶ࡗࡓࠋࢭࢵࢩࣙࣥࡢ௚࡟ࠊཧຍ⪅࡟ࡣ⏕άࡢ୰࡛ᛣࡾࡀ㉳ࡁࡓሙ㠃㸦࠸ࡘࠊ࡝ࡇ࡛ࠊఱ࡟ᑐࡋ࡚ᛣࡾࢆ
ឤࡌࠊ࡝ࡢࡼ࠺࡟ᑐฎࡋࡓ࠿㸧ࢆグ㘓ࡋࠊẖᅇࡑࡢグ㘓ࢆᨭ᥼⪅࡟ᥦฟࡍࡿࡼ࠺ồࡵࡓࠋᨭ᥼⪅ࡣグ㘓ෆᐜ࡟ᑐࡋ࡚ࣇ࢕࣮ࢻࣂࢵࢡࢆ⾜ࡗࡓࠋ௓ධ๓࡜ẚ࡭࡚ࠊ௓ධ୰ཬࡧ௓ධᚋࡢᨷᧁⓗ⾜ືࡢ㢖ᗘࡣࠊࡍ࡭࡚
ࡢཧຍ⪅࡛ῶᑡࡋࡓࠋⴭ⪅ࡣࠊ࣒࢝ࣜ࢟ࣗࣛ໬ࡉࢀࡓカ⦎࡟ࡼࡗ࡚ࡍ࡭࡚ࡢཧຍ⪅ࡢᨷᧁⓗ⾜ືࢆῶᑡࡉ
ࡏࡓ࡜⤖ㄽ࡙ࡅࡓࠋࡲࡓࠊ࡝ࡢཧຍ⪅࡟࠾࠸࡚ࡶᨷᧁᛶࡀ᏶඲࡟ᾘኻࡋࡓࢃࡅ࡛ࡣ࡞࠸ࡀࠊྛಶேࡀࠊᒃ
ఫࡸ௙஦ࠊᆅᇦࡢ୰࡛ࡢಶேⓗ࡞㛵ಀࢆ⥔ᣢࡍࡿ࡟ࡣ༑ศ࡛࠶ࡿࡔࢁ࠺࡜㏙࡭࡚࠸ࡿࠋ
㸦࢘㸧Medd & Tate (2000)
 ᛣࡾࡢၥ㢟ࡀ࠶ࡿ࡜⮫ᗋⓗ࡟ุ᩿ࡉࢀࡓ 16 ேࡢᚋኳᛶ⬻ᦆയ⪅ࢆᑐ㇟࡜ࡋࡓࠋཧຍ⪅ࡢᖹᆒᖺ㱋ࡣ 35.9
31

− 31 −

ᡯࠊ⬻ᦆയᚋࡢᖹᆒ⤒㐣ᮇ㛫ࡣ 37.3 ࠿᭶࡛࠶ࡗࡓࠋࣉࣟࢢ࣒ࣛࡢෆᐜ࡟ᑐࡋ࡚ㄆ▱ᶵ⬟㞀ᐖࡀ㔜ࡍࡂࡿேࠊ
࠾ࡼࡧ⸆≀ࡸ࢔ࣝࢥ࣮ࣝ࡬ࡢ౫Ꮡࡀ࠶ࡿேࡣᑐ㇟እ࡜ࡉࢀࡓࠋᖺ㱋ࠊᛶูࠊⓎ⑕ᚋᮇ㛫ࠊᒃఫ⎔ቃࡢ㠃࡛㢮ఝࡋࡓ࣌࢔ࢆసࡗࡓ࠺࠼࡛ࠊ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺ௓ධ⩌࡜ᑐ↷⩌࡟๭ࡾ௜ࡅࡓࠋ௓ධ⩌࡟ࡣࠊ㸳㹼㸶㐌㛫ࡢಶேࢭࢵࢩࣙࣥ࡟ࡼࡿ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺࣉࣟࢢ࣒ࣛࡀ⾜ࢃࢀࡓࠋࣉࣟࢢ࣒ࣛ࡟ࡣࠊձ⬻ᦆയ࡜ᛣࡾ࡟㛵ࡍࡿᚰ⌮ᩍ⫱ࠊղㄆ▱ⓗࠊ㌟యⓗࠊឤ᝟ⓗ࡞ኚ໬࡟ࡼࡿ⮬ศ⮬㌟ࡢᛣࡾࡢㄆ㆑ࡢಁ㐍ࠊճࣜࣛࢡ
ࢮ࣮ࢩࣙࣥࠊࢭࣝࣇࢺ࣮ࢡࠊ㐺ษ࡞୺ᙇࡢ⦎⩦㸦࢔ࢧ࣮ࢩࣙࣥ㸧ࠊẼᬕࡽࡋࠊࢱ࢖࣒࢔࢘ࢺἲ࡞࡝ࠊᛣࡾ࡟
ᑐฎࡍࡿ᪉ἲࡢ⦎⩦ࡀྵࡲࢀࡓࠋ௓ධ๓ᚋཬࡧ⩌㛫ࡢẚ㍑ࢆ⾜ࡗࡓ࡜ࡇࢁࠊ௓ධ⩌࡟࠾࠸࡚ࠊState-Trait
Anger Expression Inventory㸦STAXI㸧29ࡢࠕᛣࡾࡢ⾲ฟ㸦anger expression-out㸧ࠖࡢᚓⅬࡀ௓ධ๓ᚋ࡛
⤫ィⓗ࡟᭷ព࡟పୗࡋ࡚࠾ࡾࠊᛣࡾࡢ⾲ฟࡀᑡ࡞ࡃ࡞ࡗࡓࡇ࡜ࢆ♧ࡋ࡚࠸ࡓࠋࡲࡓࠊ⤊஢㸶㐌㛫ᚋࡢホ౯ࡶຍ࿡ࡋࡓศᯒ࡛ࡣࠊ௓ධ๓࡜ẚ࡭࡚ࠊSTAXI ࡢࠕ≧ែᛣࡾࠖࡀ᭷ព࡟పୗࡋࠊࠕᛣࡾࡢไᚚࠖࡀ᭷ព࡟
ྥୖࡋ࡚࠸ࡓࠋⴭ⪅ࡽࡣࠊ⬻ᦆയ⪅࡟ᑐࡍࡿ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺ࡟㛵ࡍࡿࡑࢀࡲ࡛ࡢ◊✲ࡀࠊຠᯝࡢุ
᩿ࢆᮏேࡸ࿘ᅖ࡟ࡼࡿሗ࿌࡟ᣐࡗ࡚࠸ࡓࡇ࡜࡜␗࡞ࡾࠊᮏ◊✲࡛⏝࠸ࡓᶆ‽໬ࡉࢀࡓ᳨ᰝ࡟࠾࠸࡚ຠᯝࢆ
♧ࡍࡇ࡜ࡀ࡛ࡁࡓ࡜㏙࡭࡚࠸ࡿࠋࡇࡢ◊✲࡛ࡣࠊᛣࡾ௨እ࡟ࠊ⮬ᑛᚰ㸦Self-esteem Inventories ࡛୙Ᏻ࡜࠺ࡘ㸦HADS ࡛ᐃ㸧ࠊ㞀ᐖࡢ⮬ᕫㄆ㆑㸦Patient Competency Rating Scale ࡛ᐃ㸧ࠊᐃ㸧࡟ࡘ࠸࡚ࡶ௓ධ๓ᚋ࡛ホ౯ࡋࡓࡀࠊࡇࢀࡽ࡟ࡘ࠸࡚ࡣ௓ධ࡟ࡼࡿኚ໬ࡣㄆࡵࡽࢀ࡞࠿ࡗࡓࠋ
㸦࢚㸧Walker et al. (2010)ᆅᇦ࡟⏕άࡍࡿ㔜ᗘࡢእയᛶ⬻ᦆയ⪅࡛ࠊᛣࡾࡢࢥࣥࢺ࣮ࣟࣝࡢၥ㢟ࡀ࠶ࡿ࡜ᮏேࡲࡓࡣᐙ᪘ࡀุ᩿ࡋ
ࡓேࢆᑐ㇟࡜ࡋࡓࠋ⢭⚄⑌ᝈࡀ࠶ࡿሙྜࡸࠊ࢔ࣝࢥ࣮ࣝࡸ⸆≀஘⏝ࡀ࠶ࡿሙྜࡣᑐ㇟እ࡜ࡋࡓࠋ㐌㸯ᅇ㸰᫬㛫ࡢࢢ࣮ࣝࣉࢭࢵࢩࣙࣥ㸦㸲㹼㸶ே㸧ࢆ 12 ᅇ࡜ࣇ࢛࣮ࣟ࢔ࢵࣉࢭࢵࢩࣙࣥ 1 ᅇࢆ㸯ࢡ࣮ࣝ࡜ࡋ࡚ࠊ1998
ᖺ࠿ࡽ 2006 ᖺࡢ㛫࡟」ᩘᅇ࡟ศࡅ࡚⾜ࡗࡓࠋࢭࢵࢩࣙࣥࡣㄆ▱⾜ື⒪ἲࡢࣔࢹࣝ࡟ᇶ࡙ࡁࠊእയᛶ⬻ᦆയࡢᙳ㡪ࠊᛣࡾࡢࡁࡗ࠿ࡅࠊᛣࡾࡢࡁࡗ࠿ࡅ࡟Ẽ࡙ࡃࡓࡵࡢ᪉ἲࠊᛣࡾឤ᝟ࢆῶࡽࡍࡓࡵࡢ᪉ἲࠊࢱ࢖࣒
࢔࢘ࢺἲࠊ⮬ᕫᩍ♧ἲ࡞࡝࡟㛵ࡍࡿ᝟ሗࡢᥦ౪ࠊࢢ࣮ࣝࣉࢹ࢕ࢫ࢝ࢵࢩࣙࣥࠊ࣮ࣟࣝࣉࣞ࢖ࡀ⾜ࢃࢀࡓࠋࡲࡓࠊᛣࡾࡢグ㘓ࢆྵࡴᐟ㢟࡬ࡢࣇ࢕࣮ࢻࣂࢵࢡࡀ⾜ࢃࢀࡓࠋㄆ▱ᶵ⬟㞀ᐖ࡟ᑐᛂࡍࡿࡓࡵ࡟ࠊᴫᛕࡢ⡆₩໬ࠊලయ౛ࡢ౑⏝ࠊࢭࢵࢩࣙࣥࡢ⧞ࡾ㏉ࡋࠊどぬᩍᮦࡢ฼⏝࡞࡝ࡀ⾜ࢃࢀࡓࠋ୍㒊ࡢࢭࢵࢩࣙࣥ࡟ࡣཧ
ຍ⪅ࡢᐙ᪘ࡸ཭ேࡀฟᖍࡍࡿࡇ࡜ࡀ᥎ዡࡉࢀࡓࠋ12 ᅇࡢࢭࢵࢩࣙࣥࡢ࠺ࡕࠊ㸷ᅇ௨ୖཧຍࡋࡓ 52 ேࡀຠᯝᐃࡢᑐ㇟࡜ࡉࢀࡓࠋࣉࣟࢢ࣒ࣛᐇ᪋๓࡜ࣉࣟࢢ࣒ࣛ⤊஢᫬ࢆẚ㍑ࡍࡿ࡜ࠊSTAXI ࡢࠕ≉ᛶᛣࡾࠖ࡜ࠕᛣ

ࡾࡢ⾲ฟࠖࡢᚓⅬࡀ⤫ィⓗ࡟᭷ព࡟పୗࡋࠊ
ࠕᛣࡾࡢไᚚࠖࡢᚓⅬࡀ᭷ព࡟ྥୖࡋࠊ࠸ࡎࢀࡶᨵၿࢆព࿡ࡋ
࡚࠸ࡓࠋࡲࡓࠊࣇ࢛࣮ࣟ࢔ࢵࣉࢭࢵࢩࣙࣥ࡟ཧຍࡋࡓ 31 ே࡟ࡘ࠸࡚ࠊࣉࣟࢢ࣒ࣛ⤊஢᫬࡜ࣇ࢛࣮ࣟ࢔ࢵ
ࣉ᫬ࢆẚ㍑ࡋࡓ࡜ࡇࢁࠊࣉࣟࢢ࣒ࣛࡢຠᯝࡀ⥔ᣢࡉࢀ࡚࠸ࡿࡇ࡜ࡀ♧ࡉࢀࡓࠋⴭ⪅ࡽࡣࠊ㞟ᅋㄆ▱⾜ື⒪ἲࡣࠊ㔜ᗘࡢእയᛶ⬻ᦆയᚋࡢᛣࡾࡢࢥࣥࢺ࣮ࣟࣝࡢၥ㢟ࢆྲྀࡾᢅ࠺ᆅᇦᆺࡢ἞⒪࡜ࡋ࡚ᮇᚅ࡛ࡁࡿ࡜㏙࡭࡚࠸ࡿࠋ㸦࢜㸧Aboulafia-Brakha, Buschbeck, Rochat, & Annoni (2013) ; Aboulafia-Brakha & Ptak (2016)୰➼ᗘ㹼㔜ᗘࡢእയᛶ⬻ᦆയࡢᚋ 1 ᖺ௨ୖ⤒㐣ࡋ࡚࠸ࡿ 18㹼60 ᡯࡢ㸷ேࢆᑐ㇟࡜ࡋ࡚ࠊㄆ▱⾜ື⒪ἲ
࡟ᇶ࡙ࡃᛣࡾ࡜ᨷᧁᛶࡢ࣐ࢿࢪ࣓ࣥࢺࡢࣉࣟࢢ࣒ࣛࢆ⾜ࡗࡓࠋཧຍ⪅ࡣࠊእയᛶ⬻ᦆയᚋ࡟඲⯡ⓗ࡞⾜ືࡢኚ໬ࡀぢࡽࢀࡓேࠎ࡛࠶ࡗࡓࠋ㔜ᗘࡢኻㄒ⑕ࡸ㔜ᗘࡢグ᠈㞀ᐖࡢ࠶ࡿேࠊࡲࡓࠊእയᛶ⬻ᦆയࡢ๓࠿ࡽ
⢭⚄⑌ᝈࡢ࠶ࡿேࡣᑐ㇟እ࡜ࡉࢀࡓࠋ㸷ேࡢ࠺ࡕ㸲ேࡣ௓ධࡢ᫬Ⅼ࡛㞠⏝ࡉࢀ࡚࠸ࡓࠋ㸯ᅇ 60 ศࠊ㐌㸯29᪥ᮏㄒ∧ࡀసᡂࡉࢀࠊಙ㢗ᛶ࣭ጇᙜᛶࡢ᳨ウࡀ⾜ࢃࢀ࡚࠸ࡿ㸦୕᰿࣭὾࣭኱ஂಖ㸪1997㸹㕥ᮌ࣭᫓ᮌ㸪1994㸧ࠋ32− 32 −

ᅇࠊ㸶㐌㛫ࡢ㸰㹼㸲ேࡢᑠࢢ࣮ࣝࣉ࡛ࡢࢭࢵࢩࣙࣥࡀ⾜ࢃࢀࡓࠋࣉࣟࢢ࣒ࣛࡢෆᐜࡣ⬻ᦆയ⪅ࢆᑐ㇟࡜ࡋ
ࡓ௚ࡢ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺࣉࣟࢢ࣒ࣛࢆཧ⪃࡟సࡽࢀࠊձឤ᝟࡜⮬ᕫㄆ㆑ࠊղឤ᝟ࡢ࣐ࢿࢪ࣓ࣥࢺࠊճ
ㄆ▱ⓗ෌ᵓᡂ࡜௦᭰ⓗ࡞⪃࠼᪉ࠊմண㜵ⓗ࡞᪉⟇ࠊࡢ㸲ࡘࡢࣔࢪ࣮ࣗࣝࡀྵࡲࢀࡓࠋࢭࢵࢩ࡛ࣙࣥࡣどぬᩍᮦࡀ౑ࢃࢀࠊ࣮ࣟࣝࣉࣞ࢖ࡀ⏝࠸ࡽࢀࡓࠋࡲࡓࠊᐟ㢟࡜ࡋ࡚ࠊࢭࢵࢩࣙࣥࡢ㛫ࡢ㸯㐌㛫࡟㉳ࡁࡓࠊᛣࡾ
࡟㛵㐃ࡍࡿ≧ἣࢆほᐹࡍࡿࡇ࡜ࡀᣦ♧ࡉࢀࡓࠋຠᯝ ᐃ࡟ࡣࠊᨷᧁᛶ࡟㛵ࡍࡿ⮬グᘧ㉁ၥ⣬ (Buss andPerry Aggression Questionnaire30: AQ-12) ࡢ௚ࠊ⾪ືᛶ㸦UPPS Impulsive Behaviour Scale㸧ࠊ඲⯡ⓗ⾜ື㸦Frontal System Behaviour Scale31㸧ࠊඹឤ㸦Cambridge Behaviour Scale㸧ࠊẼศ㸦HADS㸧࡟㛵ࡍࡿ㉁ၥ⣬ࡀ⏝࠸ࡽࢀࡓࠋࣉࣟࢢ࣒ࣛ㛤ጞ๓࡜⤊஢┤ᚋ࡛ࡣࡇࢀࡽࡢᚓⅬ࡟⤫ィⓗ࡟᭷ព࡞ኚ໬ࡣぢࡽࢀ࡞࠿ࡗࡓࡀࠊࣉࣟࢢ࣒ࣛ㛤ጞ๓࡜⤊஢㸲㹼㸳࠿᭶ᚋࡢẚ㍑࡛ࡣࠊAQ-12 ࡢᚓⅬ࡟࠾࠸࡚᭷ព࡞పୗࡀぢࡽࢀࠊᨷᧁᛶࡀῶᑡࡋࡓࡇ࡜ࢆ♧ࡋ࡚࠸ࡓ Aboulafia-Brakha et al., 2013)ࠋࡑࡢᚋࠊⴭ⪅ࡽࡣཧຍ⪅ࢆ 19ே࡟ቑࡸࡋࠊ12 㐌㛫ࡢࣉࣟࢢ᳨࣒࡛ࣛウࢆ⾜ࡗࡓࠋࡑࡢ⤖ᯝࠊࣉࣟࢢ࣒ࣛ⤊஢┤ᚋࡢ᫬Ⅼ࡛ࣉࣟࢢ࣒ࣛ㛤ጞ᫬Ⅼ࡜ẚ࡭࡚ᛣࡾ㸦STAXI ࡛ᐃ㸧ࡸᨷᧁᛶ㸦AQ-12 ࡛ᐃ㸧ࡀ⤫ィⓗ࡟᭷ព࡟పୗࡋࡓࡇ࡜ࡀ♧ࡉࢀࡓࠋ࡞࠾ࠊࡇࡢ◊✲࡛ࡣࠊ௓ධࢆ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺࣉࣟࢢ࣒ࣛ㸦㸶㐌㛫㸧࡜ࠊᛣࡾ௨እࡢᚰ⌮♫఍ⓗၥ㢟ࢆᢅ࠺ࣉࣟࢢ࣒ࣛ㸦㸲㐌㛫㸧࡟ศࡅࠊ௓ධࡢ㡰ᗎࢆ㏫࡟ࡋࡓ㸰ࢢ࣮ࣝࣉࢆタᐃࡋࡓࡀࠊࢢ࣮ࣝࣉ㛫࡛ࡢຠᯝࡢ㐪࠸ࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ (Aboulafia-Brakha & Ptak, 2016)ࠋ

㸦࢝㸧Hart et al. (2012) ; Hart et al. (2017) ୰➼ᗘ࠿ࡽ㔜ᗘࡢእയᛶ⬻ᦆയᚋᑡ࡞ࡃ࡜ࡶ㸴࠿᭶ࡀ⤒㐣ࡋ࡚࠸ࡿ 10 ேࢆᑐ㇟࡜ࡋ࡚࢔࣮࣐ࣥ࢞ࢿࢪ
࣓ࣥࢺࣉࣟࢢ࣒ࣛࢆᐇ᪋ࡋࡓࠋཧຍ⪅ࡣⓙࠊᛣࡾࡸᨷᧁᛶ࡟㛵ࡍࡿ⮬グᘧࡢ㉁ၥ⣬㸦STAXI-2 ࡲࡓࡣ Brief
Anger-Aggression Questionnaire: BAAQ㸧࡟࠾࠸࡚ࠊᛣࡾࡸᨷᧁᛶࡢ୍ᐃ௨ୖࡢၥ㢟ࡀ☜ㄆࡉࢀ࡚࠸ࡓࠋ
⢭⚄⑌ᝈࡸ࢔ࣝࢥ࣮ࣝࠊ⸆≀஘⏝ࡢ࠶ࡿேࡣᑐ㇟እ࡜ࡉࢀࡓࠋ60㹼90 ศࡢ㐌 1 ᅇࡢಶேࢭࢵࢩࣙࣥࡀ㸶ᅇᐇ᪋ࡉࢀࡓࠋࢭࢵࢩࣙࣥࡣࠊձᛣࡾ࡟㛵㐃ࡍࡿ⮬ᕫ⌮ゎ㸦ᛣࡾࡢࢩࢢࢼࣝ࡟Ẽ࡙ࡃ㸧࡜ࠊղၥ㢟ゎỴカ⦎㸦ࣇࣛࢫࢺ࣮ࣞࢩࣙࣥࡸⴱ⸨ࡢ࠶ࡿ≧ἣୗ࡛ࡼࡾᘓタⓗ࡞⾜ືࡢࣞࣃ࣮ࢺ࣮ࣜࢆቑࡸࡍ㸧ࡢ㸰Ⅼ࡟↔Ⅼࡀᙜ࡚ࡽࢀ࡚࠸ࡓࠋຠᯝ ᐃ࡟ࡣࠊSTAXI-2 ࡜ BAAQࠊឤ᝟ࡢ≧ែ࡟㛵ࡍࡿ㉁ၥ⣬㸦Brief Symptom
Inventory -18item version㸧ࡀ⏝࠸ࡽࢀࠊ๓஧⪅࡟㛵ࡋ࡚ࡣᮏே࡜㏆ぶ⪅ࡀࡑࢀࡒࢀ࡟ᅇ⟅ࡋࡓࠋ௓ධ๓
ᚋࡢẚ㍑࡟࠾࠸࡚ࠊᮏேࡀᅇ⟅ࡋࡓ STAXI-2 ࡢࠕᛣࡾࡢ⾲ฟࠖཬࡧ BAAQ ࡢᚓⅬࡀ⤫ィⓗ࡟᭷ព࡟పୗ
ࡋࡓ௚ࠊ㏆ぶ⪅ࡀᅇ⟅ࡋࡓ STAXI-2 ࡢࠕᛣࡾࡢ⾲ฟࠖ࡟࠾࠸࡚ࡶ⤫ィⓗ࡟᭷ព࡞పୗࡀぢࡽࢀࠊᛣࡾࡸᨷ
ᧁᛶࡀῶᑡࡋࡓࡇ࡜ࢆ♧ࡋ࡚࠸ࡓ (Hart et al., 2012)ࠋⴭ⪅ࡽࡣࡑࡢᚋࠊᑐ㇟ேᩘࢆ 90 ே࡟ቑࡸࡋࠊ࢔ࣥ
࣮࣐࢞ࢿࢪ࣓ࣥࢺࣉࣟࢢ࣒ࣛࢆ⾜࠺⩌ 60 ே࡜ࠊᛣࡾࡢၥ㢟ࢆྲྀࡾᢅࢃ࡞࠸ᚰ⌮㠃᥋ࢆ⾜࠺⩌ 30 ே࡟↓సⅭ࡟๭ࡾ௜ࡅ࡚௓ධࢆ⾜ࡗࡓࠋᮏே࡜㏆ぶ⪅ࡢᅇ⟅࡟ࡼࡿ STAXI-2 ཬࡧ BAAQ ࢆ⏝࠸࡚୧⩌࡬ࡢ௓ධຠ
ᯝࢆẚ㍑ࡋࡓ⤖ᯝࠊ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺࢆ⾜ࡗࡓ⩌ࡣᚰ⌮㠃᥋⩌ࡼࡾࡶࠊSTAXI-2 ࡢࠕ≉ᛶᛣࡾࠖࡢᚓ
Ⅼࡀపୗࡋࡓேࡢ๭ྜࡀ⤫ィⓗ࡟᭷ព࡟㧗࠿ࡗࡓࠋⴭ⪅ࡽࡣࠊᛣࡾࡢ࠸ࡃࡘ࠿ࡢഃ㠃࡟࠾࠸࡚࢔࣮࣐ࣥ࢞
ࢿࢪ࣓ࣥࢺࣉࣟࢢ࣒ࣛࡀ᭷ຠ࡛࠶ࡗࡓ࡜⤖ㄽ࡙ࡅ࡚࠸ࡿ (Hart et al., 2017)ࠋ
㸦࢟㸧㔝ᮧ࣭⏥ᩫ࣭ྜྷᕝ࣭୰ᓥ㸦2017㸧እയᛶ⬻ᦆയ࡟ࡼࡿ㧗ḟ⬻ᶵ⬟㞀ᐖࡢࡓࡵ㞀ᐖ⪅ᨭ᥼᪋タ࡟ධᡤࡋࡓ 18 ᡯ⏨ᛶࢆᑐ㇟࡟௓ධࢆᐇ᪋ࡋ
ࡓࠋᑐ㇟⪅ࡣࠊ௚ࡢ฼⏝⪅࡞࡝࡜ࡢᑐே஺ὶሙ㠃ࢆࡁࡗ࠿ࡅ࡟࢖ࣛ࢖ࣛࡍࡿࡇ࡜ࡀ࠶ࡾࠊ⮬ᐊࡸඹ᭷ࢫ࣌
࣮ࢫࡢ≀ရࢆ◚ቯࡍࡿ⾜ືࡀぢࡽࢀࡓࠋ⮬㌟ࡢ⾜ືࡀ୙㐺ษ࡛࠶ࡿ࡜ࡢㄆ㆑ࡣ࡛ࡁ࡚࠸ࡓࠋ⸆≀⒪ἲ㸦㡻3031᪥ᮏㄒ∧ࡀసᡂࡉࢀࠊಙ㢗ᛶ࣭ጇᙜᛶࡢ᳨ウࡀ⾜ࢃࢀ࡚࠸ࡿ㸦Ᏻ⸨௚㸪1999㸧ࠋྠୖ㸦ྜྷఫ࣭ୖ⏣࣭኱ᮾ࣭ᮧ஭㸪2007㸧

33− 33 −

᭹㸧࡟ຍ࠼࡚ࠊ⾜ືⓗ࢔ࣉ࣮ࣟࢳᮇ࡜ㄆ▱ⓗ࢔ࣉ࣮ࣟࢳᮇ࡟ศࡅ࡚㠀⸆≀ⓗ࡞௓ධࢆ⾜ࡗࡓࠋ௓ධࡣࠊ⬻ᦆയ࠿ࡽ㸰ᖺ㸯࠿᭶ᚋࡢ᫬Ⅼ࡛࠶ࡗࡓࠋ⾜ືⓗ࢔ࣉ࣮ࣟࢳᮇ࡟ࡣࠊᛣࡾࡀ⏕ࡌࡓ᫬࡟Ẽศ㌿᥮ࢆࡍࡿࡓࡵ
ࡢ࣮࢝ࢻ㸦ᮏேࡀⴠࡕ╔ࡃෆᐜࢆグ㍕㸧ࡢᦠᖏࢆᑟධࡋࠊᛣࡾ࡟ᑐࡍࡿ㐺ษ࡞ᑐฎ᪉ἲࢆ୍ぴ࡟ࡋࡓ࣏ࢫ
ࢱ࣮ࢆᥖ♧ࡋࡓࠋ㐺ษ࡞ᑐฎࡀ࡛ࡁࡓሙྜ࡟ࡣᨭ᥼⪅ࡀ⫯ᐃⓗ࡞ࣇ࢕࣮ࢻࣂࢵࢡࢆ⾜ࡗࡓࠋㄆ▱ⓗ࢔ࣉ࣮ࣟࢳᮇ࡛ࡣᐃᮇⓗ࡞㠃᥋ࢆ⾜࠸ࠊᛣࡾ࡟ࡼࡿ⾜ືࢆ᣺ࡾ㏉ࡾࠊ⾜ືࡢ⫼ᬒ࡟࠶ࡿಙᛕࡸࠊᛣࡾ⾜ືࢆぢࡓ௚⪅ࡀ࡝ࡢࡼ࠺࡞ឤ᝟ࢆᢪࡃ࠿࡜࠸ࡗࡓࡇ࡜࡟ࡘ࠸࡚⧞ࡾ㏉ࡋヰࡋྜ࠸ࢆ⾜ࡗࡓࠋ㸰ᖺ㛫ࡢධᡤ⏕άࢆ㏻ࡌ࡚ᨷᧁⓗ⾜ືࡣῶᑡࡋࠊ㏥ᡤ࠿ࡽ㸯ᖺᚋࡢ᫬Ⅼ࡛⫋ᴗࢆ⥅⥆࡛ࡁ࡚࠸ࡓࠋⴭ⪅ࡽࡣࠊᛣࡾࡢཎᅉࡸᙳ㡪࡟ࡘ࠸࡚ᮏேࡢẼ࡙ࡁࡀప࠸ẁ㝵࡛ࡣ⾜ືⓗ࢔ࣉ࣮ࣟࢳࢆ⾜࠸ࠊẼ࡙ࡁࡸ⾜ືಟṇ࡬ࡢពḧࡀ⏕ࡌࡓࢱ࢖࣑ࣥࢢ࡛ㄆ▱ⓗ࢔ࣉ࣮ࣟࢳࢆ⾜ࡗࡓࡇ࡜ࡀຠᯝ࡟ࡘ࡞ࡀࡗࡓ࡜⪃ᐹࡋ࡚࠸ࡿࠋ

34− 34 −

㸦㸳㸧 Ⓨືᛶࡢపୗ
࢔㸬ᴫせ࣭Ⓨ⏕㢖ᗘ➼ Marin (1990)࡟ࡼࡿ࡜ࠊⓎືᛶࡢపୗ㸦apathy㸧࡜ࡣࠊព㆑ࣞ࣋ࣝࡢపୗࡸㄆ▱ᶵ⬟ࡢ㞀ᐖࠊឤ᝟㠃࡛ࡢⱞᝎࢆཎᅉ࡜ࡏࡎ࡟ࠊືᶵ௜ࡅࡀῶᑡࡋࡓ≧ែ࡛࠶ࡿࠋVan Reekum (2005) ࡀ」ᩘࡢඛ⾜◊✲ࢆㄪᰝࡋࡓ࡜ࡇࢁࠊⓎືᛶࡢపୗࡣእയᛶ⬻ᦆയ⪅࡟࠾࠸࡚ࡣ 46.4㹼71.1㸣ࠊ⬻༞୰࡛ࡣࠊ22.5㸣㹼56.7㸣ࡢ㛫࡛ሗ࿌ࡉࢀ࡚࠾ࡾࠊ⬻ᦆയ⪅࡟࠾࠸࡚ᗈࡃぢࡽࢀࡿ⑕≧࡛࠶ࡿࠋືᶵ௜ࡅࡀపୗࡋࡓ≧ែࡣࠊ⫋ᴗ࡟ᡠࡿࡇ࡜ࡢ௚ࠊ
እฟࡸ㈈⏘ࢆ⟶⌮ࡍࡿࡇ࡜࡞࡝ᵝࠎ࡞♫఍ⓗ⮬❧ᛶࢆᦆ࡞࠺ࡇ࡜࡟㛵ಀࡍࡿ (Mazaux, et al., 1997)ࠋ
࢖㸬௓ධ
Ⓨືᛶࡢపୗ࡟ᑐࡋ࡚ࡶ⸆≀⒪ἲࡀ⾜ࢃࢀࡿ㸦ඛᓮ㸪2009 ; ୖ⏣࣭ᮧ஭㸪2016㸧ࡀࠊࡇࡇ࡛ࡣ⸆≀⒪ἲ௨
እࡢ௓ධ࡟ࡘ࠸࡚㏙࡭ࡿࠋእയᛶ⬻ᦆയࡸ⬻⾑⟶㞀ᐖ࡟ࡼࡿ⬻ᦆയ⪅ࡢⓎືᛶࡢపୗ࡬ࡢ⸆≀௨እࡢ௓ධ࡟㛵ࡍࡿ◊✲ࡣ㝈ࡽࢀ࡚࠸
ࡿࠋLane-Brown & Tate (2009) ࡀࠊ⬻ᦆയ⪅࡟ᑐࡍࡿ௓ධ◊✲ࡢ࠺ࡕࠊពḧ࣭Ⓨືᛶపୗ࡬ࡢຠᯝࡀࢹ࣮
ࢱ࡜ࡋ࡚♧ࡉࢀ࡚࠸ࡿ௓ධ◊✲ࢆ⣔⤫ⓗ࡞᪉ἲ࡛ᢳฟࡋࡓ࡜ࡇࢁ࡟ࡼࡿ࡜ࠊᢳฟࡉࢀࡓ 28 ௳ࡢ◊✲ࡢ࠺ࡕࠊ
21 ௳ࡣㄆ▱⑕ࡢேࢆᑐ㇟࡜ࡋࡓ◊✲࡛࠶ࡾࠊእയᛶ⬻ᦆയ⪅ࢆᑐ㇟࡜ࡋࡓ◊✲ࡣ㸲௳ࠊ⬻༞୰ࢆᑐ㇟࡜ࡋࡓ
◊✲ࡣ㸰௳࡟␃ࡲࡗࡓ㸦ṧࡿ㸯௳ࡣእയᛶ⬻ᦆയࠊ⬻༞୰ࠊ௚ࡢ⑌ᝈࡢཧຍ⪅ࡀΰᅾࡍࡿ◊✲࡛࠶ࡗࡓ㸧ࠋࡲ
ࡓࠊ28 ௳୰ࠊពḧ࣭Ⓨືᛶపୗࢆ἞⒪ࢱ࣮ࢤࢵࢺ࡜ࡋࡓ௓ධࢆ⾜ࡗࡓࡇ࡜ࡀ᫂グࡉࢀ࡚࠸ࡓ◊✲ࡣ㸲௳ࡢࡳ࡛࠶ࡾࠊ࠸ࡎࢀࡶㄆ▱⑕⪅ࢆᑐ㇟࡜ࡋࡓ◊✲࡛࠶ࡗࡓࠋ
௨ୗ࡟ࠊ௓ධ஦౛ࢆ㸰౛⤂௓ࡍࡿࠋ㸦࢔㸧Lane-Brown & Tate (2010)㔜ᗘࡢእയᛶ⬻ᦆയᚋ㸱ᖺ㸵࠿᭶⤒ࡘ 32 ᡯࡢ⏨ᛶࢆᑐ㇟࡜ࡋࡓࠋཷയ๓ࠊ⏨ᛶࡣࢥࣥࣆ࣮ࣗࢱᴗ⏺࡛࣐ࢿࢪ࣓ࣥࢺࣞ࣋ࣝࡢ௙஦ࢆࡋ࡚࠾ࡾࠊ♫஺ⓗ࡛άືⓗ࡞⏕άࢆ㏦ࡗ࡚࠸ࡓࠋࣜࣁ⑓㝔࡛ࡣࠊグ᠈㞀ᐖ࡜ゝㄒ㞀ᐖࠊⓎືᛶࡢపୗࡀᣦ᦬ࡉࢀ࡚࠾ࡾࠊ๓㸰⪅࡟ࡘ࠸࡚ࡣ἞⒪ࢆ⤒࡚࠿࡞ࡾᨵၿࡉࢀ࡚࠸ࡓࡀࠊⓎືᛶࡢపୗ࡟ᑐࡋ࡚ࡣ≉ẁࡢ἞⒪ࡀࡉࢀ࡚࠸࡞࠿ࡗࡓࠋ᪥ᖖ⏕ά࡛ࡣࠊ఍ヰࢆ⥆ࡅࡿࡇ࡜ࡀ㞴ࡋ࠸ࠊ㐠ືࡀ⥆࠿࡞࠸ࠊ㒊ᒇࡀ஘㞧࡛㔜せ࡞᭩㢮ࢆࡋࡤࡋࡤ࡞ࡃࡍ࡞࡝ࡢၥ㢟ࡀ࠶ࡗࡓࠋ㏥㝔ᚋࠊఱᗘࡶ௙஦࡟ᑵࡃࡀࠊ
ዎ⣙ࡀ᭦᪂ࡉࢀࡎ㸰࠿᭶௨ୖ⥆ࡃࡇ࡜ࡀ࡞࠿ࡗࡓࠋᮏே࡜ᚰ⌮ኈࡀ┦ㄯࡋ࡚ࠊձ㒊ᒇࢆ∦௜ࡅࡿࠊղᐊෆ
ࢺ࣮ࣞࢽࣥࢢᶵჾࢆ౑ࡗ࡚㐠ືࡍࡿࠊճ఍ヰࡢࢺࣆࢵࢡ࡟࡞ࡿ஦ᐇࡸពぢࢆ᭩ࡁฟࡍࠊࡢ㸱ࡘࢆ㐌㸳᪥㛫ࠊ㸯᪥ 20 ศࡎࡘ⾜࠺ࡇ࡜ࢆ┠ᶆ࡜ࡋ࡚タᐃࡋࡓࠋձ࡟㛵ࡋ࡚ࡣ㒊ᒇࢆ㸴ࡘࡢ㡿ᇦ࡟ศࡅࠊ㡿ᇦࡈ࡜࡟⾜࠺సᴗࡢࢳ࢙ࢵࢡࣜࢫࢺࢆΏࡋࡓࠋࡲࡓࠊձ࡜ղࢆጞࡵࡿ᫬㛫࡟࢔࣮࣒ࣛࡀ㬆ࡿࡼ࠺タᐃࡋࡓࠋẖ㐌ࡢ㠃᥋࡛㸯㐌㛫ࡢ≧ἣࢆ☜ㄆࡋࠊືᶵ௜ࡅ㠃᥋㸦┠ᶆ࡜⌧ᐇࡢ஋㞳࡟Ẽ࡙࠿ࡏࡿࠊບࡲࡍࠊඹឤࡍࡿ࡞࡝㸧ࢆ⾜ࡗࡓࠋձ࡜ղ࡟ᑐࡍࡿ௓ධࡢຠᯝࡢἼཬࢆ᳨ドࡍࡿࡓࡵࠊճ࡟ࡘ࠸࡚ࡣ≉ู࡞௓ධࡣ⾜ࢃ࡞࠿ࡗࡓࠋ28 㐌㛫ࡢ௓ධᚋࠊձ࡜ղ࡟ࡣ௓ධࡢຠᯝࡀぢࡽࢀࡓࠋձ࡟ࡘ࠸࡚ࡣ௓ධࢆ⤊࠼ࡓ㸯࠿᭶ᚋࡶࠊ⾜ືࡀ⥔ᣢࡉࢀ࡚࠸ࡓࠋ୍᪉ࠊ┠ᶆࢆᐃࡵࡓࡔࡅ࡛ࠊ≉ู࡟௓ධࢆ⾜ࢃ࡞࠿ࡗࡓճ࡟ࡘ࠸࡚ࡣᨵၿࡀぢࡽࢀ࡞࠿ࡗࡓࠋⴭ
⪅ࡽࡣࠊ≉ᐃ࠿ࡘ᧯సⓗ࡟ᐃࡵࡽࢀࡓ┠ᶆ࡟ᑐࡋ࡚ࠊእⓗ⿵ຓᡭẁ࡜ືᶵ௜ࡅ㠃᥋ࢆά⏝ࡋࡓ௓ධࢆࡋࡓࡇ࡜ࡀࠊⓎືᛶࡢపୗࢆῶᑡࡉࡏࡿࡇ࡜ࡀ࡛ࡁࡓ࡜ࡋ࡚࠸ࡿࠋ
㸦࢖㸧ᮌᮧ࣭ᇼ࣭బ⸨࣭బ⸨࣭ඛᓮ㸦2017㸧 ࡃࡶ⭷ୗฟ⾑ᚋࠊグ᠈㞀ᐖ࡜Ⓨືᛶపୗࡀぢࡽࢀࡓ 40 ௦ࡢ⏨ᛶࢆᑐ㇟࡜ࡋࡓࠋⓎ⑕⣙㸱࠿᭶ᚋࡢࣜࣁ
⑓㝔ධ㝔᫬࡟ࡣࠊ⮩ᗋࡋ࡚㐣ࡈࡍࡇ࡜ࡀከࡃࠊカ⦎ᐊࡲ࡛ࡢ⛣ືࡸ᭹⸆ࠊ᭦⾰࡞࡝࡟ࡘ࠸࡚ಁࡋࡀᚲせ࡛35− 35 −

࠶ࡗࡓࠋグ᠈ࡢ௦ൾᡭẁ࡜ࡋ࡚࣓࣮ࣔࣜࣀ࣮ࢺࡀヨࡳࡽࢀࡓࡀࠊグධࡸཧ↷࡟ಁࡋࡀᚲせ࡛࠶ࡗࡓࠋࡲࡓࠊ
ࢫ࣐࣮ࢺࣇ࢛ࣥࡢ࢔࣮࣒ࣛᶵ⬟ࢆ฼⏝ࡋࡓࢫࢣࢪ࣮ࣗࣝ⟶⌮࡟ࡘ࠸࡚ࡶヨࡳࡽࢀࡓࡀࠊ࢔࣮࣒ࣛࡢࢭࢵࢺ
ࡋᛀࢀࡸࢭࢵࢺࡢㄗࡾࠊ࢔࣮࣒ࣛࡀ㬆ࡗ࡚ࡶࡍࡄ࡟Ṇࡵ࡚ࡋࡲ࠸⾜ືࡀ㛤ጞࡉࢀ࡞࠸࡞࡝ࡢ≧ἣࡀぢࡽࢀࠊ༑ศ࡟ά⏝࡛ࡁ࡞࠿ࡗࡓࠋⓎ⑕⣙㸴࠿᭶ᚋࠊ㏥㝔ᚋࡢᐙᗞ⏕ά࡟࠾࠸࡚㸯ே࡛␃Ᏺ␒ࡀ࡛ࡁࡿࡇ࡜ࢆ┠ᶆ࡟ࠊ᭹⸆ࡸᐙ஦࡞࡝᪥ᖖ⏕άࢆ᝿ᐃࡋࡓㄢ㢟カ⦎࡟࠾࠸࡚ࠊࢯ࣮ࢩࣕࣝࢿࢵࢺ࣮࣡࢟ࣥࢢࢧ࣮ࣅࢫ㸦௨ୗࠊSNS ࡜࠸࠺㸧ࡢ฼⏝ࢆᑟධࡋࡓࠋᮏேࡢࢫ࣐࣮ࢺࣇ࢛ࣥ࠶࡚࡟カ⦎ኈ➼ࡀ SNS ࡛ᣦ♧ࢆฟࡋࠊㄢ㢟⤊஢ᚋࡣᮏே࠿ࡽ SNS ࡛ሗ࿌ࢆࡍࡿࡼ࠺ồࡵࡓࠋㄢ㢟ࡢෆᐜ࡟ࡼࡾ୍ᗘࡢᣦ♧࡛㐙⾜ࡀྍ⬟࡞ሙྜ࡜෌㐃⤡ࡀᚲせ࡞ሙྜࡀ࠶ࡗࡓࡀࠊᑐ㇟⪅࡜ᐙ᪘࡟࡜ࡗ࡚㏥㝔ᚋࡢ⮬Ꮿ⏕άࡢ࢖࣓࣮ࢪࡀࡋࡸࡍ࠸カ⦎࡛࠶ࡗࡓࠋ
㏥㝔ᚋࠊSNS ࢆ⏝࠸࡚ᐙ᪘࡜㐃⤡ࢆྲྀࡾ࠶࠸࡞ࡀࡽࡢ␃Ᏺ␒ࡸእฟࡀྍ⬟࡜࡞ࡗࡓࠋⴭ⪅ࡽࡣࠊSNS ࢆ⏝࠸ࡓᣦ♧ࡀ᭷ຠ࡛࠶ࡗࡓ⫼ᬒ࡜ࡋ࡚ࠊࡇࡢ⏨ᛶࡀⓎ⑕๓࠿ࡽࢫ࣐࣮ࢺࣇ࢛ࣥࡸ SNS ࢆ᪥ᖖⓗ࡟౑⏝ࡋ࡚័ࢀ࡚࠸ࡓࡇ࡜ࠊ࢖ࣛࢫࢺࢆ⏝࠸࡚㏉ಙ࡛ࡁࡿࡇ࡜࠿ࡽᩥᏐධຊࡢ㈇Ⲵࡀᑡ࡞࠿ࡗࡓࡇ࡜࡞࡝ࢆᣲࡆ࡚
࠸ࡿࠋࡲࡓࠊᣦ♧ࢆฟࡍഃ࡟࡜ࡗ࡚ࠊᨭ᥼ᑐ㇟⪅ࡀ࣓ࢵࢭ࣮ࢪࢆㄞࢇࡔ࠿࡝࠺࠿ࡢ☜ㄆࡀ࡛ࡁࡿࡇ࡜ࡀ฼
Ⅼ࡛࠶ࡿ࡜㏙࡭࡚࠸ࡿࠋ

36− 36 −

㸦㸴㸧 ໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛ
ࡇࡇࡲ࡛ࠊ㸦㸯㸧㹼㸦㸳㸧࡛ࡣࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅㸦⬻ᦆയ⪅㸧࡟࠾ࡅࡿ♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡍࡿ⑕≧ཬࡧㄢ㢟࡜ࡑࡢ௓ධ᪉ἲ࡟ࡘ࠸࡚ࡑࢀࡒࢀ࡟㏙࡭࡚ࡁࡓࡀࠊᮏ㡯࡛ࡣࠊ༢୍ࡢ⑕≧ࡸㄢ㢟࡛ࡣ࡞ࡃࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡀᢪ࠼ࡿᵝࠎ࡞ၥ㢟࡟ᑐࡋ࡚」ᩘࡢ௓ධ᪉ἲࢆ⤫ྜࡋ࡚ᨭ᥼ࡍࡿࣉࣟࢢ࣒࡛ࣛ࠶ࡿࠕໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛ㸦comprehensive-holistic rehabilitation program㸧ࠖ࡟ࡘ࠸࡚㏙࡭ࡿࠋ
Malec (2014) ࡟ࡼࡿ࡜ࠊໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࡣࠊBen-Yishay ࡸ Prigatano࡟ࡼࡗ࡚ࠊ୺࡟እയᛶ⬻ᦆയ⪅ࢆᑐ㇟࡜ࡋ࡚⡿ᅜ࡛ጞࡵࡽࢀࡓྲྀ⤌ࢆ※ὶ࡜ࡋࠊ඾ᆺⓗ࡟ࡣ௨ୗձ㹼շࡢ≉ᚩࡀ࠶ࡿࠋձㄆ▱ⓗ࣭࣓ࢱㄆ▱ⓗ㞀ᐖࠊ⾜ື㠃ࡢ㞀ᐖࠊ᝟⥴㠃ࡢၥ㢟࡞࡝࡟⚄⤒ᚰ⌮ᏛⓗほⅬ࠿ࡽ↔Ⅼࢆᙜ࡚ࡿࠊղከ⫋✀ࡢࢫࢱࢵࣇࡢ㢖ᅇ࡞᝟ሗ஺᥮࡟ᇶ࡙ࡃ⤫ྜⓗ࡞἞⒪ࢆ⾜࠺ࠊճẼ࡙ࡁࠊཷᐜࠊ♫఍ⓗㄒ⏝ㄽࢆᢅ࠺ࢢ࣮ࣝࣉカ⦎ࢆྵࡴࠊճᑓ௵ࢫࢱࢵࣇ࠾ࡼࡧᑓ⏝ࡢሙᡤࡀ࠶ࡾࠊཧຍ⪅࡜ࢫࢱࢵࣇࡢẚ⋡ࡣ㸰㸸㸯ࡲࡓࡣࡑࢀ௨ୗ࡜ࡍࡿࠊմ⚄⤒ᚰ⌮Ꮫ⪅ࡀࢳ࣮࣒࡟ཧຍࡍࡿࠊյཧຍ⪅ࡢ㏆ぶ⪅ࡀࣉࣟࢢ࣒ࣛ࡟ཧຍࡍࡿࠊն
⫋ᴗࡸ⮬❧⏕άࢆヨ⾜ࡍࡿࠊշ⏕⏘ⓗάືࠊ⏕άࡢ⮬❧ࠊᚰ⌮♫఍ⓗ㐺ᛂࠊ᝟⥴ⓗ㐺ᛂ࡞࡝ከ㠃ⓗ࡞ຠᯝᐃࢆ⾜࠺ࠋBen-Yishay & Gold (1990) ࡣࠊࢽ࣮࣮ࣗࣚࢡ኱Ꮫࣛࢫࢡ◊✲ᡤ32࡟࠾࠸࡚⾜࠺ໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࡢᑐ㇟⪅ീ࡜ࡋ࡚௨ୗࢆᣲࡆ࡚࠸ࡿࠋձ18㹼55 ᡯࡢእ᮶ࡢእയᛶ⬻ᦆയ⪅࡛࠶ࡿࠊղ
୍⯡ⓗ࡞ࣜࣁࣉࣟࢢ࣒ࣛࢆཷࡅࡓࡀ⏕⏘ⓗάືࡀᅔ㞴࡛࠶ࡿࠊճ᮫౑⏝ࡶྵࡵṌ⾜ࡀྍ⬟࡛࠶ࡿࠊմゝㄒ㞀ᐖࡀ࠶ࡗࡓ࡜ࡋ࡚ࡶᑠࢢ࣮ࣝࣉ࡛ࡢ཮᪉ྥⓗ࡞ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡀྍ⬟࡛࠶ࡿࠊյIQ ࡀ 80 ௨ୖ࡛࠶ࡿࠊ
ն♫఍ⓗ࡟ཷࡅᐜࢀࡽࢀ࡞࠸⾜ືࡀ࠶ࡗࡓ࡜ࡋ࡚ࡶゝⴥ࡛ࡢㄝᚓࡀྍ⬟࡛࠶ࡿࠊշ⮬ศࡢពᚿ࡛ࣉࣟࢢ࣒ࣛ
࡟ཧຍࡍࡿࠊࡀᣲࡆࡽࢀ࡚࠸ࡿ33ࠋໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࡣࠊ㢖ᗘ࡜ᮇ㛫ࡢ୧㠃࡛㠀ᖖ࡟㞟୰ⓗ࡞ࣉࣟࢢ࣒࡛ࣛ࠶
ࡿࠋBen-Yishay & Gold (1990) ࡀグ㍕ࡋࡓෆᐜ࡟ࡼࡿ࡜ࠊࣉࣟࢢ࣒ࣛࡢཧຍ⪅ࡣࠊࡲࡎホ౯ࢆཷࡅࠊ10 ே࡛ᵓᡂࡉࢀࡿࢢ࣮ࣝࣉ࡟᣺ࡾศࡅࡽࢀࡿࠋࣉࣟࢢ࣒ࣛࡣࠊ㸯᪥㸳᫬㛫ࠊ㐌㸲᪥ࠊ20 㐌㛫ࡀ㸯ࢧ࢖ࢡࣝ࡜ࡉࢀ
ࡿࠋ඲యࡢࢢ࣮ࣝࣉࢭࢵࢩࣙࣥ࡜㸰㹼㸱ேࡢᑠࢢ࣮ࣝࣉࢭࢵࢩࣙࣥࡀẖ᪥⾜ࢃࢀࠊ඲యࢢ࣮ࣝࣉࢭࢵࢩࣙࣥ
࡛ࡣ୺࡟ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡸ♫఍ⓗ࡟㐺ษ࡞⾜ືࡢ⦎⩦ࠊᑠࢢ࣮ࣝࣉࢭࢵࢩ࡛ࣙࣥࡣࠊㄆ▱カ⦎ࢆ⾜࠺ࠋࡲࡓࠊ㐌࡟㸯㹼㸰ᅇಶேࢭࢵࢩࣙࣥ࡜ࡋ࡚࢝࢘ࣥࢭࣜࣥࢢࢆ⾜࠺ࠋࡉࡽ࡟ࠊཧຍ⪅ࡢ㏆ぶ⪅ࡶ㐌㸯ᅇࡢ࢝࢘ࣥࢭࣜࣥࢢࢆཷࡅࡿࠋMalec (2014) ࡟ࡼࡿ࡜ࠊ᭱㏆࡛ࡣࠊ◊✲ࡢ㐍ᒎࡸ㈝⏝㠃ࡢไ⣙࠿ࡽࠊBen-Yishay &Gold (1990) ࡢ⪃᱌ࡋࡓࣉࣟࢢ࣒ࣛࢆᅵྎ࡜ࡋࡘࡘࡶࠊ⡆⣲໬ࡋࡓᙧ࡛ᐇ᪋ࡉࢀࡿሙྜࡀ࠶ࡿࠋ౛࠼ࡤࠊᚋ
㏙ࡍࡿ Sarajuuri et al. (2005)ࡀࣇ࢕ࣥࣛࣥࢻ࡛ᐇ᪋ࡍࡿࣉࣟࢢ࣒ࣛ㸦Individualized Neuropsychological
Subgroup Rehabilitation Program: INSURE㸧ࡣࠊ㸴㐌㛫ࡢࣉࣟࢢ࣒ࣛ࡜࡞ࡗ࡚࠸ࡿࠋ
Cattelani et al. (2010) ࠾ࡼࡧ Cicerone et al. (2011)࡟ࡼࡿ⣔⤫ⓗࣞࣅ࣮࡛ࣗࡣࠊໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࡣࠊ↓సⅭ໬ẚ㍑ヨ㦂ࢆྵࡴ」ᩘࡢ௓ධ◊✲࡟࠾࠸࡚⬻ᦆയ⪅ࡢㄆ▱ᶵ⬟ࡸ⾜ືࡢ㞀ᐖࠊᚰ⌮♫఍ⓗၥ㢟࡬ࡢ᭷ຠᛶ࡟ࡘ࠸࡚ຠᯝࡀㄆࡵࡽࢀࡓࡇ࡜ࢆ㋃ࡲ࠼ࠊ༑ศ࡞࢚ࣅࢹࣥࢫࡢ࠶ࡿࠕᐇ
㊶ࡢᶆ‽㸦Practice Standard㸧ࠖ࡜⤖ㄽ࡙ࡅࡽࢀ࡚࠸ࡿࠋ34 ໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࡢᐇ㊶஦౛ࢆ⤂௓ࡍࡿࠋ32ࢽ࣮࣮ࣗࣚࢡ኱Ꮫࣛࢫࢡ◊✲ᡤࡢࣉࣟࢢ࣒ࣛ࡟ࡘ࠸࡚᪥ᮏㄒ࡛ㄞࡵࡿ㈨ᩱ࡜ࡋ࡚ࡣࠊඛᓮ࣭ᯞஂಖ࣭ ᪂஭㸦1999㸧
࡜ࠊ฼⏝⪅ࡢᐙ᪘࡛࠶ࡿ❧⚄㸦2010㸧࡟ࡼࡿࡶࡢࡀ࠶ࡿࠋ
33 ඛᓮ࣭ᯞஂಖ࣭᪂஭ 㸦1999㸧ࢆཧ↷ࡍࡿ࡜ࠊཷയཎᅉࡸ IQ ࡟㛵ࡍࡿせ௳ࡣᚋ࡟ᗈࡆࡽࢀࡓࡼ࠺࡛࠶ࡿࠋ
34 Cattelani et al. (2010㸧ࡣࠕໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛ㸦comprehensive-holistic rehabilitation
program㸧ࠖࠊCicerone et al.㸦2008㸧ࡣࠕໟᣓⓗ࣭඲యㄽⓗ⚄⤒ᚰ⌮Ꮫⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸦comprehensive-holistic
neuropsychological rehabilitation㸧ࠖ࠶ࡿ࠸ࡣࠕໟᣓⓗ࡛⤫ྜࡉࢀࡓ⚄⤒ᚰ⌮Ꮫⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ
㸦comprehensive-integrated neuropsychologic rehabilitation㸧ࠖ࡜ࠊ␗࡞ࡿྡ⛠ࢆ⏝࠸࡚ࣞࣅ࣮ࣗࢆ⾜ࡗ࡚࠸ࡿࠋ୧⪅ࡀᑐ㇟࡜ࡍࡿ⠊ᅖ࡟ࡣ㔜࡞ࡾࡀ࠶ࡿࡀࠊ᏶඲࡟ྠ୍࡛ࡣ࡞࠸ࠋ

37− 37 −

㸦࢔㸧Sarajuuri et al. (2005) እയᛶ⬻ᦆയ⪅ 19 ே㸦⬻ᦆയᚋࡢ⤒㐣ᮇ㛫㸰ᖺ㸲࠿᭶㹼㸶ᖺ 10 ࠿᭶㸧࡟ᑐࡋ࡚ໟᣓⓗࣉࣟࢢ࣒ࣛ
INSURE ࢆᐇ᪋ࡋࠊᑐ↷⩌ 20 ே࡜ẚ㍑ࡋ࡚ࣉࣟࢢ࣒ࣛࡢຠᯝࢆ᳨ウࡋࡓࠋᑐ↷⩌ࡣࠊᖺ㱋ࠊᛶูࠊᩍ⫱ࣞ࣋ࣝࠊ⬻እയࡢ㔜⑕ᗘࠊཷയᚋᮇ㛫ࠊཷയ๓ࡢ㞠⏝≧ἣࡀࠊINSURE ⩌࡜࡛ࡁࡿࡔࡅ㏆ࡃ࡞ࡿࡼ࠺࡟㑅ᐃࡉࢀࡓࠋINSURE ࡣࠊᖹ᪥ 8:30㹼16:00 ࡲ࡛ẖ᪥㸴㐌㛫ࠊධ㝔࡛⾜ࢃࢀࡓࠋ㸳㹼㸶ே࡛ࡢࢢ࣮ࣝࣉࢭࢵ
ࢩࣙࣥ࡜ಶேࢭࢵࢩࣙࣥࡀྵࡲࢀࠊከ⫋✀࡟ࡼࡾ㐠ႠࡉࢀࡓࠋෆᐜࡣࠊBen-Yishay ࡸ Prigatano ࡞࡝ࡀ㐣ཤ࡟⾜ࡗࡓࣉࣟࢢ࣒ࣛࢆཧ⪃࡜ࡋࡓࠋᑐ↷⩌࡟ࡘ࠸࡚ࡣࠊࡑࢀࡒࢀࡢᒃఫᆅᇦࡢᢸᙜ་ࡢᣦ♧࡟ࡼࡾࠊ୍⯡ⓗ࡞἞⒪ࡸࣜࣁࡀ⾜ࢃࢀࡓࠋ௓ධ࠿ࡽ㸰ᖺᚋࡢ᫬Ⅼ࡛ࠊᑐ↷⩌࡛ఱࡽ࠿ࡢ⏕⏘ⓗάື㸦⫋ᴗࠊᏛᴗࠊ
࣎ࣛࣥࢸ࢕࢔άື㸧࡟ᚑ஦ࡋ࡚࠸ࡓࡢࡣ 55㸣࡛࠶ࡗࡓࡢ࡟ᑐࡋࠊINSURE ⩌࡛ࡣ 89㸣ࡀ⏕⏘ⓗάື࡟ᚑ஦ࡋ࡚࠸ࡓࠋ௓ධ㸰ᖺᚋࡢ᫬Ⅼࡢ⏕⏘ⓗάື࡟ᐤ୚ࡍࡿせᅉࢆ≉ᐃࡍࡿࡓࡵ࡟ࠊINSURE ࡬ࡢཧຍࡢ᭷↓ࠊᛶูࠊཷയ᫬ᖺ㱋ࠊཷയᚋᮇ㛫ࠊ㔜⑕ᗘࠊཷയ๓ࡢ⫋ᴗ≧ἣ࡟ࡘ࠸࡚ࡑࢀࡒࢀࡢᙳ㡪ࢆศᯒࡋࡓ⤖ᯝࠊ
INSURE ࡬ࡢཧຍࡢ᭷↓ࡢࡳࡀ⤫ィⓗ࡟᭷ព࡛࠶ࡿࡇ࡜ࡀ♧ࡉࢀࡓࠋⴭ⪅ࡽࡣࠊໟᣓⓗ࣭⚄⤒ᚰ⌮Ꮫⓗᚿྥࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࡣࠊᛴᛶᮇࢆ㐣ࡂࡓ୰➼ᗘ࠿ࡽ㔜ᗘࡢእയᛶ⬻ᦆയ⪅࡟࠾࠸࡚ࠊ⏕⏘ᛶࡢ㠃࡛ᚰ⌮♫఍ⓗ࡞ᶵ⬟ࢆᨵၿࡋᚓࡿ࡜⤖ㄽ࡙ࡅ࡚࠸ࡿࠋ
㸦࢖㸧Ọྜྷ௚㸦2005㸧ᚋኳᛶ⬻ᦆയࡢⓎ⑕࠿ࡽ㸱ᖺ௨ୖ⤒㐣ࡋࠊᅾᏯ࡛⏕άࡍࡿ㸶ே㸦࠺ࡕ㸰ྡࡣᐙᴗ➼ࡢᡭఏ࠸࡜ࡋ࡚ᑵປࠊ
㸯ྡࡣ኱ᏛఇᏛ୰㸧ࢆᑐ㇟࡜ࡋࠊ㐌㸰ᅇࠊ㸯ᖺ㛫ࡢࣉࣟࢢ࣒ࣛࢆ⾜ࡗࡓࠋࣉࣟࢢ࣒ࣛ࡟ࡣࠊձಶูカ⦎㸦࢝࢘ࣥࢭࣜࣥࢢࠊㄆ▱ࢺ࣮ࣞࢽࣥࢢ㸧ࠊղࢢ࣮ࣝࣉカ⦎㸦㞀ᐖㄆ㆑࣭ᑐே㛵ಀᨵၿࠊㄆ▱ࢺ࣮ࣞࢽࣥࢢ㸧ࠊճᐙ᪘࢝࢘ࣥࢭࣜࣥࢢ㸦ಶูࠊࢢ࣮ࣝࣉ㸧ࠊմ♫఍㐺ᛂカ⦎㸦㈙࠸≀ࠊㄪ⌮࡞࡝㸧ࠊյ⏕ά࣭௓ㆤᨭ᥼㸦⎔ቃㄪᩚ㸧ࠊնᑵປ࣭ᑵᏛᨭ᥼ࠊշᶒ฼᧦ㆤࡀྵࡲࢀࡓࠋ㸯ᖺᚋࠊ⚄⤒ᚰ⌮Ꮫ᳨ᰝ⤖ᯝࡢ୍㒊ࡸ ADL ࡢホ౯ᑻᗘ㸦Barthel Index㸧࡟⤫ィⓗ࡟᭷ព࡞ᨵၿࡀぢࡽࢀࡓࠋ♫఍ⓗᖐ⤖࡜ࡋ࡚ࠊࣉࣟࢢ࣒ࣛ㛤ጞ᫬࡟ఇᏛ୰ࡔ
ࡗࡓ㸯ྡࡀ᚟Ꮫࡋࡓ௚ࠊ㸯ྡࡀ᚟⫋ࠊ㸯ྡࡀ࣎ࣛࣥࢸ࢕࢔άືࢆጞࡵࡓࠋ௚ࡢ㸳ே࡟ࡘ࠸࡚ࡶ㈨᱁ྲྀᚓࠊ
ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢᨵၿࠊ௓ㆤ㔞ῶᑡ࡞࡝ࡢఱࡽ࠿ࡢᨵၿࡀぢࡽࢀࡓࠋⴭ⪅ࡽࡣࠊ⚄⤒ᚰ⌮Ꮫⓗ᳨ᰝ࡟࠾࠸࡚⤫ィⓗ࡟᭷ព࡞ᨵၿࡀぢࡽࢀࡓ㡯┠ࡀࢃࡎ࠿࡛࠶ࡗࡓ⌮⏤࡜ࡋ࡚ࠊཧຍ⪅ᩘࡀ㸶ே࡜ᑡ࡞ࡃࠊ㞀ᐖ
ീࡀከᵝ࡛࠶ࡿࡇ࡜ࠊ㛤ጞ᫬࡟ࡣࣉࣟࢢ࣒ࣛࡢෆᐜࡀ༑ศ࡟☜❧ࡋ࡚࠸࡞࠿ࡗࡓࡇ࡜ࡀ⪃࠼ࡽࢀࡿ࡜㏙࡭
࡚࠸ࡿࠋ୍᪉࡛ࠊ⬻ᦆയᚋ㸱ᖺ௨ୖࡀ⤒㐣ࡋ࡚ࡶࠊカ⦎࡟ࡼࡾ⑕≧ࡢᨵၿࡸ♫఍᚟ᖐࡢྍ⬟ᛶࡀ࠶ࡿࡇ࡜
ࡀ♧၀ࡉࢀࡓ࡜ࡋ࡚࠸ࡿࠋ
㸦࢘㸧Cicerone et al. (2008)እയᛶ⬻ᦆയࡢⓎ⑕࠿ࡽ㸱࠿᭶௨ୖ㸦ᖹᆒ㸱ᖺ㸷࠿᭶㸧⤒㐣ࡋ࡚࠸ࡿ 68 ேࢆᑐ㇟࡜ࡋࡓࠋཧຍ⪅ࡣࠊ་Ꮫⓗ≧ែࡀᏳᐃࡋࠊᇶᮏⓗ࡞ࢭࣝࣇࢣ࢔ࡀ⮬❧ࡋ࡚࠾ࡾࠊໟᣓⓗ࡞ࣜࣁࡀຠᯝⓗ࡛࠶ࡿྍ⬟ᛶࡀ࠶ࡿ࡜
⮫ᗋⓗ࡟ุ᩿ࡉࢀࡓே࡜ࡋࡓࠋཧຍ⪅ࢆࠊձ㞟୰ⓗ࡞ㄆ▱ࣜࣁࣉࣟࢢ࣒ࣛ⩌㸦ໟᣓⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ
⩌㸧34 ே࡜ࠊղᶆ‽ⓗ⚄⤒ࣜࣁࣉࣟࢢ࣒ࣛ⩌ 34 ே࡟↓సⅭ࡟๭ࡾ௜ࡅࠊ୧⩌࡟ᑐࡋ࡚㐌 15 ᫬㛫ࠊ16 㐌㛫ࡢ௓ධࢆ⾜ࡗࡓࠋձ⩌࡟ᑐࡋ࡚ࡣࠊBen-Yishay et al. (1990) ࡢࣉࣟࢢ࣒ࣛෆᐜ࡟ࡋࡓࡀ࠸ࠊ἞⒪ⓗ࡞⎔ቃࡢ୰࡛ࠊㄆ▱ᶵ⬟㞀ᐖࠊឤ᝟㠃ࡢᅔ㞴ࠊᑐே㛵ಀ࡞࡝࡬ࡢ௓ධࡀ⤫ྜࡉࢀࡓᙧ࡛⾜ࢃࢀࡓࠋ㐌 15 ᫬㛫ࡢࢭࢵࢩࣙࣥࡢ࠺ࡕ 11 ᫬㛫ࡣࢢ࣮ࣝࣉᙧᘧ࡛⾜ࢃࢀࡓࠋղ⩌࡟ᑐࡋ࡚ࡣࠊཎ๎࡜ࡋ࡚ಶேูࡢᙧᘧ࡛ࠊ
⌮Ꮫ⒪ἲࠊసᴗ⒪ἲࠊゝㄒ⒪ἲࡢ㡿ᇦูࡢ἞⒪࡜ࠊࡲࡓࠊ⚄⤒ᚰ⌮ኈ࡟ࡼࡿ㐌㸯ᅇࡢಶே㠃᥋࡛㞀ᐖ࡬ࡢẼ࡙ࡁࡸㄆ▱ᶵ⬟ࢆᨵၿࡍࡿࡓࡵࡢ᪉ἲࡀྲྀࡾᢅࢃࢀࡓࠋࢢ࣮ࣝࣉᙧᘧ࡛ࡢ௓ධࡣ㐌㸱᫬㛫ᮍ‶࡜ࡉࢀࡓࠋ
ຠᯝᐃࡣࠊㄆ▱ᶵ⬟㠃ࡢホ౯ࡢ௚࡟ࠊᆅᇦ࡬ࡢ⤫ྜࡢᑻᗘ㸦CIQ㸧ࠊ⏕άࡢ‶㊊ᗘࡢᑻᗘ㸦Perceived38− 38 −


Quality of Life Scale㸧ࡢ௚ࠊㄆ▱ᶵ⬟ࠊ⮬ᕫຠຊឤࠊ㞠⏝≧ἣ࡟ࡘ࠸࡚ ᐃࡉࢀࡓࠋ௓ධࡢ⤖ᯝࠊὀពࡸ
グ᠈࡜࠸ࡗࡓㄆ▱ᶵ⬟࡟㛵ࡋ࡚ࡣ୧⩌࡛ᨵၿࡀぢࡽࢀ⩌㛫ࡢᕪࡣ࡞࠿ࡗࡓࡀࠊᆅᇦ࡬ࡢ⤫ྜࡸ⏕άࡢ‶㊊ᗘࠊ⮬ᕫຠຊឤ࡟㛵ࡋ࡚ࡣձ⩌࡟࠾࠸࡚⤫ィⓗ࡟᭷ព࡟኱ࡁ࡞ᨵၿࡀぢࡽࢀࡓࠋࡲࡓࠊ௓ධ⤊஢᫬࡟㞠⏝ࡉࢀ࡚࠸ࡿேࡣࠊձ⩌࡛ࡣ 47㸣࡛࠶ࡿࡢ࡟ᑐࡋࠊղ⩌࡛ࡣ 21㸣࡛࠶ࡾࠊ⤫ィⓗ࡟᭷ព࡞ᕪࡀぢࡽࢀࡓࠋࡇࢀࡽࡢ⤖ᯝ࠿ࡽⴭ⪅ࡽࡣࠊໟᣓⓗ࣭඲యㄽⓗ⚄⤒ᚰ⌮Ꮫⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࡣࠊእയᛶ⬻ᦆയᚋࡢᆅᇦ⏕ά࡟㛵ࡍࡿᶵ⬟ࡸ⏕άࡢ㉁࡟㛵ࡋ࡚ࠊᶆ‽ⓗ࡞ࣜࣁࡼࡾࡶຠᯝⓗ࡛࠶ࡿࡇ࡜ࡀ♧ࡉࢀࡓ࡜ࡋ࡚࠸ࡿࠋࡇࡢ௚࡟ࠊᅜෆ࡛ࡣ⚄ዉᕝࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⑓㝔࡟࠾࠸࡚ࠕ㏻㝔ࣉࣟࢢ࣒ࣛࠖ࡜ࡋ࡚ 15 ᖺ௨ୖᐇ㊶ࡉ
ࢀ࡚࠸ࡿࠋ⚄ዉᕝࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⑓㝔࡟ࡘ࠸࡚ࡣࣄ࢔ࣜࣥࢢㄪᰝࢆᐇ᪋ࡋࠊ➨㸱❶➨㸰⠇࡛㏙࡭ࡿࠋ

39− 39 −

➨㸱⠇ ᩥ⊩ㄪᰝࡢࡲ࡜ࡵ࡜⪃ᐹ
๓㏙ࡢ㏻ࡾࠊ♫఍⾜ື㞀ᐖ࡟㛵㐃ࡍࡿ⑕≧ࡸㄢ㢟ࢆࠊඛ⾜◊✲࡟࠾ࡅࡿࢸ࣮࣐タᐃࡢഴྥࡸෆᐜࡢࡲ࡜ࡲ
ࡾ࠿ࡽࠊ㸦㸯㸧♫఍ⓗㄆ▱ࡢ㞀ᐖࠊ㸦㸰㸧ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖࠊ㸦㸱㸧࠺ࡘࠊ୙Ᏻࠊ㸦㸲㸧ᛣࡾࠊᨷᧁⓗ⾜ືࠊ㸦㸳㸧Ⓨືᛶࡢపୗࡢ㸳ࡘࡢ㡿ᇦ࡟ศࡅ࡚グ㍕ࡋࡓࠋ♫఍ⓗㄆ▱ࡢ㞀ᐖࡀࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ࡟ᙳ㡪ࢆ୚࠼ࠊ࠺ࡘࡀᨷᧁᛶ࡟ᙳ㡪ࢆ୚࠼ࡿ࡜࠸ࡗࡓࡼ࠺࡟ࠊྛ⑕≧ࡸㄢ㢟ࡣ┦஫࡟ᙳ㡪ࡋ࠶࠺ࡇ࡜ࡀᣦ᦬ࡉࢀ࡚࠾
ࡾࠊࡇࡢࡇ࡜࠿ࡽࠊᐇ㝿ࡢᨭ᥼ሙ㠃࡟࠾࠸࡚ࡣࠊ≉ᐃࡢ⑕≧ࡸㄢ㢟ࡔࡅ࡟╔┠ࡍࡿࡢ࡛࡞ࡃࠊᨭ᥼ᑐ㇟⪅ࡢ඲యീࢆᢕᥱࡍࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
㸦㸴㸧࡜ࡋ࡚⤂௓ࡋࡓࠕໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩ
ࣙࣥࣉࣟࢢ࣒ࣛࠖࡣࠊᨭ᥼ᑐ㇟⪅ࡢ඲యീࢆᤊ࠼࡚ࠊᵝࠎ࡞ᨭ᥼ᢏἲࢆ⤫ྜⓗ࡟⏝࠸ࡼ࠺࡜ࡍࡿ࢔ࣉ࣮ࣟࢳ
ࡢ୍ࡘࡢᙧ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
㸦㸯㸧㹼㸦㸴㸧ࡢ㡿ᇦࡈ࡜࡟ࠊᅜෆእ࡛◊✲ࡀ㐍ࡵࡽࢀ࡚࠸ࡿᵝࠎ࡞௓ධ᪉ἲࢆ⤂௓ࡋࡓࡀࠊከࡃࡣ་⒪ศ㔝࡟࠾ࡅࡿᐇ㊶ෆᐜ࡛࠶ࡾࠊࡑࢀࡽࡢ୰࡟ࡣࠊ་Ꮫⓗ἞⒪࡜ࡋ࡚ࡢᛶ᱁ࡀᙉࡃࠊ⫋ᴗࣜࣁ㡿ᇦࡢᐇ㊶࡟ࡣ㥆ᰁࡳ࡟ࡃ࠸ࡶࡢ࡜ࠊ⫋ᴗࣜࣁ㡿ᇦ࡟࠾࠸࡚ࡶᐇ㊶ࡀྍ⬟࡛࠶ࡿࡶࡢ࡜ࡀΰᅾࡋ࡚࠸ࡿ࡜⪃࠼ࡽࢀࡿࠋ๓⪅࡜ᚋ⪅ࡢ༊ูࡣᚲࡎࡋࡶ⮬᫂࡞ࡶࡢ࡜ࡣゝ࠼࡞࠸ࡀࠊࡇࡇ࡛ࡣ௓ධ᪉ἲࢆ௨ୗձ㹼ճ࡟ヨ⾜ⓗ࡟ศ㢮ࡍࡿࡇ࡜࡛⪃ᐹࡢ୍ຓ࡜ࡋࡓ࠸ࠋ
ձ⑕≧ࡑࡢࡶࡢࡢᨵၿ㸦ᶵ⬟ᅇ᚟㸧ࢆ┠ᣦࡍ௓ධ᪉ἲ

ղ㞀ᐖࢆ⿵࠺ࢫ࢟ࣝࢆᨭ᥼ᑐ㇟⪅⮬㌟ࡀ⋓ᚓ࡛ࡁࡿࡼ࠺ാࡁ࠿ࡅࡿ௓ධ᪉ἲ

ճᨭ᥼ᑐ㇟⪅ࢆྲྀࡾᕳࡃ⎔ቃ࡟ാࡁ࠿ࡅࡿ௓ධ᪉ἲ

㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦1999㸧ࡣࠊྠࢭࣥࢱ࣮࡟࠾࠸࡚ᐇ᪋ࡍࡿࠕ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ⫋ሙ᚟ᖐᨭ᥼ࣉ
ࣟࢢ࣒ࣛࠖࡢᇶᮏⓗ⪃࠼࡜ࡋ࡚ࠊ
ࠕ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ⫋ሙ᚟ᖐ࡟࠾࠸࡚ࡣ㸦㹼୰␎㹼㸧ṧᏑࡢ⬟ຊࢆά⏝ࡋࡓ㐺ᛂ᪉ἲࢆಶู࡟᳨ウࡋࠊࡑࡢࡓࡵ࡟ᚲせ࡞⬟ຊࡢ㛤Ⓨࠊ⿵ൾᡭẁࡢά⏝ᢏἲࠊ࠶ࡿ࠸ࡣཷࡅධࢀࡿ஦ᴗ
ᡤࡢᩚഛ➼ࡢ⎔ቃタᐃࢆ㔜どࡋࡓᨭ᥼ࡀ㐺ᙜ࡛࠶ࡿ㸦p.9㸧ࠖ࡜㏙࡭࡚࠾ࡾࠊࡇࡢࡇ࡜࠿ࡽ㢮᥎ࡍࡿ࡜ࠊୖグձ㹼ճࡢ୰࡛ࠊ⫋ᴗࣜࣁ㡿ᇦࡢᐇ㊶࡟㥆ᰁࡳࡸࡍ࠸ࡢࡣࠊ୺࡟ղࡸճࡢ௓ධ᪉ἲ࡛࠶ࢁ࠺࡜⪃࠼ࡽࢀࡿࠋ
௨ୗࠊ㸦㸯㸧㹼㸦㸴㸧ࡢ㡯┠ࡈ࡜࡟ࠊඛ⾜◊✲ࡢࡲ࡜ࡵ࡜⫋ᴗࣜࣁ࡬ࡢᛂ⏝ࡢほⅬ࠿ࡽ⪃ᐹࢆ⾜࠺ࠋ㸦㸯㸧♫఍ⓗㄆ▱ࡢ㞀ᐖ⬻ᦆയࢆཎᅉ࡜ࡋ࡚௚⪅ࡢឤ᝟ࡸពᅗࢆ᥎

ࡍࡿࡇ࡜ࡢᅔ㞴ࡀ⏕ࡌࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡸ♫఍ཧຍ࡟㈇ࡢᙳ㡪ࢆ୚࠼ࡿࡇ࡜ࡀ」ᩘࡢඛ⾜◊✲࡟࠾࠸࡚ᣦ᦬ࡉࢀ࡚࠸ࡓࠋ୍᪉ࠊ୍⯡ⓗ࡞་⒪ࣜࣁ࡟࠾࠸࡚ࡣ♫఍ⓗㄆ▱࡟ࡘ࠸࡚ᚲࡎࡋࡶヲ⣽࡞ホ౯ࡀ⾜ࢃࢀ࡚࠸࡞࠸࡜ࡢㄪᰝሗ࿌ࡀ࠶ࡗࡓࠋࡇࡢ≧ἣ࡟ࡘ࠸࡚ᮏ㑥࡛ࡶྠᵝ࡛࠶ࡿ࡜᝿ᐃࡍࡿ࡜ࠊ⫋ᴗࣜࣁᚑ஦⪅࡜ࡋ࡚ࡣࠊ་⒪ᶵ㛵࠿ࡽࡢ᝟ሗ࡟࠾࠸࡚♫఍ⓗㄆ▱ࡢ㞀ᐖ࡟㛵ࡍࡿグ㍕ࡀ࡞࠸ሙྜ࡛ࡶࠊᨭ᥼ᑐ㇟⪅࡟࠾࠸࡚௚⪅ࡢឤ᝟ࡸពᅗࢆ᥎ ࡍࡿࡇ࡜ࡢᅔ㞴ࡀ࠶ࡿྍ⬟ᛶࢆᛕ㢌࡟࠾࠸࡚⫋ᴗⓗホ౯ࡸᨭ᥼ࢆ⾜࠺ᚲせࡀ࠶ࡿࡇ࡜ࡀ⪃࠼ࡽࢀࡿࠋ
௓ධ᪉ἲ࡜ࡋ࡚ࡣࠊ⾲᝟࡞࡝࠿ࡽ௚⪅ࡢឤ᝟ࢆㄞࡳྲྀࡿカ⦎ࡀᑡᩘ࡛ࡣ࠶ࡿࡀ⾜ࢃࢀ࡚࠾ࡾࠊຠᯝࡀሗ࿌
ࡉࢀ࡚࠸ࡓࠋࡇࡢࡼ࠺࡞௓ධࡣࠊୖグࡢձ㹼ճࡢศ㢮࡟࠾࠸࡚ࡣࠊឤ᝟ࢆㄆ㆑ࡍࡿ⬟ຊࡑࡢࡶࡢࡢᨵၿࢆ┠ᣦࡍ࡜࠸࠺Ⅼ࠿ࡽࡣձࡢ௓ධ᪉ἲ࡜⪃࠼ࡽࢀࡿࠋࡲࡓࠊ⾲᝟ࢆㄞࡳྲྀࡿୖ࡛࡝ࡇ࡟╔┠ࡍ࡭ࡁ࠿࡞࡝ࡢᣦᑟ
ࢆ⾜࠺ሙྜࡀ࠶ࡿࡇ࡜࠿ࡽࠊ㞀ᐖࢆ⿵࠺ࢫ࢟ࣝ࡟௓ධࡍࡿղࡢ௓ධᢏἲ࡛࠶ࡿ࡜ᤊ࠼ࡿࡇ࡜ࡶ࡛ࡁࡿࠋղ࡜
ᤊ࠼ࢀࡤ⫋ᴗࣜࣁศ㔝࡛ࡢᐇ㊶ࢆど㔝࡟ධࢀࡿࡇ࡜ࡀ࡛ࡁࡿࡀࠊඛ⾜◊✲ࡀᑡ࡞࠸≧ἣ࡛࠶ࡿࡇ࡜࠿ࡽࠊៅ㔜࡞᳨ウࡀᚲせ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ୍᪉ࠊճ࡟ヱᙜࡍࡿ௓ධ᪉ἲࡣඛ⾜◊✲ࡢ୰࡛ࡣゐࢀࡽࢀ࡞࠿ࡗࡓࡀࠊ
౛࠼ࡤࠊᨭ᥼ᑐ㇟⪅࡟ᑐࡋ࡚ࠕゝࢃ࡞ࡃ࡚ࡶศ࠿ࡿࠖ
ࠊࠕᐹࡍࡿࠖࡇ࡜ࢆồࡵࡎࠊᚲせ࡞᝟ሗࢆ࿘ᅖࡀ᫂☜࡞ゝⴥ࡛ఏ࠼ࡿ⎔ቃࢆᩚ࠼ࡿ࡜࠸࠺௓ධ᪉ἲࡀ⪃࠼ࡽࢀࡿࠋࡇࡢࡼ࠺࡞௓ධࡣ⫋ᴗࣜࣁ㡿ᇦ࡟࠾࠸࡚༑ศ࡟ᐇ
40− 40 −

㊶ࡀྍ⬟࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
㸦㸰㸧ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞀ᐖὀពࠊグ᠈ࠊ㐙⾜ᶵ⬟࡞࡝ࡢㄆ▱ᶵ⬟ࡢ㞀ᐖࢆ⫼ᬒ࡜ࡍࡿ㸦ኻㄒ⑕௨እࡢ㸧ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ㞀ᐖࡣࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟࠾࠸࡚㧗࠸㢖ᗘ࡛⏕ࡌࠊᑵປࢆྵࡴ♫఍ཧຍ࡟㈇ࡢᙳ㡪ࢆ୚࠼ࡿࡇ࡜ࡀ」ᩘࡢඛ⾜◊✲࡟࠾࠸࡚ᣦ᦬ࡉࢀ࡚࠸ࡓࠋࡇࡢㄢ㢟࡬ࡢ௓ධ᪉ἲ࡜ࡋ࡚ࠊᨭ᥼ᑐ㇟⪅ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝ࡟௓ධࡍ
ࡿ᪉ἲ࡜ࠊᨭ᥼ᑐ㇟⪅ࢆྲྀࡾᕳࡃ࿘ᅖࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝ࡟௓ධࡍࡿ᪉ἲ㸦ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࣃ࣮ࢺࢼ࣮カ⦎㸧ࡢ㸰ࡘࡢ᪉ྥ࡛◊✲ࡀ㐍ࡵࡽࢀࠊࡑࢀࡒࢀ࡟ᡂᯝࡀሗ࿌ࡉࢀ࡚࠸ࡓࠋ
㸰ࡘࡢ௓ධ᪉ἲࡢ࠺ࡕࠊᨭ᥼ᑐ㇟⪅ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝ࡬ࡢ௓ධࡣࠊ๓㏙ࡢձ㹼ճࡢศ㢮࡟࠾࠸࡚ࡣࠊղ࡟ヱᙜࡍࡿ࡜ᤊ࠼ࡽࢀࡿࠋᨭ᥼ᑐ㇟⪅ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝ࡬ࡢ௓ධࡣࠊSST ࡜ࡋ࡚ᆅᇦ㞀ᐖ⪅⫋ᴗࢭࣥࢱ࣮࡞࡝ࡢ⫋ᴗࣜࣁ㡿ᇦ࡟࠾࠸࡚ࠊᨭ᥼ᑐ㇟⪅ࡢ㞀ᐖ✀㢮ࢆၥࢃࡎᗈࡃᐇ㊶ࡀ⾜ࢃࢀ࡚࠸ࡿ࡜
ࡇࢁ࡛࠶ࡿࠋඛ⾜◊✲࡟࠾࠸࡚ࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝ࡬ࡢ௓ධࢆ⾜࠺ୖ࡛ࡣࠊ୍
⯡ⓗ࡞ࢯ࣮ࢩࣕࣝࢫ࢟ࣝࡼࡾࡶࠊࡑࡢேࡢ⏕άࡸ⫋ᴗሙ㠃࡟┤⤖ࡋࡓࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝ࡟↔Ⅼࢆᙜ࡚ࡿ࡭ࡁ࡛࠶ࡿ࡜ࡉࢀ࡚࠸ࡓⅬࡣࠊࡼࡾࡼ࠸ᐇ㊶ࡢࡓࡵࡢ㔜せ࡞ᣦ᦬࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
୍᪉ࠊᨭ᥼ᑐ㇟⪅ࢆྲྀࡾᕳࡃ࿘ᅖࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝ࡬ࡢ௓ධࡣࠊճࡢ௓ධ᪉ἲ࡜ᤊ࠼ࡿࡇ࡜ࡀ
࡛ࡁࡿࠋᅜෆࡢ⫋ᴗࣜࣁࡢᐇ㊶࡟࠾࠸࡚ࠊᮃࡲࡋ࠸ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ࡟ࡘ࠸࡚⫋ሙ➼࡟ᑐࡋ࡚ຓゝࢆ⾜࠺ࡇ࡜ࡣ୍⯡ⓗ࡟⾜ࢃࢀ࡚࠸ࡿࡀࠊ࣮ࣟࣝࣉࣞ࢖࡞࡝ࢆ㏻ࡋࡓࢫ࢟ࣝカ⦎ࢆྵࡴྲྀ⤌ࡣᬑཬࡋ࡚࠸ࡿ࡜ࡣゝ࠼
࡞࠸35,36ࠋ㞀ᐖࡢ࠶ࡿᙜ஦⪅ࡔࡅ࡟ࢫ࢟ࣝᨵၿࢆồࡵࡿࡢ࡛ࡣ࡞ࡃࠊ⎔ቃ࡟ാࡁ࠿ࡅࡿࡇ࡜࡛⎔ቃ㐺ᛂࢆᨵၿࡍࡿྲྀ⤌ࡣࠊ⫋ሙ࡟࠾ࡅࡿྜ⌮ⓗ㓄៖࡟ὀ┠ࡀ㞟ࡲࡿ᫖௒ࡢࢽ࣮ࢬ࡟ྜࡗࡓྲྀ⤌࡜⪃࠼ࡽࢀࡿࠋࡓࡔࡋࠊ
ඛ⾜◊✲࡟࠾࠸࡚ࠊᵓ㐀໬ࡉࢀࡓ఍ヰ࡛ࡣᨵၿࡀぢࡽࢀ࡚ࡶ⮬⏤࡞఍ヰ࡛ࡣᨵၿࡀぢࡽࢀ࡞࠿ࡗࡓ஦౛࡞࡝ࠊ
㝈ᐃⓗ࡞ຠᯝࡋ࠿ᚓࡽࢀ࡞࠿ࡗࡓ౛ࡶሗ࿌ࡉࢀ࡚࠾ࡾࠊカ⦎ࡢලయⓗ࡞᪉ἲࡸ㝈⏺࡞࡝࡟ࡘ࠸࡚ࡣ᭦࡟᳨ウࢆ㐍ࡵࡿᚲせࡀ࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
㸦㸱㸧࠺ࡘࠊ୙Ᏻ
㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟࠾࠸࡚ࠊ࠺ࡘࡸ୙Ᏻࡣ㧗㢖ᗘ࡟ぢࡽࢀࠊᑵປࢆྵࡴ♫఍᚟ᖐ࡟㈇ࡢᙳ㡪ࢆ୚࠼ࡿ௚ࠊ
࠺ࡘࡣᨷᧁᛶ࡜ࡶ㛵㐃ࡀ࠶ࡿࡇ࡜ࡀඛ⾜◊✲࡟࠾࠸࡚ᣦ᦬ࡉࢀ࡚࠸ࡓࠋㄆ▱⾜ື⒪ἲ࡟ᇶ࡙ࡃ௓ධࡀከࡃ◊✲ࡉࢀ࡚࠾ࡾࠊ⫯ᐃⓗ࡞⤖ᯝࡀᚓࡽࢀ࡚࠸ࡿ୍᪉࡛ࠊᮇᚅࡋࡓຠᯝࡀᚓࡽࢀ࡞࠿ࡗࡓሗ࿌ࡶ࠶ࡾࠊຠᯝࡀᚓ
ࡽࢀࡸࡍ࠸᮲௳ࡸᐇ᪋᪉ἲ࡞࡝࡟ࡘ࠸࡚᭦࡟◊✲ࡀ㐍ࡵࡽࢀ࡚࠸ࡿࠋ
ᮏ❶࡟࠾࠸࡚ࡣ⸆≀⒪ἲ௨እࡢ௓ධ᪉ἲ࡟ࡘ࠸࡚㏙࡭ࡓࡀࠊ࠺ࡘࡸ୙Ᏻ࡟ᑐࡍࡿ௓ධ࡜ࡋ࡚ࡣࠊ⸆≀⒪ἲ
ࡀ㔜せ࡛࠶ࡿࡇ࡜ࡣᛀࢀ࡚ࡣ࡞ࡽ࡞࠸ࡔࢁ࠺ࠋ⫋ᴗࣜࣁ㡿ᇦࡢᨭ᥼ᑐ㇟⪅࡟࠾࠸࡚ࡶࠊࡑࡢ≧ែീ࡟ࡼࡾ⸆≀⒪ἲࡀᚲせ࡞ሙྜࡀ࠶ࡿ࡜⪃࠼ࡽࢀࡿࡇ࡜࠿ࡽࠊ࠺ࡘࡸ୙Ᏻࢆᢪ࠼ࡿᨭ᥼ᑐ㇟⪅࡟ᑐᛂࡍࡿሙྜࡣࠊ⫋ᴗࣜࣁᚑ஦⪅ࡢࡳ࡛ᑐᛂࢆุ᩿ࡍࡿࡢ࡛ࡣ࡞ࡃࠊ་⒪࡜㐺ษ࡟㐃ᦠࡍࡿࡇ࡜ࡀ୙ྍḞ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ

35㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2013a㸹2013c㸹2015a㸹2015b㸹2016b㸧ࡀ㛤Ⓨࡋࡓࠕࢪࣙࣈࢥ࣑ࣗࢽࢣ࣮ࢩ࣭ࣙࣥࢫ࢟
ࣝ࢔ࢵࣉࢭ࣑ࢼ࣮ࠖࡣࠊ㞀ᐖࡢ࠶ࡿປാ⪅ࡔࡅ࡛࡞ࡃࠊࡑࡢୖྖࡸྠ൉ࡶᑐ㇟࡜ࡋࡓ SST ࢆά⏝ࡋࡓࣉࣟࢢ࣒࡛ࣛ࠶ࡾࠊ
ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࣃ࣮ࢺࢼ࣮カ⦎ࢆྵࡴྲྀ⤌ࡢ୍ࡘ࡜࠸࠼ࡿࠋࡓࡔࡋࠊྠࣉࣟࢢ࣒ࣛࡣࠊᑐ㇟࡜ࡍࡿ㞀ᐖ࡟ࡘ࠸࡚▱ⓗ㞀ᐖࠊⓎ㐩㞀ᐖࠊ⢭⚄㞀ᐖࠊ⫈ぬ㞀ᐖ࡞࡝ᖜᗈࡃ᝿ᐃࡋ࡚࠾ࡾࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟≉໬ࡋࡓຠᯝ᳨ドࡣ⾜ࢃࢀ࡚࠸࡞࠸ࠋ36 ⫋ᴗࣜࣁ㡿ᇦ௨እࡢྲྀ⤌࡜ࡋ࡚ࠊኻㄒ⑕ࡢ࠶ࡿேࡢ⏕άࡸ♫఍ཧຍࢆᨭ᥼ࡍࡿᑓ㛛࣎ࣛࣥࢸ࢕࢔࡛࠶ࡿࠕኻㄒ⑕఍ヰࣃ࣮ࢺࢼ࣮ࠖࡢ㣴ᡂࡀ᪥ᮏྛᆅ࡛ᐇ㊶ࡉࢀ࡚࠾ࡾࠊ㞀ᐖ⪅⥲ྜᨭ᥼ἲ࡟࠾ࡅࡿពᛮ␯㏻ᨭ᥼஦ᴗ࡟࠾ࡅࡿពᛮ␯㏻ᨭ᥼
⪅࡜ࡋ࡚ࡢ㣴ᡂࡶ㐍ࡵࡽࢀ㸦❧▼㸪2017㸧ࠊኻㄒ⑕ࡢ࠶ࡿேࡀᆅᇦ⏕άࢆ㏦ࡿୖ࡛ࡢ♫఍㈨※ࡢ୍ࡘ࡟࡞ࡾࡘࡘ࠶ࡿ࡜ࡇ
ࢁ࡛࠶ࡿࠋ㣴ᡂ࣒࢝ࣜ࢟ࣗࣛࡢ୰࡛ࡣኻㄒ⑕௨እࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ࡟ࡘ࠸࡚ࡶゐࢀࡽࢀࡿࡀࠊ୺ࡓࡿᑐ㇟࡜ࡋ࡚᝿ᐃࡉ
ࢀ࡚࠸ࡿࡢࡣኻㄒ⑕⪅࡛࠶ࡿࠋ41− 41 −⸆≀⒪ἲ௨እࡢ௓ධ᪉ἲ࡜ࡋ࡚ྲྀࡾୖࡆࡓㄆ▱⾜ື⒪ἲ࡟ࡣࠊᖜᗈ࠸ᢏἲࡀྵࡲࢀࡿࠋࡑࡢ୰࡛ࠊ౛࠼ࡤࠊ
ࣜࣛࢡࢮ࣮ࢩࣙࣥࡸẼศ㌿᥮࡞࡝ࢫࢺࣞࢫ࡬ࡢᑐฎࢫ࢟ࣝࡢ⋓ᚓ࡟㛵ࡍࡿᨭ᥼ࡸࠊࢫࢺࣞࢫࡀ㧗࠸≧ែ࡟࡞ࡿࡇ࡜ࢆண㜵ࡍࡿࡓࡵࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝ࡬ࡢ௓ධࡣࠊ๓㏙ࡢձ㹼ճࡢศ㢮࡟࠾ࡅࡿղࡢ௓ධ᪉ἲ
࡜ᤊ࠼ࡿࡇ࡜ࡀ࡛ࡁࡿࠋࡇࢀࡽࡣࠊ⫋ᴗࣜࣁ㡿ᇦ࡟࠾࠸࡚ᐇ㊶࡛ࡁࡿྍ⬟ᛶࡀ࠶ࡾࠊ
㸦⬻ᦆയ⪅௨እࡢ㸧࠺ࡘ⑓ࡢ࠶ࡿே࡬ࡢ᚟⫋ᨭ᥼ࡢ㡿ᇦ࡛ࡣ᪤࡟ࡇࡢࡼ࠺࡞ᐇ㊶ࡀ⾜ࢃࢀ࡚࠸ࡿ࡜ࡇࢁ࡛࠶ࡿ㸦㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸪2011㸹2013㸧ࠋࡓࡔࡋࠊࡇࢀࡽࡢ௓ධࢆ⾜࠺ሙྜ࡟࠾࠸࡚ࡶࠊ඲యⓗ࡞≧ែീࡢุ᩿࡟ᇶ࡙࠸ࡓᨭ᥼ࡀ㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࠊ་⒪ࢆጞࡵ࡜ࡋࡓ㛵ಀᶵ㛵࡜㐺ษ࡟㐃ᦠࡍࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋ㸦㸲㸧ᛣࡾࠊᨷᧁⓗ⾜ືᛣࡾࡸᨷᧁⓗ⾜ື࡟㛵ࡍࡿ௓ධ◊✲ࡣᩘከࡃᐇ᪋ࡉࢀ࡚࠾ࡾࠊ♫఍ཧຍࢆጉࡆࡿㄢ㢟࡜ࡋ࡚㧗࠸㛵ᚰࡀ㞟ࡲࡗ࡚࠸ࡿࡇ࡜ࡢ཯࡛ᫎ࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ௓ධ᪉ἲ࡜ࡋ࡚ࡣࠊ⾜ື⒪ἲࡸㄆ▱⾜ື⒪ἲ࡟ᇶ࡙ࡃ௓ධࠊ⎔ቃㄪᩚࡀሗ࿌ࡉࢀ࡚࠸ࡓࠋᛣࡾࡀ⏕ࡌࡓ࡜ࡁ࡟Ẽᣢࡕࢆⴠࡕ╔࠿ࡏࡿ⾜ືࡸᑠ㐨ලࢆタᐃࡍࡿࡇ࡜ࡸࠊᙜ஦
⪅ࡢ࿘ᅖࡢேࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫࢱ࢖ࣝ࡬ࡢാࡁ࠿ࡅ࡞࡝ࠊղࡸճ࡟ヱᙜࡍࡿ࡜⪃࠼ࡽࢀࡿ௓ධ᪉ἲࡀ
ぢࡽࢀࠊࡇࢀࡽࡣ⫋ᴗࣜࣁ㡿ᇦ࡟࠾࠸࡚ࡶᐇ᪋ࡀྍ⬟࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋࡋ࠿ࡋࠊ࠺ࡘࡸ୙Ᏻ࡟ᑐࡍࡿ௓
ධ࡜ྠࡌࡃࠊᨷᧁᛶࡣ⸆≀⒪ἲࢆጞࡵ࡜ࡋࡓ་⒪ⓗࢣ࢔ࡢᑐ㇟࡜࡞ࡿ⑕≧࡛࠶ࡿࡓࡵࠊ≉࡟⑕≧ࡀ㢧ⴭ࡛࠶ࡗ࡚ᮏேࡸ࿘ᅖࡢᢪ࠼ࡿᅔ㞴ࡀ኱ࡁ࠸ሙྜࡣࠊ་⒪࡜㐃ᦠࡋ࡚ᑐᛂࡍࡿࡇ࡜ࡀᚲせ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
㸦㸳㸧Ⓨືᛶࡢపୗ
Ⓨືᛶࡢపୗࡣࠊ⏕άࡢ⮬❧ࡸ⫋ᴗ᚟ᖐ࡟㈇ࡢᙳ㡪ࢆ୚࠼ࡿࡇ࡜ࡀᣦ᦬ࡉࢀ࡚࠸ࡿࡀࠊ௓ධ◊✲ࡣᑡ࡞ࡃࠊ
௒ᚋࡢ◊✲ࡀᚲせ࡜ࡉࢀࡿ㡿ᇦ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ⸆≀⒪ἲ௨እࡢ௓ධ࡜ࡋ࡚ࠊ᪥ᖖሙ㠃ࡢ⮬❧ᛶྥୖ࡟ຠᯝࢆୖࡆࡓ஦౛◊✲ࡢලయⓗ࡞௓ධෆᐜࢆぢࡿ࡜ࠊᙜ஦⪅ࡢࢽ࣮ࢬ࡟༶ࡋࡓ┠ᶆࢆタᐃࡋࠊᕤ⛬ࢆ⣽ศ໬ࡋࠊࢳ࢙ࢵࢡࣜࢫࢺࡸ࣐ࣜ࢖ࣥࢲ࣮ࢆ౑⏝ࡍࡿ࡜࠸ࡗࡓ⫋ᴗࣜࣁ㡿ᇦࡢᐇ㊶࡟࠾࠸࡚㢖⦾࡟ά⏝ࡉࢀࡿᨭ᥼
ᢏἲࡀ⏝࠸ࡽࢀ࡚࠸ࡓࠋࡇࢀࡽࡢࡇ࡜࠿ࡽࠊ⫋ᴗࣜࣁࡢᑓ㛛ᛶࢆά࠿ࡏࡿ㡿ᇦ࡛࠶ࡿྍ⬟ᛶࡀ⪃࠼ࡽࢀࠊ௒
ᚋࠊ⫋ᴗࣜࣁ࡟࠾࠸࡚✚ᴟⓗ࡟௓ධ஦౛ࢆ✚ࡳ㔜ࡡࡿࡇ࡜ࡀᮃࡲࢀࡿࠋ
㸦㸴㸧ໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ
ໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛ࡟ࡘ࠸࡚ࡣࠊᵝࠎ࡞ᨭ᥼ᢏἲࢆ⤫ྜࡋࡓࣉࣟࢢ࣒࡛ࣛ࠶
ࡾࠊࣉࣟࢢ࣒ࣛࡀ඲య࡜ࡋ࡚ᶵ⬟ࡍࡿࡇ࡜ࡀᙉㄪࡉࢀ࡚࠸ࡿࡓࡵࠊࡑࡢᵓᡂせ⣲ࢆ㒊ศ࡜ࡋ࡚ྲྀࡾฟࡋ࡚⫋ᴗࣜࣁ࡬ࡢᛂ⏝ࢆ᳨ウࡍࡿࡇ࡜ࡣ㐺ษ࡛࡞࠸࠿ࡶ▱ࢀ࡞࠸ࠋࡲࡓࠊከᩘࡢᑓ㛛⫋ࡢ㛵୚ࢆ๓ᥦ࡜ࡋࡓࠊ㛗ᮇ㛫࠿ࡘ㞟୰ⓗ࡞ࣉࣟࢢ࣒ࣛࢆ㐠Ⴀࡍࡿࡇ࡜ࡣ⌧ᐇⓗ࡟ࡣไ⣙ࡀ኱ࡁ࠸ࠋࡋ࠿ࡋࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡀᢪ࠼ࡿᵝࠎ࡞ၥ㢟ࡢ඲యീࢆᤊ࠼ࠊᨭ᥼⪅㛫ࡢ⥥ᐦ࡞ពぢ஺᥮࡟ࡼࡾ⤫ྜⓗ࡟ᨭ᥼ࡋ࡚࠸ࡃ⪃࠼᪉࡟ࡘ࠸࡚ࡣࠊཧ
⪃࡟ࡍ࡭ࡁⅬࡀከ࠸࡜⪃࠼ࡽࢀࡿࠋ

42− 42 −

➨䠏❶䝠䜰䝸䞁䜾ㄪᰝ

➨㸱❶ ࣄ࢔ࣜࣥࢢㄪᰝ
➨㸯⠇ ࣄ࢔ࣜࣥࢢㄪᰝࡢ᪉ἲ
♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿᨭ᥼࡟㛵ࡋ࡚ࠊᐇ㝿ࡢᨭ᥼࡟࠾ࡅࡿ⪃࠼᪉ࠊᅜෆ࡟࠾ࡅ
ࡿ⌧ᅾࡢྲྀ⤌ࡸㄢ㢟➼࡟ࡘ࠸࡚᝟ሗࢆ཰㞟ࡍࡿࡓࡵࠊඛ㐍ⓗ࡞ྲྀ⤌ࢆ⾜࠺᪋タཬࡧ≉࡟▱ぢࡢ࠶ࡿᑓ㛛ᐙࢆᑐ㇟࡜ࡋ࡚ࣄ࢔ࣜࣥࢢㄪᰝࢆ⾜ࡗࡓࠋㄪᰝᑐ㇟࡜ࡍࡿ᪋タཬࡧᑓ㛛ᐙࡢ㑅ᐃࡣ௨ୗࡢ஧ࡘࡢ᪉ἲ࡛⾜ࡗࡓࠋ➨୍ࡢ᪉ἲ࡜ࡋ࡚ࡣࠊ㛵㐃Ꮫ఍ࡸ◊✲఍㸦᪥ᮏ㧗ḟ⬻ᶵ⬟㞀ᐖᏛ఍ࠊ᪥ᮏࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ་Ꮫ఍ࠊㄆ▱ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ◊✲఍㸧ࡢ㐣ཤ࠾࠾ࡴࡡ㸳ᖺ㛫ࡢᏛ⾡ㄅཬࡧᏛ⾡㞟఍ࡢᢒ㘓ࢆཧ↷ࡋࠊඛ㐍ⓗ࡜ุ᩿ࡉࢀࡿྲྀ⤌ࢆᢳฟࡋࡓࠋ➨஧ࡢ᪉ἲ࡜ࡋ࡚ࠊእ㒊ࡢ」ᩘࡢᏛ㆑⤒㦂⪅࡟ࣄ࢔ࣜࣥࢢㄪᰝඛ࡜ࡋ࡚㐺ษ࡞᪋タࡸᑓ㛛ᐙ࡟ࡘ࠸࡚᥎⸀ࢆ౫㢗ࡋࡓࠋୖグࡢ᪉ἲ࡛㑅ᐃࡋࡓ᪋タཬࡧᑓ㛛ᐙ࡟ᑐࡋ࡚ㄪᰝࢆ౫㢗ࡋࠊ஢ᢎࡀᚓࡽࢀࡓሙྜ࡟ゼၥㄪᰝࢆ⾜ࡗࡓࠋྍ⬟࡞ሙྜ࡟ࡣᨭ᥼ሙ㠃ࡢぢᏛࡶేࡏ࡚౫㢗ࡋࡓࠋゼၥ᫬ᮇࡣ 2016 ᖺ 10 ᭶࠿ࡽ 2017 ᖺ㸷᭶ࡢ㛫࡛ࠊ◊✲ᢸᙜ⪅࡜㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮⫋ᴗࢭࣥࢱ࣮㸦ᢏἲ㛤Ⓨ㒊㛛㸧ࡢᢸᙜ⪅ࡢ㸰ྡࡲࡓࡣ㸱ྡ࡛ゼၥࡋࡓࠋᑐ
㇟᪋タࡸゼၥ᪥᫬࡞࡝ࡢᴫせ࡟ࡘ࠸࡚⾲㸱࡟୍ぴࢆ♧ࡋࡓࠋㄪᰝෆᐜࡣࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࢆᑐ㇟࡜ࡋࡓࠊᑵປᨭ᥼ࡲࡓࡣᑵປᨭ᥼ࡢ๓ẁ㝵ࡢ་⒪ⓗᨭ᥼࣭἞⒪࡟㛵ࡍࡿ⪃࠼᪉ࡸྲྀ⤌࡟㛵ࡍࡿࡇ࡜ࢆ኱ᯟ࡜ࡋࡓୖ࡛ࠊㄪᰝᑐ㇟᪋タࡢ≉Ⰽࡸྛᑓ㛛ᐙࡢᑓ㛛㡿ᇦ࡟ᛂࡌࡓࡶࡢ
࡜ࡋࡓࠋࡘࡲࡾࠊࡍ࡭࡚ࡢㄪᰝᑐ㇟࡟ྠ୍ෆᐜࡢ࢖ࣥࢱࣅ࣮ࣗࢆ⾜ࡗࡓࡶࡢ࡛ࡣ࡞࠸ࠋ
ㄪᰝᑐ㇟᪋タࡲࡓࡣᑓ㛛ᐙࡀࠊ♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡍࡿ≉ᐃࡢᨭ᥼ࣉࣟࢢ࣒ࣛࢆᐇ᪋ࡋ࡚࠸ࡿሙྜࡣࠊ
௨ୗࡢෆᐜࢆྵࡵࡓࠋyලయⓗ࡞ᨭ᥼ࣉࣟࢢ࣒ࣛࡢෆᐜཬࡧᐇ᪋ୖࡢᕤኵyᨭ᥼ࣉࣟࢢ࣒ࣛࡢ⌮ㄽⓗ⫼ᬒyᑐ㇟⪅ീࡸ㐺ᛂyᨭ᥼ຠᯝࡢ ᐃ᪉ἲyᨭ᥼ࢫࢱࢵࣇࡢᩍ⫱ࡸࢫࢺࣞࢫࢣ࢔

⾲㸱 ࣄ࢔ࣜࣥࢢㄪᰝ୍ぴ
ゼၥ᫬ᮇ

2016 ᖺ 10 ᭶᪋タྡ⛠㸦ᡤᅾᆅ㸧࡞ࡸࢡࣜࢽࢵࢡ㸦኱㜰ᗓሜᕷ㸧ࣄ࢔ࣜࣥࢢᑐ㇟

⣡㇂ᩔኵẶ㸦་ᖌ㸧ࠊಥ࠶ࡺࡳẶ㸦సᴗ⒪ἲኈ㸧௚⫋ဨࡢⓙᵝ୺࡞ෆᐜ࣭♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉࣭㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࢆᑐ㇟࡜ࡋࡓࢹ࢖ࢣ࢔࣭SCIT㸦Social Cognition and Interaction Training㸧ࢆ⏝࠸ࡓࢢ࣮ࣝࣉ἞⒪

ゼၥ᫬ᮇ

2016 ᖺ 12 ᭶᪋タྡ⛠㸦ᡤᅾᆅ㸧ᗈᓥ┴㧗ḟ⬻ᶵ⬟ࢭࣥࢱ࣮㸦ᗈᓥ┴ᮾᗈᓥᕷ㸧ࣄ࢔ࣜࣥࢢᑐ㇟

㏆⸨ၨኴẶ㸦ࢭࣥࢱ࣮㛗ࠊ་ᖌ㸧ࠊᐩ⏣᫛Ặ㸦సᴗ⒪ἲኈ㸧ࠊᅵ⫧ὒᏊẶ㸦ゝㄒ⫈ぬኈ㸧ࠊ⃝⏣ᲈẶ㸦⮫ᗋᚰ⌮ኈ㸧୺࡞ෆᐜ࣭♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉࣭ࠕᶍᨃᑵປࢢ࣮ࣝࣉࠖ࡞࡝ࡢ㞟ᅋカ⦎ࡢྲྀ⤌

43− 43 −


ゼၥ᫬ᮇ

2016 ᖺ 12 ᭶᪋タྡ⛠㸦ᡤᅾᆅ㸧⚄ዉᕝࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⑓㝔㸦⚄ዉᕝ┴ཌᮌᕷ㸧ࣄ࢔ࣜࣥࢢᑐ㇟

㟷ᮌ㔜㝧Ặ㸦ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉་㛗ࠊ་ᖌ㸧ࠊᯇඖ೺Ặ㸦⫋⬟ㄢ㛗㸧ࠊẊᮧᬡẶ㸦ᚰ⌮ኈ㸧ࠊ⁪⃝ᏛẶ㸦┦ㄯᨭ᥼ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮㸧௚⫋ဨࡢⓙᵝ୺࡞ෆᐜ

࣭ࠕ㏻㝔ࣉࣟࢢ࣒ࣛࠖࡢྲྀ⤌ゼၥ᫬ᮇ

2017 ᖺ㸯᭶᪋タྡ⛠㸦ᡤᅾᆅ㸧⇃ᮏ኱Ꮫ་Ꮫ㒊㝃ᒓ⑓㝔㸦⇃ᮏ┴⇃ᮏᕷ㸧ࣄ࢔ࣜࣥࢢᑐ㇟

ᶫᮏ⾨Ặ㸦⚄⤒⢭⚄⛉デ⒪⛉㛗ࠊ་ᖌ㸧ࠊఀᆅ▱኱ுẶ㸦⮫ᗋᚰ⌮ኈ㸧ࠊ⏣୰ᕼẶ㸦ᨭ᥼ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ࠊ⢭⚄ಖ೺⚟♴ኈ㸧୺࡞ෆᐜ࣭♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉࣭࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺᨭ᥼࡬ࡢྲྀ⤌ゼၥ᫬ᮇ

2017 ᖺ㸱᭶᪋タྡ⛠㸦ᡤᅾᆅ㸧ᑓಟ኱Ꮫே㛫⛉Ꮫ㒊㸦⚄ዉᕝ┴ᕝᓮᕷ㸧ࣄ࢔ࣜࣥࢢᑐ㇟

ᒸᮧ㝧ᏊẶ㸦ᚰ⌮Ꮫ⛉ᩍᤵࠊ⮫ᗋᚰ⌮ኈ㸧୺࡞ෆᐜ࣭᫆ᛣᛶࡢ࠶ࡿே࡬ࡢ SST ࡢྲྀ⤌ゼၥ᫬ᮇ

2017 ᖺ㸶᭶᪋タྡ⛠㸦ᡤᅾᆅ㸧ி㒔኱Ꮫ་Ꮫ㒊㝃ᒓ⑓㝔㸦ி㒔ᗓி㒔ᕷ㸧ࣄ࢔ࣜࣥࢢᑐ㇟

ୖ⏣ᩗኴẶ㸦⢭⚄⛉࣭⚄⤒⛉ຓᩍࠊ་ᖌ㸧୺࡞ෆᐜ࣭㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼࡟࠾ࡅࡿ㸦≉࡟⢭⚄⛉㸧་⒪ࡢᙺ๭࡜ᆅᇦ㐃ᦠ࣭♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉ゼၥ᫬ᮇ

2017 ᖺ㸷᭶᪋タྡ⛠㸦ᡤᅾᆅ㸧ྡྂᒇᕷ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮㸦ឡ▱┴ྡྂᒇᕷ㸧ࣄ࢔ࣜࣥࢢᑐ㇟

✄ⴥ೺ኴ㑻Ặ㸦ᑵປᨭ᥼ㄢ㛗ࠊゼၥᆺࢪࣙࣈࢥ࣮ࢳࠊ♫఍⚟♴ኈࠊ⢭⚄ಖ೺⚟♴ኈ㸧୺࡞ෆᐜ࣭ᑵປᨭ᥼ㄢ࡟࠾ࡅࡿྲྀ⤌࣭ࢭࣥࢱ࣮ෆእࡢ㒊⨫ࠊᶵ㛵࡜㐃ᦠࡋࡓᑵປᨭ᥼

ゼၥ᫬ᮇ

2017 ᖺ㸷᭶᪋タྡ⛠㸦ᡤᅾᆅ㸧ᅜ❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮⑓㝔㸦ᇸ⋢┴ᡤἑᕷ㸧ࣄ࢔ࣜࣥࢢᑐ㇟

ᾆୖ⿱ᏊẶ㸦ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㒊㒊㛗ࠊ་ᖌ㸧୺࡞ෆᐜ࣭♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉
࣭FFGW㸦Feeling-Focused Group Work㸧ࡢྲྀ⤌ͤᡤᒓ࣭ᙺ⫋ࡣࡍ࡭࡚ㄪᰝ᫬Ⅼࡢࡶࡢ࡛࠶ࡿࠋ

44− 44 −

➨㸰⠇ ࣄ࢔ࣜࣥࢢㄪᰝࡢ⤖ᯝ௨ୗࠊㄪᰝᑐ㇟᪋タཬࡧᑓ㛛ᐙ࡟ࡘ࠸࡚ࡢᴫせཬࡧࣄ࢔ࣜࣥࢢ⤖ᯝࠊࡲࡓࠊ
ࠕ㛵㐃㈨ᩱࠖ࡜ࡋ࡚ࣄ࢔ࣜࣥࢢ
ㄪᰝ࡟㝿ࡋ࡚ཧ⪃࡟ࡋࡓᩥ⊩ࡸㄪᰝᑐ㇟⪅࠿ࡽ᝟ሗᥦ౪࠸ࡓࡔ࠸ࡓᩥ⊩ࢆᥖ㍕ࡋࡓࠋグ㍕㡰ࡣㄪᰝࡢᐇ᪋㡰࡜ࡋࡓࠋࣄ࢔ࣜࣥࢢ⤖ᯝࡣࠊ㏲ㄒグ㘓ࢆᇶ࡟◊✲ᢸᙜ⪅ࡀ෌ᵓᡂࡋࠊㄪᰝᑐ㇟⪅ࡢ☜ㄆཬࡧ୍㒊ຍ➹ಟṇࢆ⤒࡚ᥖ㍕ࡍࡿࡶࡢ࡛࠶ࡿࠋෆᐜࡢࡲ࡜ࡲࡾࢆ㔜どࡍࡿほⅬ࠿ࡽࠊ㡯┠❧࡚ࡣࣄ࢔ࣜࣥࢢㄪᰝᑐ㇟ࡈ࡜࡟⾜ࡗࡓࠋ⬮ὀ࡟ࡘ࠸࡚ࡣ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮ࡀ௜ຍࡋࡓࠋ
㸦㸯㸧࡞ࡸࢡࣜࢽࢵࢡ㸦⣡㇂ ᩔኵẶࠊࢥ࣓ࢹ࢕࢝ࣝࢫࢱࢵࣇࡢⓙᵝ㸧࢔ᴫせ࡞ࡸࢡࣜࢽࢵࢡ࡟ࡣࠊ
ࠕ㧗ḟ⬻ᶵ⬟እ᮶ࠖ࡜㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࢆᑐ㇟࡜ࡋࡓࢹ࢖ࢣ࢔ࡀ㛤タࡉࢀ࡚࠸ࡿࠋ⣡㇂ᩔኵ་ᖌࡣࠊ኱㜰ᗓཬࡧሜᕷࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ᨭ᥼࡟㛵ࡍࡿከᩘࡢᙺ⫋ࢆົࡵࡿ௚ࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼ࢆࢸ࣮࣐࡜ࡍࡿ་⒪࣭⚟♴㛵ಀ⪅ࡸᐙ᪘ࢆᑐ㇟࡜ࡍࡿ◊ಟ఍ࡢㅮᖌ࡜ࡋ࡚඲ᅜྛᆅ࠿ࡽᣍ⪸ࡉࢀ࡚࠸ࡿࠋࢹ࢖ࢣ࢔࡟࠾࠸࡚ࡣᵝࠎ࡞ྲྀ⤌ࡀ⾜ࢃࢀ࡚࠸ࡿࡀࠊࡑࡢ୍ࡘ࡜ࡋ࡚♫఍ⓗㄆ▱㞀ᐖ࡬ࡢ௓ධࢆ┠ⓗ࡜ࡋ
ࡓࠕSCIT㸦Social Cognition and Interaction Training㸧ࠖࢆ⏝࠸ࡓࢢ࣮ࣝࣉ἞⒪ࡀᐇ㊶ࡉࢀ࡚࠸ࡿࠋ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡬ࡢ἞⒪ཬࡧᑐᛂࡢ⪃࠼᪉඲⯡࡟ࡘ࠸࡚୺࡟⣡㇂ᩔኵẶ㸦་ᖌ㸧ࡼࡾࠊࢹ࢖ࢣ࢔࡟࠾ࡅࡿᐇ㊶࡟ࡘ࠸࡚୺࡟ಥ࠶ࡺࡳẶ㸦సᴗ⒪ἲኈ㸧ࡼࡾ⫈ྲྀࡋࡓࠋ
࢖㸬ࣄ࢔ࣜࣥࢢ⤖ᯝ㸦࢔㸧♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢ἞⒪࣭ᑐᛂࡢ⪃࠼᪉⬻ᦆയ⪅࡟࠾࠸࡚᫆ᛣᛶࡢ࠶ࡿேࡣከ࠸ࠋ᫆ᛣᛶࡢ἞⒪࡟࠾࠸࡚ࡣ⸆≀⒪ἲࡀ㔜せ࡛࠶ࡿࡀࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟㐺ษ࡟ฎ᪉࡛ࡁࡿ་ᖌࡣ㝈ࡽࢀ࡚࠾ࡾࠊ୙㐺ษ࡞ฎ᪉ࡣ༷ࡗ࡚⑕≧ࢆᝏ໬ࡉࡏࡿሙྜࡀ࠶ࡿࠋ₎᪉
⸆ࡢࠕᢚ⫢ᩓࠖࡣࠊຠᯝ࡟ಶேᕪࡣ࠶ࡿࡀ๪స⏝ࡀ࠶ࡲࡾ࡞ࡃࠊ୙╀ࡸㄆ▱㠃ࡢᨵၿࡶᮇᚅ࡛ࡁࡿࡓࡵࠊ⸆
ࢆ㣧ࡴࡇ࡜࡟᢬ᢠࡢ࠶ࡿே࡟ࡶ່ࡵࡸࡍ࠸ࠋᢠ࡚ࢇ࠿ࢇ⸆ࡀຠᯝⓗ࡞ሙྜࡶ࠶ࡿࠋ⫈ぬ㐣ᩄࡸ╀Ẽࡀ࢖ࣛ࢖ࣛࡢཎᅉ࡜࡞ࡗ࡚࠸ࡿሙྜࡀ࠶ࡿࡓࡵࠊ╧╀ࡀ࡜ࢀ࡚࠸ࡿ࠿ࠊ᪥୰࡟╀Ẽࢆ㉳ࡇࡍ⸆๣ࢆ᭹⏝ࡋ࡚࠸࡞࠸࠿☜ㄆࡀᚲせ࡛࠶ࡿࠋᐙᗞෆ࡛ࡢ᫆ᛣᛶࡣࠊᐙ᪘ࡀᣦᑟⓗ࡞ែᗘ࡛᥋ࡍࡿࡇ࡜ࡀ୍
ᅉ࡜࡞ࡗ࡚࠸ࡿሙྜࡀ࠶ࡿࡓࡵࠊᮏேࡢࣉࣛ࢖ࢻ࡟㓄៖ࡋࡓᐙ᪘࡜ࡋ࡚ࡢ᥋ࡋ᪉ࡀ㔜せ࡛࠶ࡿࠋ
᮶㝔᫬ࡢᑐᛂ࡜ࡋ࡚ࡣࠊᚅࡓࡏ࡞࠸ࡇ࡜ࠊࡑࡢேࡢᙅⅬࢆ⪃៖ࡋࡓᑐᛂࢆࡍࡿࡇ࡜㸦౛࠼ࡤࠊேࡀከ࠸ሙ
ᡤࡀⱞᡭ࡞ே࡟ࡣಶᐊ࡛ᚅࡗ࡚࠸ࡓࡔࡃ㸧ࠊ୎ᑀ࡞ゝⴥ࡛᥋ࡍࡿࡇ࡜ࢆࢡࣜࢽࢵࢡ඲య࡜ࡋ࡚ྲྀࡾ⤌ࢇ࡛࠸ࡿࠋ
ࢳࣕࣞࣥࢪࣥࢢ⾜ື㸦ၥ㢟⾜ື㸧࡬ࡢᑐᛂࡣࠊᘬࡁ㔠࡟࡞ࡿ≧ἣࢆぢࡘࡅ࡚㑊ࡅࡿࡇ࡜ࠊࢱ࢖࣒࢔࢘ࢺἲࠊ
ᛂ⏝⾜ືศᯒ࡟ࡼࡿᑐᛂࡀ᭷ຠ࡛࠶ࡿࠋ⬻ᦆയ⪅ࡢ࢔ࣝࢥ࣮ࣝᦤྲྀࡣ⑓ⓗ㓖㓁࠿ࡽࡢ␗ᖖ⾜ື࡟ࡘ࡞ࡀࡿሙ
ྜࡀ࠶ࡿࡓࡵࠊ㣧㓇㔞ࡢไ㝈ࡀᚲせ࡛࠶ࡿࠋ
᫆⑂ປ࡟ࡼࡿసᴗຠ⋡పୗࡣࠊ⫋ᴗሙ㠃࡟࠾࠸࡚࿘ᅖ࡟ᢈุࡉࢀࡿཎᅉ࡜࡞ࡾࡸࡍࡃࠊ࠺ࡘ⑓࡟ࡘ࡞ࡀࡿ
ሙྜࡀ࠶ࡿࡢ࡛⫋ሙࡢ⌮ゎࡀ㔜せ࡛࠶ࡿࠋ
㸦࢖㸧ࢹ࢖ࢣ࢔ᴫせ㐌㸲᪥ᐇ᪋ࡋ࡚࠾ࡾࠊྛ฼⏝⪅ࡣ㐌 1 ᪥࠸ࡎࢀ࠿ࡢ᭙᪥࡟㏻ᡤࡋ࡚࠸ࡿࠋྛ฼⏝⪅ࡢ㞀ᐖ≧ἣࡸ♫఍ⓗ≧ἣࠊࡲࡓࠊ฼⏝⪅㛫ࡢ㛵ಀᛶࢆ㋃ࡲ࠼ࠊ࡝ࡢ᭙᪥ࡢࢹ࢖ࢣ࢔࡟ཧຍࡋ࡚࠸ࡓࡔࡃ࠿Ỵᐃࡋ࡚࠸ࡿࠋ᫬㛫ࡣ༗
๓ 10 ᫬࠿ࡽ༗ᚋ㸲᫬࡛ࠊෆᐜࡣ㞟ᅋ࡛ࡢㄆ▱ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࠊㄪ⌮ࡸࣃࢬࣝ࡞࡝ࡢ㞟ᅋάືࠊᡭⱁ࡞
࡝ࡢಶูసᴗࠊࡑࡢ௚࡟ಶูࡢ⚄⤒ᚰ⌮Ꮫⓗ᳨ᰝࡸㄆ▱ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡀ⾜ࢃࢀࡿࠋⱥᅜࡢ࢜ࣜࣂ࣮ࢨ
45− 45 −

ࣥࢢ࢘࢕ࣝࢭࣥࢱ࣮ࡢࣉࣟࢢ࣒ࣛࢆཧ⪃࡟ࡋ࡚࠸ࡿࠋ฼⏝⪅ࡣࠊ⬻⾑⟶㞀ᐖ࡜⬻እയࡢேࡀከ࠸ࡀࠊ௚࡟ࡶ
ప㓟⣲⬻⑕ࡸ⬻⭘⒆࡞࡝ᵝࠎ࡛࠶ࡿࠋⓎ⑕ᖺ㱋࡟ࡘ࠸࡚ࡣࠊ20㹼50 ᡯ௦ࡢேࡀከ࠸ࡀࠊᑠඣᮇ࡟Ⓨ⑕ࡋࡓேࡸ 60 ᡯ௨㝆ࡢⓎ⑕ࡢேࡶྵࡲࢀࡿࠋࢫࢱࢵࣇ࡜฼⏝⪅ࡢேᩘࡢẚ⋡ࡣ࠾࠾ࡴࡡ㸯㸸㸰࡛࠶ࡿࠋ
㸦࢘㸧ᨭ᥼⪅ࡢᩍ⫱ࡸࢣ࢔ẖ᪥ࡢࢹ࢖ࢣ࢔⤊஢ᚋ࡟ࢫࢱࢵࣇ඲ဨ࡛ࡢ᣺㏉ࡾࡢ᫬㛫ࢆタࡅ࡚࠾ࡾࠊ୍᪥ࡢฟ᮶஦ࡸឤࡌࡓࡇ࡜ࢆࡑࡢ
ሙ࡛⋡┤࡟ࠊ࠾஫࠸࡟ᢈุࡋࡓࡾࡏࡎヰࡋྜ࠺ࡼ࠺࡟ࡋ࡚࠸ࡿࠋᬑẁ࠿ࡽࢫࢱࢵࣇ㛫ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ
ࡀࡼࡃ࡜ࢀ࡚࠸ࡿࡓࡵࠊྛࢫࢱࢵࣇࡀ኱ࡁ࡞ࢫࢺࣞࢫࢆᢪ࠼ࡿࡇ࡜࡟ࡣ࡞ࡾ࡟ࡃ࠸ࠋ฼⏝⪅࡟ᑐࡋ࡚ࡣࡺࡿ
ࡸ࠿࡞ᢸᙜไࢆ࡜ࡗ࡚࠾ࡾࠊ୍ᑐ୍࡛ࡣ࡞ࡃࠊ」ᩘᑐ」ᩘࡢ㛵ಀ࡟࡞ࡗ࡚࠸ࡿࠋࡑࡢࡓࡵࠊࡑࡢ᫬ࠎࡢ≧ἣ࡟ࡼࡾᑐᛂࡍࡿ⫋ဨࡸሙᡤࢆኚ࠼ࡿ࡞࡝ᰂ㌾࡟ᑐᛂࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋ
㸦࢚㸧SCIT㸦Social Cognition and Interaction Training㸧㹟ලయⓗ࡞ᨭ᥼ࣉࣟࢢ࣒ࣛࠊᨭ᥼ࡢ⌮ㄽⓗ⫼ᬒࡸᯟ⤌ࠊᐇ᪋ୖࡢᕤኵ
⬻ᦆയᚋࡢᑐே㛵ಀࡢ㞀ᐖࡣࠊ♫఍⬻ࡢᦆയ࡟ࡼࡿ♫఍ⓗㄆ▱ࡢ㞀ᐖࡀ୍せᅉ࡛࠶ࡿ࡜࠸࠺⪃࠼ࢆ⌮ㄽⓗ⫼ᬒ࡜ࡋ࡚࠸ࡿࠋSCIT ࢆᐇ᪋ࡍࡿ࡟࠶ࡓࡗ࡚ࡣࠊฟ∧ࡉࢀ࡚࠸ࡿ SCIT ࡢ࣐ࢽࣗ࢔ࣝ㸦㛵㐃㈨ᩱճ㸧ࢆ⇍ㄞࡋࡓ௚ࠊSCIT ࢆᐇ᪋ࡍࡿ᪋タ㸦⤫ྜኻㄪ⑕ᝈ⪅ࢆ୺࡞ᑐ㇟࡜ࡋࡓ᪋タ㸧࡬ࡢぢᏛࢆ⾜ࡗࡓࠋᇶᮏⓗ࡟ࡣ࣐ࢽࣗ࢔ࣝ࡟ἢࡗࡓᡭ㡰࡛ࢭࢵࢩࣙࣥࢆ⾜࠺ࡀࠊㄝ᫂ࡣࢃ࠿ࡾࡸࡍࡃ୎ᑀ࡟ࡍࡿࡼ࠺ᚰࡀࡅ࡚
࠸ࡿࠋㄽᩥ㸦㛵㐃㈨ᩱձ㸧࡜ࡋ࡚ሗ࿌ࡋࡓࢢ࣮ࣝࣉ἞⒪࡛ࡣࠊࢹ࢖ࢣ࢔฼⏝⪅㸲ྡ࡟ᑐࡋࠊ㐍⾜ᙺ㸯ྡ࡜ࢧ࣏࣮ࢺᙺ㸯ྡࡢ㸰ྡయไ࡛ᐇ᪋ࡋࡓࠋグ᠈㞀ᐖ࡬ࡢᑐᛂ࡜ࡋ࡚ࠊẖᅇࡢࢭࢵࢩࣙࣥࡢ࣏࢖ࣥࢺࢆࢃ࠿ࡾࡸࡍ
ࡃࡲ࡜ࡵࡓ༳ๅ≀ࢆཧຍ⪅࡟㓄ᕸࡋࡓࠋࡲࡓࠊ࣐ࢽࣗ࢔ࣝ࡟Ⓩሙࡍࡿே≀࡛࠶ࡿࠕ௚⨩ⓗ࡞ࣅࣝࠖ
ࠕ⮬㈐ⓗ࡞
࣓࢔࣮ࣜࠖ
ࠕ࠾Ẽᴦ࢚ࢹ࢕ࠖࢆ࢖࣓࣮ࢪࡋࡸࡍࡃࡍࡿࡓࡵࠊㄡ࡛ࡶ▱ࡗ࡚࠸ࡿࡼ࠺࡞᪥ᮏࡢ࢔ࢽ࣓࢟ࣕࣛࢡࢱ
࣮࡟⨨ࡁ᥮࠼࡚ㄝ᫂ࡍࡿ࡞࡝ࡢᕤኵࢆ⾜ࡗࡓࠋཧຍ⪅ࡢෆᐜ⌮ゎࡀ୙༑ศ࡞ሙྜࡣࠊྠࡌࢭࢵࢩࣙࣥࢆ㸰ᅇ㸦㸰㐌㸧⧞ࡾ㏉ࡍࡇ࡜ࡀ࠶ࡗࡓࠋ⾲㸲 㸦ཧ⪃㸧SCIT ࡢྛࢭࢵࢩࣙࣥࡢ἞⒪┠ᶆࡢᢤ⢋㸦ḟ㡫ࡢ㛵㐃㈨ᩱճࡼࡾᢤ⢋㸧
ࢭࢵࢩࣙࣥ

἞⒪┠ᶆ

㸯ࠊ㸰㸸ᑟධ

἞⒪ྠ┕ࢆ⠏ࡃ㸭SCIT ࡜♫఍ㄆ▱ࡢᴫᛕࢆ⤂௓ࡍࡿ㸱㸸ឤ᝟࡜♫఍ⓗ≧ἣ♫఍┦஫స⏝ࡀேࡢឤ᝟࡟ᙳ㡪ࢆ୚࠼ࠊ㏫ࡶࡋ࠿ࡾ࡛࠶ࡿࡇ࡜ࢆゎㄝࡍࡿ㸭ឤ᝟࡜Ẽศࡢᴫᛕࢆ㛵㐃࡙ࡅࡿ㸭♫఍ⓗ≧ἣ࡟࠾࠸࡚௚⪅ࡢほⅬࢆᣢࡘࡇ࡜ࢆ⦎⩦ࡍࡿ㸲㸸ឤ᝟ࢆᐃ⩏࡙ࡅࡿ㸳㸸௚⪅ࡢឤ᝟ࢆ᥎

㸴ࡘࡢᇶᮏឤ᝟㸦࠺ࢀࡋ࠸ࠊᝒࡋ࠸ࠊ⭡❧ࡓࡋ࠸ࠊ㦫࠸ࡓࠊ᎘ࡔࠊᛧ࠸㸧ࢆᐃ⩏ࡍࡿࡍࡿ♫఍ⓗ࡞஦ᐇ࡜᥎

ࡢ㐪࠸ࢆㄆ㆑ࡍࡿ㸭ᇶᮏឤ᝟ࡢ⾲ฟ࡟㛵ಀࡍࡿ㢦ࡢᡭࡀ࠿ࡾࢆྠ

ᐃࡍࡿ㸭㢦ࡢᡭࡀ࠿ࡾ࡟ᇶ࡙࠸࡚௚⪅ࡢឤ᝟ࢆṇࡋࡃㄆ㆑ࡍࡿ⬟ຊࢆ㧗ࡵࡿ

㸴㸸ឤ᝟᥎

ࡢ᭦᪂

⾲᝟࠿ࡽឤ᝟ࢆ≉ᐃࡍࡿ⬟ຊࡢ⥅⥆ⓗ࡞ྥୖࢆᅗࡿ

㸵㸸␲ᚰ᭷⏝࡞␲࠸࡜᭷ᐖ࡞␲࠸ࢆ༊ูࡍࡿ㸭᭕᫕࡞♫఍ⓗ≧ἣࡢゎ㔘ࡢᅔ㞴ࡉࢆㄆ㆑ࡍࡿ

㸶㸸⤖ㄽ࡬ࡢ㣕㌍⤖ㄽ࡬ࡢ㣕㌍ࢆᐃ⩏࡙ࡅࡿ㸭⤖ㄽ࡬ࡢ㣕㌍ࡣࠊ୙᫂░࡛᭕᫕࡞≧ἣ࡟࠾࠸࡚㉳ࡇࡾࡸࡍ࠸ࡇ࡜ࢆᏛࡪ㸷࣭10㸸㸦᪉␎㸯㸧௚ࡢ᥎
ࢆ⪃࠼ࡘࡃࠕ᥎ࠖࡍࡿࡇ࡜࡜ࠕ⤖ㄽ࡬ࡢ㣕㌍ࠖࢆ༊ูࡍࡿ㸭୙ᛌ࡞ฟ᮶஦ࢆㄝ᫂ࡍࡿ㸱ࡘࡢᇶᮏⓗ࡞ᵝᘧࢆ㆑ู࡛ࡁࡿࡼ࠺࡟࡞ࡿ㸸௚⪅ࢆ㈐ࡵࡿࠊ⮬ศࢆ㈐ࡵࡿࠊ≧ἣࢆ㈐ࡵࡿ

46− 46 −

11ࠊ12ࠊ13㸸㸦᪉␎㸰㸧 ஦ᐇ࡜᥎♫఍ⓗ≧ἣ࡟࠾ࡅࡿ஦ᐇ࡜᥎

ࡢ㐪࠸ࢆ༊ูࡍࡿ

ࢆ༊ูࡍࡿ

14ࠊ15㸸
㸦᪉␎㸱㸧ࡉࡽ࡟

᭕᫕ࡉ࡟⪏࠼ࡿ㸭ࡉࡽ࡟ドᣐࢆ㞟ࡵࡿࡇ࡜࡟ࡼࡗ࡚᥎

ドᣐࢆ㞟ࡵࡿ

ಙᗘࢆุ᩿ࡍࡿ

16㹼20㸸☜ㄆ㝜ᛶឤ᝟࡟ࡘ࡞ࡀࡗࡓ᭱㏆ࡢᑐே㛵ಀୖࡢయ㦂ࢆྠᐃ࡛ࡁࡿࡼ࠺࡟࡞ࡿ㸭ே࡜༠ຊࡋ
ྜ࠸࡞ࡀࡽ᥎

ࢆᨵၿࡍࡿ㸭᥎࡟ᑐࡍࡿ☜ࢆࠕ☜ㄆࠖࡍࡿࡇ࡜࡛ࠊ♫఍ⓗ࡞ฟ᮶஦ࡀ㛵ಀࡍࡿ㝜ᛶឤ᝟ࢆ㍍ῶ࡛

ࡁࡿ࡜࠸࠺ࡇ࡜ࢆࡼࡃ⌮ゎࡍࡿ㹠ᑐ㇟⪅ീࡸ㐺ᛂ♫఍ⓗ࡞ሙ㠃࡛ࡢ≧ἣ⌮ゎࡢᙅࡉࡀ࠶ࡿேࡀᑐ㇟࡜࡞ࡿࠋ᫆ᛣᛶࡀ࠶ࡲࡾ࡟ࡶᙉ࠸ேࡣࢢ࣮ࣝࣉཧຍࡀ㞴ࡋ࠸ࡓࡵࠊ་ᖌ࡟ࡼࡿ⸆≀ࡢㄪᩚࠊಶูᑐᛂࠊࢢ࣮ࣝࣉཧຍ࡜ᵝᏊࢆぢ࡞ࡀࡽẁ㝵ࢆ㋃ࢇ࡛㐍ࡵ࡚࠸ࡃࠋ๓
ᅇࡢࢭࢵࢩࣙࣥࡢෆᐜࡀ࠾ࡰࢁࡆ࡟࡛ࡶグ᠈࡟ṧࡗ࡚࠸ࢀࡤࠊグ᠈㞀ᐖࡀ࠶ࡗ࡚ࡶ㐺⏝࡛ࡁࡿ࡜⪃࠼࡚࠸ࡿࠋ
ࢢ࣮ࣝࣉ἞⒪ࡢཧຍ⪅ࡢ୰࡟ࡣࠊ⑓㆑ࡢ᭕᫕ࡉ࠿ࡽࠕఱࡢࡓࡵ࡟ SCIT ࡟ཧຍࡍࡿࡢ࠿ࠖࡢព⩏ࢆ༑ศ࡟⌮ゎࡋ࡚࠸࡞࠸ேࡶ࠸ࡓࡀࠊᬑẁࡢࢹ࢖ࢣ࢔ࡢάື࡜ࡣ㐪࠺┠᪂ࡋࡉࡸࢤ࣮࣒ឤぬ࡛࡛ࡁࡿෆᐜࡀከ࠸ࡓࡵ
࠿ࠊ࡯࡜ࢇ࡝ࡢཧຍ⪅ࡣពḧⓗ࡟ཧຍࡋ࡚࠸ࡓࠋࢢ࣮ࣝࣉ἞⒪௨እ࡟ࠊಶูࡢ἞⒪ሙ㠃࡟ SCIT ࡢせ⣲ࢆྲྀࡾධࢀࡿࡇ࡜ࡀ࠶ࡿࠋ
㹡ຠᯝࡢ ᐃ᪉ἲㄽᩥ࡜ࡋ࡚ሗ࿌ࡋࡓࢢ࣮ࣝࣉ἞⒪࡛ࡣࠊSCIT ࡜ SST ࢆ⤌ࡳྜࢃࡏ࡚ᐇ᪋ࡋࠊຠᯝࢆ

ᐃࡋࡓࠋ⤌ࡳྜࢃ

ࡏࡿࡇ࡜࡛ຠᯝ࡟ࡘ࡞ࡀࡾࡸࡍࡃ࡞ࡿ࡜⪃࠼࡚࠸ࡿࠋ
ලయⓗ࡞ ᐃ᪉ἲࡣࠊձ⾲᝟ㄆ▱ㄢ㢟ࠊղKiSS-18 ࡢᮏேホ౯ཬࡧᨭ᥼⪅ホ౯ࠊճ⾲᝟㆑ู࡟㛵ࡍࡿ☜ಙᗘࡢ⫈ྲྀࠊմ⾜ືほᐹ࡜ࡋࡓࠋ⾲᝟ㄆ▱ㄢ㢟ࡢᨵၿࡸ KiSS-18 ࡢᮏேホ౯࡜ᨭ᥼⪅ホ౯ࡢࡎࢀࡀᑠࡉࡃ࡞ࡿ
࡞࡝ࡢຠᯝࡀᚓࡽࢀࡓࠋカ⦎እࡢሙ㠃࡬ࡢỗ໬ࡸ㛗ᮇⓗ࡞ຠᯝࡣࠊ
⌧᫬Ⅼ࡛ࡣఱ࡜ࡶ࠸࠼࡞࠸࡜ࡇࢁࡀ࠶ࡿࠋ
ᩍᮦࡢࣅࢹ࢜ࢆぢ࡚ሙ㠃ࡢゎ㔘ࢆࡍࡿࢭࢵࢩࣙࣥ࡞࡝ࠊᬑẁࡢ⏕ά࡛ᮏேࡀ࿘ᅖࡢ≧ἣࢆ࡝ࡢࡼ࠺࡟ᤊ࠼ࡿ
࠿ࡢ≉ᚩ࡟ࡘ࠸࡚ࡢ࢔ࢭࢫ࣓ࣥࢺ࡜ࡋ࡚ࡶ᭷⏝࡞㠃ࡀ࠶ࡗࡓࠋ
࢘㸬㛵㐃㈨ᩱձ ሯ㉺ ༓ᑜ࣭ಥ ࠶ࡺࡳ࣭ᯇᒸ ្࣭⏕᪉ ᚿᾆ࣭⣡㇂ ᩔኵ㸦2016㸧㸬♫఍ㄆ▱㞀ᐖࢆ࿊ࡋࡓ㧗ḟ⬻ᶵ⬟㞀ᐖᝈ⪅࡟ᑐࡍࡿ SCIT ࢆ⏝࠸ࡓࢢ࣮ࣝࣉ἞⒪̿ணഛⓗ◊✲ 㧗ḟ⬻ᶵ⬟◊✲㸪36㸪450-458㸬ղ ⣡㇂ ᩔኵ㸦2014㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ ࡇࡇࢁࡢ⛉Ꮫ㸪173㸪79-81㸬
ճ Roberts, D. L., Penn, D. L., & Combs, D. R.㸦2009). Social Cognition and Interaction Training (SCIT):
Treatment manual. New York: Oxford University Press.㸦୰㎸ ࿴ᖾ࣭වᏊ ᖾ୍࣭᭱ୖ ከ⨾Ꮚ㸦┘ヂ㸧㸦2011㸧㸬♫఍ㄆ▱࡞ࡽࡧ࡟ᑐே㛵ಀࡢࢺ࣮ࣞࢽࣥࢢࠑSCITࠒ἞⒪࣐ࢽࣗ࢔ࣝ ᫍ࿴᭩ᗑ㸧47− 47 −

㸦㸰㸧 ᗈᓥ┴㧗ḟ⬻ᶵ⬟ࢭࣥࢱ࣮㸦㏆⸨ ၨኴẶࠊࢥ࣓ࢹ࢕࢝ࣝࢫࢱࢵࣇࡢⓙᵝ㸧࢔㸬ᴫせᗈᓥ┴㧗ḟ⬻ᶵ⬟ࢭࣥࢱ࣮ࡣࠊᗈᓥ┴❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ෆ࡟タ⨨ࡉࢀ࡚࠾ࡾࠊᨭ᥼ᬑ
ཬ஦ᴗ࡟࠾ࡅࡿᗈᓥ┴ࡢᣐⅬᶵ㛵࡛࠶ࡿ㸦ᖹᡂ 29 ᖺᗘ⌧ᅾ㸧ࠋᗈᓥ┴❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮
ෆ࡟ࡣࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᑓ㛛⑓ᗋ 40 ᗋࢆྵࡴ་⒪ࢭࣥࢱ࣮ࡸࠊከᶵ⬟ᆺ㞀ᐖ⪅ᨭ᥼᪋タࡀタ⨨ࡉࢀ࡚࠸ࡿࠋ ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉඲⯡࡟ࡘ࠸࡚୺࡟㏆⸨ၨኴẶ㸦㧗ḟ⬻ᶵ⬟ࢭࣥࢱ࣮㛗ࠊ་ᖌ㸧ࠊᑵ⫋ࡲࡓࡣ᚟⫋ࢆ┠ᣦࡍ㧗ḟ⬻ᶵ⬟㞀⪅ࢆᑐ㇟࡜ࡋࡓࠕᶍᨃⓗᑵປࢢ࣮ࣝࣉࠖ࡟ࡘ࠸࡚ᐩ⏣᫛Ặ㸦సᴗ⒪ἲኈ㸧ࠊSST ࡟㛵ࡋ࡚ᅵ⫧ὒᏊẶ㸦ゝㄒ⫈ぬኈ㸧ࠊᚰ⌮ⓗᨭ᥼࡟ࡘ࠸࡚⃝⏣ᲈẶ㸦⮫ᗋᚰ⌮ኈ㸧ࡼࡾ⫈ྲྀࡋࡓࠋ࢖㸬ࣄ࢔ࣜࣥࢢ⤖ᯝ㸦࢔㸧♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢ἞⒪ཬࡧᨭ᥼
♫఍ⓗ⾜ື㞀ᐖࡢ⑕≧࡟ࡘ࠸࡚ࡣ⬻ࡢᦆയ㒊఩࠿ࡽ࠶ࡿ⛬ᗘண ࡀ࡛ࡁࡿࡓࡵࠊࣜࣁࣅࣜ┠ⓗ࡛ཷデࡋࡓᝈ⪅ࡉࢇ࡟㛵ࡋࠊண᝿ࡉࢀࡿ⑕≧࣭≉ᚩ࡞࡝ࢆ་ᖌ࠿ࡽࢫࢱࢵࣇ࡟ఏ࠼ࠊ㐺ษ࡞ᑐᛂࡀ࡛ࡁࡿࡼ࠺࡟ࡋ࡚࠸
ࡿࠋᝈ⪅ࡉࢇࡀࢫࢱࢵࣇ࡟ᑐࡋ࡚ࠊ
ࠕྜࢃ࡞࠸ࠖ࡜࠸࠺༳㇟ࢆ᭱ึ࡟ᣢࡗ࡚ࡋࡲ࠺࡜ᚋ࠿ࡽࡣษࡾ᭰࠼࡟ࡃ࠸ࠋ
ࢫࢱࢵࣇ࡜฼⏝⪅ࡢ㛵ಀᛶࡀ࡝࠺ࡋ࡚ࡶ㞴ࡋࡃ࡞ࡗ࡚ࡋࡲࡗࡓሙྜࡣࠊ฼⏝⪅ࡀカ⦎ࢆ⥆ࡅࡽࢀࡿࡇ࡜ࢆඃ
ඛ࡟⪃࠼ࠊ᭱⤊ᡭẁ࡜ࡋ࡚ᢸᙜ⪅ࢆኚ᭦ࡍࡿሙྜࡀ࠶ࡿࠋ
ᨷᧁᛶ➼ࡢ㔜ᗘࡢ♫఍ⓗ⾜ື㞀ᐖ࡟ࡘ࠸࡚ࡣࠊᢠ⢭⚄⑓⸆ࡸᢠ࡚ࢇ࠿ࢇ⸆ࡢ⸆≀⒪ἲࢆ⾜ࡗࡓୖ࡛ࠊၥ㢟࡜࡞ࡿ⾜ືࡀฟࡓ࡜ࡁ࡟ࣇ࢕࣮ࢻࣂࢵࢡࢆࡍࡿࠋ⎔ቃㄪᩚࢆࡋ࡚ࡶ௚ᐖ⾜Ⅽࡀฟࡿࡼ࠺࡞ሙྜࡣ⸆≀⒪ἲࡀ
ᚲせ࡜࡞ࡿࠋ࠶ࡿ⛬ᗘ᣺ࡾ㏉ࡾࡀ࡛ࡁࡿே࡛࠶ࢀࡤࠊカ⦎ࡢ୰࡛࢚ࣆࢯ࣮ࢻࢆ᣺ࡾ㏉ࡾࠊ⾜ືಟṇࡋ࡚࠸ࡃࠋ
⫋ሙ࡛ࡣ㐺ษ࡞⾜ືࡀ࡜ࢀ࡚ࡶࠊᐙᗞ࡛ၥ㢟⾜ືࡀฟࡿ࡜࠸࠺ࢣ࣮ࢫࡣከ࠸ࠋၥ㢟⾜ື࡟ࡘ࠸࡚ᮏேࡀ⮬ศ࠿ࡽ୺἞་࡟ッ࠼ࡿࡇ࡜ࡣ࠶ࡲࡾ࡞࠸ࡓࡵࠊ࿘ᅖࡀ୺἞་࡟ணࡵ≧ἣࢆఏ࠼࡚࠾ࡁࠊ୺἞་࠿ࡽࠕ⬻ࡢࡇࡢ㒊఩࡟ᦆയࡀ࠶ࡿேࡣ‫ࡀ≧⑕࡞࠺ࡼࡢۑۑ‬ฟࡿሙྜࡀ࠶ࡿࡀ㺃㺃㺃ࠖ࡞࡝࡜ࡑࢀ࡜࡞ࡃヰ㢟ࢆ᣺ࡗ࡚ッ࠼ࢆᘬࡁฟࡍ࡜Ⰻ࠸ࠋ
♫఍ⓗ⾜ື㞀ᐖࡢホ౯ࡣࠊᐃ㔞ⓗ࡛ࡁࡵ⣽࠿࡞ᑻᗘࡀ࡞࠸ࡓࡵࠊカ⦎ࢫࢱࢵࣇ࡜ࡢࡸࡾ࡜ࡾࡸࠊ㸦ධ㝔⏕άࡢሙྜ㸧┳ㆤᖌࡸྠᐊ⪅࡜ࡢ㛵ಀ➼ࡢほᐹࡀ୰ᚰ࡛࠶ࡿࠋ
㸦࢖㸧ࠕᶍᨃᑵປࢢ࣮ࣝࣉࠖࡢྲྀ⤌
ᖹᡂ 15 ᖺ㡭࠿ࡽࡢྲྀ⤌࡛ࠊ㐌㸯ᅇᐇ᪋ࡋ࡚࠸ࡿࠋ฼⏝⪅ࡣ᪂つᑵ⫋ࡲࡓࡣ᚟⫋ࢆ┠ᣦࡍ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡛ࠊ୺࡟እ᮶ᝈ⪅࡛࠶ࡿࠋᖺ㱋ࡣ 20㹼50 ᡯ௦ࠊⓎ⑕࠿ࡽ㸯㹼㸱ᖺ⛬ᗘࡢேࡀከ࠸ࠋࣉࣟࢢ࣒ࣛ࡬ࡢཧຍ
㛤ጞࡣ㝶᫬࡛ࠊᩘ࠿᭶㹼㸯ᖺ⛬ᗘ࡜㛗ᮇⓗ࡟฼⏝ࡍࡿሙྜࡶ࠶ࡿࠋ⌧ᅾࡣ฼⏝⪅㸵ྡ࡟ᑐࡋࠊᑓ௵ࢫࢱࢵࣇ
㸰ྡࢆ㓄⨨ࡋ࡚࠸ࡿࠋసᴗෆᐜࡣࠊ࣓࣮ࣔࣜࣀ࣮ࢺࡢࣜࣇ࢕ࣝసᡂ࡞࡝ࡢ࣮ࣝࢸ࢕ࣥసᴗ࡜ࠊ᪋タෆ⾜஦࡛౑࠺≀ရࡢ‽ഛ࡞࡝ࠊࡑࡢ᫬ࠎ࡛⾜࠺సᴗࢆ⤌ࡳྜࢃࡏ࡚࠸ࡿࠋࢫࢱࢵࣇࡣ฼⏝⪅࠿ࡽࡢ᥼ຓ౫㢗ࡀ࠶ࡗࡓሙྜࡢᑐᛂࢆᇶᮏ࡜ࡋࠊඛᅇࡾࡋࡓᨭ᥼ࡣࡋ࡞࠸ࡼ࠺࡟ࡋ࡚࠸ࡿࠋ
฼⏝⪅ࡀ⮬ࡽࡢ௙஦ࡢ⬟ຊ࡟Ẽ࡙ࡃࡇ࡜ࡀࣉࣟࢢ࣒ࣛࡢ᭱኱ࡢ┠ⓗ࡛࠶ࡿࠋ௙஦ࡢ⬟ຊࡢ୍ࡘ࡜ࡋ࡚ࠊస
ᴗ࡟క࠺ᑐேࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢆ㔜どࡋ࡚࠸ࡿࠋࡇࡢ┠ⓗࡢࡓࡵࠊ฼⏝⪅ࡢ୰࡟㸰㐌஺࡛࣮᭰ࣜࢲ࣮ࢆタᐃࡋࠊ࣮ࣜࢲ࣮ࡣྛ฼⏝⪅࡬ࡢసᴗࡢ᣺ศࡅࡸ඲యࡢ㐍ᤖࡢ⟶⌮ࢆᢸᙜࡍࡿࡇ࡜࡜ࡋ࡚࠸ࡿࠋ㸰㐌㐃⥆ࡋ࡚ᢸᙜࡍࡿࡢࡣࠊ㸯㐌┠ࡢ཯┬Ⅼࢆ㸰㐌┠࡟ά࠿ࡍࡇ࡜ࢆ⪃࠼࡚࡛࠶ࡿࠋ࣮ࣜࢲ࣮ࡣࠊྛ฼⏝⪅ࡢ≧ἣࢆぢ࡚ࢫࢱࢵࣇࡀᣦྡࡍࡿࡀࠊࢫࢱࢵࣇࡀࢹࣔࣥࢫࢺ࣮ࣞࢩࣙࣥࡢࡓࡵ࡟࣮ࣜࢲ࣮ᙺࢆ⾜࠺ሙྜࡶ࠶ࡿࠋ
48− 48 −

ẖᅇࡢసᴗ⤊஢ᚋ࡟඲ဨ࡛᣺ࡾ㏉ࡿ᫬㛫ࢆタࡅࠊ฼⏝⪅ࡀ⮬㌟ࡢ཯┬ⅬࢆⓎ⾲ࡍࡿ௚ࠊ฼⏝⪅ྠኈ࡛Ẽ࡙
࠸ࡓⅬࢆࢥ࣓ࣥࢺࡋ࠶࠺ࡇ࡜࡜ࡋ࡚࠸ࡿࠋ฼⏝⪅ྠኈ࡛ࡣ〔ࡵࡿ࣭ປ࠺࡞࡝ࡢ࣏ࢪࢸ࢕ࣈ࡞ࢥ࣓ࣥࢺࡀ୰ᚰ
࡟࡞ࡿࡓࡵࠊ㞀ᐖ࡬ࡢẼ࡙ࡁ࡟ࡘ࡞ࡀࡿࡼ࠺࡞ᣦ᦬ࡸຓゝࡣࢫࢱࢵࣇࡀ⾜࠺ࡇ࡜ࡀከ࠸ࠋࢫࢱࢵࣇࡢほᐹ࣏࢖ࣥࢺ࡜ࡋ࡚ࡣࠊసᴗࡢィ⏬ᛶࡸຠ⋡ᛶࠊ≧ἣ࡟ᛂࡌ࡚ಟṇ࡛ࡁࡿ࠿ࠊ㐃⤡ࡸሗ࿌➼ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࠊ
᥼ຓ౫㢗ࡀ࡛ࡁࡿ࠿࡞࡝࡛࠶ࡿࠋ࣮ࣜࢲ࣮࡟㛵ࡋ࡚ࡣࠊ⮬ศࡢసᴗࡔࡅ࡛࡞ࡃ࿘ᅖࡢ≧ἣࢆぢࡿࡇ࡜ࡀ࡛ࡁ
ࡿ࠿࡝࠺࠿ࡶ㔜せ࡛࠶ࡿࠋ
௨๓ࠊࠕឤ᝟ࢥࣥࢺ࣮ࣟࣝࢢ࣮ࣝࣉࠖࢆタࡅ࡚࠸ࡓࡇ࡜ࡶ࠶ࡿࡀࠊឤ᝟㠃ࡔࡅࢆࢱ࣮ࢤࢵࢺ࡜ࡋ࡚㐠Ⴀࡍࡿࡇ࡜ࡣ༷ࡗ࡚㞴ࡋࡃឤࡌࠊ⌧ᅾࡢᙧែ࡜࡞ࡗࡓࠋᛣࡾࡸ୙㐺ษ࡞⾜ື࡞࡝ࡢ♫఍ⓗ⾜ື㞀ᐖࡢ⫼ᬒ࡜ࡋ࡚ࠊ
࿘㎶ࡢ≧ἣ࡜⮬ᕫㄆ㆑ࡢᩚྜᛶࡀ࡞ࡃΰ஘ࡋ࡚࠸ࡿࡇ࡜ࡀ࠶ࡿࡓࡵࠊẼ࡙ࡁࢆᚓࡿᶵ఍ࢆ✚ࡳ㔜ࡡ࡚⮬㌟ࡢ
≧ἣࢆ⌮ゎࡋ࡚࠸ࡓࡔࡃࡇ࡜ࡀ㔜せ࡛࠶ࡿ࡜⪃࠼࡚࠸ࡿࠋ
㞀ᐖ≉ᛶ࠿ࡽᮏேࡢẼ࡙ࡁࡀ㞴ࡋ࠸ሙྜࡣࠊᐙ᪘ࡢ᥋ࡋ᪉ࡀ㔜せ࡜࡞ࡿࠋᐙ᪘࡟⑕≧ࢆ⌮ゎࡋ࡚࠸ࡓࡔࡁࠊ
ᮏேࡢ⬟ຊࢆ㉸࠼ࡿࡇ࡜ࢆồࡵࡿ࡞࡝୙ᚲせ࡞่⃭ࢆࡋ࡞࠸ࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋ࿘ᅖ࠿ࡽせồࡉࢀࡿࣞ࣋ࣝ
ࡀୖࡀࡿ࡜ࢫࢺࣞࢫࢆᢪ࠼ฟࡋࠊᐙ᪘࡟ᛣ㬆ࡾᩓࡽࡍ➼ࡢ⾜ື࡟ࡘ࡞ࡀࡿሙྜࡀ࠶ࡿࠋ⎔ቃ࡟ᑐࡍࡿᨭ᥼ࢆ
㏻ࡋ࡚ࢫࢺࣞࢫࢆ࣐ࢿࢪ࣓ࣥࢺࡍࡿࡇ࡜ࡀ♫఍ⓗ⾜ື㞀ᐖ࡬ࡢ࢔ࣉ࣮ࣟࢳࡢ࣏࢖ࣥࢺ࡛࠶ࡿ࡜⪃࠼࡚࠸ࡿࠋ
㸦࢘㸧SST㐌㸯ᅇ㸯᫬㛫ࠊ㸳㹼㸴ேࡢࢢ࣮ࣝࣉ࡛ SST ࢆᐇ᪋ࡋ࡚࠸ࡿࠋࢸ࣮࣐ࡣࠕዲពࡸ࠺ࢀࡋ࠸Ẽᣢࡕࢆఏ࠼ࡿࠖ
ࠊࠕ⮬ศ࡜㐪࠺⪃࠼ࢆᣢࡗࡓே࡬ࡢ᥋ࡋ᪉ࠖ࡞࡝࡛ࠊ12 ᅇࢆ㸯ࢡ࣮ࣝ࡜ࡋ࡚࠸ࡿࠋࢸ࣮࣐࡜࡞ࡿᢏ⬟࡟ࡘ࠸࡚ヰࡋྜࡗࡓᚋࠊࢫࢱࢵࣇࡀⰋ࠸౛࣭ᝏ࠸౛ࡢ࣮ࣟࣝࣉࣞ࢖ࢆ⾜࠸ࠊࡑࢀ࡟ࡘ࠸࡚ヰྜ࠸ࢆ⾜࠺ࠋḟࡢᅇ࡛฼⏝⪅ࡀᐇ㝿࡟࣮ࣟࣝࣉࣞ࢖ࢆ⾜࠸ࠊ௚ࡢ࣓ࣥࣂ࣮࡟ࣇ࢕࣮ࢻࣂࢵࢡࢆཷࡅࡿࠋ࣮ࣟࣝࣉࣞ࢖ሙ㠃ࢆ᧜ᙳࡋ࡚ࣅࢹ࢜ࢆぢ࡞ࡀࡽࡢ᣺㏉ࡾࡶ⾜࠸ࠊ⮬௚ࡢ࣮ࣟࣝࣉࣞ࢖ࢆ㏻ࡋ࡚ࡢẼ࡙ࡁࡀᚓࡽࢀࡿࡼ࠺࡟ࡋ࡚࠸ࡿࠋ ᯫ✵ࡢሙ㠃ࢆ࢖࣓࣮ࢪࡋ࡟ࡃ࠸฼⏝⪅ࡀ࠸ࡿࡓࡵࠊᐇ㝿࡟࠶ࡾࡑ࠺࡞ලయⓗ࡞ሙ㠃ࠊ฼⏝⪅ࡢࢽ࣮ࢬࡢ㧗࠸ሙ㠃タᐃ࡟࡞ࡿࡼ࠺࡟ᕤኵࡋ࡚࠸ࡿࠋ࣮ࣟࣝࣉࣞ࢖ࡢ┦ᡭᙺࡣᚲࡎࢫࢱࢵࣇࡀᢸᙜࡍࡿࡇ࡜࡛ࠊ࠶ࡿ⛬ᗘࡢᯟ⤌ࢆಖࡘࡼ࠺࡟ࡋ࡚࠸ࡿࠋಶูカ⦎ࡢሙ㠃ࢆ฼⏝ࡋ࡚ࠊሙ㠃タᐃࢆ୍⥴࡟⪃࠼ࡓࡾࠊ๓ᅇࡢ SST ࡢ᣺㏉ࡾࢆ⾜࠺ࡇ࡜ࡶከ࠸ࠋSST ࡢ┠ⓗࡢ⌮ゎᗘࡣ฼⏝⪅࡟ࡼࡾࡲࡕࡲࡕ࡛࠶ࡿࡀࠊ✚㔜ࡡ࡟ࡼࡗ࡚᫂☜࡟࡞ࡗ࡚࠸ࡃ㒊ศࡶ࠶ࡿࠋホ౯ཬࡧຠᯝ

ᐃ࡟ࡣ KiSS-18 ࢆ౑⏝ࡋ࡚࠸ࡿࠋࣉࣟࢢ࣒ࣛ๓ᚋࡢኚ໬ࡸᮏேࡢ⮬ᕫホ౯࡜ࢫࢱࢵࣇࡢホ౯ࡢࡎࢀ࡟ࡘ࠸࡚᣺ࡾ㏉ࡾࠊࣇ࢕࣮ࢻࣂࢵࢡࡋ࡚࠸ࡿࠋ
㸦࢚㸧ᚰ⌮ⓗᨭ᥼ేタࡢ㞀ᐖ⪅ᨭ᥼᪋タࡢ⮬❧カ⦎㸦⏕άカ⦎㸧࡟ᡤᒓࡋ࡚࠸ࡿ฼⏝⪅ࢆᑐ㇟࡜ࡋ࡚ࠊၥ㢟ゎỴ⒪ἲࢆ࣮࣋ࢫ࡟ࡋࡓ㞟ᅋカ⦎ࠊ㞀ᐖ࡟㛵㐃ࡋࡓ᪂ࡋ࠸ࢯ࣮ࢩࣕࣝࢫ࢟ࣝࡢ⋓ᚓࠊࣆ࢔ࢧ࣏࣮ࢺカ⦎ࠊࢫࢺࣞࢫࢣ࢔ࢆ┠ⓗ࡜ࡋࡓྲྀ⤌ࢆ⾜ࡗ࡚࠸ࡿࠋၥ㢟ゎỴ⒪ἲࡣ≉࡟ࠊ㞟ᅋ࡛⾜࠺ࡇ࡜ࡢព࿡ࡀ኱ࡁ࠸ࠋࣆ࢔࠿ࡽࡢຓゝࡣࢫࢱࢵࣇ࠿ࡽࡢຓゝࡼࡾࡶཷࡅ
ධࢀࡸࡍ࠸༳㇟ࡀ࠶ࡿࠋࡲࡓࠊヰࡋྜࡗࡓゎỴ⟇ࢆ⏕άカ⦎ࡢ௚ࡢሙ㠃࡛ᐇ㊶ࡍࡿࡇ࡜ࢆᐟ㢟࡟ࡋ࡚࠸ࡿࡀࠊ
฼⏝⪅ྠኈ࡛ࠕࡸࡗ࡚ࡓࡡࠖ࡜࠿ࠕࡸࡽࢇ࡜࠸ࡅࢇࡢࡌࡷ࡞࠸ࠖ࡞࡝࡜ኌࢆ࠿ࡅྜ࠺ࡇ࡜ࡀ࡛ࡁ࡚࠸ࡿࠋၥ
㢟ゎỴ⒪ἲࡢࢫࢸࢵࣉ㸯࡜ࢫࢸࢵࣉ㸰㸦ၥ㢟ࡢ᫂☜໬ࡸ┠ᶆタᐃ㸧ࡣᢳ㇟ᗘࡀ㧗࠸ࡓࡵ฼⏝⪅࡟ࡼࡗ࡚ࡣ㞴ࡋࡃࠊಶู┦ㄯ࡛ணࡵᩚ⌮ࢆࡋ࡚࠾ࡃሙྜࡶ࠶ࡿࠋࢫࢸࢵࣉ㸱㸦ၥ㢟ゎỴ⟇ࡢ⏘ฟ㸧࡛ࡣཧຍ⪅࠿ࡽᵝࠎ࡞
ពぢࡀฟࡿࠋ௚⪅ࡢᝎࡳࢆ୍⥴࡟⪃࠼ࡿࡇ࡜࡟ពḧⓗ࡞ཧຍ⪅ࡣከࡃࠊேࡢᙺ࡟❧࡚ࡿࡇ࡜ࡢព࿡ࡶ኱ࡁ࠸
࡜⪃࠼࡚࠸ࡿࠋ
㞀ᐖ࡟㛵㐃ࡋࡓࢯ࣮ࢩࣕࣝࢫ࢟ࣝ࡜ࡣࠊ
ࠕ⮬㌟ࡢ㞀ᐖ࡟ࡘ࠸࡚ㄝ᫂ࡍࡿࠖ
ࠕ࣑ࢫࡢᣦ᦬࡟ᑐᛂࡍࡿࠖ
ࠕ᥼ຓࡢ
49− 49 −

౫㢗ࢆࡍࡿࠖ࡞࡝࡛࠶ࡿࠋᬑẁࡢ⏕άࡢ୰࡛ࡢ⤒㦂ࡸᅔࡾឤ࡜┤⤖ࡍࡿࡓࡵࠊ฼⏝⪅ࡢ㛵ᚰࡣ㧗࠸ࠋࣆ࢔ࢧ࣏࣮ࢺカ⦎࡛ࡣࠊࣀࣥࣂ࣮ࣂࣝࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ㸦ឤ᝟ࡢㄞࡳྲྀࡾ㸧ࠊேࡢヰࢆ⪺ࡃែᗘࠊ㉁ၥࡢ
௙᪉ࠊ࢔ࢧ࣮ࢩࣙࣥࢺ࣮ࣞࢽࣥࢢ࡞࡝ࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢆࢸ࣮࣐࡜ࡋࡓࢭࢵࢩࣙࣥࢆ⾜ࡗ࡚࠸ࡿࠋ
ࢫࢺࣞࢫࢣ࢔࡜ࡋ࡚ࡣࠊẼᬕࡽࡋ࡞࡝ࡢࢥ࣮ࣆࣥࢢࢆቑࡸࡍࡇ࡜ࢆ⾜ࡗ࡚࠸ࡿࠋၥ㢟ゎỴ⒪ἲࡶࢥ࣮ࣆࣥ
ࢢࡢ୍ࡘ࡜࠸࠼ࡿࠋࢫࢺࣞࢫࢣ࢔࡟ࡘ࠸࡚ࡣࠊᮏேࡢᑐฎࢫ࢟ࣝࢆቑࡸࡍࡇ࡜௨ୖ࡟ࠊ࿘ᅖࡢ⌮ゎࡸ⮬ᕫຠຊឤࢆ㔜どࡋࡓാࡁ࠿ࡅ࡞࡝ࡢ⎔ቃㄪᩚࡀ㔜せ࡛࠶ࡿࠋ
ࣉࣟࢢ࣒ࣛࡢຠᯝ

ᐃࡣࠊࡑࡢ᫬ࠎࡢࣉࣟࢢ࣒ࣛෆᐜ࡟ࡼࡾ␗࡞ࡿࡀࠊKiSS-18ࠊPOMSࠊSTAXIࠊSocial

Problem-Solving Inventory-Revised㸦SPSI-R㸧37ࠊOpener-Scale38ࠊ⮬ᑛឤ᝟ᑻᗘࠊ≉ᛶⓗ⮬ᕫຠຊឤᑻ
ᗘ࡞࡝ࢆ⏝࠸ࠊ㸱࠿᭶࠶ࡿ࠸ࡣ㸴࠿᭶ࡢࣉࣟࢢ࣒ࣛ๓ᚋ࡟࠾࠸࡚

ᐃࡋ࡚࠸ࡿࠋಶูࡢ฼⏝⪅ࡈ࡜࡟ぢࡿ࡜ᨵၿࡀぢࡽࢀࡿࢣ࣮ࢫࡀ࠶ࡿࡀࠊ฼⏝⪅ࡢᖹᆒࢆ࡜ࡿ࡜⤫ィⓗ࡟᭷ព࡞ᕪࡀㄆࡵࡽࢀࡿሙྜࡣ୍㒊࡟␃ࡲࡿࠋࡑࡢ⫼ᬒ࡟ࠊࣉࣟࢢ࣒ࣛ࡬ࡢཧຍࢆ㏻ࡋ࡚㞀ᐖ࡬ࡢẼ࡙ࡁࡀ㐍ࡴࡇ࡜࡛ࠊ฼⏝⪅ࡢ⮬ᕫホ౯ࡀཝࡋࡃ࡞
ࡿࡇ࡜ࡀ㛵ಀࡋ࡚࠸ࡿ࡜⪃࠼ࡽࢀࡿࠋ
㸦࢜㸧඲య࡟㛵ࡋ࡚ᶍᨃᑵປࢢ࣮ࣝࣉࠊSSTࠊᚰ⌮ࡢࢢ࣮ࣝࣉࡢྛࣉࣟࢢ࣒ࣛ㛫࡟ࠊ࡝ࡕࡽࢆඛ࡟⾜࠺࡜࠸ࡗࡓ๓ᚋࡢ㛵ಀࡣᅛᐃࡋ࡚࠸࡞࠸ࠋྛ฼⏝⪅࡟ᑐࡋ࡚࡝ࡢࣉࣟࢢ࣒ࣛࢆ㐺⏝ࡍࡿ࠿ࡣࠊሙ㠃ࡢᯟ⤌ࡀࡋࡗ࠿ࡾࡋ࡚࠸ࡿ᪉ࡀࡼ
࠸࠿࡝࠺࠿࡞࡝ࠊಶேࡢ≉ᛶࡸ᚟⫋ࡲ࡛ࡢᮇ㝈ࢆ຺᱌ࡋ࡚ᢸᙜࢫࢱࢵࣇࡀุ᩿ࡍࡿࠋኻㄒ⑕⪅ࡣࠊ௚ࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡜≉ᛶࡸᨭ᥼ࢽ࣮ࢬࡀ␗࡞ࡿࡓࡵࠊኻㄒ⑕⪅ࡢࡳࡢูࡢࢢ࣮ࣝࣉࢆ⾜ࡗ࡚࠸ࡿࠋኻㄒ⑕⪅ࡢࢢ࣮ࣝࣉࡣࠊゝㄒᶵ⬟ࡢྥୖࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢሙࡢᥦ౪ࠊᚰࡢࡼࡾ࡝ࡇࢁ࡜࠸ࡗࡓព࿡ྜ࠸ࡀᙉ࠸ࠋ
ࢢ࣮ࣝࣉࣉࣟࢢ࣒࡛ࣛࡣ」ᩘࡢࢫࢱࢵࣇࡀ࠿࠿ࢃࡿࡇ࡜࡟࡞ࡿࡓࡵࠊᨭ᥼ୖࡢᝎࡳ࡞࡝ࢆ㸯ே࡛ᢪ࠼㎸ࡴࡇ࡜࡟࡞ࡽࡎࠊࢫࢱࢵࣇ࡟࡜ࡗ࡚ࡶⰋ࠸ࠋࢢ࣮ࣝࣉカ⦎ࢆ⾜࠺ࡇ࡜࡛ࢫࢱࢵࣇྠኈࡢ᝟ሗඹ᭷ࡸ஫࠸࡬ࡢ࢔
ࢻࣂ࢖ࢫࡀࡋࡸࡍࡃ࡞ࡿࠋ
ࢢ࣮ࣝࣉࣉࣟࢢ࣒ࣛࡢ୰࡛⦎⩦ࡋࡓࡇ࡜ࡣࠊࡑࡢሙ࡛ࡍࡄ࡟ຠᯝࡀぢ࠼࡞࠿ࡗࡓ࡜ࡋ࡚ࡶࠊ♫఍᚟ᖐᚋ࡟
ᅔࡗࡓࡇ࡜ࡀ㉳ࡁࡓ࡜ࡁ࡟ヰࡋྜ࠺ࡓࡵࡢ㊊ࡀ࠿ࡾ࣭ᅵྎసࡾ࡟࡞ࡿࠋࣉࣟࢢ࣒࡛ࣛࡣࠕ✀ࢆⵗ࠸࡚࠸ࡿࠖ
࡜࠸࠼ࡿࠋ♫఍᚟ᖐᚋࡶᐃᮇⓗ࡞デᐹࢆ⾜࠸ࠊၥ㢟ࡀ࠶ࢀࡤ໅ົඛ࡜㐃⤡ࢆ࡜ࡗ࡚ᚲせ࡞ࣇ࢛࣮ࣟ࢔ࢵࣉࢆ
⾜ࡗ࡚࠸ࡿࠋᐃᮇⓗ࡛ࡣ࡞࠸ࡀࠊ༞ᴗ⏕ࢆಶูⓗ࡟ᣍ࠸࡚⌧ᅾࡢ฼⏝⪅ࡢࣆ࢔࢝࢘ࣥࢭࣜࣥࢢࡢሙࢆタࡅࡿࡇ࡜ࡀ࠶ࡿࠋ
࢘㸬㛵㐃㈨ᩱձ ⃝⏣ ᲈ㸦2009㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡬ࡢ⾜ືⓗ࢔ࣉ࣮ࣟࢳ࡜ၥ㢟ゎỴカ⦎㸦ࢥ࣒ࣟ࢟࢘ሗ࿌㸧 ⾜ື⒪ἲ◊✲㸪35㸪122㸬ղ ⃝⏣ ᲈ࣭ᶫᮏ ඃⰼ㔛࣭㏆⸨ ၨኴ㸦2015㸧㸬⬻ᦆയᚋࡢ♫఍ⓗ⾜ື㞀ᐖ࡟ᑐࡍࡿㄆ▱⾜ື⒪ἲࡢ㐺ᛂ㸦Ꮫ఍ᢒ㘓㸧 㧗ḟ⬻ᶵ⬟◊✲㸪35㸪128-129㸬

37

SPSI-R㸦᪥ᮏㄒ∧㸧࡟ࡘ࠸࡚ࡣࠊబ⸨௚㸦2006㸧ࢆཧ↷ࠋ
Opener-Scale㸦᪥ᮏㄒ∧㸧࡟ࡘ࠸࡚ࡣࠊᑠཱྀ㸦1989㸧ࢆཧ↷ࠋ39 ⮬ᑛឤ᝟ᑻᗘ㸦Rosenberg Self Esteem Scale ࡢ᪥ᮏㄒヂ㸧࡟ࡘ࠸࡚ࡣࠊᱜ஭㸦2000㸧ࠊෆ⏣࣭ୖᇣ㸦2010㸧ࠊᒣᮏ࣭ᯇ஭࣭ᒣᇛ㸦1982㸧࡞࡝」ᩘࡢ∧ࡀ࠶ࡿࠋ
40 ≉ᛶⓗ⮬ᕫຠຊឤᑻᗘ㸦Sherer et al.࡟ࡼࡿ Self-Efficacy scale ࡢ᪥ᮏㄒヂ㸧࡟ࡘ࠸࡚ࡣࠊᡂ⏣࣭ୗ௰࣭୰㔛࣭Ἑྜ࣭బ⸨࣭㛗⏣㸦1995㸧ࢆཧ↷ࠋ
38

50− 50 −

ճ ᶫᮏ ඃⰼ㔛࣭⃝⏣ ᲈ㸦2009㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᚰ⌮ⓗၥ㢟ࢆᑐ㇟࡜ࡋࡓ㞟ᅋ⒪ἲࣉࣟࢢ࣒ࣛࡢ㛤Ⓨ̿ࣆ࢔࣭ࢧ࣏࣮ࢺ࣭ࢺ࣮ࣞࢽࣥࢢ࡜ㄆ▱⾜ື⒪ἲࡢほⅬ࠿ࡽ̾ ⚟ᒣ኱Ꮫே㛫ᩥ໬Ꮫ㒊⣖せ㸪9㸪
109-123㸬մ ᐀⃝ ே࿴࣭ᶫᮏ ඃⰼ㔛࣭⃝⏣ ᲈ㸦2014㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿࢢ࣮ࣝࣉカ⦎Ɇၥ㢟ゎỴࢫ࢟ࣝ⋓ᚓࢆ┠ᣦࡋࡓྲྀ⤌Ɇ㸦Ꮫ఍ᢒ㘓㸧 㧗ḟ⬻ᶵ⬟◊✲㸪34㸪92㸬յ ᐀⃝ ே࿴࣭⸨஭ ຍዉᏊ࣭⃝⏣ ᲈ࣭㏆⸨ ၨኴ㸦2016㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿࢢ࣮ࣝࣉカ⦎Ɇࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⬟ຊࡢྥୖࢆ┠ᣦࡋࡓྲྀࡾ⤌ࡳɆ㸦Ꮫ఍ᢒ㘓㸧 㧗ḟ⬻ᶵ⬟◊✲㸪36㸪129㸬

51− 51 −

㸦㸱㸧⚄ዉᕝࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⑓㝔㸦㟷ᮌ 㔜㝧Ặࠊࢥ࣓ࢹ࢕࢝ࣝࢫࢱࢵࣇࡢⓙᵝ㸧࢔㸬ᴫせ⚄ዉᕝࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⑓㝔ࡣ⚄ዉᕝ┴⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ෆ࡟タ⨨ࡉࢀ࡚࠸ࡿࣜࣁࣅࣜ
ࢸ࣮ࢩࣙࣥᑓ㛛⑓㝔࡛࠶ࡿࠋᮏ㑥࡟࠾࠸࡚㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ་⒪ⓗᨭ᥼ཬࡧᑵປᨭ᥼࡟᪩ࡃ࠿ࡽྲྀࡾ⤌ࢇ࡛ࡁࡓ᪋タࡢ୍ࡘ࡛࠶ࡾࠊᨭ᥼ᬑཬ஦ᴗ࡟࠾ࡅࡿ⚄ዉᕝ┴ࡢᣐⅬᶵ㛵࡛࠶ࡿ㸦ᖹᡂ 29 ᖺᗘ⌧ᅾ㸧ࠋ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࢆᑐ㇟࡜ࡋࡓࢢ࣮ࣝࣉᙧᘧࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒࡛ࣛ࠶ࡿࠕ㏻㝔ࣉࣟࢢ࣒ࣛࠖࡣᖹᡂ 13ᖺ࠿ࡽᐇ᪋ࡉࢀ࡚࠸ࡿࠋ
ࠕ㏻㝔ࣉࣟࢢ࣒ࣛࠖ࡟㛵ࡍࡿෆᐜࢆ୰ᚰ࡟ࠊ㟷ᮌ㔜㝧Ặ㸦་ᖌࠊࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉་㛗㸧ࠊᯇඖ೺Ặ㸦⫋⬟ㄢ㛗㸧ࠊẊᮧᬡẶ㸦⮫ᗋᚰ⌮ኈ㸧ࠊ⁪⃝ᏛẶ㸦┦ㄯᨭ᥼ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮㸧௚⫋ဨࡢⓙᵝࡼࡾ⫈ྲྀࡋࡓࠋ࢖㸬ࣄ࢔ࣜࣥࢢ⤖ᯝ㸦࢔㸧
ࠕ㏻㝔ࣉࣟࢢ࣒ࣛࠖࡢᴫせ⣙ 15 ᖺ㛫⥅⥆ࡋ࡚࠸ࡿࠋࣉࣟࢢ࣒ࣛࡢ❧ୖࡆᙜึࡣࠊ㏥㝔ᚋ࡟᪉ྥᛶࡀᐃࡲࡾ࡟ࡃ࠸ࢣ࣮ࢫࡢᒃሙᡤࡸ
᪥ㄢసࡾࡢព࿡ྜ࠸ࡀ࠶ࡗࡓࡀࠊࡑࡢᚋࠊ㞀ᐖ⌮ゎࡢᨭ᥼࡟ẚ㔜ࡀ⛣ࡗ࡚ࡁࡓࠋࣉࣟࢢ࣒ࣛෆࡢྛࢭࢵࢩࣙ
ࣥࡢ」ྜⓗ࡞ຠᯝ࡛㞀ᐖ⌮ゎࡢಁ㐍ࢆ┠ᣦࡍࠋࣉࣟࢢ࣒ࣛ㛤ጞࡢࡁࡗ࠿ࡅ࡜ࡋ࡚ࡣࢽ࣮࣮ࣗࣚࢡ኱Ꮫࣛࢫࢡ◊✲ᡤࡢࣉࣟࢢ࣒ࣛࡀ࠶ࡿࡀࠊලయⓗ࡞ᨭ᥼ෆᐜࡣࣛࢫࢡ◊✲ᡤࡢࣉࣟࢢ࣒ࣛࢆ࡞ࡒࡗࡓࡶࡢ࡛ࡣ࡞ࡃࠊྛࢫࢱࢵࣇࡢᐇ㊶⤒㦂࠿ࡽᵓ⠏ࡋࡓࠋࢯ࣮ࢩࣕ
ࣝࢫ࢟ࣝ࡟ࡘ࠸࡚ࡣ Liberman ࡢ⪃࠼᪉࡟ἢࡗ࡚࠸ࡿࠋ᭱㏆ࡢഴྥ࡜ࡋ࡚ࠊ
ࠕẼ࡙ࡁࠖࡸࠕᑐฎ᪉ἲࢆᏛࡪࠖ
➼ࠊㄆ▱⾜ື⒪ἲⓗ࡞Ⰽᙬࡀᙉࡃ࡞ࡗ࡚ࡁ࡚࠸ࡿࠋከ⫋✀ࡢ┦஫஌ࡾධࢀ࣭ໟᣓⓗ࢔ࣉ࣮ࣟࢳ࡛࠶ࡿࠋ
୍ࡘࡢᮇࡣ㸲࠿᭶㛫࡛ࠊ୍ࡘࡢᮇࡢ฼⏝⪅ࡣ㸴㹼㸶ே࡛࠶ࡿࠋ㐌㸰ᅇᐇ᪋ࡋࠊᇶᮏࡣ 13㸸00 ࠿ࡽ࡛࠶ࡿ
ࡀࠊ᪥࡟ࡼࡾ 11㸸00 ࠿ࡽ㛤ጞࡍࡿሙྜࡶ࠶ࡿࠋ⑂ࢀࡸࡍࡉࡢ࠶ࡿ฼⏝⪅ࡣ㐌㸰ᅇࡢ㏻㝔ࣉࣟࢢ࣒ࣛࡢࡳ࡜
ࡍࡿࡀࠊ฼⏝⪅࡟ࡼࡗ࡚ࡣ⫋⬟カ⦎ࡶྜࢃࡏ࡚㐌㸱ᅇ௨ୖ㏻㝔ࡍࡿሙྜࡶ࠶ࡿࠋ⑓㝔ࡢ❧ᆅ㠃࠿ࡽ㏻㝔ࡢ㈇ᢸࡀ኱ࡁ࠸ሙྜࡀ࠶ࡾࠊࡑࡢⅬࡶ⪃៖ࡋ࡚࠸ࡿࠋ

⾲㸳㸦ཧ⪃㸧㏻㝔ࣉࣟࢢ࣒ࣛࡢࢭࢵࢩࣙࣥᵓᡂ࡜ࡑࡢෆᐜ㸦㛵㐃㈨ᩱնࡼࡾᢤ⢋㸧ࢢ࣮ࣝࣉࡢ✀㢮ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ࢭࢵࢩࣙࣥ

┠ⓗ࣭ෆᐜୗ఩ࢭࢵࢩࣙࣥྡ㸦ᅇᩘ㸧᝟ሗᥦ౪ࠊᚰ⌮ᩍ⫱ࠊ┦ㄯ㞀ᐖ࡟ࡘ࠸࡚㸦12 ᅇ㸧ࠊ♫఍ไᗘ㸦1 ᅇ㸧ࠊ♫఍⏕ά
㸦2 ᅇ㸧ࠊ᪋タぢᏛ㸦2 ᅇ㸧ࠊᐙ᪘ࢭࢵࢩࣙࣥ㸦4 ᅇ㸧♫఍ⓗࢫ࢟ࣝࢭࢵࢩࣙࣥ

♫఍ⓗࢫ࢟ࣝカ⦎ᚰ⌮࣭ゝㄒࢭࢵࢩࣙࣥ㸦11 ᅇ㸧ࠊ⫋⬟ࢭࢵࢩࣙࣥ㸦10ᅇ㸧ࠊࡣࡌࡵࡢ఍࣭⤊ࢃࡾࡢ఍㸦ẖᅇ㸧࢔ࢡࢸ࢕ࣅࢸ࢕ࢭࢵࢩࣙࣥ

PT ࢭࢵࢩࣙࣥ㸦4 ᅇ㸧ࠊOT ࢭࢵࢩࣙࣥ㸦4 ᅇ㸧ࠊయ࢔ࢡࢸ࢕ࣅࢸ࢕ࡢᥦ౪

⫱ࢭࢵࢩࣙࣥ㸦11 ᅇ㸧ࠊࣞࢡ࢚࣮ࣜࢩࣙࣥ㸦4 ᅇ㸧ࠊ
㏻ࣉࣟࣃ࣮ࢸ࢕࣮㸦1 ᅇ㸧୕⪅㠃ㄯࡲ࡜ࡵ࡜⤊஢ᚋࡢ㐍㊰┦ㄯ

1ᅇࢫࢱࢵࣇ఍㆟᝟ሗ஺᥮ࠊ᪉㔪ࡢỴᐃ࡞࡝ホ౯఍㆟㸦1 ᅇ㸧ࠊ㏻ࣉࣟࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮఍㆟㸦᭶
1 ᅇ㸧ࠊࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮఍㆟㸦㐺ᐅ㸧ͤྛࢭࢵࢩࣙࣥࡣࠊࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮㸦ࣜࣁ⛉་ࠊ⮫ᗋᚰ⌮ኈࠊࢣ࣮ࢫ࣮࣮࣡࢝㸧ࠊ⫋ᴗᣦᑟဨࠊయ⫱ᣦᑟဨࠊ⌮Ꮫ⒪ἲ
ኈࠊసᴗ⒪ἲኈࠊゝㄒ⫈ぬኈ➼ࡢከ⫋✀࡟ࡼࡾ㐠Ⴀࡉࢀ࡚࠸ࡿ

52− 52 −

㸦࢖㸧฼⏝⪅ീ࣭㐺ᛂࠊ฼⏝⪅ࡢ㑅ᐃ᪉ἲ⚄ዉᕝࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⑓㝔ࡢᝈ⪅ᒙࡢ≉ᚩ࠿ࡽ⬻እയ⪅ࡀከ࠸ࡀࠊࡃࡶ⭷ୗฟ⾑࡞࡝⬻⾑⟶㞀ᐖࡢ฼⏝⪅ࡶᑐ㇟࡜ࡍࡿࠋ༢⊂࡛㏻㝔ࡍࡿࡇ࡜ࡀྍ⬟࡞ே࡛ࠊ㞟ᅋ࡛ࡢࣉࣟࢢ࣒ࣛࢆ㏻ࡋ࡚⑓㆑ྥୖࡀぢ㎸ࡵࡑ࠺࡞ேࡀᑐ㇟࡜࡞ࡿࠋ⫋⬟カ⦎࡞࡝ࡢ฼⏝⪅ࡢ୰࠿ࡽ㛵ಀࢫࢱࢵࣇࡀ㐺ษ࡜ᛮ࠺฼⏝⪅ࢆ᥎⸀ࡋࠊ఍㆟᳨࡛ウࡋ࡚Ỵᐃࡍࡿࠋ᳨ᰝ⤖ᯝ࡞࡝࡟ࡼࡿᇶ‽ࡀ࠶ࡿࡢ࡛ࡣ࡞ࡃࠊカ⦎ሙ㠃࡛ࡢᵝᏊ➼࠿ࡽ⥲ྜⓗ࡟ุ᩿ࡍࡿࠋ
୍ேࡦ࡜ࡾࡢ฼⏝⪅࡟ࡘ࠸࡚㐺ᛂࢆุ᩿ࡍࡿࡔࡅ࡛࡞ࡃࠊࢢ࣮ࣝࣉ඲యࡢࢲ࢖ࢼ࣑ࢡࢫࢆ⪃࠼࡚⦅ᡂࡍࡿࠋ
㞀ᐖ࡬ࡢẼ࡙ࡁࡸᅔࡾឤࡀከᑡ࠶ࡿேࡀ㸴ே୰㸲ேࡃࡽ࠸ྵࡲࢀ࡚࠸ࡿ࡜ຠᯝⓗ࡛࠶ࡿ༳㇟ࡀ࠶ࡿࠋẼ࡙ࡁࡀ඲ࡃ࡞࠸ேࡤ࠿ࡾࡔ࡜῝ࡲࡾ࡟ࡃ࠸ࠋ㞟ᅋࣉࣟࢢ࣒࡛ࣛࡢࣜࢫࢡࢆ⪃៖ࡋ࡚ࠊࢢ࣮ࣝࣉ⦅ᡂࡣៅ㔜࡟ࡋ࡚࠸ࡿࠋ⬺ᢚไ࡞࡝ᑐே⾜ື㠃࡛ࡢከᑡࡢㄢ㢟ࡶࠊࢢ࣮ࣝࣉࡢຊືࡢ୰࡛ࠊ௚ࡢ࣓ࣥࣂ࣮ࡢⰋ࠸㠃㸦ࠕࣇ࢓࢖ࣥ
ࣉ࣮ࣞࠖ㸧ࡸ≉ᚩࢆᘬࡁฟࡍࡁࡗ࠿ࡅ࡟࡞ࡿࡇ࡜ࡶ࠶ࡿࠋ⤖ᯝ࡜ࡋ࡚ࠊ࠾஫࠸ࢆᑛ㔜ࡋ࠶࠺㞺ᅖẼࡀ࡛ࡁࡿࡇ
࡜ࡶከ࠸ࠋ㞀ᐖ࡬ࡢẼ࡙ࡁࡀ࠶ࡿேࡢ᪉ࡀࣉࣟࢢ࣒ࣛ࡟ᑐࡋ࡚ࣔࢳ࣮࣋ࢩࣙࣥࡀ㧗࠸ഴྥࡀ࠶ࡿࡀࠊẼ࡙ࡁࡀ῝ࡲࡿࡇ࡜ࡀ⢭⚄ⓗ࡞ⴠ㎸ࡳ࡟ࡘ࡞ࡀࡾࡑ࠺࡞ࢣ࣮ࢫࡣៅ㔜࡟ุ᩿ࡍࡿࠋ⬻⾑⟶㞀ᐖࡸ⬻⭘⒆࡞࡝ࠊࡧ៏ᛶ㍈⣴ᦆയ௨እࡢே࡛ࡑࡢࡼ࠺࡞ഴྥࡀ࠶ࡿࠋ㧗ḟ⬻ᶵ⬟㞀ᐖࡢⓎ⑕௨๓࠿ࡽࡢᙉ࠸⢭⚄⑌ᝈࡢ࠶ࡿேࡣ㏻㝔ࣉࣟࢢ࣒ࣛࡢᑐ㇟࡜࡞ࡾ࡟ࡃ࠸ࠋࡑࡢ⌮⏤࡜ࡋ࡚ࠊ㏻㝔ࣉࣟࢢ࣒࡛ࣛࡣ㞀ᐖ࡟ࡘ࠸࡚ࠕẼ࡙࠿ࡏࡿࠖ᪉ྥࡢᨭ᥼ࡀ
୰ᚰ࡜࡞ࡿࡀࠊ௚ࡢ฼⏝⪅࡜ྠࡌࡼ࠺࡟่⃭ࢆࡍࡿ࡜⿕ᐖⓗ࡟࡞ࡿ➼ࠊⰋࡃ࡞࠸⤖ᯝ࡟࡞ࡿሙྜࡀ࠶ࡿࡇ࡜
ࡀᣲࡆࡽࢀࡿࠋᮏேࡀࢢ࣮ࣝࣉཧຍ࡟᢬ᢠឤࡀ࠶ࡿሙྜࡣ່ࡵ࡞࠸ࠋ
ኻㄒ⑕࡟ࡘ࠸࡚ࡣࠊᯈ᭩࡟ఱ࡜࠿ࡘ࠸࡚ࡇࡽࢀࡿ⛬ᗘࡢே࡛࠶ࢀࡤࣉࣟࢢ࣒ࣛࡢᑐ㇟࡜࡞ࡾᚓࡿࠋ᭱㏆࡛ࡣࠊẼ࡙ࡁ࡬ࡢ࢔ࣉ࣮ࣟࢳࢆ㔜せどࡋ࡚࠸ࡿࡇ࡜ࡶ࠶ࡾࠊㄆ▱ᶵ⬟㞀ᐖ⮬యࡀ㔜ᗘࡢேࡣᑡ࡞࠸ഴྥ࡛࠶ࡿࠋ
㸦࢘㸧ࢢ࣮ࣝࣉ࡞ࡽ࡛ࡣࡢຠᯝ࡜㞴ࡋࡉࢢ࣮ࣝࣉ࡞ࡽ࡛ࡣࡢຠᯝ࡜ࡋ࡚ࠊ௚ࡢ฼⏝⪅ࡢᵝᏊࢆぢ࡚ࠊ⮬ศࡢ≉ᚩࡸ㞀ᐖ࡟Ẽ௜ࡃࡇ࡜ࡀ࡛ࡁࡿࡇ࡜
ࡀᣲࡆࡽࢀࡿࠋࡲࡓࠊ㞀ᐖ⪅ᡭᖒࢆ⏦ㄳࡍࡿࡇ࡜ࢆ㏞ࡗ࡚࠸ࡿேࡀࠊ௚ࡢ฼⏝⪅ࡀᡭᖒࢆᣢࡗ࡚࠸ࡿࡢࢆࡳ
࡚ࠊ⮬ศ࠿ࡽ⯆࿡ࢆᣢࡘࡇ࡜ࡶ࠶ࡿࠋࢫࢱࢵࣇࡀㄝ᫂ࡍࡿࡼࡾࡶ㛵ᚰࢆᣢࡕࡸࡍ࠸ࠋ㞀ᐖᖺ㔠➼ࡢ௚ࡢไᗘ
࡟ࡶ㛵ᚰࡀᗈࡀࡿࠋ
฼⏝⪅ྠኈ࡛ᶓࡢࡘ࡞ࡀࡾࡀ࡛ࡁࠊࣉࣟࢢ࣒ࣛ⤊஢ᚋࠊ᚟⫋ࡋ࡚࠿ࡽࡶ஺ὶࡀ⥆ࡃሙྜࡶ࠶ࡿࠋࢫࢱࢵࣇ
࡟┦ㄯࡋ࡟ࡃ࠸ࡇ࡜ࡶࠊ฼⏝⪅ྠኈ࡛┦ㄯ࡛ࡁࡿሙྜࡶ࠶ࡿࡼ࠺ࡔࠋ฼⏝⪅ࡢࣉࣟࢢ࣒ࣛ࡟ᑐࡍࡿឤ᝿࡟ࡣࠊ
ࠕ஺ὶ࡛ࡁ࡚ࡼ࠿ࡗࡓࠖࠕྠࡌᝎࡳࢆᣢࡘேࡀ࠸ࡓࠖ
ࠕ⮬ศࡔࡅࡌࡷ࡞࠿ࡗࡓࠖࡀ┠❧ࡘࠋᬑẁࡢ⏕ά࡟࠾࠸࡚ࡣᝎࡳࢆඹ᭷࡛ࡁࡿேࡀࡲࢃࡾ࡟࠸࡞࠸ࡇ࡜ࡀከࡃࠊᏙ⊂࡟࡞ࡾࡀࡕ࡛࠶ࡿࠋ
ࣉࣟࢢ࣒ࣛࡢ᭱ึࡢẁ㝵࡛㸦௚⪅࡜ࡢ㊥㞳ឤ࡟㛵ࡋ࡚㸧ࠕࡸࡾࡍࡂ࡚ࡋࡲ࠸ࡀࡕ࡞ࡢ࡛ὀពࡋࡲࡋࡻ࠺ࠖ࡜
࠶ࡽ࠿ࡌࡵఏ࠼࡚࠾ࡃࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋࣉࣟࢢ࣒ࣛ࡬ࡢ┠ⓗព㆑ࡀࡋࡗ࠿ࡾࡋ࡚࠸ࡿ฼⏝⪅ࡣࠊ௚ࡢ฼⏝⪅࡜ࡢ㛵ಀ࡛㞴ࡋ࠸㠃ࡀ࠶ࡗ࡚ࡶࠊỴࡵࡽࢀࡓᮇ㛫ࡢ୰࡛ࡣᡃ៏ࡋࡓࡾࠊ࠿ࢃࡍ࡞࡝ࠊ࠺ࡲࡃᑐฎࡀ࡛ࡁࡿࠋ
㸲࠿᭶㛫ࡣ⥭ᙇឤࡀ⥆ࡃࡕࡻ࠺࡝Ⰻ࠸ᮇ㛫࡛࠶ࡿࠋ㸲࠿᭶ࡃࡽ࠸⤒ࡘ࡜฼⏝⪅ྠኈ࡛ࠊⰋࡃ࡞࠸㠃ࡶྵࡵ࡚࠾஫࠸ࡢࡇ࡜ࡀぢ࠼࡚ࡃࡿࠋ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿேࡢᨭ᥼ࢆࡍࡿୖ࡛ࠊඛࡢぢ㏻ࡋࢆࡘࡅࡸࡍࡃ࡛ࡁࡿ
᫬㛫ⓗ࡞ᵓ㐀໬ࡣ㔜せ࡛࠶ࡿࠋ㸦࢚㸧ຠᯝࡢ ᐃ
TBI-31㸦⬻እയ⪅ࡢㄆ▱̺⾜ື㞀ᐖᑻᗘ㸧41ࡀ฼⏝⪅ࡢ⮫ᗋീࢆ᭱ࡶ཯ᫎࡋ࡚࠸ࡿࡼ࠺࡟⪃࠼ࡽࢀࠊホ౯

41

TBI-31 ࡟ࡘ࠸࡚ࡣࠊஂಖ௚㸦2007㸧ࢆཧ↷ࠋ

53− 53 −

ࡢ୰ᚰ࡟࡞ࡗ࡚࠸ࡿࠋᮏேホ౯࡜ᐙ᪘ホ౯ࠊ᭦࡟ࢫࢱࢵࣇホ౯ࢆẚ㍑ࡍࡿࠋࡑࡢ௚ࡢᑻᗘ࡜ࡋ࡚ࠊKiSS-18ࠊ
FIM㸦Functional Independence Measure㸧42ࠊFAM㸦Functional Assessment Measure㸧43➼ࢆ౑⏝ࡋ࡚
࠾ࡾࠊEBIQ㸦The European Brain Injury Questionnaire㸧44ࡣヨ⾜୰࡛࠶ࡿࠋࢣ࣮ࢫࢫࢱࢹ࢕ࢆ㏻ࡋ࡚ࠊ
ከேᩘࡢ ᐃ್ࡢᖹᆒ࡛ࡣ┦ẅࡉࢀ࡚ࡋࡲ࠺㒊ศࢆぢ࡚࠸ࡃࡇ࡜ࡶ㔜せ࡛࠶ࡿ࡜⪃࠼࡚࠸ࡿࠋㄒࡾࡢศᯒ࡞
࡝㉁ⓗ࡞ศᯒࡶヨࡳ࡚࠸ࡿࡀࠊ⤖ᯝࡣ࡞࠿࡞࠿ฟ࡟ࡃ࠸ࠋ
ᵝࠎ࡞⫋✀࡛ྜィ 20 ᩘྡࡢࢫࢱࢵࣇࡀ㛵ࢃࡗ࡚࠾ࡾࠊከࡃࡢどⅬ࡛ほᐹ࡛ࡁࡿࡇ࡜ࡣ≉Ⰽ࡛࠶ࡿࠋ
㸦࢜㸧ᨭ᥼ࡢ඲యࡢ୰࡛ࡢࢢ࣮ࣝࣉࡢ఩⨨࡙ࡅ࣭⤊஢ᚋࡢࣇ࢛࣮ࣟ
ࣉࣟࢢ࣒ࣛ❧ୖࡆᙜึࡣࠊᨭ᥼඲యࡢࠕ௙ୖࡆࠖࡢ఩⨨࡙ࡅࡔࡗࡓࡀࠊ⌧ᅾࡣᚲࡎࡋࡶࡑ࠺⪃࠼࡚ࡣ࠸࡞
࠸ࠋࡴࡋࢁࠊ㏻㝔ࣉࣟࢢ࣒ࣛ⤊஢ᚋ࡟࡝ࡢࡼ࠺࡟ᨭ᥼ࡋ࡚࠸ࡃ࠿ࡀ㔜せ࡛࠶ࡿࡇ࡜ࡀࢃ࠿ࡗ࡚ࡁࡓࠋࣉࣟࢢ
࣒ࣛ⤊஢ᚋࡍࡄ࡟ᑵ⫋ࡍࡿࡢࡀⰋ࠸࡜ࡣ㝈ࡽ࡞࠸ࠋ㏻㝔ࣉࣟࢢ࣒ࣛࡣ୍✀ࡢ࢚ࣥ࢝࢘ࣥࢱ࣮ࢢ࣮ࣝࣉࡢࡓࡵࠊ฼⏝⪅ࡢẼᣢࡕࡀ┒ࡾୖࡾࡀࡕ࡛࠶ࡿࠋࡑࡢࡓ
ࡵࠊ⤊஢ࡢ௙᪉ࡀ኱ษ࡞࣏࢖ࣥࢺ࡟࡞ࡿࠋࡲࡓࠊ㧗ḟ⬻ᶵ⬟㞀ᐖࡢ⑕≧ࡢ୍ࡘࡢ᝟ሗࡢྲྀᤞ㑅ᢥࡸ㔜ࡳ௜ࡅࡢุ᩿ࡀ㞴ࡋ࠸᪉ࡢ୰࡟ࡣࠊ⤊஢ᚋࡢẼᣢࡕࡢᩚ⌮ࢆࡘࡅ࡙ࡽࡃࠊ༷ࡗ࡚ΰ஘ࡍࡿࢣ࣮ࢫࡶ࠶ࡿࠋࢢ࣮ࣝࣉ
ࡀ⤊ࢃࡗࡓᚋࠊ୍᪦෭㟼࡟࡞ࡗ࡚ࠊࢢ࣮ࣝࣉ࡛ᚓࡽࢀࡓẼ࡙ࡁࡸὝᐹࢆྫྷ࿡ࡍࡿ᫬㛫ࡀᚲせ࡛࠶ࡿࠋΰ஘ࡍ
ࡿࢣ࣮ࢫ࡟ࡘ࠸࡚ࡣಶูⓗ࡞ࣇ࢛࣮ࣟࡀᚲせ࡛࠶ࡿࠋࡋࡤࡽࡃᮇ㛫ࢆ࠾࠸࡚ᑵ⫋ࡍࡿẁ㝵࡟࡞ࡗ࡚ࠕ࠶ࡢ᫬ࠊඛ⏕ࡀゝࡗ࡚࠸ࡓࡇ࡜ࡀศ࠿ࡗࡓࠖ࡜ヰࡍ࡞࡝ࠊẼ௜ࡁࡸຠᯝࡀ᫬㛫ࢆ࠾࠸࡚⌧ࢀࡿࡇ࡜ࡀ࠶ࡿࠋ⌮ゎࡍࡿࡓࡵࡢ⤒㦂ࡀᚲせ࡛ࠊࢢ࣮ࣝࣉࡣࠕ✀ࡲࡁࠖࡢ㠃ࡀ࠶ࡿࠋࣉࣟࢢ࣒ࣛ⤊஢ᚋࡶእ᮶ࢆ⥅⥆ࡍࡿࡓࡵࠊ㛗ᮇⓗ࡞⤒㐣ほᐹࡸಶูࡢࣇ࢛࣮ࣟࡀ࡛ࡁࡿࡇ࡜ࡣ᪋タࡢ≉ᚩ࡛࠶ࡿࠋ
㸦࢝㸧ᐙ᪘ᨭ᥼
㏻㝔ࣉࣟࢢ࣒ࣛ࡟ࡣᮏேࢭࢵࢩࣙࣥ࡜ᐙ᪘ࢭࢵࢩࣙࣥࡀ࠶ࡾࠊ୍యⓗ࡞ࡶࡢ࡛࠶ࡿࠋᐙ᪘ࢭࢵࢩࣙࣥࡣẖ᭶㸯ᅇ࡜ࣉࣟࢢ࣒ࣛ᭱⤊᪥ࠊ⤊஢ࣃ࣮ࢸ࢕࣮ࡶྵࡵ୍࡚ࡘࡢᮇ࡟ࡘࡁ㸴ᅇタᐃࡋ࡚࠸ࡿࠋ⑓㝔ࡢ❧ᆅ࠿ࡽᐙ
᪘ࡀ㏻࠸࡟ࡃ࠸ሙྜࡀ࠶ࡾࠊฟᖍ⋡ࡣ༙ศᙉࡃࡽ࠸࡛࠶ࡿࠋ
⑓㝔࡛ࡣ㐺ᛂⓗ࡟⾜ື࡛ࡁ࡚࠸࡚ࡶᐙᗞ࡛ࡣᭀゝࡀฟࡓࡾࡍࡿሙྜࡀ࠶ࡿࡓࡵࠊࡑࡢ᝟ሗࢆᐙ᪘࠿ࡽᚓࡿࠋ
ᐙᗞ࡛ࡢ≧ἣ࡟ࡣእ࡛ࡢࢫࢺࣞࢫࡀ⌧ࢀ࡚࠸ࡿ࡜⪃࠼ࠊࡑ࠺࠸࠺ሙྜࡣ㈇Ⲵࡢㄪᩚࢆࡍࡿࠋᮏேࡢάື⠊ᅖࡀᗈࡀࡿ࡜୙㐺ᛂⓗ࡞⾜ືࡶ┠❧ࡘࢣ࣮ࢫࡶ࠶ࡾࠊᐙ᪘ࡀࠕᝏ໬ࡋࡓࡢ࡛ࡣ࡞࠸࠿ࠖ࡜ᚰ㓄ࡍࡿࡇ࡜ࡀ࠶ࡿࠋ
ᐙ᪘ࢭࢵࢩ࡛ࣙࣥ㞀ᐖᩍ⫱ࢆ⾜࠺ࠋ㸦࢟㸧ᨭ᥼⪅ࡢࢣ࢔࣭ᩍ⫱
㏻㝔ࣉࣟࢢ࣒ࣛ࡟㛵ࡋ࡚ẖ᭶఍㆟ࢆᣢࡕࠊࡲࡓࠊ᪥ࠎከ⫋✀࡛᝟ሗ஺᥮ࢆ⾜ࡗ࡚࠸ࡿࠋࢳ࣮࣒࡛࠿࠿ࢃࡿ
ࡇ࡜࡛ࠊ୍ேࡢࢫࢱࢵࣇࡀᢪ࠼㎸ࡲ࡞࠸ࡼ࠺࡟ࡋ࡚࠸ࡿࠋᚲせ࡟ᛂࡌ࡚ࠊ
ࠕᮏேࡢッ࠼ࢆ⪺ࡃᙺࠖࠕᐙ᪘ࡢッ࠼ࢆ⪺ࡃᙺࠖ࡞࡝ࠊࢫࢱࢵࣇෆ࡛ᙺ๭ศᢸࢆࡍࡿሙྜࡶ࠶ࡿࠋ㸲࠿᭶ࡢᮇ㛫ࢆ༊ษࡗࡓࣉࣟࢢ࣒࡛ࣛ࠶ࡿⅬࡶࠊᨭ᥼⪅ࡢ㈇ᢸࡢほⅬ࠿ࡽࡣⰋ࠸࡜⪃࠼࡚࠸ࡿࠋ

42

FIM㸦᪥ᮏㄒ∧㸧࡟ࡘ࠸࡚ࡣࠊ༓㔝㸦1991㸧ࠊ༓㔝࣭ᅬ⏣࣭㔛Ᏹ࣭㐨ච㸦1997㸧ࢆཧ↷ࠋ
FAM㸦᪥ᮏㄒ∧㸧࡟ࡘ࠸࡚ࡣࠊ୕⏣࣭⸨ཎ࣭ᅬ⏣࣭㏆⸨࣭ᒣᮏ࣭ᮌᮧ㸦2001㸧ࢆཧ↷ࠋ
44 EBIQ㸦᪥ᮏㄒ∧㸧࡟ࡘ࠸࡚ࡣࠊሯ㉺࣭ಥ࣭⻏㇂࣭㔝ᕝ࣭⣡㇂㸦2016㸧ࢆཧ↷ࠋ
43

54− 54 −

㸦ࢡ㸧௒ᚋࡢㄢ㢟ࣞࢡ࢚࣮ࣜࢩࣙࣥࡸ฼⏝⪅ྠኈࡢᶓࡢࡘ࡞ࡀࡾసࡾ࡟ຊࢆධࢀ࡚࠸ࡿࡀࠊࡑࡢຠᯝࡢ᳨ドࡣᚲࡎࡋࡶ࡛ࡁ
࡚࠾ࡽࡎ௒ᚋࡢㄢ㢟࡛࠶ࡿࠋࡲࡓࠊྛ฼⏝⪅ࡢ≉ᛶࡸࢢ࣮ࣝࣉࣉࣟࢢ࣒ࣛ฼⏝ࡢࢱ࢖࣑ࣥࢢ࡜ᨭ᥼ෆᐜ࡜ࡢ
࣐ࢵࢳࣥࢢࡣ᫂ᩥ໬࡛ࡁ࡚࠸࡞࠸ࠋ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮ࡸ௚᪋タࡢࢢ࣮ࣝࣉカ⦎ࡶྵࡵࠊࡑࡢ᫂ᩥ໬ࡀ
࡛ࡁࢀࡤࡼࡾຠᯝⓗ࡞ᨭ᥼ࡀ࡛ࡁࡿ࡜ᛮࢃࢀࡿࠋ
࢘㸬㛵㐃㈨ᩱձ 㟷ᮌ 㔜㝧㸦2009㸧㸬♫఍ⓗ⾜ື㞀ᐖ࡬ࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ࢔ࣉ࣮ࣟࢳ Journal of CLINICALREHABILITATION㸪18㸪1080-1086㸬ղ 㟷ᮌ 㔜㝧㸦2011㸧㸬ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᑓ㛛⑓㝔࠿ࡽ ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ་Ꮫ㸪48㸪382-286㸬ճ ኱ᶫ ṇὒ㸦┘ಟ㸧࣭ᅵᒇ ㎮ኵ㸦⦅㸧㸦2011㸧㸬⬻ᦆയࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㧗ḟ⬻ᶵ⬟㞀ᐖᨭ᥼Ɇ⑓㝔࠿ࡽᅾᏯ࡬ࠊࡑࡋ࡚ࡑࡢඛ࡬ ་ṑ⸆ฟ∧մ ᕝୖ ඞᶞ࣭Ẋᮧ ᬡ࣭ⓑᕝ ኴᖹ࣭ᩧ⸨ ᩄᏊ࣭ᯘ ༠Ꮚ࣭㛗ᑿ ึ℩㺃㺃㺃Ώ㑓 ⏤ᕫ㸦2017㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡬ࡢ㏻㝔ࢢ࣮ࣝࣉ࢔ࣉ࣮ࣟࢳࡢຠᯝ࡟㛵ࡍࡿ⤫ィᏛⓗ᳨ウ㹼TBI-31 ࡟╔┠ࡋ࡚㹼㸦Ꮫ఍ᢒ㘓㸧㧗ḟ⬻ᶵ⬟◊✲㸪37㸪79-80㸬յ ᕝୖ ඞᶞ࣭Ẋᮧ ᬡ࣭ⓑᕝ ኴᖹ࣭ᩧ⸨ ᩄᏊ࣭ᯘ ༠Ꮚ࣭㛗ᑿ ึ℩㺃㺃㺃Ώ㑓 ⏤ᕫ㸦2017㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡬ࡢ㏻㝔ࢢ࣮ࣝࣉ࢔ࣉ࣮ࣟࢳࡢຠᯝ࡟㛵ࡍࡿ⤫ィᏛⓗ᳨ウ㸰 㹼KiSS-18 ࡟╔┠ࡋ࡚㹼㸦Ꮫ఍ᢒ㘓㸧 㧗ḟ⬻ᶵ⬟◊✲㸪37㸪80㸬
ն Ẋᮧ ᬡ㸦2009㸧㸬⾜ື㞀ᐖ⪅ࡢ㐺ᛂࡢࡓࡵࡢ㏻㝔ࢢ࣮ࣝࣉカ⦎ ୰ᓥ ᜨᏊ㸦⦅㸧 㧗ḟ⬻ᶵ⬟㞀ᐖࡢࢢ࣮ࣝࣉカ⦎㸦pp.55-72㸧 ୕㍯᭩ᗑշ ᶫᮏ ᆂྖ࣭Ώ㑓 ಟ࣭኱ᶫ ṇὒ࣭Ẋᮧ ᬡ࣭⸨⦖ ග␃࣭⏕᪉ ඞஅ㸦2003㸧㸬⬻እയ⪅࡟ᑐࡍࡿ㏻㝔ࣉࣟࢢ࣒ࣛࡢヨࡳ ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ་Ꮫ㸪40㸪699-706㸬ո Ώ㑓 ಟ࣭኱ᶫ ṇὒ࣭ᶫᮏ ᆂྖ࣭Ẋᮧ ᬡ࣭⸨⦖ ග␃࣭ᆏᮏ ஂᜨ㺃㺃㺃⡿ᮏ ᜤ୕㸦2003㸧㸬⬻እയ⪅࡟ᑐ
ࡍࡿ㏻㝔ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࡢヨࡳ ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸪31㸪669-675㸬
55− 55 −

㸦㸲㸧⇃ᮏ኱Ꮫ་Ꮫ㒊㝃ᒓ⑓㝔㸦ᶫᮏ ⾨Ặࠊࢥ࣓ࢹ࢕࢝ࣝࢫࢱࢵࣇࡢⓙᵝ㸧࢔㸬ᴫせ ⇃ᮏ኱Ꮫ་Ꮫ㒊㝃ᒓ⑓㝔⚄⤒⢭⚄⛉࡟ࡣࠕ㧗ḟ⬻ᶵ⬟㞀ᐖᑓ㛛እ᮶ࠖࠊࡲࡓࠊࠕ⇃ᮏ┴㧗ḟ⬻ᶵ⬟㞀ᐖᨭ᥼ࢭࣥࢱ࣮ࠖࡀタ⨨ࡉࢀ࡚࠾ࡾࠊᨭ᥼ᬑཬ஦ᴗ࡟࠾ࡅࡿ⇃ᮏ┴ࡢᣐⅬᶵ㛵࡛࠶ࡿ㸦ᖹᡂ 29 ᖺᗘ⌧ᅾ㸧ࠋᨭ᥼ᬑཬ஦ᴗ࡟࠾ࡅࡿᖹᡂ 27 ᖺᗘ➨㸰ᅇ㧗ḟ⬻ᶵ⬟㞀ᐖᨭ᥼ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮඲ᅜ఍㆟࣭ࢩ࣏ࣥࢪ࣒࢘࡟࠾࠸࡚ࠊ
࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺᨭ᥼➼ࡢྲྀ⤌ࡀ⤂௓ࡉࢀ࡚࠸ࡿࠋ
♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡬ࡢ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉඲⯡࡟ࡘ࠸࡚୺࡟ᶫᮏ⾨Ặ㸦་ᖌࠊデ⒪⛉㛗㸧ࡼࡾࠊ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺᨭ᥼࡟㛵ࡋ࡚ࡣࠊ୺࡟ఀᆅ▱኱ுẶ㸦⮫ᗋᚰ⌮ኈ㸧ཬࡧ⏣୰ᕼẶ㸦ᨭ᥼ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ࠊ⢭⚄ಖ೺⚟♴ኈ㸧ࡼࡾ⫈ྲྀࡋࡓࠋ
࢖㸬ࣄ࢔ࣜࣥࢢ⤖ᯝ࢔ ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿேࡢ἞⒪ཬࡧᨭ᥼඲⯡㹟㸬⸆≀⒪ἲ࡟ࡘ࠸࡚
㸦⫋ᴗሙ㠃➼࡛♫఍ⓗ⾜ື㞀ᐖࡀ㢧ⴭ࡛࠶ࡾࠊ་⒪ⓗࢣ࢔ࡀᚲせ࡜ᛮࢃࢀࡿᑐ㇟⪅ࢆ་⒪࡟ࡘ࡞ࡆࡿࣉࣟ
ࢭࢫ࡟ࡘ࠸࡚ࠊ㸧ၥ㢟Ⅼࡢ⮬ぬࡸᅔࡾឤࡀ࡞࠸ே࡟ᑐࡋ࡚࠸ࡁ࡞ࡾཷデࡸ⸆ࡢヰࢆฟࡍ࡜ࠊ᢬ᢠឤࡸ཯Ⓨࡀ⏕ࡌࡸࡍ࠸ࠋࡲࡎࡣၥ㢟ࡢ⮬ぬࢆಁࡍࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋ₍↛࡜ࡋࡓࡶࡢ࡛࠶ࡗ࡚ࡶࠕఱ࠿ࡀ࠺ࡲࡃ࠸ࡗ࡚࠸
࡞࠸ࠖ࡜࠸࠺ឤぬࡣᣢࡗ࡚࠸ࡿሙྜࡀከ࠸ࡢ࡛ࠊఱࡀၥ㢟࡞ࡢ࠿఍ヰࡢ୰࡛ᩚ⌮ࡋ࡚࠸ࡃࠋ⌧≧࡟ၥ㢟ࡀ࠶ࡿ࡜࠸࠺⌮ゎ࡜ࠊ⮬ศࡢពᚿࡔࡅ࡛ࡣࢥࣥࢺ࣮ࣟࣝࡋ࡟ࡃ࠸ࡇ࡜ࡢ⮬ぬࡀ࡛ࡁࡿ࡜἞⒪࡟ࡘ࡞ࡆࡸࡍ࠸ࠋ἞⒪࡟ධࡿࡲ࡛ࡢ‽ഛ࡜ࡋ࡚ࠊᮏேࡢヰࢆࡼࡃ⪺࠸࡚ၥ㢟Ⅼࡢㄆ㆑ࢆ㐍ࡵࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿⅬࡣࠊᚰ⌮⒪ἲ
࡬ࡢᑟධ࡟ࡘ࠸࡚ࡶྠᵝ࡛࠶ࡿࠋ㹠㸬㛗ᮇⓗ࡞㛵ࢃࡾࠊ⢭⚄⛉ࡢ㛵ࢃࡾ⑕≧ࡸ≧ἣࡀ୍᪦ⴠࡕ╔࠸࡚ࡶࠊ⎔ቃࡀኚࢃࡿࡇ࡜࡛᪂ࡓ࡞ၥ㢟ࡀ㉳ࡁࡿࡇ࡜ࡀ࠶ࡿࡓࡵࠊ㛗ᮇⓗ࡞ࣇ࢛࣮ࣟࡀᚲせ࡛࠶ࡿࠋᑵ⫋ࡸ᚟⫋ࡋ࡚ࡶእ᮶デᐹࡣ㏵ษࢀࡎ⥆ࡅࡿࡇ࡜࡜ࡋ࡚࠸ࡿࠋ⤫ྜኻㄪ⑕ࡸ㌄࠺ࡘ⑓࡞࡝⢭⚄⛉࡛デ⒪ࡢᑐ㇟࡜ࡍࡿ⑌ᝈࡢከࡃࡣ⏕ᾭ࡟Ώࡿ㛵ࢃࡾࡀᚲせ࡛࠶ࡿࡓࡵࠊ⢭⚄⛉࡟ࡣ㛗ᮇⓗ࡟ࣇ࢛࣮ࣟࡍࡿࡢࡀᙜࡓࡾ๓࡜࠸࠺ㄆ㆑ࡀ࠶ࡿࠋ⢭⚄⒪ἲࡸ⢭⚄⛉సᴗ⒪ἲ࡜ࡋ࡚デ⒪ሗ㓘㠃ࡢ⿬௜ࡅࡀ࠶ࡿࡇ࡜ࡶ኱ࡁ࠸ࠋ♫఍ⓗ⾜ື㞀ᐖ࡟ᑐᛂࡍࡿࡓࡵ࡟ࠊ㧗ḟ⬻ᶵ⬟㞀ᐖࡢ࠶ࡿே࡟⢭⚄⛉ࡀࡼࡾ✚ᴟⓗ࡟㛵ࢃࡗ࡚࠸ࡃࡇ࡜ࡀ
ᮃࡲࡋ࠸ࡀࠊ⢭⚄⛉་࡟ࡣㄆ▱ᶵ⬟㞀ᐖࡢデᐹ࡟ᑐࡍࡿⱞᡭព㆑ࡀ᭷ࡾࠊ㧗ḟ⬻ᶵ⬟㞀ᐖࢆᩗ㐲ࡍࡿ⢭⚄⛉་ࡶከ࠸ࠋㄆ▱ᶵ⬟㞀ᐖ࡟㛵ࡋ࡚ࡣࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉࡞࡝࡛デ⒪ࢆࡋ࡚࠸ࡿࡀࠊ♫఍ⓗ⾜ື㞀ᐖ࡟㛵ࡋ࡚ࡣ⢭⚄⛉ࡀ࠿࠿ࢃࡿ࡜࠸ࡗࡓࡼ࠺࡟ࠊࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉࡜⢭⚄⛉ࡀ༠ྠ࡛ࡁࡿ࡜Ⰻ࠸ࠋ
㹡㸬ᐙ᪘ᨭ᥼
ᮏேࡢ㞀ᐖㄆ㆑ࡸᨭ᥼ࢆ㐍ࡵ࡚࠸ࡃୖ࡛ࠊᐙ᪘ࡢຊࡣ㔜せ࡛࠶ࡿࠋ୍ேࡢᨭ᥼⪅ࡀᮏே࡜ᐙ᪘୧᪉࡟ᑐᛂ
ࡋ࡚࠸ࡿ࡜ࠊ
ࠕ࡝ࡗࡕࡢ࿡᪉࡞ࡢ࠿ࠖ࡜࠸࠺ࡼ࠺࡞␲ᛕࢆᢪ࠿ࢀࡿሙྜࡀ࠶ࡿࡓࡵࠊ་ᖌ࡜ᚰ⌮ኈࡸᨭ᥼ࢥ࣮
ࢹ࢕ࢿ࣮ࢱ࣮ࡀྠࡌ᫬㛫ᖏ࡛ࡑࢀࡒࢀ࡟ᑐᛂࡍࡿ࡞࡝ࠊᙺ๭ศᢸࢆࡍࡿࡇ࡜ࡀ࠶ࡿࠋ
㹢㸬ᨭ᥼⪅ࡢࢣ࢔
ᑐᛂᅔ㞴౛ࡀከࡃᨭ᥼⪅ࡢ⑂ᘢࡀ⏕ࡌࡸࡍ࠸ࠋࡑࡢࡓࡵࠊࢳ࣮࣒࡛࠿࠿ࢃࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋᑠࡉ࡞ࡇ
࡜࡛ࡶ஫࠸࡟┦ㄯ࡛ࡁࠊ୍ே࡟㐣㔜࡞㈇ᢸࡀ࠿࠿ࡿࡇ࡜ࢆ㜵ࡆࡿࠋᝈ⪅࡜ᨭ᥼⪅ࡢ┦ᛶࡶ࠶ࡿࡓࡵࠊ」ᩘᑐ
56− 56 −

ᛂ࡛࠶ࡿࡇ࡜ࡣᝈ⪅࡟࡜ࡗ࡚ࡶⰋ࠸ሙྜࡀ࠶ࡿࠋ
⫋✀ࡢ㐪࠸࡟ࡼࡾ≧ἣࡢᤊ࠼᪉ࡸ࢔ࣉ࣮ࣟࢳ᪉ἲࠊᙺ๭ࡀ㐪࠺ࡓࡵࠊከ⫋✀࡛࠿࠿ࢃࡿࡇ࡜ࡢⰋࡉࡀ࠶ࡿࠋ
ྠࡌ⫋✀ࡔ࡜」ᩘ࡛࠿࠿ࢃࡿࡇ࡜ࡢព࿡࡙ࡅࡀࡋ࡟ࡃࡃࠊ⦪๭ࡾ࡟࡞ࡾࡸࡍ࠸ࠋ
㸦࢖㸧࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺᨭ᥼
㹟ᐇ㊶ࡢ⌮ㄽⓗ⫼ᬒ ᐇ㊶ࡢ⌮ㄽⓗ⫼ᬒ࡜ࡋ࡚ࡣࠊձ♫఍ⓗᏛ⩦⌮ㄽࠊղㄆ▱⾜ື⒪ἲࠊճ᮶ㄯ⪅୰ᚰ⒪ἲࡀᣲࡆࡽࢀࡿࠋձࡣࠊ
୙㐺ᛂⓗ࡞⾜ືࡣ㐣ཤࡢ⤒㦂ࢆ㏻ࡌ࡚Ꮫࢇ࡛ࡁࡓࡶࡢ࡛࠶ࡿࡢ࡛ࠊ㐺ᛂⓗ࡞⾜ືࢆ෌Ꮫ⩦ࡍࡿࡇ࡜ࡀ࡛ࡁࡿ
࡜ࡍࡿ⪃࠼࡛࠶ࡿࠋࡲࡓࠊղ࠿ࡽࠊᮏேࡢ㐺ᛂⓗ࡞⪃࠼᪉ࢆᨭᣢࡋࠊ㐺ᛂⓗ࡞⾜ືࢆᙉ໬ࡋ࡚࠸ࡃࠋ㐺ᛂⓗ࡞⾜ືࢆᙉ໬ࡍࡿᢏἲ࡜ࡋ࡚࢔ࢧ࣮ࢩࣙࣥࢺ࣮ࣞࢽࣥࢢࡀ࠶ࡿࠋճࡢほⅬ࠿ࡽࡣࠊᛣࡾ࡟ᨭ㓄ࡉࢀ࡚ⱞࡋࢇ
࡛࠸ࡿᮏேࡢẼᣢࡕࡸ⪃࠼ࢆഴ⫈ࡋࠊཷᐜ࣭ඹឤࡍࡿࡇ࡜ࢆ኱ษ࡟ࡋ࡚࠸ࡿࠋᝈ⪅⮬㌟ࡀ୰ᚰ࡜࡞ࡗ࡚ᡂ㛗ࡍࡿࡇ࡜ࡢᡭຓࡅࢆࡍࡿࢫࢱࣥࢫ࡛࠶ࡿࠋ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺᩍ⫱ࡢᐇ㊶࡟࠾࠸࡚ࡣࠊ᭩⡠ࠕ࢔࣮ࣥ࢞ࢥ
ࣥࢺ࣮ࣟࣝࢺ࣮ࣞࢽࣥࢢࠖ
㸦㛵㐃㈨ᩱմ㸧ࢆཧ⪃࡟ࡋ࡚࠸ࡿࠋ
㹠ලయⓗ࡞ྲྀ⤌ෆᐜ࣭஦౛
ᐇ᪋ࡢᅇᩘࡸ㢖ᗘࡣᝈ⪅ࡢ≧ែࡸ㒔ྜ࡟ࡼࡾࡉࡲࡊࡲ࡛ࠊ㸯ᅇ 30 ศ㹼㸯᫬㛫⛬ᗘ࡛࠶ࡿࠋእ᮶ᝈ⪅࡟ࡘ࠸࡚ࡣ᮶㝔᪥ࡢ㒔ྜୖࠊࢢ࣮ࣝࣉࢆ⦅ᡂࡍࡿࡇ࡜ࡀ㞴ࡋࡃࠊಶูࡢࢭࢵࢩࣙࣥࡀ୰ᚰ࡛࠶ࡿࠋධ㝔ᝈ⪅࡟㛵ࡋ࡚ࡣ㸰㹼㸱ே⛬ᗘࡢࢢ࣮ࣝࣉ࡛ࢭࢵࢩࣙࣥࢆ⾜࠺ࡇ࡜ࡀ࠶ࡿࠋ
࠙஦౛㸯ࠚ20 ௦ᚋ༙⏨ᛶࡢእ᮶ᝈ⪅ࠋグ᠈㞀ᐖ࡜࢔ࣃࢩ࣮࠶ࡾࠋ㏻ᡤ᪋タࢆ฼⏝ࡋ࡚࠸ࡓࡀࠊᑐே㛵ಀࡢ୰࡛᫬ࠎᛣࡾࢆ⇿Ⓨࡉࡏ࡚࠸ࡓࠋ᮶㝔᫬ࡢ᳨ᰝ୰࡟ᛣࡾࡢ⇿Ⓨࡀ࠶ࡗࡓࡇ࡜ࢆࡁࡗ࠿ࡅ࡟࢔࣮࣐ࣥ࢞ࢿࢪ࣓
ࣥࢺࢆ㛤ጞࡋࡓࠋᮏே࡟ࡣ᫆ᛣᛶࡢ⮬ぬࡀ࠶ࡾࠊ⮬ศ࡛ࡶᢚ࠼ࡼ࠺࡜ࡋ࡚࠸ࡓࡀࠊไᚚࡋࡁࢀ࡚࠸࡞࠿ࡗࡓࠋ
ࠕ⮬ศࡀ㞀ᐖ࡜ྥࡁྜ࠼࡚࠸࡞࠸ࡇ࡜࡛ࠊ┦ᡭ࠿ࡽ㤿㮵࡟ࡉࢀ࡚࠸ࡿ࡜ᛮࡗ࡚ᛣࡗ࡚ࡋࡲ࠺ࠖ࡜ࡢෆ┬ࡀ࠶ࡗࡓࠋึᅇ㹼㸰ᅇ┠ࡢ㠃᥋࡛ࡢホ౯࡜ᚰ⌮ᩍ⫱ᚋࠊ࿧྾ἲࡸ࢔ࢧ࣮ࢩࣙࣥࢺ࣮ࣞࢽࣥࢢ࡞࡝ࡢᐇ᪋ࢆィ⏬ࡋ࡚࠸ࡓࡀࠊᮏேࡢ௚ࡢணᐃ࡜㔜࡞ࡗ࡚ண⣙ࢆ࢟ࣕࣥࢭࣝࡋࡓࡇ࡜ࡀࡁࡗ࠿ࡅ࡜࡞ࡾ୰᩿ࡋࡓࠋᮏேࡢᅔࡾឤ
ࡢ୰ᚰࡀᛣࡾࡼࡾࡶ㞀ᐖཷᐜ࡟࠶ࡾࠊ㞀ᐖཷᐜ࡟㛵ࡍࡿ┦ㄯࡼࡾࡶඛ࡟ᛣࡾ࡬ࡢᑐฎᢏἲࢆᑟධࡋࡼ࠺࡜ࡋ
ࡓࡇ࡜ࡀࠊᮏேࡢࢽ࣮ࢬ࡜ᑡࡋࡎࢀ࡚࠸ࡓ࠿ࡶࡋࢀ࡞࠸ࠋࡲࡓࠊಙ㢗㛵ಀࢆ⠏ࡃ᫬㛫ࡀᑡ࡞࠿ࡗࡓ࠿ࡶࡋࢀ
࡞࠸ࠋ࠙஦౛㸰ࠚ20 ௦๓༙⏨ᛶࡢእ᮶ᝈ⪅ࠋ≧ἣ⌮ゎࡸゝㄒ⾲ฟ࡟ᅔ㞴ࡀ࠶ࡾࠊᖺ㱋ࡼࡾࡶᗂ࠸༳㇟࡛࠶ࡗࡓࠋ
ఱᗘ࠿ᑵ⫋ࡋࡓࡀ⥆࠿ࡎࠊ୍ேᬽࡽࡋࡶ㞴ࡋ࠸≧ἣ࡛࠶ࡗࡓࠋᐙᗞ࡛ᭀຊࡀ࠶ࡾࠊ୧ぶࡣࠕᮏேࡢᛶ᱁ࡀኚ
ࢃࡗ࡚ࡋࡲࡗࡓࠖ࡜ឤࡌࠊᮏே࡜ᐙ᪘ࡢ㛵ಀࡀᝏ໬ࡋ࡚࠸ࡓࠋᮏேࡣ࡞ࡐ⮬ศࡀ⑓㝔࡟㐃ࢀ࡚ࡇࡽࢀࡓࡢ࠿
⌮ゎ࡛ࡁࡎࠊࠕ୧ぶࡀ⮬ศࢆ࠾࠿ࡋ࠸࡜ᛮࡗ࡚࠸ࡿࠖ࡜཯Ⓨࡋ࡚࠸ࡓࠋึデ࡟࠾࠸࡚୺἞་ࡀᮏேࡢᛮ࠸ࢆഴ
⫈ࡋ࡚ᨭᣢⓗ࡟᥋ࡋࡓࡇ࡜࠿ࡽࠊᨭ᥼ࢆཷࡅධࢀࡽࢀࡿ⣲ᆅࡀ࡛ࡁࡓࠋㄆ▱ᶵ⬟ࡢ≧ἣࡸᮏேࡢၥ㢟ព㆑ࡢஈࡋࡉ࠿ࡽࠊ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺࡢᑟධ࡟ࡣࡸࡸᠱᛕࡀ࠶ࡗࡓࡓࡵࠊどぬⓗ࡞᝟ሗᥦ♧ࡸ⌮ゎᗘࡢ☜ㄆࠊ
࠿ࡳ○࠸ࡓㄝ᫂࡞࡝ᕤኵࡋ࡞ࡀࡽ㐍ࡵࡓࠋᮏேࡢᛮ࠸ࡢഴ⫈ࡸࠊ㐺ᛂⓗ࡞⪃࠼ࡸ⾜ື࡟ࡣ⫯ᐃⓗ࡞ࣇ࢕࣮ࢻ
ࣂࢵࢡࢆ⾜ࡗࡓࠋᮏேࡣࢭࣝࣇࣔࢽࢱࣜࣥࢢ㸦࢖ࣛ࢖ࣛࡋࡓ࢚ࣆࢯ࣮ࢻࢆ᭩ࡃ㸧ࡢᐟ㢟࡟ពḧⓗ࡟ྲྀࡾ⤌ࡳࠊᚎࠎ࡟ෆ┬ࡀ῝ࡲࡗ࡚࠸ࡗࡓࠋᐙ᪘࡟ࢭࢵࢩࣙࣥ࡟ຍࢃࡗ࡚ࡶࡽ࠺ࠊᐙᗞ࡛ࡢᑐᛂࡢຓゝࢆࡍࡿ࡞࡝ᐙ᪘࡬
ࡢᨭ᥼ࢆከ⫋✀࡛⾜ࡗࡓࠋᐙ᪘ࡢ᥋ࡋ᪉ࡀኚࢃࡗࡓࡇ࡜ࡶ࠶ࡾࠊᮏேࡢᐙ᪘࡟ᑐࡍࡿࢿ࢞ࢸ࢕ࣦ࡞ឤ᝟ࡀ⦆
࿴ࡉࢀ࡚ࡁࡓࠋᛣࡾ࡟㛵ࡍࡿᐃ㔞ⓗホ౯ࡣ⾜ࡗ࡚࠸࡞࠸ࡀࠊⴠࡕ╔࠸ࡓ⏕άࢆ㏦ࢀࡿࡼ࠺࡟࡞ࡗࡓࠋᐙ᪘ࡢ
㒔ྜ࡟ࡼࡾ௚┴࡬ࡢ㌿ᒃࡀỴࡲࡾࠊ௚┴ࡢᑓ㛛ᶵ㛵࡬ᘬࡁ⥅࠸ࡔࠋ࠙஦౛㸱ࠚ50 ௦๓༙⏨ᛶࡢධ㝔ᝈ⪅ࠋ㔜ᗘࡢグ᠈㞀ᐖ࡜᫆ᛣᛶࡀ࠶ࡗࡓࠋᐙ᪘࡛⮬Ⴀᴗࢆࡍࡿ୰࡛ࠊᛣࡾ
57− 57 −

ࢆ⇿Ⓨࡉࡏࡿࡇ࡜ࡀᗘࠎ࠶ࡗࡓࠋ⤒㐣ࡢ୰࡛グ᠈㞀ᐖ࡟ᑐࡍࡿ௦ൾᡭẁࡢ⋓ᚓࡶ㐍ࢇ࡛࠸ࡓࡀࠊ᫆ᛣᛶࡢࡓ
ࡵ࡟ᐙ᪘ࡢ㈇ᢸឤࡣῶࡽࡎࠊᐙ᪘ࡀ⑂ᘢࡋ࡚࠸ࡓࠋ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺ࡜ᐙ᪘ࡢఇᜥ┠ⓗ࡛ධ㝔ࡋࡓࠋධ㝔⏕ά࡛ࡣᛣࡾࡀ⏕ࡌࡿࡼ࠺࡞ሙ㠃ࡀᑡ࡞࠸ࡓࡵࠊᮏேࡢᐙᗞ࡛ࡢయ㦂ࢆඖ࡟ᛣࡾࡀ⏕ࡌࡸࡍ࠸ሙ㠃࡟ࡘ࠸࡚ࢩࢼࣜ࢜ࢆసࡾࠊᛣࡽࡎ࡟ࡍࡴ఍ヰࡢ࣮ࣟࣝࣉࣞ࢖ࢆ⾜ࡗࡓࠋ࢖ࣛ࢖ࣛࡍࡿẼᣢࡕࢆ࢔ࢧ࣮ࢸ࢕ࣈ࡟⾲⌧ࡍࡿྎモࢆ࣮ࣟࣝࣉࣞ࢖࡟ྲྀࡾධࢀࡓࠋ㔜ᗘࡢグ᠈㞀ᐖ࡬ࡢᑐ⟇࡜ࡋ࡚ࠊྠࡌࢸ࣮࣐ཬࡧタᐃ࡛⧞ࡾ㏉ࡋ࣮ࣟࣝࣉࣞ࢖ࢆ⾜࠺ࠊ㠃᥋࡛ヰࡋࡓෆᐜࡢせⅬࢆ᭩࠸࡚ᮏே࡟Ώࡍࠊࡲࡓࡣᮏே࡟࣓ࣔࡋ࡚ࡶࡽ࠺ࠊカ⦎ࡢ࠶ࡿ᪥௨እࡶᚰ⌮ኈࡀ⑓ᐊࢆゼࡡ࡚ᛣࡾ࡬ࡢᑐฎἲࡢ᝿㉳ࢆಁࡍ࡞࡝ࢆ⾜ࡗࡓࠋᐙ᪘࡜ࡶカ⦎ෆᐜࡢඹ᭷ࢆ⾜ࡗࡓࠋ࣮ࣟࣝࣉࣞ࢖ࡢ௚࡟ࡣࠊᛣࡗࡓᚋࡢẼᣢࡕ࡟↔Ⅼࢆ࠶࡚࡚┦ㄯࢆ⾜ࡗࡓࠋ㏥㝔ᚋ࡟ࡣᛣࡾࢆ⇿Ⓨࡉࡏࡿࡇ࡜ࡀᑡ࡞ࡃ࡞ࡾࠊⴠࡕ╔࠸࡚⏕ά࡛ࡁ࡚࠸ࡿࠋ⌧ᅾࠊูࡢ┠ⓗ࡛ධ㝔ࡋ࡚࠸ࡿࡀࠊ⌧ᅾࡣᛣࡗࡓ▐㛫࡬ࡢᑐฎ⟇࡜ࡋ࡚ࠊࠕࢫࢺࢵࣉἲ㸦ࠕࡕࡻࡗ࡜ᚅ࡚ࠖ࡜⮬ศ࡟ゝ࠺㸧ࠖࠕࢸࣥ࢝࢘ࣥࢺἲ㸦༑ᩘ࠼ࡿ㸧ࠖࠕࢱ࢖࣒࢔
࢘ࢺἲ㸦ࡑࡢሙ࠿ࡽ㞳ࢀࡿ㸧ࠖࡢ㸱ࡘࢆぬ࠼ࡿࡼ࠺⧞ࡾ㏉ࡋఏ࠼࡚࠾ࡾࠊఱᗘࡶ⧞ࡾ㏉ࡍࡇ࡜࡛グ᠈ࡀᐃ╔ࡋ࡚ࡁ࡚࠸ࡿࠋ
㸱ࡘࡢ஦౛࡛ᣲࡆࡓෆᐜ௨እ࡛ࡣࠊ࿧྾ἲࡸ➽ᘱ⦆ἲࠊ࢔࣐ࣟࡸ㡢ᴦ࡞࡝ࢆ⏝࠸ࡓࣜࣛࢡࢮ࣮ࢩࣙࣥࢆ⾜࠺ሙྜࡀ࠶ࡿࠋ⑂ࢀࡀ࢖ࣛ࢖ࣛ࡟ࡘ࡞ࡀࡗ࡚࠸ࡿሙྜࡀ࠶ࡿࡓࡵࠊఇ᪥ࡢ㐣ࡈࡋ᪉ࡸᜥᢤࡁ࡟ࡘ࠸࡚ຓゝࡍࡿሙྜࡶ࠶ࡿࠋ୙Ᏻ࡬ࡢᑐฎ࡜ࡋ࡚࣐࢖ࣥࢻࣇࣝࢿࢫࢆྲྀࡾධࢀࡓ౛ࡶ࠶ࡿࠋ
㹡ࢢ࣮ࣝࣉ࡛ࡢᨭ᥼
௒ᖺᗘࡣࠕࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝࢺ࣮ࣞࢽࣥࢢࠖࡢྡ⛠࡛࣮ࣟࣝࣉࣞ࢖୰ᚰࡢࢢ࣮ࣝࣉࢭࢵࢩࣙࣥࢆ
⾜ࡗࡓࠋ㸲ᅇࡢࢭࢵࢩࣙࣥࡢ๓ᚋ࡛ POMS ࡢᛣࡾ㸫ᩛពᑻᗘࡢᚓⅬࡢᨵၿࡀぢࡽࢀࡓ஦౛ࡶ࠶ࡗࡓࠋ
ᝈ⪅ᮏேࡀࠊ㢮ఝࡋࡓㄢ㢟ࢆᣢࡘ௚ࡢᝈ⪅ࡢᵝᏊࢆぢࡿࠊᨭ᥼⪅௨እࡢពぢࢆ⪺ࡃࡇ࡜ࡀ࡛ࡁࡿ࡜࠸࠺㠃࡛ࢢ࣮ࣝࣉ࡛ᨭ᥼ࡍࡿࡇ࡜ࡢ฼Ⅼࡣ኱ࡁ࠸ࠋࢢ࣮ࣝࣉࢆ⦅ᡂࡍࡿୖ࡛ࡣࠊㄆ▱ᶵ⬟㠃࡛㏆࠸Ỉ‽ࡢேࢆ㞟ࡵࡿࡇ࡜࡜ࠊཧຍ⪅ྠኈࡢ㛵ಀᛶࢆ㔜どࡋ࡚࠸ࡿࠋཧຍ⪅ྠኈࡢ┦ᛶࡣࢭࢵࢩࣙࣥࢆ⾜ࡗ࡚ࡳ࡚᫂ࡽ࠿࡟࡞ࡿ
ࡇ࡜ࡶ࠶ࡿࠋཧຍ⪅ࡢㄆ▱ᶵ⬟࡟ࡤࡽࡘࡁࡀ࠶ࡿሙྜࡣࠊ⌮ゎᗘࡢ㞴ࡋ࠸ཧຍ⪅ࢆಶูⓗ࡟ࣇ࢛࣮ࣟࡍࡿࢫ
ࢱࢵࣇࢆ௜ࡅࡿ࡞࡝ࡢᕤኵࡸ࣐ࣥࣃ࣮࣡ࡀᚲせ࡛࠶ࡿࠋྖ఍ࠊ᭩グ㸦ᯈ᭩㸧ࠊཧຍ⪅ࡢࣇ࢛࣮ࣟᙺ࡛ࠊ᭱ప࡛
ࡶ㸱ேࡢࢫࢱࢵࣇࡀᚲせ࡛࠶ࡿࠋグ᠈㞀ᐖࡢ࠶ࡿே࡬ࡢᑐ⟇࡜ࡋ࡚ᯈ᭩ࡣᚲ㡲࡛࠶ࡿࠋ㈨ᩱࡢ㓄௜ࡶ⾜࠺ࡇ࡜ࡀከ࠸ࠋཧຍ⪅ࡣ㸰㹼㸱ேࡃࡽ࠸ࡀ┠ࢆ㓄ࡾࡸࡍ࠸࡜ឤࡌ࡚࠸ࡿࠋಶูࢭࢵࢩࣙࣥࢆ⾜ࡗࡓᚋ࡟ࢢ࣮ࣝࣉ
ࢭࢵࢩࣙࣥࢆᑟධࡍࡿ࡜ࠊὶࢀ࡞࡝ࡀࢃ࠿ࡿࡓࡵࢫ࣒࣮ࢬ࡟ཧຍࡋࡸࡍ࠸ࠋ௚᪋タࡢࢹ࢖ࢣ࢔࡞࡝࡛ࢢ࣮ࣝ
ࣉάືࢆ⤒㦂ࡋ࡚࠸ࡿᝈ⪅ࡣࠊࢢ࣮ࣝࣉ࡬ࡢཧຍࡀࢫ࣒࣮ࢬ࡞ሙྜࡶ࠶ࡿࠋ
㹢࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺᨭ᥼ࡢᑐ㇟⪅ീࡸ㐺ᛂ୺࡟៏ᛶᮇ࡛᫆ᛣᛶࡢぢࡽࢀࡿேࡢ࠺ࡕࠊ࠶ࡿ⛬ᗘࡢゝㄒⓗ࡞ពᛮ␯㏻ࡀྍ⬟࡛࠶ࡾࠊグ᠈㞀ᐖࡀ࠶ࡗ࡚
ࡶ௦ൾᡭẁࢆᣢࡗ࡚࠸ࡿேࡀᑐ㇟࡜࡞ࡿࠋᨭ᥼ຠᯝࡀᚓࡽࢀࡸࡍ࠸ே࡜ࡋ࡚ࡣࠊձᛣࡾ࡟㛵ࡍࡿᮏேࡢᅔࡾ
ឤࡸ࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺ࡬ࡢពḧࡀ࠶ࡿࡇ࡜ࠊղᨭ᥼⪅ഃ࡜ࡢಙ㢗㛵ಀࡀ࠶ࡿࡇ࡜ࠊճᐙ᪘࡜ᨭ᥼⪅ࡢࡘ࡞ࡀࡾࡀ࠶ࡾࠊᐙ᪘ࡢࢧ࣏࣮ࢺࡀ࠶ࡿࡇ࡜ࡀᣲࡆࡽࢀࡿࠋճ࡟㛵ࡋ࡚ࠊᐙ᪘ࡢࢧ࣏࣮ࢺࡀᑡ࡞࠸࡜ࠊ㏵୰࡛᮶㝔ࡋ࡞ࡃ࡞ࡗ࡚ࡋࡲ࠺ሙྜࡀ࠶ࡿࠋ
㹣㸬ᨭ᥼ຠᯝࡢ

ᐃ᪉ἲᛣࡾ࡟㛵ࡍࡿᐃ㔞ⓗホ౯࡜ࡋ࡚ STAXI ࡸ POMS ࡢᛣࡾ㸫ᩛពᑻᗘࢆ౑⏝ࡋ࡚࠸ࡿࠋ
ᖹᡂ 28 ᖺ㸲᭶࠿ࡽࠊᮏே⏝࡜ᐙ᪘⏝ࡢࢫࢡ࣮ࣜࢽࣥࢢ᳨ᰝࢭࢵࢺࢆసᡂࡋࠊึᅇホ౯࡜ࡑࡢᚋࡢຠᯝ ᐃ࡟ά⏝ࡋ࡚࠸ࡿࠋ୍㒊࡟ࡘ࠸࡚ࡣ௒ᖺᗘ㛵㐃Ꮫ఍࡛Ⓨ⾲ࡋࡓࠋ௒ᚋࢹ࣮ࢱࢆ✚ࡳ㔜ࡡ࡚⾜ࡃணᐃ࡛࠶ࡿࠋᐙ᪘⏝ࡢ᳨ᰝࢭࢵࢺ࡛ࡣࠊ
58− 58 −

ᮏேࡢ≧ែ࡟ᑐࡍࡿᐙ᪘ࡢホ౯ࡢ௚ࠊFAS㸦Family Attitude Scale㸧45ࡸ Zarit ௓ㆤ㈇ᢸᑻᗘ㸦ZBI㸧46ࢆ
ᐃࡋ࡚࠸ࡿࠋ
࢘㸬㛵㐃㈨ᩱձ ຾ᒇ ᮁᏊ୍࣭⨾ ዉ⥴Ꮚ࣭ᮏ⏣ ࿴᥹࣭ᶫᮏ ⾨࣭ụ⏣ Ꮫ㸦2010㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖࡢ⾜ືࡢ㞀ᐖ ⢭⚄་Ꮫ㸪52㸪 989-994.
ղ ⏣୰ ᕼ࣭ୖ㔝 ⏤⣖Ꮚ㸦2016㸧㸬⇃ᮏ┴࡟࠾ࡅࡿ㧗ḟ⬻ᶵ⬟㞀ᐖᨭ᥼ࡢྲྀࡾ⤌ࡳ㸦ᖹᡂ 27 ᖺᗘ➨㸰ᅇ㧗ḟ⬻ᶵ⬟㞀ᐖᨭ᥼ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮඲ᅜ఍㆟࣭ࢩ࣏ࣥࢪ࣒࢘㈨ᩱ㸧<http://www.rehab.go.jp/brain_fukyu/shien/?action=common_download_main&upload_id=3275
11>㸦2017 ᖺ 10 ᭶ 3 ᪥࢔ࢡࢭࢫ㸧ճ ᶫᮏ ⾨࣭ụ⏣ Ꮫ㸦2012㸧㸬㢌㒊እയᚋ㑇⑕ࡢ⸆≀⒪ἲ ⢭⚄⛉἞⒪Ꮫ㸪27㸪341-346.
մ Williams, E., Barlow, R. (1998). Anger control training. Speechmark : Oxford㸦ቨ㇂ ᗣὒ࣭ୗ㔛 ㄔ஧࣭㯮⏣ ἞㸦ヂ㸧
㸦2007㸧࢔࣮ࣥ࢞ࢥࣥࢺ࣮ࣟࣝࢺ࣮ࣞࢽࣥࢢ ᛣࡾࢆୖᡭ࡟ᢚ࠼ࡿࡓࡵࡢࢫࢸࢵ
ࣉ࢞࢖ࢻ ᫍ࿴᭩ᗑ㸧


45
46

Family Attitude Scale㸦᪥ᮏㄒ∧㸧࡟ࡘ࠸࡚ࡣࠊFujita(2002)ࢆཧ↷ࠋ
Zarit ௓ㆤ㈇ᢸᗘᑻᗘ㸦᪥ᮏㄒ∧㸧࡟ࡘ࠸࡚ࡣࠊⲨ஭㸦2002㸧ࢆཧ↷ࠋ

59− 59 −

㸦㸳㸧ᑓಟ኱Ꮫே㛫⛉Ꮫ㒊 ᒸᮧ 㝧ᏊẶ࢔㸬ᴫせᒸᮧ㝧ᏊẶࡣࠊࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⑓㝔➼࡛⮫ᗋᚰ⌮ኈ࡜ࡋ࡚໅ົࡢࡢࡕࠊ⌧⫋࡟࠾࠸࡚ㄆ▱ࣜࣁࣅࣜࢸ
࣮ࢩࣙࣥ➼ࡢ⮫ᗋᚰ⌮Ꮫ࡟㛵ࡍࡿ◊✲࡜ᩍ⫱࡟ᚑ஦ࡉࢀ࡚࠸ࡿࠋ2014 ᖺ࠿ࡽ㸯ᖺ㛫ࠊ࢖ࢠࣜࢫࡢ⚄⤒ᚰ⌮Ꮫⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡸ⮫ᗋ⚄⤒ᚰ⌮ኈไᗘࢆ◊✲ࡍࡿࡓࡵ࡟ࣟࣥࢻࣥ኱Ꮫࢦ࣮ࣝࢻࢫ࣑ࢫᰯ࡟␃Ꮫࡋࠊࡑ
ࡢ㝿࡟ࠊ࢜ࣜࣂ࣮ࢨࣥࢢ࢘࢕ࣝࢭࣥࢱ࣮㸦㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᑓ㛛ⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ᪋タ㸧ࢆどᐹ࡟ゼࢀ࡚࠸ࡿࠋ
♫఍ⓗ⾜ື㞀ᐖࡢᨵၿࢆ┠ⓗ࡜ࡋࡓ SST ࢢ࣮ࣝࣉカ⦎࡟㛵ࡋ࡚◊✲ሗ࿌ࢆࡉࢀ࡚࠾ࡾ㸦㛵㐃㈨ᩱձࠊճ㸧ࠊ௒ᅇࡢࣄ࢔ࣜࣥࢢㄪᰝ࡛ࡣ SST ࡬ࡢྲྀ⤌ࢆ୰ᚰ࡟⫈ྲྀࡋࡓࠋ
࢖㸬ࣄ࢔ࣜࣥࢢ⤖ᯝ㸦࢔㸧㧗ḟ⬻ᶵ⬟㞀ᐖࡢ࠶ࡿேࢆᑐ㇟࡜ࡋࡓࠊㄆ▱⾜ື⒪ἲ࣭࢔࣮࣐ࣥ࢞ࢿࢪ࣓ࣥࢺ࣭SST ࡟ࡘ࠸࡚ 㧗ḟ⬻ᶵ⬟㞀ᐖࡢ࠶ࡿே࡟ࡘ࠸࡚ࡣࠊㄆ▱࡟ാࡁ࠿ࡅࡿࡼࡾࡶ⾜ື࡟ാࡁ࠿ࡅࡿ᪉ࡀ⾜࠸ࡸࡍ࠸ࠋㄆ▱࡟ാࡁ࠿ࡅࡿሙྜࠊ୍⯡ⓗ࡞ㄆ▱⾜ື⒪ἲ࡜ẚ࡭ࠊㄆ▱ࡢಟṇ࡟ධࡿࡲ࡛ࡢ‽ഛẁ㝵࡟࠿࡞ࡾ᫬㛫ࢆ࠿ࡅ࡚୎
ᑀ࡟⾜࠺ᚲせࡀ࠶ࡿࠋᛣࡾࡢၥ㢟ࡀ࠶ࡿே࡟ᑐࡋ࡚ᐇ᪋ࡋࡓ SST ࡢࢢ࣮ࣝࣉ㸦㛵㐃ᩥ⊩ճ㸧࡛ࡣࠊ࿘ᅖ࠿ࡽ
ぢࡿ࡜㢖⦾࡟ᛣࡾࢆ⾲ฟࡍࡿேࡀᑐ㇟࡛࠶ࡗࡓࡀࠊᙜ஦⪅࡟ᑐࡋࠊ࡝ࢇ࡞࡜ࡁ࡟⭡ࡀ❧ࡘ࠿㉁ၥࡋ࡚ࡶ⟅࠼ࡽࢀ࡞࠸ேࡀከ࠿ࡗࡓࠋ≧ἣࢆᤊ࠼࡚ゝⴥ࡛⾲⌧ࡍࡿࡇ࡜ࡀ㞴ࡋ࠿ࡗࡓࡾࠊぬ࠼࡚࠸࡞࠸ࠊࡲࡓࠊᮏே࡟ࡣᛣࡾࡢឤぬࡀ࡞࠸ࡲࡲ௚⪅࠿ࡽぢࡿ࡜ࠕ࡚࢟ࣞࠖ࠸ࡿሙྜࡶ࠶ࡿࠋᛣࡾࡢ㌟యឤぬ㸦ື᝘ࠊ࿧྾㸧࡟Ẽ࡙ࡃࡇ࡜ࡀ㞴ࡋ࠸ேࡶከ࠸ࠋᛣࡾࡀ⏕ࡌࡸࡍ࠸≧ἣࢆᩚ⌮ࡍࡿࡓࡵࠊ⏕άሙ㠃࡛࢖ࣛ࢖ࣛࡋࡓሙ㠃ࢆ᭩ࡁ␃ࡵࡿ
ࡇ࡜ࢆᐟ㢟࡜ࡋ࡚ฟࡋࠊ࢚ࣆࢯ࣮ࢻࢆ㞟ࡵࡓୖ࡛≧ἣࡢඹ㏻Ⅼࢆᨭ᥼⪅ࡀᢳฟࡋࡓࠋᑐฎἲࡢᑟධࡲ࡛ࡢ‽ഛ࡟᫬㛫ࢆせࡍࡿࡓࡵࠊ༑ศ࡞ᅇᩘࡸᮇ㛫ࢆタᐃࡍࡿࡇ࡜ࡀᚲせ࡛࠶ࡿࠋ
㸦࢖㸧ࢢ࣮ࣝࣉ࡛ࡢᨭ᥼
ཧຍ⪅ࡀࠊ௚ࡢཧຍ⪅ࡀࠕ࡚࢟ࣞ࠸ࡿࠖᵝᏊࢆぢ࡚⮬㌟ࡢᛣࡾࡸࡍࡉ࡟ࡘ࠸࡚ၥ㢟ព㆑ࢆᣢࡗࡓࡾࠊ௚⪅ࡢᑐேᑐᛂࢆぢ࡚ࠕࡇ࠺ࡍࡿ࡜ୖᡭࡃ࠸ࡃࠖ࡜Ꮫ࡭ࡿሙྜࡀ࠶ࡿ࡞࡝ࠊࢢ࣮ࣝࣉ࡛ᨭ᥼ࡍࡿࡇ࡜ࡢ࣓ࣜࢵࢺ
ࡣ኱ࡁ࠸ࠋ୍᪉࡛ࠊ᫆ᛣᛶࡢ࠶ࡿཧຍ⪅ࢆ㞟ࡵࡓࢢ࣮ࣝࣉࡢ㐠Ⴀࡣᐜ࡛᫆ࡣ࡞࠸ࠋෆᐜ࡟ࡘ࠸࡚࠸ࡅ࡞࠸࡜
ࡁ࡟ᛣࡾࢆ⇿Ⓨࡉࡏࡀࡕ࡛࠶ࡿࡓࡵࠊཧຍ⪅ࡢ᝟ሗฎ⌮ࡢチᐜ㔞ࢆ㉸࠼࡞࠸ࡼ࠺࡟ࠊ᝟ሗࢆࢃ࠿ࡾࡸࡍࡃᥦ
♧ࡍࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋ඲యࡢ㐍⾜ᙺࡢ௚࡟ࠊಶูࡢཧຍ⪅࡟ᑐࡋ࡚ࠕ௒ࠊ࡝ࡇࢆぢࡓࡽⰋ࠸࠿ࠖ࡞࡝ࢆ
ᩍ࠼࡚ࢧ࣏࣮ࢺࡍࡿேࡀ࠸ࡿ࡜ࡼࡃࠊ࣐ࣥࣃ࣮࣡ࡀᚲせ࡛࠶ࡿࠋ࢜ࣜࣂ࣮ࢨࣥࢢ࢘࢕ࣝࢭࣥࢱ࣮ࡢࣉࣟࢢࣛ
࣒࡛ࡣࠊཧຍ⪅㸳㹼㸴ே࡟ᑐࡋ࡚ࡑࡢ㸰㹼㸱ಸࡢࢫࢱࢵࣇࡀ㓄⨨ࡉࢀ࡚࠸ࡓࠋ᫆ᛣᛶࡢ࠶ࡿேࡢࢢ࣮ࣝࣉࢆ
㐠Ⴀࡍࡿ࡟࠶ࡓࡗ࡚ࡣᨭ᥼⪅ࡢᚰ⌮ⓗ㈇ᢸࡶ኱ࡁ࠸ࡓࡵࠊᨭ᥼⪅ྠኈ࡛኱ኚࡉࢆඹ᭷ࡋࠊ୍ே࡛ᢪ࠼ࡿࡇ࡜
ࡀ࡞࠸ࡼ࠺࡟࡛ࡁࡿ࡜ࡼ࠸ࠋ
ࢢ࣮ࣝࣉ࡛ࡢ≧ἣ࡟ࡘ࠸࡚ಶูሙ㠃࡛᣺㏉ࡾࢆ⾜࠺࡞࡝ࠊࢢ࣮ࣝࣉ࡜ಶู㠃ㄯࡢే⏝ࡀ㔜せ࡛࠶ࡿࠋࢢࣝ
࣮ࣉࡔࡅࢆࠕࡸࡾࡗࡥ࡞ࡋࠖ࡟ࡍࡿ࡜ຠᯝⓗ࡛ࡣ࡞࠸༳㇟ࡀ࠶ࡿࠋᛣࡾࡸࡍࡉࡢ࠶ࡿே࡟ࡘ࠸࡚ࡣࠊࢢ࣮ࣝ
ࣉࡢ୰࡛ᣦ᦬ࡍࡿ࡜ᛣࡾࡢ⇿Ⓨ࡟ࡘ࡞ࡀࡾࠊࢢ࣮ࣝࣉሙ㠃࡛ࡣᣦ᦬ࡀ࡛ࡁ࡞࠸ࡓࡵࠊಶูሙ㠃ࢆά⏝ࡍࡿࠋ࣮ࣟࣝࣉࣞ࢖ሙ㠃ࡢࣅࢹ࢜ࢆ᧜ࡗ࡚࠾ࡁࠊಶูሙ㠃୍࡛⥴࡟ぢ࡞ࡀࡽࣇ࢕࣮ࢻࣂࢵࢡࡍࡿࡢࡶⰋ࠸ࠋ㧗ḟ⬻ᶵ⬟㞀ᐖࡢ≉ᛶ࠿ࡽ⮬ศ⮬㌟ࢆᐈほⓗ࡟ぢࡿຊࡀᙅ࠸ࡓࡵࠊᐈほⓗ࡟ぢࡿࡓࡵࡢᕤኵࡀ࠶ࡿ࡜Ⰻ࠸ࠋ
㸦࢘㸧ຠᯝ ᐃ
๓㏙ࡢࢢ࣮ࣝࣉ SST ࡢຠᯝᐃ࡟࠾࠸࡚ࡣࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢫ࢟ࣝࡢᣦᶆ࡜ࡋ࡚ KiSS-18 ࢆ౑ࡗࡓ60

− 60 −

ࡀࠊྲྀࡾᢅࢃࢀ࡚࠸ࡿෆᐜࡀ㧗ᗘ㐣ࡂࡿឤࡌࡀ࠶ࡾࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢホ౯࡟㐺ࡋ࡚࠸ࡿ࡜ࡣᚲࡎࡋࡶゝ࠼࡞࠸༳㇟࡛࠶ࡿࠋ᪤Ꮡࡢᑻᗘ࡟ࡕࡻ࠺࡝Ⰻ࠸ࡶࡢࡀぢ࠶ࡓࡽ࡞࠸ࠋࡲࡓࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡛ࡣ㞀ᐖ≧ἣࡸ௓ධຠᯝ࡟ಶேᕪࡀ኱ࡁ࠸ࡇ࡜࠿ࡽࠊ」ᩘேࡢ

ᐃ್ࢆᖹᆒࡋ࡚௓ධ๓ᚋࡢẚ㍑ࢆ

ࡍࡿࡼ࠺࡞᪉ἲ࡛ࡣኚ໬ࡀᤊ࠼࡟ࡃ࠸ࠋ
ᛂ⏝⾜ືศᯒࡢ㡿ᇦ࡛౑ࢃࢀ࡚࠸ࡿࡼ࠺࡞ࠊࢱ࣮ࢤࢵࢺ࡜ࡍࡿ⾜ືࡢ⏕㉳ᅇᩘࡢ࣮࣋ࢫࣛ࢖ࣥࢆ࡜ࡾࠊ௓
ධ࡟ࡼࡗ࡚ࡑࢀࡀ࡝࠺ኚ໬ࡍࡿ࠿ぢ࡚࠸ࡃ᪉ἲ࡛࠶ࢀࡤ௓ධࡢຠᯝࢆᩘ್໬ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋᛂ⏝⾜ືศᯒࡣᾏእࡢ㞀ᐖ⪅ࡢᚰ⌮ⓗᨭ᥼ࡢ㡿ᇦ࡛ࡣᗈࡃ౑ࢃࢀ࡚࠸ࡿࠋ᪥ᮏ࡛ࡣᚰ⌮ศ㔝࡛ࡣ࠶ࡲࡾ୍⯡ⓗ࡛ࡣ࡞࠸ࡀࠊᩍ⫱ศ㔝࡛ࡣࡼࡃ౑ࢃࢀࡿࠋࡇ࠺࠸ࡗࡓホ౯᪉ἲ࡛࠶ࢀࡤࠊࢢ࣮ࣝࣉ࡛ࡢᨭ᥼࡛࠶ࡗ࡚ࡶホ౯ࡣಶேู
࡟⾜࠺ࡇ࡜ࡀ࡛ࡁࡿࠋ
ຠᯝࢆ㐺ษ࡟ホ౯ࡍࡿࡓࡵ࡟ࡣࠊఱࢆࢱ࣮ࢤࢵࢺ⾜ື࡜ࡋ࡚㑅ᢥࡍࡿ࠿ࡀ㔜せ࡛࠶ࡿࠋ
࢜ࣜࣂ࣮ࢨࣥࢢ࢘࢕ࣝࢭࣥࢱ࣮࡛ࡣࠊࣉࣟࢢ࣒ࣛ඲యࡢຠᯝ ᐃࡢ୍ࡘ࡜ࡋ࡚ࠊᨭ᥼ᑐ㇟⪅⮬㌟ࡀࣉࣟࢢ࣒ࣛ㛤ጞ᫬࡟❧࡚ࡓ┠ᶆࡀࠊࣉࣟࢢ࣒ࣛࢆ㏻ࡋ࡚ఱ๭㐩ᡂ࡛ࡁࡓ࠿ࢆ⟬ฟࡋ࡚࠸ࡿࠋ
㸦࢚㸧␗࡞ࡿ㞀ᐖ✀㢮ࡢேࡀΰᅾࡍࡿࢢ࣮ࣝࣉ࡛ࡢᨭ᥼
␗࡞ࡿ㞀ᐖ✀㢮ࡢேࡀΰᅾࡍࡿࢢ࣮ࣝࣉ࡛ࡢᨭ᥼ࢆࡍࡿ᪋タࡶ࠶ࡿࡀࠊ㧗ḟ⬻ᶵ⬟㞀ᐖࡢ࠶ࡿ฼⏝⪅࡟࡜ࡗ࡚ࢫࢺࣞࢫࡀ኱ࡁ࠸ሙྜࡀ࠶ࡿࠋ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ୰࡟ࡣඛኳⓗ࡞㞀ᐖࡢ࠶ࡿே࡟ᑐࡋ࡚೫ࡗࡓ࢖࣓࣮
ࢪࢆᣢࡘேࡶ࠾ࡾࠊࡑࡢࡼ࠺࡞ሙྜࠊ୍⥴ࡢάືࡀࢫࢺࣞࢫ࡟࡞ࡾࡸࡍ࠸ࠋ⌮᝿ⓗ࡟ࡣ೫ぢࡀṇࡉࢀࡿ࡜Ⰻ
࠸ࡀࠊ౯್ほࡣ⡆༢࡟ࡣኚࢃࡽ࡞࠸ࠋ௒ᚋࠊసᴗᡤࡸ≉౛Ꮚ఍♫࡞࡝௚ࡢ㞀ᐖ✀㢮ࡢே࡜୍⥴࡟ാࡃࡇ࡜ࡀ
᝿ᐃࡉࢀࡿࡼ࠺࡞ሙྜࡣࠊࡉࡲࡊࡲ࡞㞀ᐖࡢேࡀ࠸ࡿ⎔ቃ࡟័ࢀࡿࡇ࡜ࡀⰋ࠸ሙྜࡶ࠶ࡿ࠿ࡶࡋࢀ࡞࠸ࠋࡑ
ࡢሙྜ࡛ࡶࠊಶูࡢၥ㢟࡬ࡢ༑ศ࡞ಶูⓗࣇ࢛࣮ࣟࡀᚲせ࡛࠶ࡿࠋ㸦࢜㸧⫋ᴗࣜࣁሙ㠃࡟࠾ࡅࡿᚰ⌮⒪ἲⓗ௓ධᚰ⌮⒪ἲࡣࠊ⢭⚄ศᯒⓗ࣭῝ᒙᚰ⌮Ꮫⓗ࡞࢔ࣉ࣮ࣟࢳ࡜ㄆ▱⾜ື⒪ἲⓗ࡞࢔ࣉ࣮ࣟࢳࡢ኱ࡁࡃ஧ࡘ࡟ศࡅ
ࡽࢀࡿࠋ๓⪅ࡣࠊ἞⒪㐣⛬࡟࠾࠸࡚ᑐ㇟⪅ࡢ⌧ᅾࡢၥ㢟ࡢཎᅉࢆ⏕⫱Ṕ࡞࡝ࡢ㐣ཤ࡟ồࡵࠊ㐣ཤࢆ᥀ࡾୗࡆ
࡚࠸ࡃࠋࡑࡢࡓࡵࠊᑓ㛛ⓗ࡞ᩍ⫱カ⦎ࢆཷࡅࠊࢫ࣮ࣃ࣮ࣂ࢖ࢬࢆཷࡅ࡚࠸ࡿᚰ⌮ᑓ㛛⫋࡛࠶ࡿࡇ࡜ࡀᚲせ࡛࠶ࡾࠊࡑ࠺࡛࡞࠸࡜≧ἣࢆ༷ࡗ࡚ᝏ໬ࡉࡏࡿࣜࢫࢡࡀ࠶ࡿࠋ୍᪉ࠊᚋ⪅ࡣᩍ⫱ࡢศ㔝࡛ࡶᗈࡃ౑ࢃࢀ࡚࠾ࡾࠊ
ᚰ⌮ᑓ㛛⫋࡛࡞ࡅࢀࡤᐇ᪋࡛ࡁ࡞࠸࡜࠸࠺ࡇ࡜ࡣ࡞࠸ࠋࡶࡕࢁࢇࠊຠᯝⓗ࡟ᐇ᪋ࡍࡿࡓࡵࡢ᪉ἲࡸࢥࢶࡣ࠶
ࡿࡓࡵࠊᏛ⩦ᚰ⌮Ꮫࡸㄆ▱ᚰ⌮Ꮫ࡞࡝ࡢᇶᮏⓗ࡞⌮ㄽࢆᏛࡧࠊᢏἲ࡟㛵ࡍࡿ▱㆑ࢆᣢࡗ࡚࠸ࡿࡇ࡜ࡀᮃࡲࡋ
࠸ࠋㄗࡗࡓ᪉ྥ࡟᮲௳௜ࡅࡋ࡞࠸ࡇ࡜࡬ࡢ␃ពࡣᚲせ࡛࠶ࡿࠋ㸦࢝㸧ᾏእࡢ≧ἣ➼Ḣ⡿ㅖᅜ࡛ࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿᚰ⌮⒪ἲ࡜ࡋ࡚ࡣࠊᅜࡸᦠࢃࡿᨭ᥼⪅ࡢᏛၥⓗࣂࢵࢡࢢࣛ࢘ࣥࢻ
࡟ࡼࡾከᑡࡢ㐪࠸ࡣ࠶ࡿࡀࠊㄆ▱⾜ື⒪ἲⓗ࡞㛵ࢃࡾࡀ୺ὶ࡛࠶ࡿࠋ≉࡟ⱥᅜ࡛ࡣㄆ▱⾜ື⒪ἲࡀዲࡲࢀࡿ
ഴྥࡀ࠶ࡿࠋ
⌧ᅾࡢ᪥ᮏ࡛ࡣ⚄⤒ᚰ⌮Ꮫࢆຮᙉ࡛ࡁࡿ኱Ꮫࡸ኱Ꮫ㝔⮬యࡀḢ⡿ㅖᅜ࡜㐪ࡗ࡚㝈ࡽࢀ࡚࠾ࡾࠊࣜࣁࣅࣜࢸ
࣮ࢩࣙࣥ㡿ᇦ࡛ാࡃᚰ⌮⫋ࡀᑡ࡞࠸ࠋ
࢘㸬㛵㐃㈨ᩱձ ᒸᮧ 㝧Ꮚ㸦2011㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ SST ࡟࠾ࡅࡿࣅࢹ࢜ど⫈ຠᯝɆຠᯝࡢ᳨ド᪉ἲ࡟㛵ࡍࡿணഛⓗ᳨ウɆ ᑓಟே㛫⛉Ꮫㄽ㞟㸪1㸪53-59㸬ղ ᒸᮧ 㝧Ꮚ㸦2016㸧㸬࢖ࢠࣜࢫࡢ⮫ᗋᚰ⌮ኈไᗘ ᑓಟ኱Ꮫே㛫⛉Ꮫㄽ㞟㸪6㸪1-7㸬
61− 61 −

ճ ᒸᮧ 㝧Ꮚ࣭኱ሯ ᜨ⨾Ꮚ㸦2010㸧㸬♫఍ⓗ⾜ື㞀ᐖࡢᨵၿࢆ┠ⓗ࡜ࡋࡓ SST ࢢ࣮ࣝࣉカ⦎ 㧗ḟ⬻ᶵ⬟◊✲㸪30㸪67-75㸬

62− 62 −

㸦㸴㸧ி㒔኱Ꮫ་Ꮫ㒊㝃ᒓ⑓㝔 ୖ⏣ ᩗኴẶ࢔㸬ᴫせୖ⏣ᩗኴẶ㸦་ᖌ㸧ࡣࠊி㒔኱Ꮫ་Ꮫ㒊㝃ᒓ⑓㝔⢭⚄⛉࣭⚄⤒⛉ࡸி㒔ᕷ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ᨭ᥼ࢭࣥࢱ࣮ࠊ
ࡑࡢ௚ࡢ་⒪ᶵ㛵࡛㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢデ⒪࡟࠶ࡓࡿ௚ࠊ♫఍ⓗ⾜ື㞀ᐖ࡟㛵㐃ࡍࡿ◊✲ㄽᩥࠊゎㄝㄽᩥࢆ
ከᩘⓎ⾲ࡉࢀ࡚࠸ࡿࠋࡲࡓࠊᨭ᥼ᬑཬ஦ᴗ࡟࠾ࡅࡿᖹᡂ 29 ᖺᗘ➨㸯ᅇ㧗ḟ⬻ᶵ⬟㞀ᐖᨭ᥼ࢥ࣮ࢹ࢕ࢿ࣮ࢱ
࣮඲ᅜ఍㆟࡟࠾࠸࡚ࠊㅮ₇ࠕ⬻ᦆയᝈ⪅࡟࠾ࡅࡿ♫఍ⓗ⾜ື㞀ᐖ̿᝟ື㛵㐃⑕≧㸦≉࡟ᛣࡾ㸧ࢆ୰ᚰ࡟̿ࠖ
ࡢㅮᖌࢆᢸᙜࡉࢀ࡚࠸ࡿࠋ௒ᅇࡣࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼࡟࠾ࡅࡿ㸦≉࡟⢭⚄⛉㸧་⒪ࡢᙺ๭ཬࡧᆅᇦෆ
㐃ᦠࠊࡲࡓࠊ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢᑐᛂࡢ⪃࠼᪉࡟ࡘ࠸࡚⫈ྲྀࡋࡓࠋ
࢖㸬ࣄ࢔ࣜࣥࢢ⤖ᯝ㸦࢔㸧㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼࡟࠾ࡅࡿ་ᖌࡢᙺ๭
㧗ḟ⬻ᶵ⬟㞀ᐖࡢ࠶ࡿேࡢᨭ᥼࡟࠶ࡓࡗ࡚ࡣࠊࡲࡎ་ᖌࡀ⑓ែ࡜ࡋ࡚ࡢぢ❧࡚ࢆࡋࡓୖ࡛ࠊ᥼ຓࡢィ⏬ࢆ❧࡚࡚࠸ࡃᙧࡀᮃࡲࡋ࠸ࠋ≉࡟♫఍ⓗ⾜ື㞀ᐖࡀᙉ࠸ሙྜࡣࠊ᭹⸆ࢆྵࡵࡓ་⒪ⓗ࡞௓ධࡀᚲせ࡛ࠊ㐺ษ࡞
་⒪ⓗ௓ධࡀ࡞ࡅࢀࡤ♫఍᚟ᖐࡣ࡞࠿࡞࠿ୖᡭࡃ࠸࠿࡞࠸࡜ᛮࢃࢀࡿࠋ⌧≧࡛ࡣࠊྛ㒔㐨ᗓ┴ࡢ㧗ḟ⬻ᶵ⬟㞀ᐖᨭ᥼ࢭࣥࢱ࣮࡟ࡣ་ᖌࡀᖖ㥔ࡋ࡞࠸ሙྜࡀከࡃࠊᨭ᥼ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ࡀᝈ⪅ࡉࢇ࠿ࡽ┦ㄯࢆཷࡅ࡚୺
἞་᥈ࡋ࠿ࡽጞࡵ࡞࠸࡜࠸ࡅ࡞࠸ࡼ࠺࡞≧ἣࡀ࠶ࡾࠊ་⒪࡜⚟♴ࡀ༑ศ࡟㐃ᦠ࡛ࡁ࡚࠸ࡿ࡜ࡣゝ࠸㞴࠸ࠋ⑌⑓ᩍ⫱࡟ࡶ་ᖌࡀ㛵ࢃࡾࠊ⏬ീࡸ᳨ᰝ⤖ᯝࡢㄝ᫂ࢆࡋ࡞ࡀࡽࠊ♫఍ⓗ⾜ື㞀ᐖࡀ⬻ࡢᦆയ࡛ࡼࡃ㉳ࡇࡿࡇ࡜ࢆఏ࠼ࡿᚲせࡀ࠶ࡿࠋᐇ㝿࡟ࡼࡃ⾜࠺ࡢࡣࠊᮏே࡟⏬ീࢆぢࡏ࡞ࡀࡽࠊࠕࡇࢀࡔࡅ⬻ࡀḞࡅ࡚࠸ࡲࡍࡼࠋ
ࡇࢀࡔࡅ⬻ࡀḞࡅ࡚࠸ࡿ࡜ఱࡶ㉳ࡇࡽ࡞࠸࡜࠸࠺ࡇ࡜ࡣ⪃࠼ࡽࢀ࡞࠸ࠋఱࡀ㉳ࡇࡗ࡚࠸ࡿ࡜ᛮ࠸ࡲࡍ࠿ࠖ࡜
ၥ࠸࠿ࡅࡿࠋ⬻ᦆയࡢ๓ᚋ࡛࡝࠺ኚࢃࡗࡓ࠿᣺ࡾ㏉ࡗ࡚ࡶࡽ࠺ࠊ࠶ࡿ࠸ࡣࡈᐙ᪘࡟ࡑࡢሙ࡛ヰࢆࡋ࡚࠸ࡓࡔ
ࡃࠋࡑࢀ࡟ᑐࡋ࡚ࠕࡑࢀࡣ⬻ᦆയ࡛Ⰻࡃ࠶ࡿࡇ࡜࡛ࡍࡼࠖ࡜ヰࡍ࡜ࠊᝈ⪅ࡉࢇࡶࠕࡑ࠺࠸࠺ࡇ࡜࡟Ẽࢆࡘࡅ࡞࠶࠿ࢇࡢ࠿ࠖ࡜Ẽ࡙ࡃࡼ࠺࡞ࡇ࡜ࡀከᑡࡣ࠶ࡿࠋࡶࡕࢁࢇࠊࡇࢀࡔࡅ࡛ၥ㢟ࡀ඲㒊ゎỴࡍࡿࢃࡅ࡛ࡣ࡞࠸
ࡀࠊࡇ࠺࠸ࡗࡓㄝ᫂ࡀ඲ࡃ࡞࠸ሙྜ࡟ẚ࡭ࡿ࡜ࠊࡑࡢᚋࡢ㐺ᛂ࡟ཬࡰࡍᙳ㡪ࡣ࠶ࡿ⛬ᗘ኱ࡁ࠸࡜ᛮࢃࢀࡿࠋ
ၥ㢟࡜࡞ࡿ⾜ືࡀே᱁ࡢࡏ࠸࡛ࡣ࡞ࡃ⬻ᦆയࡢᙳ㡪࡛࠶ࡿࡇ࡜ࢆᮏேࡀ⌮ゎࡋ࡚࠸ࡿࡇ࡜ࡣ㔜せ࡛ࠊ᭱ึࡢ
ẁ㝵࡛ࡑࡢࡇ࡜ࢆࡁࡕࢇ࡜ఏ࠼࡞࠸࡜ࠊ୙ᚲせ࡞ᝎࡳࡸ࿘ᅖ࡜ࡢឤ᝟ⓗ⾪✺ࡀ㉳ࡇࡗ࡚ࡋࡲ࠺ࠋ἞⒪࡜⑌⑓ᩍ⫱ࡢ஧ࡘࡢⅬ࡛་ᖌࡀ㛵ࢃࡗ࡚࠸ࡃࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋ㸦࢖㸧ᆅᇦෆ㐃ᦠ࡟㛵ࡍࡿࢩࢫࢸ࣒సࡾ
ி㒔ᕷࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ᨭ᥼ࢭࣥࢱ࣮࡛ࡣࠊ⚄⤒ෆ⛉་࡜⚾㸦⢭⚄⛉་㸧࡛㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࢆデ࡚࠸ࡿࠋᨭ᥼ࡀ㌶㐨࡟஌ࡿࡲ࡛ࡣࠊ࡛ࡁࢀࡤ」ᩘ⛉ࡢ་ᖌࡀྠࡌ᪋タ࡛ᝈ⪅ࡉࢇࢆࣇ࢛࣮ࣟࡍࡿయไࡀᮃࡲࡋ࠸ࠋ
ᨭ᥼ࡀ㌶㐨࡟஌ࢀࡤᆅᇦ࡟࠿࠿ࡾࡘࡅ་ࢆసࡗ࡚࠸ࡓࡔࡃࡇ࡜ࡀᮃࡲࡋ࠸ࡀࠊ⌧≧࡛ࡣᘬࡁཷࡅᡭࡀᑡ࡞ࡃࠊ
୍⟠ᡤ࡟㞟୰ࡍࡿ≧ែ࡟࠶ࡿࠋ≉ᐃࡢಶே࡟౫Ꮡࡍࡿࡸࡾ᪉࡟ࡣ㝈⏺ࡀ࠶ࡿࡓࡵࠊࢩࢫࢸ࣒సࡾࡀ㔜せ࡛࠶ࡿࠋᛴᛶᮇ⑓㝔࠿ࡽ♫఍᚟ᖐࡲ࡛ࡢ㐃ᦠࣃࢫࢆసࡾࠊྛ᫬Ⅼ࡛࡝ࡢ᪋タࡀ࠿࠿ࢃࡿ࠿࡜࠸ࡗࡓࡇ࡜ࢆணࡵỴࡵࡽࢀࡿ࡜Ⰻ࠸ࠋ≉࡟ᅔ㞴࡞ࢣ࣮ࢫ࡟ࡘ࠸࡚ࠊࢩࢫࢸ࣐ࢸ࢕ࢵࢡ࡟ᨭ᥼ࡍࡿࡋࡃࡳసࡾࡣࠊᨭ᥼⪅ࡢࣂ࣮ࣥ࢔࢘ࢺࢆ㜵ࡄព࿡࠿ࡽࡶ㔜せ࡛࠶ࡿࠋࡏࡗ࠿ࡃᢏ⾡ࡸ㈨㉁ࡢ࠶ࡿேࡀ⑂ᘢࡋ࡚㎡ࡵ࡚࠸ࡃࡢࡣࡶࡗࡓ࠸࡞࠸
ࡇ࡜࡛࠶ࡿࠋࢩࢫࢸ࣒సࡾࡢ୍⎔࡜ࡋ࡚ࠊி㒔ᕷᇦࡢᨭ᥼ࢿࢵࢺ࣮࣡ࢡ఍㆟ࡢࡼ࠺࡞ࡶࡢࢆసࡿࡇ࡜ࢆ⪃࠼࡚࠸ࡿࠋᨭ᥼ࢿࢵࢺ࣮࣡ࢡ఍㆟࡟ࡣ⫋ᴗࣜࣁࡢ㛵ಀ⪅࡟ࡶཧຍࡋ࡚࡯ࡋ࠸࡜⪃࠼࡚࠸ࡿࠋ
㸦࢘㸧㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡬ࡢ⢭⚄⛉་ࡢ㛵ࢃࡾ♫఍ⓗ⾜ື㞀ᐖࡣࠊᮏ᮶ࡣ⢭⚄⛉་ࡀᚓព࡜ࡍࡿ㡿ᇦ࡛࠶ࡿࠋ≉࡟እയᛶ⬻ᦆയ࡟ࡼࡿሙྜࡣ♫఍ⓗ⾜ື63− 63 −㞀ᐖࡀぢࡽࢀࡿࡇ࡜ࡀከ࠸ࡓࡵࠊ⢭⚄⛉་ࡀ࠿࠿ࢃࡿࡇ࡜ࡣ㠀ᖖ࡟㔜せ࡛࠶ࡿ࡜⪃࠼ࡿࠋㄆ▱⑕ࡢศ㔝࡛ࡣ⢭⚄⛉་ࡀ࠿࠿ࢃࡿࡇ࡜ࡀቑ࠼࡚ࡁ࡚࠾ࡾࠊ౛࠼ࡤࠊࣆࢵࢡ⑓࡟ࡼࡿㄆ▱⑕࡛ࡣ୓ᘬࡁ
࡞࡝ࡢ≢⨥⾜Ⅽࡀ㉳ࡁࡿࡇ࡜ࡀ࠶ࡿࡀࠊࡑࡢࡼ࠺࡞ၥ㢟⾜ື࡬ࡢᑐฎࡣ⢭⚄⛉་ࡀᚓព࡜ࡋ࡚࠸ࡿࠋᑐฎࡢ
ࣀ࢘ࣁ࢘࡜ࡋ࡚ࡣእയᛶ⬻ᦆയ࡟࠾࠸࡚ࡶඹ㏻࡛࠶ࡿⅬࡀከ࠸ࠋ౛࠼ࡤࠊࣆࢵࢡ⑓ࡢேࡢၥ㢟⾜ື࡟ᑐࡋ࡚
SSRI㸦㑅ᢥⓗࢭࣟࢺࢽࣥ෌ྲྀࡾ㎸ࡳ㜼ᐖ⸆㸧ࡀฎ᪉ࡉࢀࡿࡇ࡜ࡣ㠀ᖖ࡟ከ࠸ࡀࠊእയ࡟ࡼࡿ๓㢌ⴥᦆയࡢሙ
ྜ࡟ࡶ SSRI ࡀ᭷ຠ࡞ሙྜࡀከࡃࠊࡶࡗ࡜౑⏝ࡉࢀࡿ࡜Ⰻ࠸࡜⪃࠼ࡽࢀࡿࠋ㡿ᇦࢆࡲࡓࡀࡗ࡚ࣀ࢘ࣁ࢘ࢆᗈ
ࡵ࡚࠸ࡃࡼ࠺࡞ྲྀ⤌ࡀ࠶ࡿ࡜Ⰻ࠸ࠋ
⢭⚄⛉་ࡣ኱ࡁࡃ஧ࡘ࡟ศࡅࡽࢀࠊ⤫ྜኻㄪ⑕ࡸ㌄࠺ࡘ⑓ࠊ⸆≀౫Ꮡࢆ୰ᚰ࡟ぢ࡚࠸ࡿ༢⛉ࡢ⢭⚄⛉⑓㝔࡟໅ࡵࡿ་ᖌ࡜ࠊ⥲ྜ⑓㝔ࡢ⢭⚄⛉ࡸࡑࡢࡼ࠺࡞⑓㝔ࢆ⤒⏤ࡋ࡚㛤ᴗࡋࡓ⢭⚄⛉ࢡࣜࢽࢵࢡ➼ࡢ་ᖌࡀ࠸ࡿࠋ
๓⪅ࡢ⢭⚄⛉་࡟࡜ࡗ࡚ࡣࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡬ࡢᑐᛂࡣᬑẁࡢデ⒪⾜Ⅽ࡜኱ࡁࡃ␗࡞ࡾࠊࡲࡓࠊ⏬ീ᳨ᰝࡸᚰ⌮᳨ᰝࡢࡓࡵࡢタഛࡸேᮦࡀᩚࡗ࡚࠸࡞࠸ࡇ࡜࠿ࡽࡶ⌧ᐇⓗ࡟ࡣ㞴ࡋ࠸ሙྜࡀከ࠸ࡔࢁ࠺ࠋᚋ⪅ࡢࠊ⥲ྜ⑓㝔ࡢ⢭⚄⛉➼࡛㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࢆデ࡚࠸ࡃࡇ࡜ࡀ௒ࡼࡾࡶ୍⯡ⓗ࡟࡞ࡿ࡜Ⰻ࠸ࠋ⌧≧࡛ࡣ㧗ḟ⬻ᶵ⬟㞀ᐖ࡟㛵ᚰࢆᣢࡘ⢭⚄⛉་ࡣᑡ࡞࠸ࠋࡇࡢ≧ἣࡀኚࢃࡿ࡟ࡣࠊཌ⏕ປാ┬ࡸከࡃࡢ⢭⚄⛉་ࡀᡤᒓࡍࡿᏛ఍
ࡢ᪉㔪ࠊ౛࠼ࡤᑓ㛛་ㄆᐃࡢ᮲௳࡟እയᛶ⬻ᦆയ⪅ࢆᩘ౛デ⒪ࡍࡿࡇ࡜ࢆྵࡵࡿ࡞࡝ࠊࢺࢵࣉࢲ࢘ࣥⓗ࡞ኚ໬ࡀᚲせ࡛࠶ࢁ࠺ࠋ
୍᪉ࠊᝈ⪅ࡉࢇࡸࡈᐙ᪘࡟࡜ࡗ࡚⢭⚄⛉ཷデࡣ᢬ᢠឤࡀ኱ࡁ࠸㠃ࡀ࠶ࡿࠋࠕ⢭⚄㞀ᐖࠖ࡜࠸࠺ゝⴥ࡟ᑐࡍࡿ೫ぢࡀ࠶ࡾࠊ
ࠕ⢭⚄㞀ᐖ࡜デ᩿ࡉࢀࡿ࡜ᅔࡿࠖ࡜ᛮࡗ࡚࠸ࡿேࡣከ࠸ࡔࢁ࠺ࠋ⢭⚄⛉་ࡢฟᙇእ᮶ࡢࡼ࠺࡞ࡶ
ࡢࡀ࠶ࡿ࡜ᝈ⪅ࡉࢇࡣཷデࡋࡸࡍࡃ࡞ࡿࠋᐇ㝿࡟ࠊ⚄⤒ෆ⛉ࡸࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉ࠊ⬻እ⛉ࡢእ᮶࡛ࡶデ⒪ࢆ⾜ࡗ࡚࠾ࡾࠊ
ࠕᮏᙜࡣ⢭⚄⛉་࡛ࡍࡀࠊ⬻ᦆയࢆᑓ㛛࡟ぢ࡚࠸ࡲࡍࠖ࡜ヰࡋ࡚࠸ࡿࠋࡑࡢ᪉ࡀ௚⛉ࡢ་ᖌࡶ⤂௓ࡋࡸࡍࡃࠊᝈ⪅ࡉࢇ࡟࡜ࡗ࡚ࡶ᢬ᢠឤࡀᑡ࡞࠸ࡼ࠺࡛࠶ࡿࠋ⌮᝿ⓗ࡟ࡣ⢭⚄⛉࡬ࡢ೫ぢ࡞ࡃᬑ㏻࡟ཷ
デࡋ࡚ࡶࡽ࠼ࡿ᪉ࡀᮃࡲࡋ࠸ࡀࠊ⌧≧࡛ࡣᕤኵࡀᚲせ࡛࠶ࡿࠋ௨๓࡟ẚ࡭ࢀࡤᩜᒃࡣୗࡀࡗ࡚࠾ࡾࠊⱝ࠸ே
ࡔ࡜ࡉ࡯࡝Ẽ࡟ࡋ࡞࠸ேࡶ࠸ࡿࠋ
⌧≧࡛ࡣࠊ⢭⚄⛉࡟㎺ࡾ╔ࡃࡲ࡛࡟㛗࠸᫬㛫ࡀ࠿࠿ࡗ࡚࠸ࡿேࡀ࠸ࡿࡀࠊࡑࡢࡼ࠺࡞ࡇ࡜ࢆ࡞ࡃࡍࡓࡵ࡟
ࡣࠊ⬻ᦆയ⪅ࡢ඲౛࡟ࡘ࠸୍࡚ᗘࡣ⢭⚄⛉ࢆཷデࡋ࡚ࡶࡽ࠺ࢩࢫࢸ࣒࡟࡛ࡁࡿ࡜Ⰻ࠸ࡔࢁ࠺ࠋ౛࠼ࡤከⓎእയࡢே࡛⪃࠼ࡿ࡜ࠊࡲࡎᩆᛴࡸ⬻እ⛉࡟࠿࠿ࡾࠊࡑࡢᚋࠊᩚᙧእ⛉࡛㦵ᢡࢆ἞⒪ࡋ࡚ࠊ᭱ᚋ࡟ࣜࣁࣅࣜࢸ࣮
ࢩࣙࣥ⛉ࢆ㏻ࡗ࡚⮬Ꮿ࡟ᖐࡿὶࢀࡔࡀࠊࡑࡢ୰࡟⢭⚄⛉ࡶຍࢃࢀࡿ࡜Ⰻ࠸ࠋධ㝔୰࡟ᝈ⪅ࡉࢇࡸࡈᐙ᪘࡟ᑐ
ࡋ࡚ࠊࠕ௒ᚋࡇ࠺࠸࠺ࡇ࡜㸦♫఍ⓗ⾜ື㞀ᐖ㸧ࡶ㉳ࡇࡾ࠺ࡿࡢ࡛ࠊࡑࡢሙྜࡣ⢭⚄⛉࡛ࡶデ࡚ࡶࡽࡗࡓ᪉ࡀ࠸
࠸࡛ࡍࡼࠖ࡜࠸࠺᝟ሗࢆධࢀ࡚࠾ࡅࡿ࡜Ⰻ࠸ࠋ
㸦࢚㸧♫఍ⓗ⾜ື㞀ᐖࡢ἞⒪࣭ᨭ᥼ࡢ⪃࠼᪉⑓Ẽ࡟ᑐฎࡍࡿ࡟࠶ࡓࡗ࡚ࡣࠊ
ࠕ἞⒪ࠖ࡜ࠕ⒪㣴ࠖࡢ஧ࡘࡢഃ㠃ࡀ࠶ࡿࠋ἞⒪ࡣ⸆ࢆ౑ࡗࡓ✚ᴟⓗ࡞ࡶࡢ࡛ࠊ⒪㣴ࡣᬽࡽࡋ᪉ࡢࢥࢶࠊ౛࠼ࡤ⫶⭠ࡀᝏ࠸࡜ࡁ࡟ᾘ໬ࡢⰋ࠸㣗஦ࢆࡍࡿ࡜࠸࠺ࡼ࠺࡞ࡇ࡜࡛࠶ࡿࠋ௚ࡢ⑌ᝈ
࡜ྠࡌࡼ࠺࡟἞⒪ࡢ᪉ࡀඛ࡛࠶ࡿࠋ↓἞⒪ࡢẁ㝵࡛ࡢ᫆ᛣᛶࡀ 10 ࡜ࡍࢀࡤࠊ᭹⸆࡛㸲ࡃࡽ࠸ࡲ࡛ࡣῶࡽࡏ
ࡿሙྜࡶ࠶ࡿࡢ࡛ࠊṧࡾࢆ࿘ࡾࡢே࡟༠ຊࡋ࡚࠸ࡓࡔࡃࠋ⒪㣴ࡣ⑓Ẽࡢᛶ㉁ࢆ⌮ゎࡋࡓୖ࡛࡞࠸࡜ୖᡭࡃ࠸
࠿࡞࠸ࡓࡵࠊᦆയ㒊఩࡟ࡼࡿ≉ᚩࢆᝈ⪅ࡉࢇ⮬㌟ࡸࡈᐙ᪘࡟⌮ゎࡋ࡚࠸ࡓࡔࡁࠊ୙㐺ᛂⓗ࡞⾜ືࢆㄏⓎࡏࡎ࡟῭ࡴ᪉ἲࢆ୍⥴࡟⪃࠼࡚࠸ࡃࠋ
ࡈᐙ᪘ࡔࡅ࡛࡞ࡃࠊᮏே࡬ࡢ⑌⑓ᩍ⫱ࡣ࡜࡚ࡶ㔜せ࡛࠶ࡿࠋ⎔ቃㄪᩚࢆࡋࡓ⤖ᯝࠊୖᡭࡃ࠸ࡃ࠿࡝࠺࠿᭱
ᚋࡣᮏேḟ➨ࡢ࡜ࡇࢁࡀ࠶ࡾࠊᮏே࡟ࡶ㔜ࠎㄝ᫂ࡍࡿᚲせࡀ࠶ࡿࠋࡑࡢⅬࡣㄆ▱⑕ࡢ᪉࡜ࡢ㐪࠸࡛ࠊㄆ▱⑕ࡢሙྜࡣ࿘ᅖࡀఱ࡜࠿ࡋ࡞࠸࡜࠸ࡅ࡞࠸ࡀࠊ㧗ḟ⬻ᶵ⬟㞀ᐖࡢሙྜࡣᙜ஦⪅ࡀᑐฎἲࢆᏛࢇ࡛࠸ࡃࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋグ᠈㞀ᐖࡢேࡀ࣓ࣔࢆྲྀࡿࡢ࡜ྠࡌ࡛♫఍ⓗ⾜ື㞀ᐖࡢேࡶᙜ஦⪅ࡀᕤኵࢆࡋ࡚࠸ࡃᚲせࡀ࠶ࡿࠋ64− 64 −♫఍ⓗ⾜ືࡢᛶ㉁ୖࠊ୍ே࡛ࡣ࡛ࡁ࡞࠸ࡓࡵ࿘ᅖࢆᕳࡁ㎸ࡴ࡜ࡇࢁࡣ࠶ࡿࠋ
㸦࢜㸧ᵝࠎ࡞᫆ᛣᛶ࡜ࡑࡢᑐᛂ
ᛣࡾࡀ㉳ࡁࡿཎᅉ࡜ࡋ࡚ࡣࠊᐇ㝿ࡢ஦౛ࢆ⪃࠼ࡿ࡜」ྜⓗ࡞ሙྜࡀከ࠸ࠋ๓㢌ⴥ║❐㠃ᦆയ࡛⾪ືᛶࡢࢥࣥࢺ࣮ࣟࣝࡀ࡛ࡁ࡞࠸ே࡟ᑐࡋ࡚ࠊᮏேࡀ⑂ࢀ࡚࠸ࡿ᫬࡟ࡈᐙ᪘ࡀྏ㈐ࡋࠊ⤖ᯝ࡜ࡋ࡚ᮏேࡀ࢟ࣞࡿ࡜࠸࠺
ࡼ࠺࡞ࣃࢱ࣮ࣥࡀ୍␒ከ࠸࡜ᛮࢃࢀࡿࠋࡈᐙ᪘࡟ࡣࠊ
ࠕヰࡋྜ࠸ࢆࡍࡿࡢࡣ᪥᭙᪥ࡢ༗๓୰࡞࡝ᮏேࡀ⑂ࢀ࡚
࠸࡞࠸࡜ࡁ࡟ࡋ࡚ࡃࡔࡉ࠸ࡡࠖ࡜ຓゝࢆࡋ࡚࠸ࡿࠋᛣࡾࢆㄏⓎࡋ࡞࠸࿘ࡾࡢ⾜ືࣃࢱ࣮ࣥࢆసࡗ࡚࠸ࡃࡇ࡜ࡀᚲせ࡛࠶ࡿࠋ୍ぢ኱ኚ࡞ࡼ࠺࡛ࡣ࠶ࡿࡀࠊᐇ㝿࡟ᛣࡽࡏ࡚ࡋࡲ࠺ࡇ࡜࡟ẚ࡭ࡿ࡜኱ኚࡉࡣᑡ࡞࠸ࡣࡎ࡛࠶
ࡿࠋࡈᐙ᪘⮬㌟ࡀࢫࢺࣞࢫࡸၥ㢟ࢆᢪ࠼࡚࠸ࡿሙྜࡶ࠶ࡿࡢ࡛ࠊࡈᐙ᪘ࡢࢣ࢔ࡶ㔜せ࡛࠶ࡿࠋࡲࡓࠊ࿘ᅖ࠿ࡽぢࡿ࡜ᛣࡗ࡚࠸ࡿே࡛ࡶࠊᮏேࡢෆほ࡜ࡋ࡚ࡣᛣࡾឤ᝟ࢆకࢃ࡞࠸ࠊ࠶ࡿ࠸ࡣᛣࡾࡢ⛬ᗘࡀぢࡓ┠ࡼࡾࡶᑠࡉ࠸ሙྜࡶ࠶ࡿ㸦ࠕ⑓ⓗἽࡁ➗࠸ࠖ࡜ྠᵝ㸧ࠋᮏே࡟ࠕఱࢆࡑࢇ࡞࡟ᛣࡗ࡚࠸ࡿࢇ࡛ࡍ࠿㸽ࠖ࡜ᑜࡡ࡚ࡳ࡚ࠊ
ࠕࡑࢇ࡞࡟ᛣࡗ࡚࠸ࡿࡘࡶࡾࡣ࡞࠸ࢇ࡛ࡍࡅ࡝ࠖ࡜࠸࠺ࡼ࠺࡞཯ᛂ࡛࠶ࢀࡤࠊࡇࡢ⑕≧࡛࠶ࡿྍ⬟ᛶࡀ㧗࠸ࠋSSRI ࡢ᭹⏝࡛ᨵၿࡀᮇᚅ࡛ࡁࡿࠋ
ࣁ࢖ࣃ࣮ࣔࣛࣜࢸ࢕㸦㐣๫࡞ṇ⩏ឤ㸧࡬ࡢ᰿ᮏⓗ࡞἞⒪ࡣ㞴ࡋ࠸ࡀࠊᮏே࡜࿘ᅖ࡟⬻ᦆയࡢᙳ㡪࡛࠶ࡿࡇ࡜ࢆㄝ᫂ࡋ࡚࠾ࡅࡤࠊ࿘ᅖ࠿ࡽࠕᛣࡾࡗࡱ࠸ேࠖ࡜ᛮࢃࢀࡿ⛬ᗘ࡛኱ࡁ࡞ࢺࣛࣈࣝ࡟Ⓨᒎࡏࡎ࡟῭ࢇ࡛࠸ࡿሙྜࡀከ࠸࡜ᛮࢃࢀࡿࠋ
㸦࢝㸧ᛶⓗ⬺ᢚไᛶⓗ⬺ᢚไ࡟ࡼࡿၥ㢟⾜ື࡟㛵ࡋ࡚ࡣࠊ⫋ሙ࡛ྠᛶࡔࡅࡢ㒊⨫࡟ࡍࡿ࡞࡝ࡢ⎔ቃㄪᩚ௨እࡢᑐฎࡣ⪃࠼࡟ࡃ࠸ࠋ⸆≀⒪ἲ࡛ࢻ࣮ࣃ࣑ࣥࢆᢚ࠼ࡿ᪉ἲࡶ࠶ࡿࡀࠊᵝࠎ࡞๪స⏝ࡀ࠶ࡿࡓࡵᐇ㝿࡟ࡣ᏶඲࡟ᢚ࠼ࡿࡇ࡜ࡣ
㞴ࡋ࠸ࠋ⎔ቃㄪᩚ࡛ࡣᑐฎࡋ࡟ࡃ࠸ሙ㠃ࠊ౛࠼ࡤࠊ㏻໅୰࡟⑵₎⾜Ⅽࡀ࠶ࡗࡓ࡜࠸࠺ࡼ࠺࡞ሙྜࡣࠊ㆙ᐹ࡟
ᑐᛂࡋ࡚ࡶࡽ࠺࡯࠺ࡀࡼ࠸ࠋᮏே࡟ᑐࡋ࡚㞀ᐖ࡟ࡘ࠸࡚ࡢㄝ᫂ࡸ㓄៖ࢆ⾜ࡗࡓୖ࡛ࡶ≢⨥⾜Ⅽࡀ㉳ࡁ࡚ࡋࡲࡗࡓሙྜࡣࠊࡁࡕࢇ࡜ฎ⨩ࢆཷࡅ࡚㈔࠺࡭ࡁ࡛࠶ࡿࠋᮏேࡀࠕࡋࡲࡗࡓࠖ
ࠕࡶ࠺ᤕࡲࡾࡓࡃ࡞࠸ࠖ࡜ᛮ࠺ࡇ࡜
ࡀྠࡌኻᩋࢆ㉳ࡁ࡟ࡃࡃࡍࡿࡇ࡜࡟ࡘ࡞ࡀࡿࠋ௚ࡢ⾪ືᛶ࡟ࡶࡘ࡞ࡀࡿࡇ࡜࡛࠶ࡿࡀࠊ⾜ືࢆಁ㐍ࡍࡿࠕሗ㓘ࠖࠊ⾜ືࢆᢚไࡍࡿࠕ⨩๎ࠖࢆࠊ೺ᖖ⪅ࡼࡾࡶࡣࡗࡁࡾࡉࡏ࡚࠶ࡆ࡞࠸࡜ࠊ࡞࠿࡞࠿⾜ືࡢᨵၿ࡟ࡘ࡞ࡀࡽ
࡞࠸ࡇ࡜ࡀከ࠸ࠋ
㸦࢟㸧Ⓨືᛶࡢపୗ
Ⓨືᛶࡢపୗࡣࠊ࿘ᅖࡢᅔࡾᗘࡀప࠸ࡓࡵᐙ᪘➼ࡢッ࠼ࡣᑡ࡞࠸ࡀࠊ♫఍ⓗ⾜ື㞀ᐖࡢ⑕≧ࡢ୍ࡘ࡜ࡋ࡚
ᤊ࠼ࡿࡇ࡜ࡣ㔜せ࡛࠶ࡿࠋ⸆≀⒪ἲ࡛࠶ࡿ⛬ᗘࡣᨵၿࡍࡿࡇ࡜ࡀ࡛ࡁࠊ⸆≀⒪ἲ࡛≧ែࢆᗏୖࡆࡋࡓୖ࡛ᵝࠎ࡞ᨭ᥼ࢆጞࡵࡿ᪉ࡀࢫ࣒࣮ࢬ࡛࠶ࡿ࡜ᛮࢃࢀࡿࠋ
㸦ࢡ㸧እയᛶ⬻ᦆയ௨እࡢཎᅉ࡟ࡼࡿ♫఍ⓗ⾜ື㞀ᐖእയᛶ⬻ᦆയࡔࡅ࡛࡞ࡃࠊ⬻༞୰ᚋ㑇⑕࡟ࡼࡗ࡚♫఍ⓗ⾜ື㞀ᐖࡀ㉳ࡁࡿሙྜࡶከ࠸ࠋྑ༙⌫ᦆയࡢே࡛
࠾㔠ࢆ౑࠸ࡍࡂࡓࡾࠊᛶⓗࢆྵࡵࡓ⬺ᢚไഴྥࡢ࠶ࡿேࡣࡼࡃぢࡽࢀࡿࠋཎ⑌ᝈࡣఱ࡛࠶ࢀྠࡌࡼ࠺࡞⬻㒊఩࡟ᦆയࡀ࠶ࢀࡤྠࡌࡼ࠺࡞⑕≧ࡀฟࡿࠋ㍍࠸᫆ᛣᛶࡣࢫࢺࣞࢫ࡞࡝ᵝࠎ࡞ཎᅉ࡛㉳ࡁࡿࡀࠊ⮬ศ࡛ࢥࣥࢺ
࣮࡛ࣟࣝࡁ࡞࠸ࡼ࠺࡞㢧ⴭ࡞᫆ᛣᛶࡸ♫఍ⓗ⾜ື㞀ᐖࡣᦆയ㒊఩ࡀ࠶ࡿ⛬ᗘỴࡲࡗ࡚࠾ࡾࠊ἞⒪᪉ἲࡶ࠶ࡿ
⛬ᗘỴࡲࡗ࡚࠸ࡿ࡜࠸࠼ࡿࠋ

65− 65 −

࢘㸬㛵㐃㈨ᩱձ ୖ⏣ ᩗኴ㸦2014㸧㸬㔜⑕⬻እയᚋࡢⓎືᛶపୗ ⢭⚄⛉἞⒪Ꮫ㸪29㸪301-308㸬ղ ୖ⏣ ᩗኴ㸦2015㸧㸬㢌㒊እയᚋࡢ♫఍ⓗ⾜ື㞀ᐖ 㧗ḟ⬻ᶵ⬟◊✲㸪35㸪283-289㸬ճ ୖ⏣ ᩗኴ㸦2017㸧㸬⬻ᦆയ࡜ᨷᧁᛶ ⮫ᗋ⢭⚄་Ꮫ㸪46㸪1089-1094㸬մ ୖ⏣ ᩗኴ㸦2017㸧㸬⬻ᦆയ⪅࡟࠾ࡅࡿ♫఍ⓗ⾜ື㞀ᐖ̿᝟ື㛵㐃⑕≧㸦≉࡟ᛣࡾ㸧ࢆ୰ᚰ࡟̿㸦ᖹᡂ 29
ᖺᗘ➨ 1 ᅇ㧗ḟ⬻ᶵ⬟㞀ᐖᨭ᥼ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮඲ᅜ఍㆟㈨ᩱ㸧㸦2017 ᖺ 10 ᭶ 3 ᪥࢔ࢡࢭࢫ㸧<http://www.rehab.go.jp/brain_fukyu/shien/?action=common_download_main&upload_id=327697>

յ ୖ⏣ ᩗኴ࣭ᮧ஭ ಇဢ㸦2006㸧㸬ឤ᝟ࡢࢥࣥࢺ࣮ࣟࣝࡀ࡛ࡁ࡞࠸ேࡢホ౯࡜⏕ά సᴗ⒪ἲࢪ࣮ࣕࢼࣝ㸪

40㸪641-643㸬ն ୖ⏣ ᩗኴ࣭ᮧ஭ ಇဢ㸦2007㸧㸬⬻ᦆയ࡟࠾ࡅࡿ♫఍ⓗㄆ▱ࡢ㞀ᐖ ⮫ᗋ⢭⚄་Ꮫ㸪36㸪959-964㸬շ ୖ⏣ ᩗኴ࣭ᮧ஭ ಇဢ㸦2012㸧㸬 㢌㒊እയᚋ࡟⏕ࡌࡿ⢭⚄⑕≧࡜⾜ືኚ໬ ⢭⚄⛉἞⒪Ꮫ㸪27㸪299-305㸬

66− 66 −

㸦㸵㸧ྡྂᒇᕷ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ ✄ⴥ ೺ኴ㑻Ặ࢔㸬ᴫせྡྂᒇᕷ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ࡣࠊᮏ㑥࡟࠾࠸࡚᪩ࡃ࠿ࡽ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼࡟ྲྀࡾ⤌ࢇ࡛ࡁࡓ᪋タࡢ୍ࡘ࡛࠶ࡿࠋࢭࣥࢱ࣮ෆ࡟ࡣࠊ㝃ᒓ⑓㝔ࡢ௚ࠊ⥲ྜ┦ㄯ㒊㛛ࠊ⮬❧ᨭ᥼㒊㛛㸦⮬❧カ⦎ࠊᑵປ⛣⾜ᨭ᥼㸧➼ࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢྛẁ㝵࡟࠿࠿ࢃࡿࢧ࣮ࣅࢫࢆᥦ౪ࡍࡿ㒊⨫ࡀタ⨨ࡉࢀ࡚࠸ࡿࠋᨭ᥼ᬑ
ཬ஦ᴗ࡟࠾ࡅࡿឡ▱┴ࡢᣐⅬᶵ㛵࡛ࡶ࠶ࡿ㸦ᖹᡂ 29 ᖺᗘ⌧ᅾ㸧ࠋ ⮬❧ᨭ᥼㒊ᑵປᨭ᥼ㄢ㛗࡛࠶ࡾࠊゼၥᆺࢪࣙࣈࢥ࣮ࢳ࡜ࡋ࡚ࡢάືࡶࡉࢀ࡚࠸ࡿ✄ⴥ೺ኴ㑻Ặ㸦♫఍⚟♴ኈࠊ⢭⚄ಖ೺⚟♴ኈ㸧࡟ࠊࢭࣥࢱ࣮ෆእࡢ㒊⨫ࠊᶵ㛵࡜㐃ᦠࡋࡓᑵປᨭ᥼ࡢྲྀ⤌࡟ࡘ࠸࡚⫈ྲྀࡋࡓࠋ࢖㸬ࣄ࢔ࣜࣥࢢ⤖ᯝ㸦࢔㸧ᑵປᨭ᥼ㄢࡢᴫせᑵປ⛣⾜ᨭ᥼஦ᴗࢆ⾜ࡗ࡚࠸ࡿࠋᐃဨࡣ 46 ྡ࡛ࠊ฼⏝⪅୍ே࠶ࡓࡾࡢᖹᆒ฼⏝ᮇ㛫ࡣ㸶࠿᭶๓ᚋ࡛࠶ࡾࠊ
ᖺ㛫ࡢධ㏥ᡤ⪅ࡣ 60㹼70 ྡࡃࡽ࠸࡟࡞ࡿࠋ฼⏝᮲௳ࡣឡ▱┴ෆᅾఫࡲࡓࡣᅾ໅ࡢே࡜ࡋ࡚࠾ࡾࠊᐇែ࡜ࡋ
࡚ࡣ⣙༙ᩘࡀྡྂᒇᕷෆࡢᅾఫࡲࡓࡣᅾ໅⪅࡛࠶ࡿࠋ฼⏝⪅ࡣ࡯ࡰ඲ဨࡀ㸦ᗈ⩏ࡢ㸧㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡛ࠊཎᅉ⑌ᝈࡣ⬻⾑⟶㞀ᐖࡀ࠾࠾ࡴࡡ㸳㹼㸴๭ࠊ⬻እയࡀ࠾࠾ࡴࡡ㸰㹼㸱๭࡛࠶ࡿࠋඖࡢ໅ົඛ࡬ࡢ᚟⫋ࢆ┠ᣦࡍே࡜᪂つࡢᑵ⫋ࢆ┠ᣦࡍேࡢ๭ྜࡣ࠾࠾ࡴࡡ㸱㸸㸰࡛࠶ࡿࠋ฼⏝⪅ࡢ࠺ࡕࠊ⣙༙ᩘࡣྡྂᒇᕷ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮㝃ᒓ⑓㝔㸦௨ୗࠊࠕ㝃ᒓ⑓㝔ࠖ࡜࠸࠺㸧࡟ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ┠ⓗࡢධ㝔ࢆࡋ࡚࠸ࡓே
࡛ࠊṧࡾࡢ⣙༙ᩘࡣᆅᇦࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⑓㝔➼࠿ࡽ⤂௓ࡉࢀ࡚ࡁࡓே࡛࠶ࡿࠋ௚㝔࠿ࡽࡢ⤂௓ࡢሙྜࡣࠊᑵປᨭ᥼ㄢࢆ฼⏝ࡍࡿ๓࡟㝃ᒓ⑓㝔࡛་⒪ⓗホ౯ࢆཷࡅ࡚࠸ࡓࡔࡃࡇ࡜࡜ࡋ࡚࠸ࡿࠋᑵປᨭ᥼ㄢࡢ⫋ဨ
ࡣ 13 ྡࠊࡑࡢ࠺ࡕࢪࣙࣈࢥ࣮ࢳ◊ಟࢆಟ஢ࡋ࡚࠸ࡿࡢࡣ㸴ேࠊゼၥᆺࢪࣙࣈࢥ࣮ࢳ࡜ࡋ࡚⌧ᅾⓏ㘓ࡋ࡚࠸ࡿࡢࡣ㸲ྡ࡛࠶ࡿࠋ
㸦࢖㸧ᑵປᨭ᥼ㄢ࡛ࡢྲྀ⤌ධᡤ㛤ጞᙜึࡣࠊGATB㸦ཌ⏕ປാ┬⦅୍⯡⫋ᴗ㐺ᛶ᳨ᰝ㸧ࡸ࣮࣡ࢡࢧࣥࣉࣝ࡞࡝ࢆ⏝࠸࡚సᴗホ౯ࢆ⾜࠸ࠊࡑࡢᚋࡣಶูࡢ฼⏝⪅ࡢ≉ᛶࡸᚲせᛶ࡟ᛂࡌࡓసᴗㄢ㢟ࢆタᐃࡋ࡚࠸ࡿࠋసᴗάືࡢ୺┠ⓗࡣ௙஦ࡢࢩ
࣑࣮ࣗࣞࢩࣙࣥࢆ⾜࠺ࡇ࡜࡛࠶ࡿࠋసᴗㄢ㢟ࡣࠊࢹ࣮ࢱධຊࠊࣆࢵ࢟ࣥࢢࠊၟရᩚ⌮ࠊ㒑౽≀ࡢ௙ศ࡞࡝ከ
✀㢮ࢆ⏝ពࡋ࡚࠸ࡿࠋಶูࡢ฼⏝⪅ࡢࡓࡵ࡟సᡂࡋࡓసᴗㄢ㢟ࡀ⵳✚ࡉࢀ࡚࠸ࡿࡢ࡛ࠊ㏿ᗘࡸṇ⟅⋡ࡢᶆ‽್ࢆฟࡋࡓୖ࡛௚ࡢ฼⏝⪅ࡢカ⦎࡛ࡶά⏝ࡋ࡚࠸ࡿࠋ
ಶูసᴗࡀ୰ᚰ࡛࠶ࡿࡀࠊ」ᩘே࡛ࡢ༠ྠసᴗࡸసᴗ࡟㛵ࡍࡿศᢸㄪᩚࠊᘬࡁ⥅ࡂ࡞࡝฼⏝⪅ྠኈࡢࡸࡾ
࡜ࡾࡀ⏕ࡌࡿሙ㠃ࢆタᐃࡍࡿሙྜࡶ࠶ࡿࠋࡇࢀࡽࡣ฼⏝⪅඲ဨ࡟୍ᚊ࡟⾜࠺ࢃࡅ࡛ࡣ࡞ࡃࠊಶูࡢ฼⏝⪅ࡢᚲせᛶࡸᨭ᥼┠ᶆ࡟ᛂࡌ࡚⾜ࡗ࡚࠸ࡿࠋ౛࠼ࡤࠊ฼⏝⪅ࡀ⮬ศ࡛ࡣࡑ࠺࠸ࡗࡓࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡀࠕၥ㢟࡞ࡃ࡛ࡁࡿࠖ࡜ᛮࡗ࡚࠸ࡿࡀࠊᨭ᥼⪅࠿ࡽぢࡿ࡜㞴ࡋࡉࡀ᝿ᐃࡉࢀࡿࡼ࠺࡞ሙྜ࡟ࢩ࣑࣮ࣗࣞࢩࣙࣥࡢࡓࡵ
࡟⾜࠺ࡇ࡜ࡀ࠶ࡿࠋࡲࡓࠊࣆ࢔࠿ࡽࡢពぢࡣཷࡅᐜࢀࡸࡍ࠸ࡇ࡜ࢆά࠿ࡋࠊసᴗሙ㠃ࡢ୰࡛฼⏝⪅ࡀ௚ࡢ฼⏝⪅࡟ࣆ࢔࡜ࡋ࡚ࡢពぢࡸຓゝࢆồࡵࡿሙ㠃ࢆసࡿࡇ࡜ࡶ࠶ࡿࠋࡑ࠺࠸ࡗࡓሙ㠃ࢆຠᯝⓗ࡟సࢀࡿ࠿࡝࠺࠿
ࡣసᴗᢸᙜ⫋ဨࡢຊ㔞࡟ࡼࡿ࡜ࡇࢁࡀ࠶ࡿࠋ
సᴗάື௨እࡢྲྀ⤌࡜ࡋ࡚ࡣࠊ㸰㹼㸱࠿᭶࡟㸯ᅇ⛬ᗘࠊ༞ᴗ⏕ࢆᣍ࠸࡚ᗙㄯ఍ࢆ⾜ࡗ࡚࠸ࡿࠋ༞ᴗ⏕ࡢヰࡣࠊࠕ᭱ึࡣࠊ
͆ఱ࡛ࡇࢇ࡞カ⦎ࢆࡋ࡞࠸࡜࠸ࡅ࡞࠸ࢇࡔ͇࡜ᛮࡗࡓࠖ࡜࠸࠺࡜ࡇࢁ࠿ࡽጞࡲࡿሙྜࡀከࡃࠊ
฼⏝⪅࡟࡜ࡗ࡚ඹឤࢆᚓࡸࡍ࠸ࡶࡢ࡜࡞ࡗ࡚࠸ࡿࠋᗙㄯ఍ࡣࠊ฼⏝⪅࡟࡜ࡗ࡚௚ࡢ฼⏝⪅ࡶྠࡌࡼ࠺࡞㞀ᐖࡸᝎࡳࢆᣢࡘࡇ࡜࡟Ẽ࡙ࡃᶵ఍࡟࡞ࡾࠊヰࢆࡍࡿ༞ᴗ⏕࡟࡜ࡗ࡚ࡶⰋ࠸᣺㏉ࡾࡢᶵ఍࡜࡞ࡿࠋ༞ᴗࡋ࡚᫬㛫ࡀ⤒ࡘࡇ࡜࡛ᑵປᨭ᥼ㄢ࡛ࡢάືࢆ㏻ࡋ࡚Ꮫࢇࡔࡇ࡜ࡢグ᠈ࡀⷧࢀࡿࡓࡵࠊ᣺ࡾ㏉ࡗ࡚㈔࠺ࡇ࡜ࢆ┠ⓗ࡟ᗙ67− 67 −

ㄯ఍ࡢㅮᖌ࡜ࡋ࡚ᣍࡃሙྜࡶ࠶ࡿࠋ
ᑵປᨭ᥼ㄢ࡛ࡢᨭ᥼┠ᶆࡢ୍ࡘࡣࠊ฼⏝⪅⮬ࡽࡢ㞀ᐖ࡬ࡢ⌮ゎࢆ῝ࡵࡿࡇ࡜࡛࠶ࡿࡀࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟࡜ࡗ࡚⮬ศࡢ㞀ᐖࢆࠕᐈほⓗ࡟ࠖ⌮ゎࡍࡿࡇ࡜ࡣࠊ᭱⤊ⓗ࡟ࡶ㞴ࡋ࠸ሙྜࡀከ࠸ࠋᐈほⓗ࡞⌮ゎ࡟⮳ࡽ࡞ࡃ࡚ࡶࠊ⮬ᕫホ౯࡜௚⪅ホ౯࡟㐪࠸ࡀ࠶ࡿࡇ࡜ࢆ▱ࡿࡇ࡜ࠊ௚⪅ࡢຓゝ࡟⪥ࢆഴࡅࡽࢀࡿࡼ࠺࡟࡞ࡿࡇ࡜ࡀ
♫఍⏕άࡢࡓࡵ࡟ࡣ㔜せ࡛࠶ࡿࠋ㸦࢘㸧་⒪࠿ࡽᑵປᨭ᥼࡬ࡢὶࢀࠊ᪋タෆ㐃ᦠ་⒪ࡢẁ㝵࡛ࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ࡟ࡘ࠸࡚་ᖌ࠿ࡽࡁࡕࢇ࡜ㄝ᫂ࡋ࡚㈔ࡗ࡚࠸ࡿࡇ࡜ࡣ㔜せ࡛࠶ࡿࠋ་ᖌ࠿
ࡽㄝ᫂ࢆཷࡅࡓ࡜࠸࠺ࡇ࡜ࡢ㔜ࡳࡣ኱ࡁ࠸ࠋ་ᖌ࠿ࡽㄝ᫂ࡀ࡞࠿ࡗࡓࠊ࠶ࡿ࠸ࡣ㸦ᐇ㝿௨ୖ࡟㸧
ࠕ㍍⑕࡛ࠖ࠶
ࡿ࡜ゝࢃࢀ࡚࠸ࡿ࡜ࠊ
ࡑࡢㄆ㆑ࢆᑵປᨭ᥼࡛そࡋ࡚࠸ࡃࡇ࡜ࡣ⡆༢࡛ࡣ࡞࠸ࠋ㝃ᒓ⑓㝔࡛ࡣ࡯࡜ࢇ࡝ࡢሙྜࠊ
་ᖌࡀ⬻ࡢ⏬ീࡸ᳨ᰝ⤖ᯝࢆᮏே࡟ᥦ♧ࡋࠊᚋ㑇⑕ࢆ࠶ࡾࡢࡲࡲ࡟ఏ࠼࡚࠸ࡿࠋᙜ஦⪅ࡢཷࡅṆࡵ᪉ࡣᵝࠎ࡛ࠊࠕ᳨ᰝࡣ᳨ᰝࠖ࡜ᤊ࠼࡚⏕άࡸ⫋ᴗ࡬ࡢᙳ㡪ࢆ࠶ࡲࡾ⌮ゎࡋ࡞࠸ሙྜࡶ࠶ࡿࡋࠊㄝ᫂ࢆཷࡅࡓෆᐜࢆグ᠈㞀ᐖࡢࡓࡵ࡟ᛀࢀ࡚ࡋࡲ࠺ேࡶ࠸ࡿࡀࠊࡑࢀ࡛ࡶㄝ᫂ࢆཷࡅࡓࡇ࡜ࡣࡑࡢᚋࡢᨭ᥼࡟࡜ࡗ࡚㔜せ࡛࠶ࡿ࡜⪃࠼࡚࠸ࡿࠋᑵປᨭ᥼ㄢࡢ฼⏝࡟ࡘ࡞ࡀࡿ୍␒ࡢࡁࡗ࠿ࡅࡣ་ᖌ࠿ࡽ່ࡵࡽࢀࡓࡇ࡜࡛࠶ࡿࠋ
Ⓨ⑕࠿ࡽᑵປᨭ᥼࡟ࡘ࡞ࡀࡿࡲ࡛ࡢᮇ㛫ࡀ㛗࠸ேࡢ᪉ࡀࠊ་⒪࠿ࡽࢫ࣒࣮ࢬ࡟ࡘ࡞ࡀࡗ࡚ࡁࡓሙྜ࡟ẚ࡭ࠊᨭ᥼࡟ⱞ៖ࡍࡿ༳㇟ࡀ࠶ࡿࠋ㞀ᐖࡢㄆ㆑ࡀ࡞࠸ࡲࡲᑵ⫋ࡲࡓࡣ᚟⫋ࡋࠊᮏே࡟࡜ࡗ࡚㎞࠸య㦂ࢆ㏻ࡋ࡚ㄗᏛ
⩦ࡋ࡚ࡋࡲࡗ࡚࠸ࡿሙྜࡀ࠶ࡿࠋ
ࠕ⮬ศࡀᝏ࠸ࠖ࡜ᛮࡗ࡚ᢚ࠺ࡘⓗ࡟࡞ࡿሙྜ࡜ࠊࠕ࿘ࡾࡀᝏ࠸ࠖ࡜ᛮࡗ࡚ᨷ
ᧁⓗ࡟࡞ࡿሙྜࡀ࠶ࡿࠋࡑࡢࡼ࠺࡞≧ἣࡀఱᖺࡶ⥆ࡃ࡜⪃࠼᪉ࡀᅛᐃࡋ࡚ࡋࡲ࠺ࡼ࠺࡟ᛮࢃࢀࡿࠋ
ྡྂᒇᕷ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮࡛ࡣࠊ་⒪㒊㛛࡜⮬❧カ⦎ࠊᑵປᨭ᥼㒊㛛ࡀྠࡌ᪋タෆ࡛࠶ࡿࡇ࡜࡛ࠊ་ᖌࡸ௚⫋✀࡜ࡢ᝟ሗඹ᭷ࡸ┦ㄯࡀ㐍ࡵࡸࡍ࠸ࠋᑵປᨭ᥼ㄢࡢ฼⏝࡜୪⾜ࡋ࡚ࠊእ᮶࡛᭶㸯ᅇ⛬ᗘࠊᚰ⌮⒪ἲࡸゝㄒ⒪ἲ࡟㏻ࡗ࡚࠸ࡿࢣ࣮ࢫࡶ࠶ࡿࡀࠊࡑࡢࡼ࠺࡞ሙྜࡣᙜヱ㒊㛛࡜᝟ሗඹ᭷ࡋ࡞ࡀࡽᨭ᥼ࢆ㐍ࡵ࡚࠸ࡿࠋᑵປᨭ᥼ㄢࡢ฼⏝⪅࡛≉࡟ㄢ㢟ࡀ࠶ࡿሙྜࡣࠊᑵປᨭ᥼ㄢࡢ⫋ဨࡀデᐹ᫬࡟ྠᖍࡋࠊ་ᖌ࡟ᑵປ
ᨭ᥼ㄢ࡛ࡢ≧ἣࢆఏ࠼ࡿࡇ࡜࡟ࡋ࡚࠸ࡿࠋᖺ㔠ࡸ㞀ᐖ⪅ᡭᖒࠊ⮬㈺㈐ಖ㝤ࠊປ⅏࡞࡝࡟࠿࠿ࢃࡿデ᩿᭩ࡸពぢ᭩࡟⌧≧ࡀࡼࡾṇ☜࡟཯ᫎࡉࢀࡿࡇ࡜࡟ࡶࡘ࡞ࡀࡿࠋ
㸦࢚㸧♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿேࡢ≧ἣ࡜ᨭ᥼
ᑵປᨭ᥼ㄢࡢ฼⏝⪅ࡢ࠺ࡕࠊ㆙ᐹἋử࡟࡞ࡿࡼ࠺࡞㢧ⴭ࡞♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿேࡣ࠾࠾ࡴࡡᖺ࡟㸯ேࡃࡽ࠸ࠊᐙᗞ࡛ࡢᭀຊࡸᭀゝࡀ࠶ࡿேࡀᖺ࡟ 10 ேࡃࡽ࠸ࠊᑵປᨭ᥼ㄢࡢ⫋ဨ࡟ᑐࡋ࡚ከᑡឤ᝟ⓗ࡟࡞ࡿ⛬ᗘࡢࡇ࡜ࡶྵࡵࢀࡤ฼⏝⪅ࡢ኱య༙ศࡃࡽ࠸ࡢ༳㇟࡛࠶ࡿࠋ฼⏝ࡢึᮇẁ㝵࡛ࡣ⑓㆑ࡀప࠸ேࡀ࡯࡜ࢇ࡝࡛ࠊ
⫋ဨࡢຓゝ࡞࡝࡟ᑐࡋ࡚ࠕ࡞ࡐࡑࢇ࡞ࡇ࡜ࢆゝࢃࢀ࡞࠸࡜࠸ࡅ࡞࠸ࡢ࠿ࠖ࡜࣒ࢵ࡜ࡋࡓ཯ᛂࢆࡍࡿேࡣከ࠸ࠋ
฼⏝ࡢᮇ㛫ࢆ㏻ࡋ࡚㞀ᐖ࡬ࡢ⌮ゎࡀ㐍ࡳࠊኚ໬ࡋ࡚࠸ࡃሙྜࡀ࡯࡜ࢇ࡝࡛࠶ࡿࠋ
ᑵ⫋ࡸ⫋ሙ᚟ᖐᚋ࡟㉳ࡇࡗ࡚ࡃࡿၥ㢟ࡢከࡃࡣࠊᑵປᨭ᥼ㄢࡢάືࡢ୰࡛ࡶྠࡌࡼ࠺࡞ၥ㢟ࡀぢࡽࢀ࡚࠸ࡿࠋᑐฎἲࢆᏛࢇ࡛ࡶグ᠈㞀ᐖࡢࡓࡵ࡟ᛀࢀ࡚ࡋࡲ࠺ࡇ࡜ࡸࠊ␗࡞ࡿሙ㠃࡬ࡢ⯡໬ࡀࡉࢀ࡟ࡃ࠸ࡇ࡜ࡣ㧗ḟ⬻ᶵ⬟㞀ᐖࡢ≉ᚩ࡛࠶ࡿࠋఱࡀ኱஦࡛࠶ࡿ࠿ࡢ᣺㏉ࡾࢆ⧞ࡾ㏉ࡋࠊ᫬㛫ࢆ࠿ࡅ࡚ᑐฎἲࢆๅࡾ㎸ࢇ࡛࠸ࡃᚲ
せࡀ࠶ࡿࠋ୙㐺ᛂⓗ࡞⾜ືࡀฟࡿ᰿ᗏ࡟⏕ά࡬ࡢᚰ㓄ࡀ࠶ࡿሙྜࡀከ࠸ࡢ࡛ࠊᏳᚰࡋ࡚㐣ࡈࡏࡿࡼ࠺⏕άࡢᇶ┙ࢆᩚ࠼ࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋឤ᝟ࡢࢥࣥࢺ࣮ࣟࣝ࡟↔Ⅼࢆ࠶࡚࡚ᑐฎἲࢆᏛࡪࡼ࠺࡞ࡸࡾ᪉ࡔࡅ࡛ࡣ㝈⏺ࡀ࠶ࡾࠊ⎔ቃ㠃ࡢᩚഛ࡜ᮏே࡬ࡢ࢔ࣉ࣮ࣟࢳࡢ୧᪉ࡀᚲせ࡛࠶ࡿࠋ68− 68 −

㸦࢜㸧⢭⚄⛉་⒪࡜ࡢ㐃ᦠ㝃ᒓ⑓㝔࡟ࡣ⢭⚄⛉ࡀ࡞࠸ࡓࡵࠊ⢭⚄⛉་⒪ࡀᚲせ࡜ᛮࢃࢀࡿሙྜࡣࠊ฼⏝⪅ࡢ୺἞་࡟┦ㄯࡋࠊ฼⏝⪅ࡢ⮬Ꮿ㏆ࡃࡢ⢭⚄⛉་⒪ᶵ㛵࡟ࡘ࡞࠸࡛࠸ࡿࠋࡑࡢࡼ࠺࡞ሙྜࡣࠊᮏே࡟ࠕ㎞࠸ࠖࠕᅔࡗࡓࠖ࡜࠸࠺ㄆ㆑ࡀ࠶
ࡿࡇ࡜ࠊࡑࢀࢆゝⴥ࡟ࡋ࡚ࡶࡽ࠺ࡇ࡜ࡀᚲせ࡛࠶ࡿࠋ౛࠼ࡤࠊṇ⩏ឤ࠿ࡽࢺࣛࣈࣝࢆ㉳ࡇࡋ࡚ࡋࡲࡗࡓࢣ࣮
ࢫ࡛ࡣࠊࠕ┦ᡭࡀᝏ࠸ࠖ࡜࠸࠺୺ᙇ࠿ࡽጞࡲࡿࡀࠊࡑࡢࡼ࠺࡞ࢺࣛࣈࣝࡀ⥆ࡃ࡜⤖ᯝ࡜ࡋ࡚⮬ศࡀᦆࡍࡿࡇ࡜
ࢆ⌮ゎࡋ࡚㈔࠺ᚲせࡀ࠶ࡿࠋ⮬ศ࡛ࢥࣥࢺ࣮࡛ࣟࣝࡁࡿࡼ࠺࡟࡞ࡿ࠿ࠊᑓ㛛ᐙ㸦⢭⚄⛉㸧࡟┦ㄯࡍࡿ࠿⮬ศ࡛㑅ࡪࡼ࠺࡟ఏ࠼ࡿሙྜࡶ࠶ࡿࠋ
ᆅᇦෆ࡛㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢཷࡅධࢀࡀ࡛ࡁࡿ⢭⚄⛉ࢡࣜࢽࢵࢡࡸ⑓㝔ࢆ࠸ࡃࡘ࠿᝟ሗ࡜ࡋ࡚ᣢࡗ࡚࠸ࡿࠋ
ึデࡢ㝿࡟ࡣࠊᚲせ࡟ᛂࡌ࡚ᑵປᨭ᥼ㄢࡲࡓࡣ㧗ḟ⬻ᶵ⬟ᨭ᥼ㄢࡢ⫋ဨࡀྠ⾜ࡍࡿࠋ᪤࡟㛵ಀࡀ࡛ࡁ࡚࠸ࡿ
ࢡࣜࢽࢵࢡࡸ⑓㝔ࡔ࡜㟁ヰ࡛ࡸࡾ࡜ࡾࡍࡿሙྜࡶ࠶ࡿࠋ᝟ሗඹ᭷࡟㛵ࡍࡿ་ᖌࡢ⪃࠼᪉ࡣᵝࠎ࡞ࡢ࡛ࠊ᝟ሗ
஺᥮ࡢ௙᪉ࡶࡑࢀࡒࢀ࡟ᑐᛂࡍࡿᚲせࡀ࠶ࡿࠋ㸦࢝㸧௒ᚋࡢㄢ㢟㸦ᆅᇦෆ㐃ᦠࠊேᮦ⫱ᡂ㸧ከࡃࡢࢣ࣮ࢫ࡟ࡘ࠸࡚ࠊ㛗ᮇⓗ࡞ࣇ࢛࣮ࣟࡀᚲせ࡛࠶ࡿࠋ㞀ᐖ⪅ᑵᴗ࣭⏕άᨭ᥼ࢭࣥࢱ࣮ࢆࡣࡌࡵ࡜ࡍࡿ
௚ᶵ㛵࡜㐃ᦠࡋ࡞ࡀࡽᨭ᥼ࢆ⾜ࡗ࡚࠸ࡿࡀࠊ㐃ᦠඛࡢே஦␗ື࡞࡝ࡢࡓࡵ࡟ఱᗘࡶᘬࡁ⥅ࡂࢆࡋ┤ࡉ࡞ࡃ࡚ࡣ࡞ࡽ࡞࠸ሙྜࡀ࠶ࡾࠊຠ⋡ⓗ࡞㐃ᦠࡣㄢ㢟ࡢ୍ࡘ࡛࠶ࡿࠋ
ྠ✀ࡢ㞀ᐖࡢேࡀ࠶ࡿ⛬ᗘ㞟ࡲࡿ᪋タ࡛࡞࠸࡜ᨭ᥼ࣀ࢘ࣁ࢘ࡀ⵳✚ࡉࢀ࡞࠸୍᪉࡛ࠊேཱྀࡢᑡ࡞࠸ᆅᇦ࡛
ࡣ㞀ᐖ✀㢮ࢆၥࢃࡎཷࡅධࢀࡽࢀࡿ᪋タࡶᚲせ࡛࠶ࡿࠋᣐⅬ࡜࡞ࡿ᪋タࡀᆅᇦࡢ᪋タࢆࢧ࣏࣮ࢺ࡛ࡁࡿࡇ࡜
ࡀ⌮᝿ࡔࡀࠊࡑࡢࡓࡵࡢ࣐ࣥࣃ࣮࣡ࡀ⌧≧࡛ࡣ୙㊊ࡋ࡚࠸ࡿࠋ
࡝ࢇ࡞㞀ᐖ✀㢮ࡢ฼⏝⪅࡟ࡶᑐᛂ࡛ࡁࡿඃ⚽࡞ᨭ᥼⪅ࡶ࠸ࡿࡀࠊࡍ࡭࡚ࡢᨭ᥼⪅࡟ࡑࢀࢆồࡵࡿࡢࡣࣁ࣮
ࢻࣝࡀ㧗ࡃࠊᨭ᥼⪅ࡢᑓ㛛ศ໬ࡣ࠶ࡿ⛬ᗘࡣᚲせ࡛࠶ࡿ࡜⪃࠼ࡿࠋ౛࠼ࡤࠊ⮬ಙࢆࡘࡅࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿ⤫ྜኻㄪ⑕ࡢே࡬ࡢᨭ᥼࡜㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼࡛ࡣࠊඹ㏻ࡍࡿ࡜ࡇࢁࡶ࠶ࡿࡀ᪉ྥᛶࡀ␗࡞ࡿ㠃ࡶ࠶ࡿࠋ࢘㸬㛵㐃㈨ᩱձ 㜿㒊 㡰Ꮚ㸦┘ಟ㸧࣭ⵦ⃝ ⚽ὒ㸦┘ಟ㸧࣭ྡྂᒇᕷ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮㸦⦅ⴭ㸧㸦2011㸧㸬50ࢩ࣮ࣥ࢖ࣛࢫࢺ࡛ࢃ࠿ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖࠕゎయ᪂᭩ࠖ ࣓ࢹ࢕࢝ฟ∧ղ Ọ஭ ⫕㸦┘ಟ㸧࣭㜿㒊 㡰Ꮚ㸦⦅ⴭ㸧
㸦1999㸧㸬⬻እയ⪅ࡢ♫఍⏕άࢆᨭ᥼ࡍࡿࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ ୰ኸἲつճ Ọ஭ ⫕㸦┘ಟ㸧࣭ⵦ⃝ ⚽ὒ㸦⦅㸧࣭㜿㒊 㡰Ꮚ㸦⦅㸧
㸦2003㸧㸬⬻እയ⪅ࡢ♫఍⏕άࢆᨭ᥼ࡍࡿࣜࣁࣅࣜࢸ
࣮ࢩࣙࣥࠑᐇ㊶⦅ࠒ஦౛࡛Ꮫࡪᨭ᥼ࡢࣀ࢘ࣁ࢘ ୰ኸἲつմ ῝ᕝ ࿴฼㸦┘ಟ㸧࣭✄ⴥ ೺ኴ㑻㸦⦅ⴭ㸧࣭㛗㔝 ཭㔛㸦⦅ⴭ㸧㸦2018㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ ᨭ᥼ࡢ㐨ࡋࡿ࡭㹙ᑵປ࣭♫఍⏕ά⦅㹛 ࣓ࢹ࢕࢝ฟ∧69− 69 −

㸦㸶㸧 ᅜ❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮⑓㝔 ᾆୖ ⿱ᏊẶ࢔㸬ᴫせᅜ❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮ࡣࠊࣔࢹࣝ஦ᴗཬࡧᨭ᥼ᬑཬ஦ᴗ࡟࠾ࡅࡿ඲ᅜࡢᣐⅬ࡜࡞ࡿ᪋タ࡛࠶ࡿࠋࢭࣥࢱ࣮ෆ࡟ࡣࠊ⑓㝔ࡢ௚ࠊ⮬❧カ⦎㸦⏕άカ⦎㸧ࠊᑵປ⛣⾜ᨭ᥼➼ࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢྛẁ㝵࡟࠿࠿ࢃࡿࢧ࣮ࣅࢫࢆᥦ౪ࡍࡿ㒊㛛ࡀタ⨨ࡉࢀ࡚࠸ࡿ௚ࠊࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᑓ㛛⫋ࡢ㣴ᡂ࣭◊ಟࠊ㛵㐃ศ㔝ࡢ◊✲ࡀ⾜ࢃࢀ࡚࠸ࡿࠋ
⑓㝔ࡢ㧗ḟ⬻ᶵ⬟㞀ᐖእ᮶ࢆᢸᙜࡍࡿᾆୖ⿱ᏊẶ㸦་ᖌࠊࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㒊㒊㛗㸧࡟ࠊ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡬ࡢ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉ࠊࡲࡓࠊ⑓㝔ᚰ⌮㒊㛛࡟࠾࠸࡚ᐇ᪋ࡋ࡚࠸ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࢆᑐ㇟࡜ࡍࡿ㞟ᅋ࢔ࣉ࣮ࣟࢳ࡛࠶ࡿឤ᝟஺ὶἲ㸦feeling-focused group work: FFGW㸧࡟ࡘ࠸࡚⫈ྲྀࡋࡓࠋ࢖㸬ࣄ࢔ࣜࣥࢢ⤖ᯝ㸦࢔㸧♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿே࡟ᑐࡍࡿ἞⒪ཬࡧᨭ᥼ࡢ⪃࠼᪉ࠕ♫఍ⓗ⾜ື㞀ᐖࠖࡢᴫᛕࡸࡑࡢୗ఩㡯┠ࡣࠊ㧗ḟ⬻ᶵ⬟㞀ᐖࣔࢹࣝ஦ᴗ࡟࠾࠸࡚ྛᆅᇦࡢᨭ᥼ᣐⅬᶵ㛵ࡸ㛵ಀ⪅࡟࢔ࣥࢣ࣮ࢺㄪᰝࢆ⾜࠸ࠊ⬻ᦆയ⪅ࡀከࡃ♧ࡍ⑕≧ࢆᢳฟࡍࡿࡇ࡜࡟ࡼࡾࠊཌ⏕ປാ┬ࡢデ᩿ᇶ‽࡟ຍ࠼ࡽࢀࡓࡶࡢ࡛࠶ࡿࠋ௨ୗࡢࡼ࠺࡟ศ㢮ࡉࢀ࡚࠸ࡿࠋ
ձពḧⓎືᛶపୗ㸸ពḧࡀపୗࡋ⮬Ⓨⓗ࡞άື࡟ஈࡋ࠸ࠋղ᝟ືࢥࣥࢺ࣮ࣟࣝࡢ㞀ᐖ㸸ல⣽࡞ࡇ࡜࡛㐣๫࡟⯆ዧࡋࠊᨷᧁⓗ࡞⾜ື࡟࢚ࢫ࣮࢝ࣞࢺࡍࡿࠋճᑐே㛵ಀࡢ㞀ᐖ㸸┦ᡭ࡜㐺ษ࡞᝟ືⓗ஺ὶࡀ࡜ࢀ࡞࠸ࠋ⬺ᢚไⓗ࡞ゝືࡀ࠶ࡗࡓࡾࠊሙࡢ㞺ᅖẼࡀㄞࡵ࡞࠸ࠋմ౫Ꮡⓗ⾜ື㸸⮬ศ࡛⾜ືࢆỴࡵࡽࢀࡎ࡟௚ே࡟౫Ꮡⓗ࡜࡞ࡿࠋே᱁ࡀ㏥⾜ࡋࠊᗂ⛶࡟ࡳ࠼ࡿࡇ࡜ࡶ࠶ࡿࠋյᅛᇳ㸸᪂ࡓ࡞≧ែ࡟⮫ᶵᛂኚ࡟ᑐᛂ࡛ࡁࡎࠊᚑ᮶ࡢ⾜ືࢆኚ࠼ࡿࡇ࡜ࡀ࡛ࡁ࡞࠸ࠊ୍ࡘࡢࡇ࡜࡟ࡇࡔࢃࡿࠋࠕ♫఍ⓗ⾜ື㞀ᐖࠖࡢᴫᛕࡣࠊࠕICD-10 ⢭⚄࠾ࡼࡧ⾜ືࡢ㞀ᐖ࡛ࠖࡣ F0 ࢥ࣮ࢻࡢࠕ⑕≧ᛶࢆྵࡴჾ㉁ᛶ⢭⚄㞀ᐖࠖ࡟ࠊࠕDSM-5 ⢭⚄⑌ᝈࡢデ᩿࣭⤫ィ࣐ࢽࣗ࢔࡛ࣝࠖࡣࠊࠕ⚄⤒ㄆ▱㞀ᐖ⩌ࠖ࡟ศ㢮ࡉࢀࡿࠋࠕ♫఍ⓗ⾜ື㞀ᐖࠖࡔࡅࡀ༢⊂࡛Ꮡᅾࡍࡿࡢ࡛ࡣ࡞ࡃࠊᇶ┙࡟࠶ࡿグ᠈࣭ὀព࣭㐙⾜ᶵ⬟㞀ᐖ࡟ࡼࡗ࡚ࠊ
⎔ቃࢆ㐺ษ࡟ㄆ㆑ࡋ࡚⾜ືࢆ㉳ࡇࡋࡓࡾࠊไᚚࡍࡿࡇ࡜ࡀᅔ㞴࡞ࡓࡵ࡟⾜ື㞀ᐖࡀຓ㛗ࡉࢀࡿࡇ࡜ࡀ࠶ࡿࠋ
グ᠈࣭ὀព࣭㐙⾜ᶵ⬟㞀ᐖ࡟ᑐࡍࡿࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ࡟ࡼࡗ࡚ࠊ㐺ษ࡟⎔ቃ࡟ᑐฎ࡛ࡁࡿࡼ࠺࡟࡞ࡿࡇ࡜
࡛ࠊࠕ♫఍ⓗ⾜ື㞀ᐖࠖ࡜ࡋ࡚ࡢၥ㢟ࡶ㍍ῶࡍࡿྍ⬟ᛶࡶ࠶ࡿࠋ
ࡋ࠿ࡋ⾜ື㞀ᐖࢆᐃ㔞໬ࡍࡿඹ㏻ࡢ⚄⤒ᚰ⌮Ꮫⓗ᳨ᰝࣂࢵࢸ࣮ࣜࡣ☜❧ࡉࢀࡓࡶࡢ࡛ࡣ࡞ࡃࠊඹ㏻ࡢᑻᗘ࡜ࡋ࡚⏝࠸ࡽࢀ࡚࠸ࡿࡶࡢ࡛ࡣ࡞࠸ࠋ♫఍ⓗ⾜ື㞀ᐖࡣࠊ⑕≧ࡀ༓ᕪ୓ู࡛࠶ࡿࡇ࡜࠿ࡽࠊᚲࡎࡋࡶ୍ࡘࡢ
᪉ἲࡲࡓࡣỴࡲࡗࡓ᪉ἲࡀຌࢆዌࡍࡿ࡜ࡣ㝈ࡽ࡞࠸ࡓࡵ࡟ᑐᛂࡢࡋ࠿ࡓࡀ㞴ࡋ࠸ࠋࡑࡢࡓࡵࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡸカ⦎࡛ࠊ
ࠕሙ㠃ࡈ࡜࡟ᑐᛂࡢ᪉ἲࢆ஦౛ࡈ࡜࡟ヨ⾜㘒ㄗࡋࠊ᭱ࡶຠᯝⓗ࡛࠶ࡗࡓ᪉ἲࢆ⏕άࡢ୰࡟ྲྀࡾ
ධࢀࠊỗ໬ࡉࡏ࡚࠸ࡃࡇ࡜ࠖࡀጇᙜ࡛࠶ࡿ࡜⪃࠼ࡿࠋཷയᚋࡢ᪥ᖖ⏕άࡸ♫఍⏕ά࡛㉳ࡁ࡚࠸ࡿၥ㢟⾜ືࡢほᐹ࡟ຍ࠼࡚ࠊཷയ๓ࡢ㐺ᛂ≧ែ࡟ࡘ࠸࡚ࡶ᝟ሗࢆ
ᩚ⌮ࡋ࡚࠾ࡃᚲせࡀ࠶ࡿࠋᙜࢭࣥࢱ࣮⑓㝔࡛ࡣࠊከᑓ㛛⫋✀㸦་ᖌ࣭┳ㆤᖌ࣭⌮Ꮫ⒪ἲኈ࣭సᴗ⒪ἲኈ࣭ゝㄒ⫈ぬኈ࣭⮫ᗋᚰ⌮ኈ࣭
་⒪ࢯ࣮ࢩ࣮࣮࣭ࣕࣝ࣡࢝ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥయ⫱ኈ㸧࡟ࡼࡿᶆ‽ⓗ࡞་Ꮫⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢆ⾜ࡗ࡚࠸ࡿࠋ୍ேࡢᝈ⪅࡟ᑐࡋ࡚ࡍ࡭࡚ࡢᑓ㛛⫋✀ࡀࠊ⦪᪉ྥ࡛ࡣ࡞ࡃࠊỈᖹ᪉ྥ࡟⮫ᶵᛂኚ࡟ពぢࢆฟࡋྜࡗ࡚
ᝈ⪅ࡢ┠ᶆ㐩ᡂࢆᨭ᥼ࡍࡿ࢖ࣥࢱ࣮ࢹ࢕ࢩࣉࣜࢼ࣮ࣜࢳ࣮࣒࢔ࣉ࣮ࣟࢳࡢ᪉ἲࢆ࡜ࡗ࡚࠸ࡿࠋࡑࡢ୰࡛♫఍ⓗ⾜ື㞀ᐖ࡟ᑐࡍࡿゎỴ᪉ἲࢆ㆟ㄽࡋ࡚࠸ࡿࠋ

70− 70 −

㸦࢖㸧⸆≀⒪ἲ࣭་Ꮫⓗ἞⒪
⢭⚄་Ꮫ࡛ࡣࠊ⬻ᦆയᚋ࡟⸆≀⒪ἲࡀᚲせ࡜࡞ࡿ⢭⚄⑕≧࡜ࡋ࡚ࠊձ࠺ࡘղ㌄ճᙉ㏕ᛶ㞀ᐖմᚰⓗእയᚋࢫࢺࣞࢫ㞀ᐖյ࢔ࣝࢥ࣮ࣝ㛵㐃㞀ᐖնពḧపୗշ᝟ື୙Ᏻᐃոᨷᧁᛶչᗁぬ࣭ዶ᝿࡞࡝ࡀ࠶ࡆࡽࢀ࡚࠸ࡿࠋ
ᅇ᚟ᮇࡢࣜࣁ࡟࠾ࡅࡿ㏻㐣⑕ೃ⩌ࡸࡏࢇዶࠊព㆑ኚᐜ࡟ࡼࡿ⑕≧㸦⯆ዧࠊᗁぬዶ᝿㸧࡞࡝࡟ᑐࡋ࡚ࡣࠊ⸆≀⒪ἲࡀඃඛࡉࢀࡿࠋ៏ᛶᮇ࡟ࡣࠕே᱁㞀ᐖࠖ࡜デ᩿ࡉࢀࡿ⾜ືᵝᘧࢆ࡜ࡿࡼ࠺࡟࡞ࡿࠋ
ࡇࢀࡽࡢ⑕≧ࡢ୰࡟ࡣࠊࠕ♫఍ⓗ⾜ື㞀ᐖࠖ࡜࡜ࡽ࠼ࡽࢀ࡚࠸ࡿ⑕≧࡜㔜」ࡍࡿࡶࡢࡀ࠶ࡿࠋ⸆≀⒪ἲࡢᑐ
㇟࡜࡞ࡿࡢࡣࡇࡢࡼ࠺࡞⢭⚄⑕≧࡛࠶ࡾࠊ⢭⚄⑕≧ࡀᨵၿࡍࡿࡇ࡜࡟ࡼࡾࠕ♫఍ⓗ⾜ື㞀ᐖࠖࡀ㍍ῶࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡍࡿࠋ࠸ࡎࢀࡢሙྜࡶ⸆≀⒪ἲࡔࡅ࡛ᨵၿࢆࡣ࠿ࡿࡢ࡛ࡣ࡞ࡃࠊཎᅉ࡜࡞ࡗ࡚࠸ࡿᚰ⌮♫఍ⓗせᅉࡸ⎔ቃ࡬௓ධࡍࡿࡇ࡜ࡸࠊᐙ᪘ᣦᑟ㸦ᐙ᪘ࡢᑐᛂࡢ௙᪉ࡸᚰ⌮ⓗᩍ⫱㸧ࢆ୪⾜ࡋ࡚⾜࠺ࡇ࡜ࡀᚲせ࡜࡞ࡿࠋ᝟ື୙Ᏻᐃࡸᨷᧁᛶ࡟ᑐࡋ࡚ࡣᑡ㔞ࡢᢠ࡚ࢇ࠿ࢇ⸆ࡸ₎᪉⸆㸦ᢚ⫢ᩓ࡞࡝㸧ࠊᗁぬ࣭ዶ᝿࡟ࡣᢠ⢭⚄⑓⸆࡞࡝ࡀฎ᪉ࡉࢀࡿࠋᢚ࠺ࡘⓗ࡞Ẽศࢆ࿊ࡍࡿሙྜ࡟ࡣᢠ㨚⸆㸦ࢭࣟࢺࢽࣥ෌ྲྀࡾ㎸㜼ᐖ๣ࡸࢭࣟࢺࢽ࣭ࣥࣀࣝ
࢔ࢻࣞࢼࣜࣥ෌ྲྀࡾ㎸㜼ᐖ๣࡞࡝㸧ࡀ౑⏝ࡉࢀࡿࠋ㌄≧ែ࡟ࡣẼศᏳᐃ๣࡜ࡋ࡚ࡢࣂࣝࣉࣟ㓟ࢼࢺ࣒ࣜ࢘ࡸ
ࣜࢳ࣒࢘ࡀฎ᪉ࡉࢀࡿࠋᙉ㏕ᛶ㞀ᐖࡸᚰⓗእയᚋࢫࢺࣞࢫ㞀ᐖ࡟ᑐࡋ࡚ࡶࠊࢭࣟࢺࢽࣥ෌ྲྀࡾ㎸㜼ᐖ๣࡞࡝ࡀ౑ࢃࢀࡿሙྜࡀ࠶ࡿࠋ
⬻ᦆയᚋ࡟ࡣࠊ⸆≀ࡢ๪స⏝࡜ࡋ࡚╀Ẽࡀᙉࡃฟࡿሙྜࡀ࠶ࡿࡓࡵࠊ᭹⸆ࡋ࡞ࡀࡽ⫋ᴗカ⦎ࢆ⥅⥆ࡍࡿࡇ࡜ࡀᅔ㞴࡟࡞ࡿࡇ࡜ࡶ࠶ࡿࠋ἞⒪ࡀඃඛࡉࢀࡿ࡜ุ᩿ࡉࢀࡓ᫬࡟ࡣ་ᖌ࠿ࡽఇ㣴ࡢᣦ♧ࡀฟࡉࢀࡿࠋ
⫋ᴗࣜࣁࡢ฼⏝⪅࡟࠾࠸࡚ࠊ࣑ࢫࡀከࡃ࡞ࡿࠊ࢖ࣛ࢖ࣛࡍࡿࠊ㐜้ࡸḞᖍࡀቑ࠼ࡿ࡞࡝ᚰ㌟ࡢ୙ㄪࡀ␲ࢃ
ࢀࡿࡼ࠺࡞ሙྜ࡟ࡣࠊᨭ᥼⪅ࡀࡲࡎヰࢆ⪺࠸࡚ࠊ⌧≧ࢆᢕᥱࡍࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋ་ᖌ࠿ࡽฎ᪉ࡉࢀࡓ⸆
ࢆᛀࢀࡎ࡟㣧ࢇ࡛࠸ࡿ࠿ࠊ
╧╀ࡀ࡜ࢀ࡚࠸ࡿ࠿ࠊ
࢔ࣝࢥ࣮ࣝࢆ㣧ࡳ㐣ࡂ࡚࠸࡞࠸࠿࡞࡝⏕ά⩦័ࢆ☜ㄆࡍࡿࠋ╧╀୙㊊ࡸࢫࢺࣞࢫࡣ࡚ࢇ࠿ࢇⓎసࢆᘬࡁ㉳ࡇࡍሙྜࡀ࠶ࡿࡓࡵࠊ⏕άᣦᑟࡀᚲせ࡜࡞ࡿࠋカ⦎ࡢෆᐜࡀ㞴ࡋ࠸ࠊ࿘ᅖࡢே㛫㛵ಀࢆ࠺ࡲࡃಖ࡚࡞࠸ࠊᅇࡾࡀ㦁ࡀࡋ࠸࡞࡝⎔ቃ࡟ၥ㢟ࡀ࠶ࡿሙྜ࡟ࡣࠊᨭ᥼⪅ࡀゎỴࡢ᪉ἲࢆ୍⥴࡟⪃࠼ࠊカ⦎ෆᐜࡶぢ┤ࡍࡇ࡜ࡀᚲせ࡟࡞ࡿሙྜࡀ࠶ࡿࠋ
㸦࢘㸧᫆ᛣᛶ࣭ᨷᧁᛶ࡬ࡢᑐᛂ
࡝ࡢࡼ࠺࡞ሙ㠃࡛᫆ᛣᛶࡸᨷᧁᛶ࡟ࡼࡿၥ㢟ࡀ㉳ࡁࡿࡢ࠿ࢆศᯒࡍࡿࠋၥ㢟ࡀ㉳ࡁࡿሙ㠃ࡣᮏேࡀୖᡭࡃ
㐺ᛂ࡛ࡁ࡚࠸࡞࠸ሙ㠃࡛࠶ࡿࡇ࡜ࡀከ࠸ࡓࡵࠊ㐺ᛂ࡛ࡁ࡞࠸ཎᅉࢆ᥈ࡾࠊ୍⥴࡟ၥ㢟ゎỴࡍࡿጼໃࢆ♧ࡍࠋ⫋ሙ࡛ࡢᐇ㝿ࡢሙ㠃࡛ࡣࠊ౛࠼ࡤࠊὀព㞀ᐖࡢࡓࡵ࡟ྠ᫬ฎ⌮ࡀ୙ᚓᡭ࡞ࡢ࡟ࡶ㛵ࢃࡽࡎࠊࡸࡿ࡭ࡁ௙஦
ࡀࡓࡃࡉࢇ࠶ࡿࡓࡵ࡟ࠊ࢖ࣛ࢖ࣛࡋ࡚ᨷᧁⓗ࡟࡞ࡿሙྜࡀ࠶ࡿࠋࡑࡢࡼ࠺࡞ሙྜࡣࠊᴗົ㔞ࢆぢ┤ࡋ࡚ㄪᩚࡍࡿࡇ࡜ࡀᚲせ࡜࡞ࡿࠋࡲࡓࠊࡑࡢࡼ࠺࡞㈇Ⲵࡢ࠿࠿ࡿ≧ἣ࡟⨨࠿ࢀࡓ࡜ࡁ࡟ࠊ࡝ࡢࡼ࠺࡞ᚩೃࡀ࠾ࡇࡿࡢ
࠿ࠊᡭࡀ㟈࠼ࡓࡾ㢦ࡀ㟷ࡃ࡞ࡗࡓࡾࡍࡿࡢ࠿ࠊࡑࢀ࡟ᮏேࡀẼ࡙࠸࡚࠸ࡿࡢ࠿ࠊ⮬ศ࡛ᢚไ࡛ࡁࡿࡢ࠿࡞࡝ࢆぢ࡚࠸ࡃᚲせࡀ࠶ࡿࠋᮏேࡀᑓ㛛⫋ࡸ⟶⌮⫋࡟᚟ᖐࡋࡓ࠸࡜࠸࠺㧗࠸┠ᶆࢆᣢࡗ࡚࠾ࡾࠊ⌧ᐇ࡜ࡢ஋㞳࡟Ẽ࡙࠸࡚ⴠࡕ㎸ࢇࡔࡾⱔ❧ࡗ࡚┦ᡭ࡟ᨷᧁⓗ࡟࡞ࡿࡇ࡜ࡶ࠶ࡿࠋ࡝ࡢࡼ࠺࡞≧ἣ࡛᫆ᛣᛶࡸᨷᧁᛶࡀ࡛࡚࠸
ࡿࡢ࠿࡟ࡼࡗ࡚ᑐᛂࡢ௙᪉ࡀ␗࡞ࡿࠋࡑࡢࡓࡵࢣ࣮ࢫ࡟࠿࠿ࢃࡿᨭ᥼⪅࡛᝟ሗࢆඹ᭷ࡋࠊ඲యീࢆᤊ࠼࡚ᑐ
ᛂࡢ௙᪉ࢆ୍⮴ࡉࡏࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋ㸦࢚㸧ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢၥ㢟࡬ࡢᑐᛂ
㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡣࠊ┦ᡭࡢឤ᝟ࢆㄞࡳྲྀࡾࠊࡑࢀ࡟ᑐࡋ࡚㉳ࡇࡿ⮬ศࡢឤ᝟ࢆㄆ㆑ࡋࠊ┦ᡭ࡟ఏ࠼ࡿ࡜
࠸ࡗࡓࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㐣⛬࡟㞴ࡋࡉࡀ࠶ࡿሙྜࡀ࠶ࡿࠋ┦ᡭࡢẼᣢࡕࡸពᅗࢆศ࠿ࡗࡓࡘࡶࡾ࡛ศ࠿
ࡗ࡚࠸࡞࠿ࡗࡓࡾࠊఏ࠼ࡓࡘࡶࡾ࡛ఏࢃࡗ࡚࠸࡞࠸ࡇ࡜ࡀ࠶ࡿࠋ௚⪅࠿ࡽࡍࢀࡤࠕ୙㐺ษ࡞ゝືࠖ࡟ぢ࠼ࡿࡇ࡜ࡶࠊᮏேࡀ⮬ศࡢឤ᝟ࢆ㐺ษ࡟⾲ฟ࡛ࡁ࡞࠸ࡇ࡜࡟ࡼࡿࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢࡎࢀ࡟ࡼࡿሙྜࡶ⪃࠼ࡽ
71− 71 −ࢀࡿࠋᚰ⌮㒊㛛࡛ྲྀࡾ⤌ࢇ࡛࠸ࡿ FFGW㸦Feeling-Focused Group Work㸧࡛ࡣࠊྛཧຍ⪅ࡀẖᅇࡢࢸ࣮࣐࡟ἢ
ࡗ࡚ࢫࣆ࣮ࢳࢆ⾜࠸ࠊ௚ࡢཧຍ⪅ࡀࡑࡢෆᐜࢆ࣓ࣔ࡟᭩ࡁྲྀࡾࠊ⌮ゎࡋࡓෆᐜࢆⓎゝ⪅࡟ఏ࠼㏉ࡍ࡜࠸࠺ࡇ
࡜ࢆࡋ࡚࠸ࡿࡀࠊ⌮ゎ࡟ࡎࢀࡀ⏕ࡌ࡚࠸ࡿࡇ࡜ࡀࡋࡤࡋࡤほᐹࡉࢀࡿࠋࡑࡢࡼ࠺࡞ሙྜࠊព࿡ࡀ␗࡞ࡿ࡜ࡇ
ࢁࡸゝⴥࡀᢤࡅ࡚࠸ࡿ࡜ࡇࢁࢆᨭ᥼⪅ࡀ࣓ࣔ࡟㉥࣌ࣥࢆධࢀ࡞ࡀࡽ୍⥴࡟ಟṇࡋ࡚࠸ࡃࠋ
⫋ᴗࣜࣁࡢ୰࡛ࡶྠࡌࡼ࠺࡟ࠊᣦ♧⌮ゎࡢㄗࡾ࡞࡝ࡀ࠶ࡗࡓሙྜࠊ࡝ࡢⅬ࡛ㄗゎࡀ⏕ࡌࡓࡢ࠿୍⥴࡟㛫㐪࠸᥈ࡋࢆࡋ࡚࠸ࡃ࡜Ⰻ࠸ࠋࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢࡎࢀࢆಟṇࡍࡿࡇ࡜࡛᫆ᛣᛶࡸᨷᧁᛶ࡜࠸ࡗࡓၥ㢟ࡀῶࡿሙྜࡶ࠶ࡿ࠿ࡶ▱ࢀ࡞࠸ࠋ୙㐺ษ࡞ゝື࡟ࡘ࠸࡚ࡣࠊ௒ࡢ♫఍࡛ࢭࢡࣁࣛࡣチࡉࢀ࡞࠸ࡶࡢ࡛࠶ࡿ⌧ᐇࢆ᫂☜࡟ఏ࠼ࠊᮏே⮬ࡽࡀ⾜ືࢆᢚไ࡛ࡁࡿࡇ࡜ࢆ┠ᣦࡍࡇ࡜ࡀཎ๎࡛࠶ࡿࠋ㎶ࡾᵓࢃࡎᢪࡁࡘ࠸ࡓࡾ࡜࠸ࡗࡓ⬺ᢚไⓗ࡞ၥ㢟⾜ືࡢሙྜࡣ⸆≀⒪ἲ࡟ࡼࡿ἞⒪ࡀᚲせ࡟࡞ࡿࠋ཯♫఍ⓗ⾜ື࡟ࡣࠕ⨩ࠖࡀ࠶ࡿࡇ࡜ࢆ♧ࡍࡇ࡜ࡶᚲせ࡛࠶ࡿࠋ⾲㸴㸦ཧ⪃㸧FFGW ࡢᡭ⥆ࡁ㸦ᢤ⢋㸧㸦ヲࡋࡃࡣ㛵㐃㈨ᩱոࢆཧ↷㸧ᡭ⥆ࡁཧຍ⪅ࡢ࠺ࡈࡁࠊࣇ࢓ࢩࣜࢸ࣮ࢱ࣮ࡢᙺ๭ձカ⦎ࡢᑟධ

ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮㸸ࣜࣛࢵࢡࢫࡋࡓ㞺ᅖẼࢆసࡿࠋ))*: ࡢ┠ⓗࢆ☜ㄆࡍࡿࠋ

ղㄢ㢟࡬ࡢព㆑௜ࡅ

ཧຍ⪅㸸ㄢ㢟࣮࢝ࢻࢆぢ࡚ࠊ⮬㌟ࡢㄢ㢟ࢆ☜ㄆࡍࡿճ่⃭࿊♧

ཧຍ⪅㸸࿊♧ࡉࢀࡓ่⃭ࢆ⮬⏤࡟═ࡵࡓࡾゐࢀࡓࡾࡍࡿ

մࣇ࢕࣮ࣜࣥࢢࢩ࣮ࢺ࡬ࡢグධཧຍ⪅㸸่⃭࠿ࡽᛮ࠸ᾋ࠿ࢇࡔࡇ࡜ࢆࣇ࢕࣮ࣜࣥࢢࢩ࣮ࢺ࡟グධࡍࡿյࣇ࢕࣮ࣜࣥࢢࢩ࣮ࢺࡢⓎ⾲ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮㸸ࠕ௒ࠊࡇࡇ࡛ࠖ⏕ࡌࡓឤ᝟࡟↔Ⅼࡀᙜ࡚ࡽࢀࡿࡼ࠺࡟ࡣࡓࡽ
ࡁ࠿ࡅࡿ࡜࡜ࡶ࡟ࠊඹឤࡀᚓࡽࢀࡿࡼ࠺࡟┦஫ࡢࡸࡾ࡜ࡾࢆಁࡍ

նࢫࣆ࣮ࢳཎ✏ࡢసᡂཧຍ⪅㸸ࣇ࢕࣮ࣜࣥࢢࢩ࣮ࢺ࡟グධࡋࡓࡇ࡜ࡸ௚ࡢ࣓ࣥࣂ࣮ࡢⓎ⾲ࢆ⪺࠸࡚᪂ࡓ࡟⏕ࡌࡓឤ᝟ࢆ⣲ᮦ࡜ࡋ࡚ࢫࣆ࣮ࢳཎ✏ࢆసᡂࡍࡿ

շࢫࣆ࣮ࢳⓎ⾲ཧຍ⪅㸸⪺ࡁᡭࡢ࣓ࣥࣂ࣮ࡣ㏲ㄒ࡛࣓ࣔࢆ࡜ࡿ

ո࡜ࡗࡓ࣓ࣔࡢ☜ㄆ࡜⿵㊊ࠊಟṇ ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮㸸࣓ࣔࡢṇ☜ࡉࡸ㔞ࢆ☜ㄆࡋࠊࡼࡾṇ☜࡞࣓ࣔࡢྲྀࡾ᪉࡟ࡘ
࠸࡚ຓゝࢆ⾜࠺չ⪺ࡁᡭ࠿ࡽヰࡋᡭ࡬ࡢㄞࡳྲྀ

ཧຍ⪅㸸⪺ࡁᡭࡣࠊࢫࣆ࣮ࢳ࠿ࡽㄞࡳྲྀࡿࡇ࡜ࡀ࡛ࡁࡓឤ᝟ࢆヰࡋᡭ࡟ࣇ࢕࣮

ࡗࡓឤ᝟ࡢࣇ࢕࣮ࢻࣂࢵࢡ

ࢻࣂࢵࢡࡍࡿ

պࢹ࢕ࢫ࢝ࢵࢩࣙࣥ

ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮㸸࣓ࣥࣂ࣮㛫ࡢඹឤࡀ⏕ࡌࡸࡍ࠸ࡼ࠺࡟ࡣࡓࡽࡁ࠿ࡅࡿ࡜࡜
ࡶ࡟ࠊ┦㐪Ⅼࢆぢ࠸ࡔࡍࡇ࡜࡛஫࠸࡟ཷࡅධࢀㄆࡵྜ࠺ࡇ࡜ࡀ࡛ࡁࡿࡼ࠺࡟ࡣ
ࡓࡽࡁ࠿ࡅࡿ

ջࣉࣟࢢ࣒ࣛࡢ᣺ࡾ㏉ࡾཧຍ⪅㸸ࣉࣟࢢ࣒ࣛ࡟ཧຍࡋ࡚ࡢឤ᝿ࢆⓎ⾲ࡍࡿ࡜࡜ࡶ࡟ࠊ⮬㌟ࡢㄢ㢟࡟ࡘ࠸
࡚᣺ࡾ㏉ࡾࢆ⾜࠺ռ᣺ࡾ㏉ࡾࢩ࣮ࢺ࡬ࡢグධࣇ࢓ࢩࣜࢸ࣮ࢱ࣮㸸ㄢ㢟ࡀぢฟࡏ࡞࠸࣓ࣥࣂ࣮࡟ࡣࠊ࡜ࡶ࡟᣺ࡾ㏉ࡾࢆ⾜࠸࡞ࡀࡽࠊㄢ㢟タᐃ࡟ࡘ࠸࡚ຓゝࢆ⾜࠺ս⤊஢ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮㸸ឤ᝟ࡢΰ஘ࡀࡳࡽࢀࡓ࣓ࣥࣂ࣮ࡀ࠸ࡿሙྜࡣࠊಶู࡛ࡢ㠃᥋ࢆタᐃࡍࡿ

72− 72 −

㸦࢜㸧ពḧ࣭Ⓨືᛶࡢపୗ࡬ࡢᑐᛂ
ࠕ࢔ࣃࢩ࣮ࠖ࡜ࡣࠊືᶵ࡙ࡅࡢపୗࠊ┠ⓗ࡟ࡴࡅࡽࢀࡓ㝶ពⓗ࡛ពᅗⓗ࡞⾜ືࡢ㔞ⓗ࡞ῶᑡ࡞࡝ࡀཎᅉ࡛
࠶ࡿ࡜⪃࠼ࡽࢀ࡚࠸ࡿࠋ௨ୗࡢ㸱ࡘࡢᶵᗎࡀ⪃࠼ࡽࢀ࡚࠸ࡿࠋձ᝟ືឤ᝟ฎ⌮㞀ᐖ㸦ឤ᝟࡜⾜ືࢆ⤖ࡧࡘࡅࡿࡇ࡜ࡀ࡛ࡁࡎ࡟┠ⓗࢆࡶࡗࡓ⾜ືࢆ࡜ࡿࡇ࡜ࡀ࡛ࡁ࡞ࡃ࡞ࡿࠋ㸧║❐㒊ࡸෆഃ๓㢌๓㔝ࡢ㞀ᐖ࡜㛵㐃ࡍࡿࠋղㄆ▱ฎ⌮㞀ᐖ㸦⾜ືࢆィ⏬ࡋᐇ⾜ࡍࡿ┠ⓗᚿྥ⾜ືࡢῶᑡ࡟ࡼࡿࠋ㸧㐙⾜ᶵ⬟࡜㛵㐃ࡍࡿ⫼እഃ๓㢌๓㔝ࠊ኱⬻ᇶᗏ᰾⫼ഃ㡿ᇦ㸦ᑿ≧᰾㸧ࡀ㛵㐃ࡋࠊసືグ᠈ࡸࠊ௻⏬ࡢ㞀ᐖࠊ᪂ࡋ࠸つ๎ࡸᡓ␎ࢆ⏕ࡳฟࡍࡇ࡜ࡀᅔ
㞴࡜࡞ࡿࠋճ⮬ᕫ㈿ά㞀ᐖ㸦⾜ື᏶㐙࡟ᚲせ࡞ᛮ⪃ࡸ⾜ືࡢ㞀ᐖ࡟ࡼࡾࠊ⾜ືࢆࡸࡾ㐙ࡆࡿࡇ࡜ࡀᅔ㞴࡛࠶ࡿࠋ㸧ᑿ≧᰾ࠊῐ⵬⌫ࠊどᗋ⫼ෆഃ㒊ࠊෆഃ๓㢌๓㔝ࠊᖏ≧ᅇ๓㒊࡞࡝ࡀ㛵㐃ࡍࡿࠋࡇࡢሙྜࠊእⓗ่⃭࡟ᑐࡍࡿ཯ᛂࡀⰋዲ࡛࠶ࡿࡇ࡜࠿ࡽࠊࣜࣁࡢ௓ධ㸦⮬Ⓨⓗ࡟⾜ືࢆ㛤ጞࡍࡿࡇ࡜ࡀ࡛ࡁ࡞࠸ࡀࠊಁࡉࢀࡿ࡜࡛ࡁ
ࡿ㸧࡟ࡼࡿຠᯝࡀᮇᚅ࡛ࡁࡿࠋ
ձࡣ⯆࿡ࡀ࠶ࡗࡓࡇ࡜࡟ᑐࡋ࡚ࡶ㐺ษ࡞ឤ᝟ࡀ㉳ࡇࡽ࡞ࡃ࡞ࡾ㸦ࡇࢀࡲ࡛ᴦࡋ࠿ࡗࡓࡇ࡜ࡀᴦࡋࡃ࡞࠸㸧ࠊ⾜ືࡀ㉳ࡇࡏ࡞࠸ࠋ
ࠕឤ᝟㕌㯞ࠖ
ࠕ⯆࿡႙ኻࠖࡢ≉ᚩࢆ♧ࡍࠋ
ղࡣⓎືᛶࡀపୗࡋ࡚࠸ࡿࡼ࠺࡟ぢ࠼ࡿࡀࠊᐇ㝿࡟ࡣグ᠈ࡸὀពࡢၥ㢟ࡢࡓࡵ࡟ḟ࡟ఱࢆࡋ࡚Ⰻ࠸࠿ศ࠿
ࡽ࡞࠸㐙⾜ᶵ⬟ࡢ㞀ᐖ࡛࠶ࡿࠋ
ճࡣࠊ⮬ᕫ㈿άࡣపୗࡋ࡚࠸ࡿࡀእⓗ่⃭࡟ᑐࡍࡿ཯ᛂࡣⰋዲ࡞ࡓࡵࠊ
ࠕኌ࠿ࡅࠖ
ࠕㄏᑟࠖ
ࠕಁࡋࠖࡀᚲせ࡜࡞ࡿࠋ࢔ࣃࢩ࣮ࢫࢣ࣮ࣝ47ࡸᶆ‽ពḧホ౯ἲ㸦CAS㸧48࡞࡝ᐃ㔞໬ࡍࡿ᳨ᰝࡀ࠶ࡿࠋ᪥ᖖ⏕άࡢ⾜ືほᐹࡀᚲせ࡜࡞ࡿࠋ⸆≀⒪ἲ࡜ࡋ࡚ࠊⓎືᛶపୗ࡟ᑐࡋ࡚ࡣᑡ㔞ࡢ࢔࣐ࣥࢱࢪࣥ㸦⢭⚄άືᨵၿ๣㸧ࢆ⏝࠸ࡿሙྜࡀ࠶ࡿࡀ≉ຠ⸆࡛ࡣ࡞࠸ࠋ
ࡇࡢࡼ࠺࡞⑕≧ࡀ⫋ᴗカ⦎ࡢ᫬ᮇ࡟࠾࠸࡚ࡶṧᏑࡍࡿࡇ࡜ࡀ࠶ࡿࠋᮏேࡀ୺యⓗ࡟⾜ືࢆ㉳ࡇࡍࡇ࡜ࡀ㞴ࡋ࠸ሙྜࠊᮏேࡢពྥࢆ☜ㄆࡋ࡞ࡀࡽࠊ⾜ືࡢ㡰␒ࢆ♧ࡋࠊᯟ⤌ࡳࢆసࡗ࡚࠶ࡆࡿᑐᛂࡶᚲせ࡛࠶ࡿࠋ㐺ษ࡞ឤ᝟ࡀ㉳ࡇࡽ࡞࠸ሙྜ࡟ࡣࠊ㞟ᅋ࡟ཧຍࡍࡿࡇ࡜࡛ࠊ௚⪅࡜ࡢ஺ὶࢆᣢ࡚ࡿࡼ࠺࡟ࡍࡿᶵ఍ࢆᥦ౪ࡍࡿࡇ࡜ࡶ㔜せ࡛࠶ࡿࠋⓎ⑕࠿ࡽ᫬㛫ࡀ⤒ࡗ࡚࠸ࡓ࡜ࡋ࡚ࡶࠊ㞟ᅋࡢ୰่࡛⃭ࢆཷࡅࡿࡇ࡜࡛ὀពࡢᶵ⬟ࡸពḧ࣭
Ⓨືᛶࡀୖࡀࡗ࡚ࡃࡿࡇ࡜ࡣ༑ศ࡟࠶ࡾᚓࡿࠋ⏕άカ⦎ࡸ⫋ᴗࣜࣁ࡞࡝ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢ࡝ࡢẁ㝵࡟࠾࠸࡚ࡶኌ࠿ࡅࡸㄏᑟࡣᚲせ࡜࡞ࡿࠋࡑࡢ⤖ᯝࠊ㐺ᛂⓗ࡞⾜ືࡀ࡜ࢀࡿࡼ࠺࡟࡞ࡾࠊẼศ≧ែࡶᏳᐃࡍࡿࠋ
⫋ᴗ᚟ᖐ࡟㝿ࡋ࡚ࡣࠊ᥋ᐈࡸႠᴗ࡞࡝⮬ศ࠿ࡽ✚ᴟⓗ࡟ືࡃᚲせࡢ࠶ࡿάື࡟ࡣᨭ㞀ࢆ᮶ࡍࡇ࡜ࡀ⪃࠼ࡽࢀࡿࡓࡵࠊᡭ㡰ࡀỴࡲࡗࡓసᴗ࠿ࡽ⫋ᴗ᚟ᖐࢆ⪃࠼࡚࠸ࡃࠋᡭࡀṆࡲࡗࡓࡽ࿘ᅖࡀኌ࠿ࡅࢆࡋ࡚࠸ࡃᚲせࡀ࠶ࡿࡔࢁ࠺ࠋᢚ࠺ࡘẼศࡀ࠶ࡿ࡜ኌ࠿ࡅࡸບࡲࡋࡀⱞ③࡟࡞ࡿࡇ࡜ࡀ࠶ࡿࡓࡵࠊᢚ࠺ࡘẼศࡀ࡝ࡢ⛬ᗘ࠶ࡿࡢ࠿ࢆ⪃࠼ࡿࡇ࡜ࡶ኱ษ࡛࠶ࡿࠋ
㸦࢝㸧࠺ࡘ
 ࠕDSM-5 ⢭⚄⑌ᝈࡢデ᩿࣭⤫ィ࣐ࢽࣗ࢔࡛ࣝࠖࡣᢚ࠺ࡘ㞀ᐖ⩌ࡢデ᩿ᇶ‽࡜ࡋ࡚ࠊࠕ㢧ⴭ࡛ᣢ⥆ⓗ࡞ᮇ㛫࡟࠾࠸࡚ᢚ࠺ࡘẼศࠊࡲࡓࡣࡍ࡭࡚ࡢάື࡟ᑐࡍࡿ⯆࿡ࡸ႐ࡧࡢⴭ᫂࡞ῶ㏥ࡀ⮫ᗋീ࡟࠾࠸࡚ඃໃ࡛࠶ࡿࠖ
࡜ᐃ⩏ࡉࢀࠊ
ࠕICD-10 ⢭⚄࠾ࡼࡧ⾜ືࡢ㞀ᐖ࡛ࠖࡣࠊF3 Ẽศ㞀ᐖࡢ࢝ࢸࢦ࣮ࣜࡢ୰࡟ࠊࠕF32 ࠺ࡘ⑓࢚ࣆࢯ࣮ࢻ㸪F33 ཯᚟ᛶ࠺ࡘ⑓ᛶ㞀ᐖࠊF34 ᣢ⥆ᛶẼศ㞀ᐖࠖ࡜ศ㢮ࡉࢀ࡚࠸ࡿࠋデ᩿ࡣࠕᵓ㐀໬ࡉࢀࡓ㠃᥋ࠖࡢ୰࡛⾜ࢃࢀࠊ⿵ຓⓗ࡟⬻༞୰࠺ࡘࢫࢣ࣮ࣝࡸ POMS-2㸦Ẽศࣉࣟࣇ࢕᳨࣮ࣝᰝ㸧࡞࡝ࡢ⚄⤒ᚰ⌮Ꮫ᳨ᰝࢆ⏝࠸ࡿࠋ
47
48

࢔ࣃࢩ࣮ࢫࢣ࣮ࣝ㸦ࡸࡿẼࢫࢥ࢔㸧࡟ࡘ࠸࡚ࡣࠊᒸ⏣࣭ᑠᯘ࣭㟷ᮌ࣭㡲ᒣ࣭ᒣཱྀ㸦1998㸧ࢆཧ↷ࠋᶆ‽ពḧホ౯ἲ㸦CAS㸧࡟ࡘ࠸࡚ࡣࠊຍ⸨࣭ὀព࣭ពḧホ౯ἲస〇ᑠጤဨ఍㸦2006㸧ࢆཧ↷ࠋ

73− 73 −

 ࣜࣁࣅࣜࢸ࣮ࢩ࡛ࣙࣥࡣࠊᢚ࠺ࡘẼศࡣࠕࡸࡾࡓࡃ࡚ࡶ࡛ࡁ࡞࠸ࠊ࡞ࡲࡅ࡚࠸ࡿࡢ࡛ࡣ࡞࠸ࡇ࡜ࠊẼศ୙ᛌࡸ୙ㄪࡢἼࡀ࠶ࡿࡇ࡜ࠖࢆ⌮ゎࡋ࡚ᑐᛂࡍࡿࠋᢚ࠺ࡘẼศࡣㄆ▱ᶵ⬟࡟ࡶᙳ㡪ࢆཬࡰࡍࡀࠊṌ⾜ࡸ ADLカ⦎࡞࡝ࢆ⾜࠺୰࡛ᢚ࠺ࡘẼศࡶᨵၿࡍࡿࡇ࡜ࡀ࠶ࡿࠋ㊃࿡ࡸᮏேࡢዲࡁ࡞ࡇ࡜ࢆྲྀࡾධࢀࠊᴦࡋࡳ࡞ࡀࡽ
⾜࠺ࡇ࡜ࡸࠊ㐺ᗘ࡞㐠ືࢆຍ࠼ࡿࡇ࡜ࡶ࠶ࡿࠋ⤖ㄽࡸỴᐃࢆᛴࡀࡏ࡞࠸ࠊ㔜ᗘࡢ࠺ࡘࡸᕼṚᛕ៖ࡀ࠶ࡿሙྜ࡟ࡣ⸆≀⒪ἲࢆే⏝ࡍࡿࡇ࡜ࡀᚲせ࡛࠶ࡿࠋ
఍♫ࡸᆅᇦࡢ୰࡛ࡢᙺ๭ࢆኻ࠺ࡇ࡜ࡣ኱ࡁ࡞႙ኻయ㦂࡛࠶ࡿࠋඖࡢ௙஦࡟ᡠࢀ࡞࠿ࡗࡓࡾࠊࡲࡓࠊᙧࡢୖ
࡛ࡣ᚟⫋ࡋ࡚ࡶ࠸ࢃࡺࡿ㛩⫋࡛ࠊᒃሙᡤࡸᑛཝࡀ࡞࠸≧ែ࡟࡞ࡿሙྜࡶ࠶ࡾࠊࡑࡢࡼ࠺࡞ࡇ࡜ࡀ࠺ࡘ࡟ࡘ࡞
ࡀࡿሙྜࡀ࠶ࡿࠋ௙஦ே㛫࡜ࡋ࡚ 50㹼60 ᡯࡲ࡛⏕ࡁ࡚ࡁࡓேࡀඖࡢ௙஦࡟௦ࢃࡿࡶࡢࢆぢࡘࡅࡿࡢࡣ⡆༢࡛ࡣ࡞࠸ࡀࠊ⪃࠼᪉ࢆᰂ㌾࡟ኚ࠼࡚࠸ࡃࡇ࡜ࡸ௚ࡢ㑅ᢥ⫥ࡶ࠶ࡿࡇ࡜ࢆఏ࠼࡚࠸ࡃࡇ࡜ࡀᚲせ࡛࠶ࡿࠋ㞀ᐖ⪅㞠⏝ࡸᑵປ⥅⥆ᨭ᥼ B ᆺ஦ᴗᡤ࡛ാࡃࡇ࡜࡛⮬ศࡢᒃሙᡤࢆぢฟࡋ࡚࠸ࡃேࡶ࠸ࡿࠋࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ
࡜ࡣࠕ᚟ᶒ࡛ࠖ࠶ࡾࠊ
ࠕኻࡗࡓᑛཝࢆ෌ࡧྲྀࡾᡠࡍࡲ࡛ࡢ㐣⛬࡛ࠖ࠶ࡿࠋാࡃࡇ࡜࡛♫఍࠿ࡽㄆࡵ࡚ࡶࡽ࠼ࡿࠊ
Ꮡᅾ౯್ࢆㄆࡵ࡚ࡶࡽ࠼ࡿࡇ࡜ࡢព࿡ࡣᝈ⪅࡟࡜ࡗ࡚㠀ᖖ࡟኱ࡁ࠸ࠋ
㸦࢟㸧ẁ㝵ⓗ࡞ᨭ᥼᚟⫋ࢆ┠ᶆ࡜ࡋࡓࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡣࠊ་Ꮫⓗࣜࣁ࡜ࡋ࡚ࡢカ⦎㸦ㄆ▱ホ౯࣭カ⦎㸧ࠊධ㝔ࣜࣁ࠿ࡽእ᮶
ࣜࣁࠊ⏕άカ⦎ࠊᑵປ⛣⾜ࠊ⫋ᴗࣜࣁ࡜ẁ㝵ࢆ㋃ࢇ࡛࠸ࡃࠋࡑࡢ㐣⛬ࡢ୰࡛ࠊ⏕άࣜࢬ࣒ࢆᩚ࠼ࡿࠊ㌟࡞ࡾ
ࢆᩚ࠼ࡿࠊᣵᣜࢆࡍࡿࠊ┦ᡭࡢゝ࠺ࡇ࡜ࢆ⌮ゎࡍࡿࠊ⮬ศࡢẼᣢࡕࢆࢥࣥࢺ࣮ࣟࣝࡍࡿ࡜࠸ࡗࡓ⫋ᴗ‽ഛᛶࢆᩚ࠼࡚࠸ࡃࠋ⬻ᦆയࡢ㔜⑕ᗘ࡞࡝࡟ࡼࡾ⤒㐣ࡣᵝࠎࡔࡀࠊ⦆ࡸ࠿࡞ᅇ᚟ࢆࡓ࡝ࡿ⑌ᝈ㸦ప㓟⣲⬻⑕࡞࡝㸧࡛ࡣࠊ᚟⫋ࡲ࡛࡟㸱ᖺ௨ୖせࡍࡿሙྜࡶ࠶ࡿࡓࡵ࡟ࠊ↔ࡽࡎ࡟ྲྀࡾ⤌ࢇ࡛࠸ࡃࡇ࡜ࢆ⧞ࡾ㏉ࡋఏ࠼ࡿࠋ
་Ꮫⓗࣜࣁ࠿ࡽ⫋ᴗࣜࣁ࡬࡜୍᪉ྥⓗ࡟㐍ࡴࡔࡅ࡛࡞ࡃࠊ㏫᪉ྥ࡟ᡠࡿࡇ࡜ࢆ⪃࠼ࡓ࡯࠺ࡀⰋ࠸ሙྜࡶ࠶
ࡿࠋ⫋ᴗࣜࣁࡢ฼⏝ࢆᕼᮃࡉࢀ࡚࠸࡚ࡶࠊࢫࢣࢪ࣮ࣗࣝ⟶⌮ࠊ஺㏻ᶵ㛵ࡢ฼⏝࡜࠸ࡗࡓ㌟ࡢᅇࡾࡢࡇ࡜ࡀ࡛
ࡁ࡞࠸ࠊ㞀ᐖㄆ㆑ࡀ࡞࠸ሙྜࡣࠊ⫋ᴗ‽ഛᛶࡢカ⦎࠿ࡽጞࡵࡿࡇ࡜ࡶᚲせ࡛࠶ࡿࠋ⑓㝔࡛ࡣ⚄⤒ᚰ⌮Ꮫⓗ᳨ᰝࢆ⏝࠸࡚㧗ḟ⬻ᶵ⬟ホ౯ࢆ⾜ࡗ࡚࠸ࡿࠋ⫋ᴗ㐺ᛶࡣࠊཌ⏕ປാ┬⦅ࠕ୍⯡⫋ᴗ㐺ᛶ᳨ᰝ㸦GATB㸧࡛ࠖࠊ⫋ᴗ‽ഛᛶࡣࠕᑵປ⛣⾜ᨭ᥼ࡢࡓࡵࡢࢳ࢙ࢵࢡࣜࢫࢺ࡛ࠖホ౯ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋ
་Ꮫⓗࣜࣁࡀ⤊஢ࡋ࡚ࡶࠊ࡜ࡗࡉࡢุ᩿ࡸࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࠊሙࡢ㞺ᅖẼࢆㄞࡴ࡜࠸ࡗࡓ⫋ᴗ࡛せồࡉࢀࡿ㧗࠸⬟ຊ࡟ࡣ㐩ࡋ࡚࠸࡞࠸ሙྜࡀ࠶ࡿࠋᙜ㝔࡛ࡣࠊࡑࡢࡼ࠺࡞ሙྜࠊᮏேࡸᐙ᪘࡟⌧≧ࢆㄝ᫂ࡋ࡚ࠊ⮬❧ᨭ᥼ᒁࡢ⏕άカ⦎ࡸᑵປ⛣⾜ᨭ᥼࡬ࡢ⛣⾜ࢆࡣ࠿ࡗ࡚࠸ࡿࠋ ⑓㝔እ᮶ࣜࣁ࠿ࡽ┤᥋⫋ሙ᚟ᖐࢆᯝࡓࡍሙྜ࡛ࡶࠊᑵປᨭ᥼ࢭࣥࢱ࣮ࡢ௓ධࢆ౫㢗ࡍࡿሙྜࡶ࠶ࡿࠋ
㸦ࢡ㸧㛗ᮇⓗ࡞ᨭ᥼ࡢᚲせᛶᑵປ⥅⥆ࡀᅔ㞴࡞ሙྜࠊᐃᖺ㏥⫋ࡋࡓᚋࠊࡑࢀࡲ࡛ࡢ௓ㆤ⪅ࡀ࠸࡞ࡃ࡞ࡗࡓ࡜ࡁࠊ෌Ⓨࡸຍ㱋࡛ㄆ▱ᶵ⬟ࡀ᭦࡟పୗࡋࡓ࡜ࡁࠊᨭ᥼యไࡢᙉ໬ࡀᚲせ࡟࡞ࡿሙྜࡀ࠶ࡿࠋ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡣ⎔ቃࡢኚ໬࡟㡰ᛂ࡛ࡁࡎࠊ⏕ᾭ࡟ࢃࡓࡿ἞⒪ࡸ㛵ࢃࡾࡶᚲせ࡛࠶ࡿࠋ㸦ࢣ㸧ᨭ᥼ࢫࢱࢵࣇࡢᩍ⫱࡜ࢫࢺࣞࢫࢣ࢔
ᅜ❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮⑓㝔࡛ࡣᐃᮇⓗ࡟࢝ࣥࣇ࢓ࣞࣥࢫࢆᣢࡕࠊ⌧≧ࡢ☜ㄆ࡜ᨭ᥼ࡢ᪉
ྥᛶࢆヰࡋ࠶ࡗ࡚࠸ࡿࠋ฼⏝⪅࠿ࡽᨭ᥼⪅࡬ࡢᭀຊࡸᭀゝࠊࢭࢡࣁࣛ࡟ᑐࡋ࡚ࡣ⤌⧊࡜ࡋ࡚ᑐᛂࡍࡿࡇ࡜ࡀ㔜せ࡛ࠊಶேࡀၥ㢟ࢆᢪ࠼㎸ࡴࡇ࡜ࡀ࡞࠸ࡼ࠺࡟ࠊྛᑓ㛛⫋ࡢពぢࢆฟࡋྜࡗ࡚ၥ㢟ゎỴࡢ᪉ἲࢆ⪃࠼࡚࠸ࡃࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋၥ㢟⾜ື࡟ᑐࡍࡿᑐᛂ࣐ࢽࣗ࢔ࣝࢆసᡂࡍࡿࡇ࡜ࡶ᭷ຠ࡛࠶ࡿࠋᨭ᥼⪅ࡀᏳᚰࡋ࡚ᨭ
᥼࡟ᚑ஦ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࡼ࠺࡞ᨭ᥼యไࡢᵓ⠏ࡀᚲせ࡛࠶ࡿࠋ74− 74 −

㸦ࢥ㸧FFGW ࡢᑐ㇟⪅ീ࣭ຠᯝ ᐃ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡣࠊ⮬ᕫࡢឤ᝟ࡸ௚⪅ࡢឤ᝟࡟Ẽࡀࡘࡁ࡟ࡃࡃ࡞ࡗ࡚࠸ࡿࡇ࡜ࡀከࡃࠊ♫఍᚟ᖐ࡟࠶ࡓ
ࡗ࡚ᑐே㛵ಀࡢၥ㢟ࡀ⏕ࡌࠊᏙ❧ឤࢆ῝ࡵࡸࡍ࠸ࠋ♫఍㐺ᛂⓗ࡞ᑐே㛵ಀ⬟ຊࡢ෌⋓ᚓࢆಁࡋࠊⓎ⑕ᚋࡢ⮬ศࢆཷᐜ࡛ࡁࡿࡼ࠺࡟᥼ຓࡍࡿࡓࡵࡢᚰ⌮ⓗഃ㠃࡬ࡢ࢔ࣉ࣮ࣟࢳ࡜ࡋ࡚㛤Ⓨࡉࢀࡓ FFGW ࢢ࣮ࣝࣉカ⦎ࡢᇶᮏ⌮ᛕࡀ⏕࠿ࡉࢀࡿࡼ࠺࡟ࠊྠࡌ⛬ᗘࡢㄆ▱ᶵ⬟ࡢᝈ⪅ࡉࢇ࡛ࢢ࣮ࣝࣉᵓᡂࢆ⾜ࡗ࡚࠸ࡿࠋ㔜ᗘࡢேࡶཧ
ຍ࡛ࡁࡿࡼ࠺࡟ᑐᛂࡋ࡚࠸ࡿࠋ
FFGW ࡢཧຍ๓ᚋࡢẚ㍑᳨ウࢆ⾜ࡗࡓ◊✲࡛ࡣࠊࠕឤ᝟ࡢ⾲ฟࠖࠕឤ᝟ࡢㄞࡳྲྀࡾࠖ
ࠕ࣓ࣔ⋡ࠖࠕ㞀ᐖཷᐜࠖࡢ㸲ࡘࡢഃ㠃࡟ຠᯝࡀ࠶ࡿࡇ࡜ࡀ᳨ドࡉࢀ࡚࠸ࡿࠋ௚࡟ࡶᵝࠎ࡞カ⦎ࢆࡋ࡚࠸ࡿ୰࡛ FFGW ࡔࡅࡢຠᯝࢆ
ྲྀࡾฟࡍࡇ࡜ࡣ㞴ࡋ࠸ࡀࠊࡇࡢࡼ࠺࡞ࢢ࣮ࣝࣉカ⦎ࡢ୰࡛ࠕ่⃭ࢆᥦ♧ࡋࠊឤ᝟࡟ാࡁ࠿ࡅࠊ௚⪅࡜ࡢ஺ὶࢆಁ㐍ࡍࡿࠖ┠ⓗࡀ㐩ᡂࡉࢀࡿࡇ࡜ࡀከ࠸ࠋࢢ࣮ࣝࣉカ⦎࡟ཧຍࡍࡿࡇ࡜࡛ࠊ⮫ᗋࡢሙ㠃࡛ࡣࠊάືᛶࡀୖࡀࡗࡓࠊ⾜ື⠊ᅖࡀᗈࡀࡗࡓࠊⓎゝෆᐜࡀ㇏࠿࡟࡞ࡗࡓࠊ௚⪅࡜ࡢ✚ᴟⓗ࡞஺ὶࡀቑ࠼ࡓ࡞࡝ࡢ⾜ືୖࡢኚ໬ࡀࡳࡽࢀࡿࡇ࡜࠿ࡽࡶຠᯝࡀ࠶ࡿࡇ࡜ࢆ
᥎

ࡋ࡚࠸ࡿࠋ

࢘㸬㛵㐃㈨ᩱձ ᾆୖ ⿱Ꮚ㸦2008㸧㸬♫఍ⓗ⾜ື㞀ᐖ࡟ᑐࡍࡿࢳ࣮࣒࢔ࣉ࣮ࣟࢳ ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ་Ꮫ㸪45㸪789-792.
ղᾆୖ⿱Ꮚ ᩥ⛉┬◊✲㈝⿵ຓ㔠 ప㓟⣲⬻⑕⪅ࡢᐇែࠊ⏕άᨭ᥼ࠊ♫఍ᨭ᥼࡟ࡘ࠸࡚ࡢከ᪋タඹྠ◊✲ᖹᡂ 23㹼26 ᖺᗘศᢸ◊✲ሗ࿌᭩ճ ᾆୖ ⿱Ꮚ࣭㣕ᯇ ዲᏊ࣭Ụ⸨ ᩥኵ࣭ᒾ㇂ ຊ㸦2010㸧㸬⬻ᦆയᚋࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ࡟ᑐࡍࡿໟᣓⓗ㞟୰ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢຠᯝ ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ་Ꮫ㸪47㸪232-238.
մ ᾆୖ ⿱Ꮚ࣭ᐩᒸ ⣧Ꮚ࣭᭷㤿 ᪩ⱑ㸦2012㸧㸬⬻እയ࡟ࡼࡿ㏻㐣⑕ೃ⩌࡟ᑐࡋ࡚⸆≀⒪ἲ࡜᪩ᮇ㠀⸆≀ⓗ௓ධࢆ⏝࠸࡚ᑵປ࡜࡞ࡗࡓ㸯⑕౛Ɇ἞⒪࠿ࡽ♫఍ཧຍᨭ᥼ࡲ࡛Ɇ ⢭⚄⛉἞⒪Ꮫ㸪27㸪225-231.
յ ᾆୖ ⿱Ꮚ࣭ᒣᮏ ṇᾈ࣭୰ᓥ ඵ༑୍㸦2013㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥɆᖐ⤖ㄪᰝ࠿ࡽࡳࡓ
་⒪࡜⚟♴ࡢ㐃ᦠɆ 㧗ḟ⬻ᶵ⬟◊✲㸪50㸪536-542.
ն ᾆୖ ⿱Ꮚ࣭ᒣᮏ ṇᾈ㸦2015㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᑵປ࡟ྥࡅࡓࣜࣁࣅࣜࢸ࣮ࢩࣙࣥɆⓎ⑕࠿ࡽ㸯ᖺᚋࡢ௓ධ࡟ࡘ࠸࡚ 㧗ḟ⬻ᶵ⬟◊✲㸪35㸪9-18.
շ ᑿᓮ ⪽Ꮚ࣭ᅵᒇ ࿴Ꮚ࣭஌㉺ ዉಖᏊ࣭⏣୰ ኱௓࣭Ⰽ஭ 㤶⧊࣭ᅄࣀᐑ ⨾ᜨᏊ㺃㺃㺃బஂ㛫 ⫕㸦2003㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖࢆ᭷ࡍࡿᝈ⪅࡟ᑐࡍࡿࢢ࣮ࣝࣉᣦᑟɆFFGW㸦ឤ᝟஺ὶἲ㸧ࡢᐇ᪋࡜ຠᯝ ᅜ❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮◊✲⣖せ㸪24㸪1-9.
ո ᅄࣀᐑ ⨾ᜨᏊ㸦2009㸧㸬᚟Ꮫࡢࡓࡵࡢࢢ࣮ࣝࣉカ⦎ ୰ᓥ ᜨᏊ㸦⦅ⴭ㸧 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࢢ࣮ࣝࣉ
カ⦎㸦pp. 85-101㸧 ୕㍯᭩ᗑչ 㣕ᯇ ዲᏊ࣭ᾆୖ ⿱Ꮚ㸦2016㸧㸬♫఍᚟ᖐࢆࡵࡊࡍ㧗ḟ⬻ᶵ⬟㞀ᐖࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ ༡Ụᇽ

75− 75 −

➨㸱⠇ ࣄ࢔ࣜࣥࢢㄪᰝࡢࡲ࡜ࡵ࡜⪃ᐹࣄ࢔ࣜࣥࢢㄪᰝ࡛ᚓࡽࢀࡓ᝟ሗࡣࠊྛᑐ㇟᪋タࡢ≉Ⰽࡸྛᑓ㛛ᐙࡢᑓ㛛㡿ᇦ࡟ᛂࡌࠊከᒱ࡟ࢃࡓࡿෆᐜ࡜
࡞ࡗࡓࠋ௨ୗ㸦㸯㸧࡛ࡣࠊ」ᩘࡢ᪋タࡸᑓ㛛ᐙ࠿ࡽඹ㏻ࡋ࡚ᚓࡽࢀࡓពぢࢆ୰ᚰ࡟ࠊ࢔㸬࢔ࢭࢫ࣓ࣥࢺࠊ࢖㸬἞⒪ཬࡧᨭ᥼ࠊ࢘㸬ᨭ᥼⪅ࡢࢣ࢔ࡢ㸱ࡘ࡟ศ㢮ࡋ࡚せⅬࢆグ㍕ࡋࠊ
㸦㸰㸧࡟࠾࠸࡚⫋ᴗࣜࣁࡢほⅬ࠿ࡽ⪃ᐹࢆຍ࠼ࡿࠋ㸦㸯㸧せⅬࡢࡲ࡜ࡵ
࢔㸬࢔ࢭࢫ࣓ࣥࢺ
୙㐺ษ࡞⾜ືࡀ㉳ࡇࡿ⫼ᬒࢆಶูࡢᨭ᥼ᑐ㇟⪅࡟ࡘ࠸࡚⌮ゎࡋࠊ≧ែീ࡟ྜ⮴ࡋࡓᑐᛂࢆ⾜࠺ࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋࡑࡢࡓࡵ࡟ࡣᨭ᥼ᑐ㇟⪅ࡢヰࢆࡼࡃ⪺ࡃࡇ࡜ࡀ㔜せ࡛࠶ࡿࡀࠊ୙㐺ษ࡞⾜ືࡢࡁࡗ࠿ࡅࡸ⫼ᬒ࡟࠶ࡿ஦㇟࡟ࡘ࠸࡚ࠊᙜ஦⪅ࡀព㆑ࡋࡓࡾゝㄒ໬ࡋࡓࡾࡍࡿࡇ࡜ࡀ㞴ࡋ࠸ሙྜࡀ࠶ࡿࡓࡵࠊ⾜ືほᐹࡸ࿘ᅖ࠿ࡽ
ࡢ᝟ሗ཰㞟࡟ࡘ࠸࡚ࡶ㔜せ࡛࠶ࡿࠋ࢖㸬἞⒪ཬࡧᨭ᥼
ᨭ᥼ᑐ㇟⪅ࡢ≧ែീ࡟ᛂࡌࠊ⸆≀⒪ἲࡸ⎔ቃㄪᩚࠊᚰ⌮ᩍ⫱ࡸ SST ࡞࡝ࡢᚰ⌮ⓗᨭ᥼ࢆ⤌ࡳྜࢃࡏ࡚⾜࠺ࠋ᫬㛫ࡢ⤒㐣ࡸ⎔ቃኚ໬࡟క࠺≧ែീࡢኚ໬࡟ᑐᛂࡍࡿࡓࡵࠊ㛗ᮇⓗ࡞㛵ࢃࡾࡀᚲせ࡛࠶ࡿࠋ㸦࢔㸧⸆≀⒪ἲ㢧ⴭ࡞᫆ᛣᛶ࣭ᨷᧁᛶࠊ࠺ࡘࠊⓎືᛶࡢపୗ࡞࡝࠸ࡃࡘ࠿ࡢ⑕≧࡟ࡘ࠸࡚ࡣࠊ⸆≀⒪ἲࡀ㔜せ࡛࠶ࡿࠋᑓ㛛ᛶࡢ࠶ࡿ་ᖌ࡟ࡼࡿࡇ࡜ࡀᮃࡲࡋ࠸ࠋ
㸦࢖㸧⸆≀⒪ἲ௨እࡢ἞⒪ཬࡧᨭ᥼௓ධࢆ⾜࠺ୖ࡛ࡢࢢ࣮ࣝࣉᙧᘧࡢά⏝ࡣࠊ┦஫ほᐹ࡟ࡼࡿㄢ㢟࡬ࡢẼ࡙ࡁࡢಁ㐍ࡸࣆ࢔㸦ᙜ஦⪅ྠኈ㸧ࡢᚰ⌮ⓗᨭᣢ࡞࡝ࡢຠᯝࡀᮇᚅ࡛ࡁࡿࠋࢢ࣮ࣝࣉᙧᘧ࡛ࡢ௓ධࢆ⾜࠺࡟ࡣࠊៅ㔜࡞ࢢ࣮ࣝࣉ⦅ᡂࡸ༑ศ࡞
ᩘࡢᨭ᥼⪅ࡢ㓄⨨ࠊ๓ᚋࡢಶูሙ㠃࡛ࡢ୎ᑀ࡞ࣇ࢛࣮ࣟࡀ୙ྍḞ࡛࠶ࡾࠊࡇࢀࡽࡢ᮲௳ࡀᩚࢃ࡞࠸ሙྜࡣࠊ
༷ࡗ࡚ᨭ᥼ᑐ㇟⪅࡟ΰ஘ࢆ⏕ࡌࡉࡏࡿࣜࢫࢡࡀ࠶ࡿࠋ㞀ᐖ⛬ᗘࡸಶูࡢㄢ㢟ࢆ⪃៖ࡋࡓࢢ࣮ࣝࣉ⦅ᡂࡀ㞴ࡋ࠸ሙྜࡣࠊ㸰㹼㸱ேࡢᑡேᩘࢢ࣮ࣝࣉ࡜ࡋࡓࡾࠊࡲࡓࠊసᴗάືࡢ୍㒊ࢆά⏝ࡋࡓᑐே஺ὶሙ㠃ࢆタᐃࡍࡿࡇ࡜࡛ࢢ࣮ࣝࣉ࡜㢮ఝࡢ௓ධࢆ⾜࠺ሙྜࡶ࠶ࡿࠋ
௓ධຠᯝࡢ ᐃࡣࠊᨭ᥼ᑐ㇟⪅ࡢಶูᛶࡢ㧗ࡉࡸࠊ㐺⏝ྍ⬟࡞ホ౯ᑻᗘࡀ㝈ࡽࢀ࡚࠸ࡿࡇ࡜࠿ࡽᕤኵࡀᚲせ࡛࠶ࡿࠋࡲࡓࠊ௓ධࡢ┤ᚋ࡟ຠᯝࡀぢࡽࢀࡿ࡜ࡣ㝈ࡽࡎࠊ౛࠼ࡤࠊ་⒪ᶵ㛵࡛⾜ࡗࡓ௓ධࡢຠᯝࡀࠊ
♫఍᚟ᖐᚋ࡟᫬㛫ࢆ⤒࡚࠿ࡽ⌧ࢀࡿሙྜࡀ࠶ࡿࠋ
࢘㸬ᨭ᥼⪅ࡢࢣ࢔
ᨭ᥼⪅ࡢ㐣㈇Ⲵ࡬ࡢᑐ⟇࡜ࡋ࡚ࡣࠊ୍ே࡟኱ࡁ࡞㈇ᢸࡀ࠿࠿ࡿࡇ࡜ࢆ㑊ࡅࡿࡓࡵ࡟ࠊᨭ᥼ᑐ㇟⪅࡟ᑐࡋ࡚」ᩘయไ࡛㛵ࢃࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋከ⫋✀యไ࡛ࠊࡑࢀࡒࢀࡢどⅬࡸᑓ㛛ᛶࢆά࠿ࡋ࡚࠿࠿ࢃࡿࡇ࡜ࡢព
⩏ࡶ኱ࡁ࠸ࠋᨭ᥼⪅┦஫࡟᝟ሗ஺᥮ࡸ┦ㄯࡀࡋࡸࡍ࠸㛵ಀᛶࡀ࠶ࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋ㸦㸰㸧⪃ᐹ
࢔㸬࢔ࢭࢫ࣓ࣥࢺ⾜ືほᐹࡸᮏேཬࡧ࿘ᅖ࠿ࡽࡢ᝟ሗ཰㞟ࡣࠊ⫋ᴗࣜࣁ㡿ᇦ࡟࠾࠸࡚ࡶ㔜せ࡞࢔ࢭࢫ࣓ࣥࢺᡭἲ࡜ࡋ࡚ㄆ㆑
ࡉࢀ࡚࠸ࡿ࡜ࡇࢁ࡛࠶ࡿࡀࠊࡇࢀࡽࢆຠᯝⓗ࣭ຠ⋡ⓗ࡟⾜࠺࡟ࡣࠊ㞀ᐖ≉ᛶ࡟㛵ࡍࡿ▱㆑ࡀ୙ྍḞ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ౛࠼ࡤࠊ⬻ᦆയ࡟ࡼࡗ࡚⫈ぬ㐣ᩄࡀ㉳ࡇࡾ࠺ࡿࡇ࡜ࢆ▱㆑࡜ࡋ࡚▱ࡽ࡞ࡅࢀࡤࠊ࠶ࡿᨭ᥼ᑐ㇟
⪅ࡢ࢖ࣛ࢖ࣛࡀ㦁㡢࡟㉳ᅉࡋ࡚࠸ࡿࡇ࡜࡟ほᐹ࠿ࡽẼ࡙ࡃ࡟ࡣ᫬㛫ࢆせࡍࡿ࠿ࡶࡋࢀ࡞࠸ࠋ㞀ᐖ≉ᛶ࡟ࡘ࠸
76− 76 −

࡚ࡢ▱㆑ࢆ῝ࡵࡿࡇ࡜ࡣ⫋ᴗࣜࣁᚑ஦⪅࡜ࡋ࡚ດຊࡍ࡭ࡁⅬ࡛࠶ࡿࡀࠊከࡃࡢ⫋ᴗࣜࣁᶵ㛵ཬࡧ⫋ᴗࣜࣁᚑ஦⪅ࡣ≉ᐃࡢ㞀ᐖ㡿ᇦ࡟≉໬ࡋ࡚࠸࡞࠸⌧≧ࢆ⪃࠼ࡿ࡜ࠊᵝࠎ࡞㞀ᐖ࡟ࡘ࠸࡚㧗ᗘ࡞ᑓ㛛▱㆑ࢆᣢࡘࡇ࡜࡟
ࡣ㝈⏺ࡀ࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋⓗ☜࡞࢔ࢭࢫ࣓ࣥࢺ࡟ᇶ࡙࠸ࡓᨭ᥼ࢆᐇ᪋ࡍࡿࡓࡵ࡟ࠊᑓ㛛▱㆑ࢆᣢࡘ㛵ಀᶵ㛵࡜ࡢᐦ࡞㐃ᦠࡀ㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
࢖㸬἞⒪ཬࡧᨭ᥼
㸦࢔㸧⸆≀⒪ἲ㸦ࢆྵࡴ་⒪ⓗࢣ࢔㸧⫋ᴗࣜࣁࡢሙ㠃࡟࠾࠸࡚ࠊᨭ᥼ᑐ㇟⪅ࡢ⫋ᴗ⏕άୖ࡟㢧ⴭ࡞ㄢ㢟ࡀㄆࡵࡽࢀࠊࡑࡢㄢ㢟ゎỴ࡟་⒪ⓗࢣ࢔ࡀᚲせ࡛࠶ࡿ࡜ุ᩿ࡉࢀࡓሙྜࡣࠊ་⒪ᶵ㛵࡬ࡢཷデࢆ່ࡵࡿࡇ࡜࡟࡞ࡿࠋࡋ࠿ࡋࠊᨭ᥼ᑐ㇟⪅ࡢ≧ែീ࡟ࡼࡗ࡚ࡣࠊཷデࢆ┤ࡕ࡟່ࡵࡿ࡭ࡁ࡛࠶ࡿ࠿ࠊ⎔ቃㄪᩚ➼࡛ᑐᛂࡍ࡭ࡁ≧ἣ࡛࠶ࡿ࠿ࠊ⫋ᴗࣜࣁᚑ஦
⪅࡟࡜ࡗุ࡚᩿ࡀ㞴ࡋ࠸ሙྜࡀࡋࡤࡋࡤ࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋุ᩿࡟㏞࠺ሙྜ࡟ࠊ㐺ษ࡞ᑓ㛛ᐙ࡟ᑐࡋ࡚ࠊ
᫬ᶵࢆ㏨ࡉࡎ┦ㄯ࡛ࡁࡿయไࢆᩚ࠼࡚࠾ࡃࡇ࡜ࡀᮃࡲࢀࡿࠋ་⒪ࣜࣁ࡜⫋ᴗࣜࣁࡢ㐃ᦠ࡟ࡘ࠸࡚ࡣࠊᨭ᥼
ᑐ㇟⪅ࡢ་⒪ࣜࣁ࠿ࡽ⫋ᴗࣜࣁ࡬ࡢ⛣⾜࡟ὀ┠ࡀ㞟ࡲࡿሙྜࡀከ࠸ࡀࠊ୍᪉ྥⓗ࡞ࢣ࣮ࢫࡢ⤂௓࡟␃ࡲࡽ
ࡎࠊ཮᪉ྥⓗ࡞㐃ᦠࡀ㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
㸦࢖㸧⸆≀⒪ἲ௨እࡢ἞⒪ཬࡧᨭ᥼ከࡃࡢ⫋ᴗࣜࣁᶵ㛵࡟࠾࠸࡚ࡣࠊᖜᗈ࠸㞀ᐖ✀㢮ࡢேࢆᨭ᥼ᑐ㇟࡜ࡋ࡚࠸ࡿࡇ࡜࠿ࡽࠊ㞀ᐖ⛬ᗘࡸㄢ㢟ࡀ㢮ఝࡋࡓᨭ᥼ᑐ㇟⪅ࡢࢢ࣮ࣝࣉࢆ⦅ᡂࡍࡿࡇ࡜ࡀ㞴ࡋ࠸ሙྜࡀከ࠸࡜⪃࠼ࡽࢀࡿࠋ㸰㹼㸱ேࡢᑡேᩘࡢ
ࢢ࣮ࣝࣉᙧᘧࡢᨭ᥼ࡸࠊసᴗάືࡢ୍㒊ࢆά⏝ࡋࡓᑐே஺ὶሙ㠃ࡢタᐃ࡟ࡘ࠸࡚ࡣࠊ⫋ᴗࣜࣁᶵ㛵ࡢᨭ᥼࡟࠾࠸࡚ࡶྲྀࡾධࢀࡸࡍࡃࠊᐇ㊶ࡢཧ⪃࡟ࡋࡸࡍ࠸࡜⪃࠼ࡽࢀࡿࠋ
⫋ᴗࣜࣁ㡿ᇦ࡟࠾࠸࡚ࡶ᰿ᣐ࡟ᇶ࡙ࡃᨭ᥼ࡢ㔜せᛶࡀᣦ᦬ࡉࢀ࡚࠾ࡾ㸦⸨ᕝ࣭Chan࣭Sung࣭ඵ㔜⏣㸪
2011㸹ඵ㔜⏣௚㸪2011㸧ࠊᨭ᥼ຠᯝࡢᐈほⓗ࡞ᐃ᪉ἲࡣࠊ་⒪ࣜࣁ࡜⫋ᴗࣜࣁࡢඹ㏻ࡢ㔜せ࡞ㄢ㢟࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
࢘㸬ᨭ᥼⪅ࡢࢣ࢔
」ᩘయไ࡛ᨭ᥼ᑐ㇟⪅࡜࠿࠿ࢃࡿࡇ࡜ࡣࠊᨭ᥼⪅ࡢ㐣㈇Ⲵ࡬ࡢᑐ⟇࡜ᨭ᥼ࡢ㉁ࡢ☜ಖࡢ୧㠃࠿ࡽࠊ⫋ᴗࣜࣁ㡿ᇦ࡟࠾࠸࡚ࡶྠࡌࡃ㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ⫋ᴗࣜࣁ㡿ᇦ࡛ࡣࠊ୍ࡘࡢ᪋タࡢ୰࡛ከ⫋✀యไࢆసࡿ
ࡇ࡜ࡣ㞴ࡋ࠸ሙྜࡀከ࠸࡜⪃࠼ࡽࢀࡿࡀࠊከᶵ㛵ࡢᨭ᥼ࢿࢵࢺ࣮࣡ࢡࡢ୰࡛㢮ఝࡢᶵ⬟ࢆᚓࡿࡇ࡜ࡀྍ⬟࡛࠶ࡿ࠿ࡶ▱ࢀ࡞࠸ࠋ

77− 77 −



78

➨䠐❶
௒ᚋ䛾◊✲ㄢ㢟➨㸲❶ ௒ᚋࡢ◊✲ㄢ㢟➨㸰❶ཬࡧ➨㸱❶ࡢ⤖ᯝ࡜⪃ᐹࢆ㋃ࡲ࠼ࠊ♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼࡟㛵㐃ࡍࡿࠊ⫋ᴗࣜࣁ㡿ᇦࡢ௒ᚋࡢ◊✲ㄢ㢟࡜ࡋ࡚㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿ஦㡯ࢆᣲࡆࡿࠋ
㸦㸯㸧㛵ಀᶵ㛵࡜ࡢ㐃ᦠ࡟ࡘ࠸࡚
ᩥ⊩ㄪᰝ࡜ࣄ࢔ࣜࣥࢢㄪᰝࡢ୧᪉ࡢ⤖ᯝ࠿ࡽࠊ་⒪ᶵ㛵ࢆࡣࡌࡵ࡜ࡍࡿ㛵ಀᶵ㛵࡜ࡢ㐃ᦠࡢ㔜せᛶࡀᨵࡵ࡚ᙉㄪࡉࢀࡿࠋ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2004c㸹2007㸹2016a㸧ࡣࠊ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᨭ᥼࡟࠾ࡅࡿ་⒪ᶵ㛵࡜⫋ᴗࣜࣁᶵ㛵࡜ࡢ㐃ᦠ࡟ࡘ࠸࡚ࡇࢀࡲ࡛࡟」ᩘᅇࡢㄪᰝࢆ⾜ࡗ࡚࠾ࡾࠊ୧⪅ࡢ㐃ᦠࡣࠊࣔࢹࣝ஦ᴗ
ࡸᨭ᥼ᬑཬ஦ᴗࡢᒎ㛤࡟కࡗ࡚๓㐍ࡀぢࡽࢀࡓࡶࡢࡢࠊ᭱㏆ࡢㄪᰝ࡟࠾࠸࡚ࡶᑡ࡞࠿ࡽࡎㄢ㢟ࡀṧࡿࡇ࡜ࢆሗ࿌ࡋ࡚࠸ࡿࠋࡇࡢ≧ἣࢆ㋃ࡲ࠼ࠊ௒ᚋࡢ◊✲ㄢ㢟࡜ࡋ࡚ࠊṧࡿㄢ㢟ゎỴ࡟ྥࡅࠊලయⓗ࡞᳨ウࢆ㐍ࡵࡿࡇ࡜ࡀᚲせ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ౛࠼ࡤࠊຠᯝⓗ࡞㐃ᦠࢆᐇ⌧ࡍࡿୖ࡛ࡢᨭ㞀ࢆ≉ᐃࡍࡿࡇ࡜ࠊᨭ㞀ࢆゎỴࡋࡓ஦౛ࢆ཰㞟ࡍࡿࡇ࡜ࠊ㐃ᦠࡀࡶࡓࡽࡍຠᯝࢆᐃ㔞໬ࡍࡿࡇ࡜࡞࡝ࡀ⪃࠼ࡽࢀࡿࠋࡲࡓࠊୖ㏙ࡢ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2004c㸹2007㸹2016a㸧ࡢㄪᰝ࡛ࡣࠊ་⒪ᶵ㛵ࡢ୰࡛ࡶ୺࡟ࣜࣁ⛉࡜ࡢ㐃ᦠࢆ୰ᚰ࡟᳨ウࡀ⾜ࢃࢀ࡚ࡁࡓࡀࠊ௒ᅇࡢㄪᰝࡢ⤖ᯝࢆ㋃ࡲ࠼ࡿ࡜ࠊ⢭⚄⛉་⒪࡜ࡢ㐃ᦠࡶྠᵝ࡟㔜せ࡛࠶ࡿࡇ࡜ࡀ⪃࠼ࡽࢀࡿࠋࡉࡽ࡟ࠊ་⒪ᶵ㛵ࡔࡅ࡛ࡣ࡞ࡃ⚟♴ᶵ㛵࡜ࡢ㐃ᦠࡸࠊࡲࡓࠊ⫋ᴗࣜࣁᶵ㛵ྠኈࡢ㐃ᦠࡶ㔜せ࡛࠶ࡿࡇ࡜
ࡀᣦ᦬ࡉࢀ࡚࠾ࡾࠊከᶵ㛵ࢆ⤖ࡪᨭ᥼ࢿࢵࢺ࣮࣡ࢡࡢほⅬ࠿ࡽ㐃ᦠࢆ᳨ウࡋ࡚࠸ࡃࡇ࡜ࡀᚲせ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ㸦㸰㸧⫋ᴗࣜࣁ㡿ᇦ࡛ࡢྲྀ⤌࡟ࡘ࠸࡚
♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᑵປᨭ᥼࡟㛵ࡋ࡚ࡣࠊ㛵ಀᶵ㛵࡜ࡢ㐃ᦠࡀ㔜せ࡛࠶ࡿ୍᪉ࠊ⫋ᴗࣜࣁᶵ㛵ࡢᐇ㊶ࡢࣇ࢕࣮ࣝࢻࡸᑓ㛛ᛶࢆά࠿ࡋࠊ⋡ඛࡋ࡚ྲྀࡾ⤌ࢇ࡛࠸ࡃࡇ࡜ࡀᮃࡲࡋ࠸㡿ᇦࡶ࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ୍౛࡜ࡋ࡚ࡣࠊᩥ⊩ㄪᰝ࡟࠾࠸࡚᝟ሗࡀᚓࡽࢀࡓࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࣃ࣮ࢺࢼ࣮カ⦎ࢆ⫋ᴗࣜࣁ࡟㐺⏝ࡍࡿࡇ࡜ࡀ⪃࠼ࡽࢀࡿࠋ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ⫋ሙ㐺ᛂࡢಁ㐍ࢆ┠ⓗ࡜ࡋ࡚ࠊ⫋ሙࡢୖྖࡸྠ൉ࠊ࠶ࡿ
࠸ࡣ௻ᴗᅾ⡠ᆺࢪࣙࣈࢥ࣮ࢳ࡜࠸ࡗࡓ⫋ሙࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⎔ቃ࡟✚ᴟⓗ࡟௓ධࡍࡿࡇ࡜ࡣࠊ⫋ᴗࣜࣁ࡞ࡽ࡛ࡣࡢᐇ㊶࡛࠶ࡿ࡜ゝ࠼ࡿࡔࢁ࠺ࠋูࡢ౛࡜ࡋ࡚ࠊⓎືᛶపୗࡢ࠶ࡿே࡬ࡢᨭ᥼࡟࠾࠸࡚ࠊእⓗ⿵ຓᡭẁࡢά⏝࡞࡝ࡢ⫋ᴗࣜࣁᚑ஦⪅ࡀᚓព࡜ࡍࡿᨭ᥼ᢏἲࢆά⏝ࡋ࡚ࠊᨭ᥼ᑐ㇟⪅ࡢ⫋ᴗ⏕άࡢ⮬❧ᛶྥୖ࡟ྲྀ
ࡾ⤌ࡴࡇ࡜ࡶᡂᯝࢆୖࡆࡽࢀࡿྍ⬟ᛶࡢ࠶ࡿ㡿ᇦ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
ࡲࡓࠊࣄ࢔ࣜࣥࢢㄪᰝ࠿ࡽࡣࠊ㛗ᮇⓗどⅬ࡛ࡢᨭ᥼ࡢ㔜せᛶࡀᣦ᦬ࡉࢀ࡚࠸ࡿࠋ⫋ᴗࣜࣁᶵ㛵ࡣከࡃࡢሙ
ྜࠊ་⒪ᶵ㛵ࡸ⚟♴ᶵ㛵ࡼࡾࡶᚋ᪉ࡢࢱ࢖࣑ࣥࢢ࡛ᨭ᥼ᑐ㇟⪅࡟ᑐࡋ࡚ᐦ᥋࡟࠿࠿ࢃࡿࡇ࡜࡟࡞ࡿࠋࡇࡢ❧ሙࢆά࠿ࡋࠊ⫋ሙ㐺ᛂࡀ෇⁥࡛࠶ࡗࡓࠊ࠶ࡿ࠸ࡣᚲせ࡜ࡍࡿᨭ᥼ࡢ㔞ࡀከ࠿ࡗࡓ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ≉ᚩࡸㄢ㢟࡟㛵ࡍࡿ᝟ሗࢆ⵳✚࣭ศᯒࡋ࡚࠸ࡃࡇ࡜ࡣࠊ⫋ᴗࣜࣁᶵ㛵ࡔࡅ࡛࡞ࡃ་⒪ᶵ㛵ࡸ⚟♴ᶵ㛵➼ࡶྵࡵࡓ㛵ಀᶵ㛵ࡀࠊᑵ⫋ࡸ᚟⫋ࡢ๓ẁ㝵࡛ὀຊࡋ࡚ᨭ᥼ࡍ࡭ࡁⅬࢆ≉ᐃࡍࡿࡓࡵ࡟᭷⏝࡞᝟ሗ࡜࡞ࡾᚓࡿࡇ࡜ࡀ⪃࠼ࡽࢀࠊ⫋ᴗࣜࣁ㡿ᇦ࡟࠾ࡅࡿ㔜せ࡞◊✲ㄢ㢟࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ

79− 79 −



80



ᘬ⏝ᩥ⊩
㸦᪥ᮏㄒᩥ⊩ ⴭ⪅ྡ  㡢㡰㸧ᮅ᪥ 㞞ஓ㸦2012㸧㸬⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ࡜ࡣఱ࠿ ᪥ᮏ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛ఍㸦⦅㸧 ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢᇶ♏࡜ᐇ㊶̿㞀ᐖࡢ࠶ࡿேࡢᑵປᨭ᥼ࡢࡓࡵ࡟㸦pp. 2-13㸧 ୰ኸἲつ㜿㒊 㡰Ꮚ㸦2009㸧㸬♫఍ⓗ⾜ື㞀ᐖࢆࡶࡘᝈ⪅ࡢ♫఍᚟ᖐᨭ᥼ Journal of CLINICAL REHABILITATION㸪

18㸪1094-1101㸬Ⲩ஭ ⏤⨾Ꮚ㸦2002㸧㸬௓ㆤ㈇ᢸᗘࡢホ౯ ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸪30㸪1005-1009.
Ᏻ⸨ ᫂ே࣭᭮ᡃ ⚈Ꮚ࣭ᒣᓮ ຾அ࣭ᓥ஭ ဴᚿ࣭ᔱ⏣ ὒᚨ࣭Ᏹὠᮌ ᡂ௓࣭኱ⰱ ἞࣭ᆏ஭ ᫂Ꮚ㸦1999㸧㸬
᪥ᮏ∧ Buss-Perry ᨷᧁᛶ㉁ၥ⣬㸦BAQ㸧ࡢసᡂ࡜ጇᙜᛶ㸪ಙ㢗ᛶࡢ᳨ウ ᚰ⌮Ꮫ◊✲㸪70㸪384-392㸬ᒾ⏣ ㄔ㸦2011㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ࡜ࡣ࡝ࡢࡼ࠺࡞ࡶࡢࢆᣦࡍࡢ࡛ࡍ࠿ࠊࡲࡓ࡝ࡢࡼ࠺࡟ศ㢮ࡉࢀࡿࡢ࡛ࡍ࠿Ἑᮧ ‶㸦⦅ⴭ㸧 㧗ḟ⬻ᶵ⬟㞀ᐖ Q&A ᇶ♏⦅㸦pp. 3-5㸧 ᪂⯆་Ꮫฟ∧♫ୖ⏣ ᩗኴ࣭ᮧ஭ ಇဢ㸦2016㸧㸬࢔ࣃࢩ࣮ Ṋ⏣ ඞᙪ࣭ᮧ஭ ಇဢ㸦⦅ⴭ㸧 㧗ḟ⬻ᶵ⬟㞀ᐖࡢ⪃࠼᪉࡜⏬
ീデ᩿㸦pp. 242-254㸧 ୰እ་Ꮫ♫ෆ⏣ ▱ᏹ࣭ୖᇣ 㧗ᚿ㸦2010㸧㸬Rosenberg ⮬ᑛឤ᝟ᑻᗘࡢಙ㢗ᛶ࠾ࡼࡧጇᙜᛶࡢ᳨ウ̿Miura & Griffithsヂࡢ᪥ᮏㄒ∧ࢆ⏝࠸࡚̿ ᮾ໭኱Ꮫᩍ⫱Ꮫ◊✲⛉◊✲ᖺሗ㸪58㸪257-266.
኱ᮌ ⚽୍㸦2013㸧㸬┳ㆤ◊✲࣭┳ㆤᐇ㊶ࡢ㉁ࢆ㧗ࡵࡿᩥ⊩ࣞࣅ࣮ࣗࡢᇶᮏ ་ṑ⸆ฟ∧኱ᶫ ṇὒ㸦1990㸧㸬⬻እയࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢၥ㢟Ⅼ̿≉Ṧ࡞㞀ᐖീ࡜⡿ᅜࡢඛ㐍ᛶ̿ ࣜࣁࣅࣜࢸ࣮ࢩ
ࣙࣥ་Ꮫ㸪27㸪399-409㸬ᒸ⏣ ࿴ᝅ࣭ᑠᯘ ⚈Ὀ࣭㟷ᮌ ⪔࣭㡲ᒣ ಙኵ࣭ᒣཱྀ ಟᖹ㸦1998㸧㸬ࡸࡿẼࢫࢥ࢔ࢆ⏝࠸ࡓ⬻༞୰ᚋࡢពḧపୗࡢホ౯ ⬻༞୰㸪20㸪318-323.
ᒸᮧ 㝧Ꮚ࣭኱ሯ ᜨ⨾Ꮚ㸦2010㸧㸬♫఍ⓗ⾜ື㞀ᐖࡢᨵၿࢆ┠ⓗ࡜ࡋࡓ SST ࢢ࣮ࣝࣉカ⦎ 㧗ḟ⬻ᶵ⬟◊✲㸪

30㸪67-75㸬㮵ᓥ ᬕ㞝࣭ຍ⸨ ඖ୍㑻࣭ᮏ⏣ ဴ୕㸦1999㸧㸬᝟ື࠾ࡼࡧ⾜ື㞀ᐖࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ 㮵ᓥ ᬕ㞝࣭ຍ⸨ ඖ୍㑻࣭ᮏ⏣ ဴ୕㸦ⴭ㸧 ㄆ▱ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸦pp. 176-192㸧 ་Ꮫ᭩㝔ຍ⸨ ඖ୍㑻࣭ὀព࣭ពḧホ౯ἲస〇ᑠጤဨ఍㸦2006㸧㸬ᶆ‽ὀព᳨ᰝἲ㸦CAT㸧࡜ᶆ‽ពḧホ౯ἲ㸦CAS㸧ࡢ㛤Ⓨ࡜ࡑࡢ⤒㐣 㧗ḟ⬻ᶵ⬟◊✲㸪26㸪310-319.
㙊಴ ▴Ꮚ㸦2010a㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ࡜సᴗ⒪ἲ 㙊಴ ▴Ꮚ࣭ᮏከ ␃⨾㸦ⴭ㸧 㧗ḟ⬻ᶵ⬟㞀ᐖࡢసᴗ⒪ἲ㸦pp. 4-11㸧 ୕㍯᭩ᗑ㙊಴ ▴Ꮚ㸦2010b㸧
㸬㐙⾜ᶵ⬟ࡢ㞀ᐖ 㙊಴ ▴Ꮚ࣭ᮏከ ␃⨾㸦ⴭ㸧 㧗ḟ⬻ᶵ⬟㞀ᐖࡢసᴗ⒪ἲ㸦pp. 361-511㸧୕㍯᭩ᗑ
⳥ụ ❶ኵ㸦1988㸧㸬ᛮ࠸ࡸࡾࢆ⛉Ꮫࡍࡿ ᕝᓥ᭩ᗑ⳥ụ ❶ኵ㸦1999㸧㸬Kiss-18 ࡢ 12 ᖺ ᪥ᮏᛶ᱁ᚰ⌮Ꮫ఍➨㸶ᅇ኱఍Ⓨ⾲ㄽᩥ㞟⳥ụ ᜨ⨾Ꮚ࣭ᯇⅭ ಙ㞝㸦2006㸧㸬⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢᴫᛕ ᯇⅭ ಙ㞝࣭⳥ụ ᜨ⨾Ꮚ㸦⦅㸧 ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛ ᨵゞ➨㸰∧㸦pp. 10-17㸧 ༠ྠ་᭩ฟ∧♫ᮌᮧ ள▮Ꮚ࣭ᇼ ໶࣭బ⸨ ၨᏊ࣭బ⸨ ᬛ⨾࣭ඛᓮ ❶㸦2017㸧㸬グ᠈㞀ᐖ࡜Ⓨືᛶపୗࢆㄆࡵࡿᝈ⪅࡟ᑐࡋ
SNS㸦LINE㸧ࡢά⏝࡛᭷ຠ࡞௦ൾᡭẁࢆ⩦ᚓ࡛ࡁࡓ୍౛ 㧗ḟ⬻ᶵ⬟◊✲㸪37㸪421-427㸬ஂಖ ⩏㑻࣭㛗ᑿ ึ℩࣭ᑠᓮ ㈼࣭᫂ຍ⸨ ♩Ꮚ࣭୰ᮧ ᠇୍࣭ሷἑ ဴኵ㺃㺃㺃ᶫᮏ ᆂྖ㸦2007㸧㸬⬻እയ⪅ࡢㄆ▱-⾜ື㞀ᐖᑻᗘ㸦TBI-31㸧ࡢసᡂ̿⏕άሙ㠃ࡢほᐹ࡟ࡼࡿホ౯ ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸪35㸪
921-928.
81− 81 −

ཌ⏕ປാ┬♫఍࣭᥼ㆤᒁ㞀ᐖಖ೺⚟♴㒊࣭ᅜ❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮㸦2008㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ᨭ᥼ࡢᡭᘬࡁ㸦ᨵゞ➨㸰∧㸧 ᅜ❧㞀ᐖ⪅ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢭࣥࢱ࣮
㧗ḟ⬻ᶵ⬟㞀ᐖ඲ᅜᐇែㄪᰝጤဨ఍㸦2011㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ඲ᅜᐇែㄪᰝሗ࿌ 㧗ḟ⬻ᶵ⬟◊✲㸪31㸪19-31㸬㧗ḟ⬻ᶵ⬟㞀ᐖ඲ᅜᐇែㄪᰝጤဨ఍㸦2016㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ඲ᅜᐇែㄪᰝሗ࿌ 㧗ḟ⬻ᶵ⬟◊✲㸪36㸪
492-502㸬ᑠཱྀ Ꮥྖ㸦1989㸧㸬⮬ᕫ㛤♧ࡢཷࡅᡭ࡟㛵ࡍࡿ◊✲ ࣮࢜ࣉࢼ࣮࣭ࢫࢣ࣮ࣝ㸪R-JSDQ ࡜ SMI ࢆ⏝࠸࡚ ᛂ⏝♫఍Ꮫ◊✲㸦❧ᩍ኱Ꮫ♫఍Ꮫ㒊◊✲⣖せ㸧㸪31㸪49-64㸬ᑠᔱ 㞞௦࣭ྂᕝ ኖு㸦2003㸧㸬᪥ᮏ∧ BDI-II ࡟ࡘ࠸࡚ Beck, A.T., Steer, R. A., Brown, G. K.㸦ⴭ㸧ᑠᔱ㞞௦࣭ྂᕝ ኖு㸦ヂⴭ㸧 ᪥ᮏ∧ BDI-ϩᡭᘬ㸦pp. 28-47㸧 ᪥ᮏᩥ໬⛉Ꮫ♫ᑠྥ ెዉᏊ㸦2017㸧㸬⑕౛ሗ࿌㸦ࢣ࣮ࢫࢩ࣮ࣜࢬࢆྵࡴ㸧ࠊࢼࣛࢸ࢕ࣈࣞࣅ࣮ࣗࢆゎ㔘ࡍࡿୖ࡛ᚲせ࡞▱㆑୰ᒣ ೺ኵ㸦┘ಟ㸧࣭᪥㧘 ṇᕭ㸦⦅㸧࣭⸨ᮏ ಟᖹ㸦⦅㸧 PT࣭OT࣭ST ࡢࡓࡵࡢデ⒪࢞࢖ࢻࣛ࢖ࣥά
⏝ἲ㸦pp. 48-54㸧 ་ṑ⸆ฟ∧ᆏ∎ ୍ᖾ㸦2008㸧㸬ᚰ⌮⒪ἲ࣭⾜ື⒪ἲ 㮵ᓥ ᬕ㞝࣭኱ᮾ ⚈Ꮥ࣭✀ᮧ ⣧㸦⦅㸧 ࡼࡃࢃ࠿ࡿኻㄒ⑕ࢭࣛ
ࣆ࣮࡜ㄆ▱ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸦pp. 124-135㸧 Ọ஭᭩ᗑᱜ஭ ᡂ⏨㸦2000㸧㸬࣮ࣟࢮࣥࣂ࣮ࢢ⮬ᑛឤ᝟ᑻᗘ᪥ᮏㄒ∧ࡢ᳨ウ ⟃Ἴ኱ᏛⓎ㐩⮫ᗋᚰ⌮Ꮫ◊✲ 12㸪65-71.
బ⸨ ᐶ࣭㧗ᶫ ྐ࣭ᯇᑿ 㞞࣭ቃ Ἠὒ࣭ᔱ⏣ ὒᚨ࣭㝞 ᓧ㞼࣭㈅㇂ ஂᐉ࣭ᆏ㔝 㞝஧㸦2006㸧㸬Social
Problem-Solving Inventory-Revised(SPSI-R)᪥ᮏㄒ∧ࡢసᡂ࡜ಙ㢗ᛶ࣭ጇᙜᛶࡢ᳨ウ ⾜ື⒪ἲ◊✲㸪32㸪15-30.
⮬㈺㈐ಖ㝤࡟࠾ࡅࡿ㧗ḟ⬻ᶵ⬟㞀ᐖㄆᐃࢩࢫࢸ᳨࣒ウጤဨ఍㸦2011㸧㸬⮬㈺㈐ಖ㝤࡟࠾ࡅࡿ㧗ḟ⬻ᶵ⬟㞀ᐖㄆᐃࢩࢫࢸ࣒ࡢ඘ᐇ࡟ࡘ࠸࡚㸦ሗ࿌᭩㸧 ᅜᅵ஺㏻┬
ᰘᓮ ගୡ㸦2012㸧㸬๓㢌ⴥᶵ⬟㞀ᐖࡢㄆ▱ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ ᫂ᫍ኱Ꮫᚰ⌮Ꮫᖺሗ㸪30㸪23-40㸬ΎỈ ⚽⨾࣭௒ᰤ ᅜᬕ㸦1981㸧㸬State-Trait Anxiety Inventory ࡢ᪥ᮏㄒ∧㸦኱Ꮫ⏕⏝㸧ࡢసᡂ ᩍ⫱ᚰ⌮Ꮫ◊✲㸪29㸪348-353㸬
㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦1997㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ21 ᆅᇦ㞀ᐖ⪅⫋ᴗࢭࣥࢱ࣮ࡢᴗົ⤫ィୖ͆ࡑࡢ௚͇
࡟ศ㢮ࡉࢀ࡚࠸ࡿ㞀ᐖ⪅ࡢᑵᴗୖࡢㄢ㢟 ᪥ᮏ㞀ᐖ⪅㞠⏝ಁ㐍༠఍49㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦1998㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ32 㧗ḟ⬻ᶵ⬟㞀ᐖࢆ᭷ࡍࡿ⪅࡟ᑐࡍࡿ⫋ᴗㅮ⩦ࡢᣦᑟ᪉ἲ࡟㛵ࡍࡿ◊✲ ᪥ᮏ㞀ᐖ⪅㞠⏝ಁ㐍༠఍㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦1999㸧㸬ᐇ㊶ሗ࿌᭩Ɋ㸲 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࡓࡵࡢຠᯝⓗ࡞ᨭ᥼᪉ἲ㸦ᵓ᝿㸧̿་Ꮫⓗࣜࣁ࠿ࡽ⫋ሙ᚟ᖐ࡬ࡢ෇⁥࡞ᨭ᥼ࢆ୰ᚰ࡜ࡋ࡚̿ ᪥ᮏ㞀ᐖ⪅㞠⏝ಁ㐍༠఍㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2001㸧㸬ᐇ㊶ሗ࿌᭩Ɋ㸷 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿ⫋ሙ᚟ᖐᨭ᥼ Ɇ⫋ሙ᚟ᖐᨭ᥼ࣉࣟࢢ࣒ࣛ࡟࠾ࡅࡿ㸰ᖺ㛫ࡢᐇ㊶࠿ࡽɆ ᪥ᮏ㞀ᐖ⪅㞠⏝ಁ㐍༠఍㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2002㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ52 ⢭⚄㞀ᐖ⪅➼ࢆ୰ᚰ࡜ࡍࡿ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙ
ࣥᢏἲ࡟㛵ࡍࡿ⥲ྜⓗ◊✲㸦୰㛫ሗ࿌᭩㸧 ᪥ᮏ㞀ᐖ⪅㞠⏝ಁ㐍༠఍㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2003a㸧㸬㈨ᩱࢩ࣮ࣜࢬɊ28 ⬻ᦆയ⪅ࡢᑵᴗᐃ╔࡟㛵ࡍࡿ◊✲ ᪥ᮏ㞀ᐖ⪅㞠⏝ಁ㐍༠఍㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2003b㸧㸬ᐇ㊶ሗ࿌᭩Ɋ11 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿ⫋ሙ᚟ᖐᨭ᥼ Ɇ⫋ሙ᚟ᖐᨭ᥼ࣉࣟࢢ࣒ࣛ࡟࠾ࡅࡿ஦ᴗ୺ᨭ᥼㸦஦๓ㄪᰝ㸧࠿ࡽɆ ᪥ᮏ㞀ᐖ⪅㞠⏝ಁ㐍༠఍
49⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓࡢห⾜≀㸦ࠕ᪥ᮏ㞀ᐖ⪅㞠⏝ಁ㐍༠఍ࠖཬࡧࠕ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓࠖ࡟ࡼࡿࡶࡢࢆྵࡴ㸧ࡣࠊ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ◊✲㒊㛛ࡢ࢙࢘ࣈࢧ࢖ࢺ࡛බ㛤ࡋ࡚࠸ࡿ㸦http://www.nivr.jeed.or.jp/㸧ࠋ82− 82 −

㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2004a㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ57 ⢭⚄㞀ᐖ⪅➼ࢆ୰ᚰ࡜ࡍࡿ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙ
ࣥᢏἲ࡟㛵ࡍࡿ⥲ྜⓗ◊✲㸦᭱⤊ሗ࿌᭩㸧 ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2004b㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ58 㧗ḟ⬻ᶵ⬟㞀ᐖࢆ᭷ࡍࡿ⪅ࡢᑵᴗࡢࡓࡵࡢᐙ᪘ᨭ
᥼ࡢ࠶ࡾ᪉࡟㛵ࡍࡿ◊✲ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2004c㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ63 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᑵປᨭ᥼Ɇ㞀ᐖ⪅⫋ᴗࢭࣥࢱ࣮ࡢ฼⏝ᐇែཬࡧ་⒪ᶵ㛵࡜ࡢ㐃ᦠࡢ⌧≧࡜ㄢ㢟Ɇ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2004d㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ64 ⢭⚄㞀ᐖ⪅➼ࢆ୰ᚰ࡜ࡍࡿ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙ
ࣥᢏἲ࡟㛵ࡍࡿ⥲ྜⓗ◊✲㸦ά⏝⦅㸧 ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2004e㸧㸬ᨭ᥼ࢶ࣮ࣝɊ21-1 ࢺ࣮ࢱࣝࣃࢵࢣ࣮ࢪࡢά⏝ࡢࡓࡵ࡟Ɇ࣮࣡ࢡࢧࣥࣉ
ࣝᖥᙇ∧㸦MWS㸧࡜࢘࢕ࢫࢥࣥࢩ࣭࣮ࣥ࢝ࢻࢯ࣮ࢸ࢕ࣥࢢࢸࢫࢺ㸦WCST㸧ᖥᙇᘧࢆ୰ᚰ࡜ࡋ࡚Ɇ
⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2004f㸧㸬ᨭ᥼ࢶ࣮ࣝɊ21-2 ࣓࣮ࣔࣜࣀ࣮ࢺ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2004g㸧㸬ᐇ㊶ሗ࿌᭩Ɋ13 㧗ḟ⬻ᶵ⬟㞀ᐖࢆ⌮ゎࡍࡿࡓࡵ࡟㸦஦౛㞟㸧 ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2005a㸧㸬ᨭ᥼ࢶ࣮ࣝɊ18 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢὀពᶵ⬟᳨ᰝ 㸫ࣃࢯࢥࣥ∧ ✵㛫ᛶὀព᳨ᰝ࣭㍍ᗘὀព᳨ᰝ࣐ࢽࣗ࢔ࣝ㸫 ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2005b㸧㸬ᐇ㊶ሗ࿌᭩Ɋ16 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿ⫋ሙ᚟ᖐᨭ᥼ Ɇᐇ㊶஦౛⦅Ɇ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2006a㸧㸬ᐇ㊶ሗ࿌᭩Ɋ18 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿᨭ᥼ࣉࣟࢢ࣒ࣛɆ฼⏝⪅ᨭ᥼ࠊ஦ᴗ୺ᨭ᥼ࡢどⅬ࠿ࡽɆ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2006b㸧㸬ᨭ᥼࣐ࢽࣗ࢔ࣝɊ1 㧗ḟ⬻ᶵ⬟㞀ᐖࡢ᪉࡬ࡢᑵປᨭ᥼ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2007㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ79 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ㞠⏝ಁ㐍➼࡟ᑐࡍࡿᨭ᥼ࡢ࠶
ࡾ᪉࡟㛵ࡍࡿ◊✲Ɇࢪࣙࣈࢥ࣮ࢳᨭ᥼ࡢ⌧≧ࠊ་⒪࡜ࡢ㐃ᦠࡢㄢ㢟Ɇ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2008㸧㸬ᐇ㊶ሗ࿌᭩Ɋ21 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿᨭ᥼ࣉࣟࢢ࣒ࣛɆᐙ᪘ᨭ᥼
ࡢどⅬ࠿ࡽɆ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2009㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ92 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᑵᴗࡢ⥅⥆ࢆྍ⬟࡜ࡍࡿせᅉ࡟㛵ࡍࡿ◊✲ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2010a㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ93 ≉ูࡢ㓄៖ࢆᚲせ࡜ࡍࡿ㞀ᐖ⪅ࢆᑐ㇟࡜ࡋࡓࠊᑵ
ປᨭ᥼ᶵ㛵➼࠿ࡽ஦ᴗᡤ࡬ࡢ⛣⾜ẁ㝵࡟࠾ࡅࡿᑵ⫋࣭᚟⫋ࡢࡓࡵࡢᨭ᥼ᢏἲࡢ㛤Ⓨ࡟㛵ࡍࡿ◊✲⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2010b㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ96 ⱝᖺᛶㄆ▱⑕⪅ࡢᑵປ⥅⥆࡟㛵ࡍࡿ◊✲ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2010c㸧㸬ᨭ᥼ࢶ࣮ࣝɊ32 ࣮࣡ࢡࢧࣥࣉࣝᖥᙇ∧ MWS ࡢά⏝ࡢࡓࡵ࡟ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2010d㸧㸬ᨭ᥼࣐ࢽࣗ࢔ࣝɊ㸳 㧗ḟ⬻ᶵ⬟㞀ᐖࡢ᪉࡬ࡢᑵປᨭ᥼Ɇ⫋ሙ᚟ᖐᨭ᥼
ࣉࣟࢢ࣒ࣛ࡟࠾ࡅࡿࢢ࣮ࣝࣉ࣮࣡ࢡɆ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2011a㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ99 㧗ḟ⬻ᶵ⬟㞀ᐖ࣭Ⓨ㐩㞀ᐖࡢ࠶ࡿ⪅ࡢ⫋ᴗ⏕ά࡟
83− 83 −

࠾ࡅࡿᨭ᥼ࡢᚲせᛶ࡟ᛂࡌࡓ㞀ᐖㄆᐃࡢ࠶ࡾ᪉࡟㛵ࡍࡿᇶ♏ⓗ◊✲ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2011b㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ104 ኻㄒ⑕ࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿᑵປᨭ
᥼ࡢ࠶ࡾ᪉࡟㛵ࡍࡿᇶ♏ⓗ◊✲ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2011c㸧㸬㈨ᩱࢩ࣮ࣜࢬɊ59 ㄆ▱࡟㞀ᐖࡢ࠶ࡿ㞀ᐖ⪅ࡢ⮬ᕫ⌮ゎಁ㐍ࡢࡓࡵࡢᨭ
᥼ᢏἲ࡟㛵ࡍࡿㄪᰝ◊✲ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2011d㸧㸬ᨭ᥼ࢶ࣮ࣝɊ34 ㄆ▱࡟㞀ᐖࡢ࠶ࡿே࡟ᑐࡍࡿ┦ㄯ⿵ຓࢩ࣮ࢺ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2011e㸧㸬ᨭ᥼ࢶ࣮ࣝɊ37 ኻㄒ⑕ࡢ࠶ࡿேࡢ㞠⏝ᨭ᥼ࡢࡓࡵ࡟… ஦ᴗ୺࡜ኻㄒ
⑕ࡢ࠶ࡿேࡢࡓࡵࡢ㞠⏝ᨭ᥼࢞࢖ࢻ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2011f㸧㸬ᐇ㊶ሗ࿌᭩Ɋ24 ⢭⚄㞀ᐖ⪅⫋ሙ෌㐺ᛂᨭ᥼ࣉࣟࢢ࣒ࣛɆSST ࢆά⏝ࡋࡓᨭ᥼ࡢᐇ㝿Ɇ ⊂❧⾜ᨻἲே㧗㱋㺃㞀ᐖ⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2012a㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ111 ⱝᖺᛶㄆ▱⑕⪅ࡢᑵປ⥅⥆࡟㛵ࡍࡿ◊✲ II ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2012b㸧㸬ᐇ㊶ሗ࿌᭩Ɋ25 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡟ᑐࡍࡿ⫋ሙ᚟ᖐᨭ᥼ 㸫ኻㄒ⑕ࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅࡬ࡢᨭ᥼㸫 ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2013a㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ113 SST ࢆά⏝ࡋࡓேᮦ⫱ᡂࣉࣟࢢ࣒ࣛ࡟㛵ࡍࡿ◊✲̿ࢪࣙࣈࢥ࣑ࣗࢽࢣ࣮ࢩ࣭ࣙࣥࢫ࢟ࣝ࢔ࢵࣉࢭ࣑ࢼ࣮㸦ヨ᱌㸧ࡢ㛤Ⓨ̿ ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2013b㸧㸬ᨭ᥼ࢶ࣮ࣝɊ21 ࢺ࣮ࢱࣝࣃࢵࢣ࣮ࢪࡢά⏝ࡢࡓࡵ࡟㸦ቑ⿵ᨵゞ∧㸧㸫࣮࣡ࢡࢧࣥࣉࣝᖥᙇ∧㸦MWS㸧࡜࢘࢕ࢫࢥࣥࢩ࣭࣮ࣥ࢝ࢻࢯ࣮ࢸ࢕ࣥࢢࢸࢫࢺ㸦WCST)ᖥᙇᘧࢆ୰
ᚰ࡜ࡋ࡚㸫 ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2013c㸧㸬ᨭ᥼ࢶ࣮ࣝɊ41 ࢪࣙࣈࢥ࣑ࣗࢽࢣ࣮ࢩ࣭ࣙࣥࢫ࢟ࣝ࢔ࢵࣉࢭ࣑ࢼ࣮̿
SST ◊ಟ㈨ᩱ㞟㸦ヨ᱌㸧̿ ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2013d㸧㸬ᨭ᥼࣐ࢽࣗ࢔ࣝɊ㸷 ⢭⚄㞀ᐖ⪅⫋ሙ෌㐺ᛂᨭ᥼ࣉࣟࢢ࣒ࣛɆẼศ㞀ᐖ➼ࡢ⢭⚄⑌ᝈ࡛ồ⫋୰ࡢ᪉ࡢࡓࡵࡢࢫࢺࣞࢫᑐฎㅮ⩦Ɇ ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2013e㸧㸬ᨭ᥼࣐ࢽࣗ࢔ࣝɊ11 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࡓࡵࡢᑵປᨭ᥼ Ɇᑐ㇟⪅ᨭ᥼⦅Ɇ ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2014㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ121 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢാࡁ᪉ࡢ⌧≧࡜௒ᚋࡢᨭ᥼ࡢ
࠶ࡾ᪉࡟㛵ࡍࡿ◊✲ ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2015a㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ124 SST ࢆά⏝ࡋࡓேᮦ⫱ᡂࣉࣟࢢ࣒ࣛࡢᬑཬ࡟㛵ࡍࡿ◊✲̿ࢪࣙࣈࢥ࣑ࣗࢽࢣ࣮ࢩ࣭ࣙࣥࢫ࢟ࣝ࢔ࢵࣉࢭ࣑ࢼ࣮ࡢᬑཬ̿ ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ
㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2015b㸧㸬ᨭ᥼ࢶ࣮ࣝɊ47 ࢪࣙࣈࢥ࣑ࣗࢽࢣ࣮ࢩ࣭ࣙࣥࢫ࢟ࣝ࢔ࢵࣉࢭ࣑ࢼ࣮̿
ࣃ࣮ࢺࢼ࣮◊ಟ㈨ᩱ㞟̿ ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2015c㸧
㸬ᐇ㊶ሗ࿌᭩Ɋ28 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࡓࡵࡢ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᑟ
ධࣉࣟࢢ࣒ࣛࡢヨ⾜ᐇ᪋≧ἣ࡟ࡘ࠸࡚ Ɇ㸱ᖺ㛫ࡢྲྀ⤌ࢆ࡜࠾ࡋ࡚Ɇ ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ
㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2016a㸧㸬ㄪᰝ◊✲ሗ࿌᭩Ɋ129 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢാࡁ᪉ࡢ⌧≧࡜௒ᚋࡢᨭ᥼
84− 84 −

ࡢ࠶ࡾ᪉࡟㛵ࡍࡿ◊✲ϩ ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ
㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2016b㸧㸬㈨ᩱࢩ࣮ࣜࢬɊ92 SST ࢆά⏝ࡋࡓேᮦ⫱ᡂࣉࣟࢢ࣒ࣛࡢά⏝᪉ἲ࡟㛵ࡍࡿ◊✲̿ࢪࣙࣈࢥ࣑ࣗࢽࢣ࣮ࢩ࣭ࣙࣥࢫ࢟ࣝ࢔ࢵࣉࢭ࣑ࢼ࣮㸦ά⏝⦅㸧̿ ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2016c㸧
㸬ᨭ᥼ࢶ࣮ࣝɊ50 ⱝᖺᛶㄆ▱⑕ࢆⓎ⑕ࡋࡓேࡢᑵປ⥅⥆ࡢࡓࡵ࡟ ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2016d㸧㸬ᨭ᥼࣐ࢽࣗ࢔ࣝɊ14 㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢࡓࡵࡢᑵປᨭ᥼ Ɇ་⒪ᶵ㛵࡜ࡢ㐃ᦠ⦅Ɇ ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮㸦2017㸧㸬ᐇ㊶ሗ࿌᭩Ɋ30 グ᠈㞀ᐖࢆ᭷ࡍࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢ⿵᏶ᡭẁ⩦ᚓࡢࡓࡵࡢᨭ᥼ ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ㕥ᮌ ᖹ࣭᫓ᮌ ㇏㸦1994㸧㸬ᛣࡾ࡜ᚠ⎔ჾ⣔⑌ᝈࡢ㛵㐃ᛶࡢ᳨ウ ೺ᗣᚰ⌮Ꮫ◊✲㸪㸵㸪1-13㸬ඛᓮ ❶㸦2009㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ ⢭⚄་Ꮫ࣭ᚰ⌮Ꮫⓗᑐᛂ࣏ࢣࢵࢺ࣐ࢽࣗ࢔ࣝ ་ṑ⸆ฟ∧ඛᓮ ❶࣭ᯞஂಖ 㐩ኵ࣭᪂஭ ⨾ᘺᏊ㸦1999㸧㸬ࢽ࣮࣮ࣗࣚࢡ኱Ꮫ་⒪ࢭࣥࢱ࣮࣭ࣛࢫࢡɆࠕ⬻እയ⪅እ᮶㏻
㝔἞⒪ࣉࣟࢢ࣒࡛ࣛࠖ⾜ࢃࢀ࡚࠸ࡿ㞟ᅋࢆ฼⏝ࡋࡓㄆ▱࣭ᚰ⌮⒪ἲ Journal of CLINICALREHABILITATION㸪8㸪559-565㸬Ṋ⏣ ඞᙪ㸦2016㸧㸬 㧗ḟ⬻ᶵ⬟㞀ᐖ࡜ࡣ ᮏ⏣ ဴ୕㸦⦅㸧 㧗ḟ⬻ᶵ⬟㞀ᐖࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᐇ㊶ⓗ࢔ࣉ࣮ࣟࢳ➨㸱∧㸦pp. 1-2㸧 ་Ꮫ᭩㝔❧▼ 㞞Ꮚ㸦2017㸧㸬ኻㄒ⑕ࡢ࠶ࡿேࡢពᛮ␯㏻ᨭ᥼ ಖ೺་⒪⛉Ꮫ㸪66㸪512-522㸬❧⚄ ⢝Ꮚ㸦2010㸧㸬๓㢌ⴥᶵ⬟୙඲ࡑࡢඛ㸩ࡢᡓ␎̿Rusk ㏻㝔ࣉࣟࢢ࣒ࣛ࡜⚄⤒ᚰ⌮ࣆ࣑ࣛࢵࢻ̿ ་Ꮫ᭩㝔✀ᮧ ⣧࣭ᳺཎ ᙲኵ㸦2006㸧㸬እയᛶ⬻ᦆയᚋࡢㄆ▱ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ㞀ᐖ ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ་Ꮫ㸪

43㸪110-119㸬༓㔝 ┤୍㸦┘ヂ㸧㸦1991㸧㸬FIM㸸་Ꮫⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢࡓࡵࡢ⤫୍ࢹ࣮ࢱࢭࢵࢺ฼⏝ࡢᡭᘬࡁ ➨㸱∧ ་Ꮫ᭩ࢭࣥࢱ࣮༓㔝 ┤୍࣭ᅬ⏣ ⱱ࣭㔛Ᏹ ᫂ඖ࣭㐨ච ࿴ஂ㸦1997㸧㸬⬻༞୰ᝈ⪅ࡢᶵ⬟ホ౯̿SIAS ࡜ FIM ࡢᐇ㝿 ࢩࣗࣉ࣮࣭ࣜࣥ࢞ࣇ࢙࢔࣮ࣛࢡᮾிሯ㉺ ༓ᑜ࣭ಥ ࠶ࡺࡳ࣭⻏㇂ ᩔᏊ࣭㔝ᕝ ⥤࣭⣡㇂ ᩔኵ㸦2016㸧㸬European Brain Injury Questionnaire㸦Ḣᕞ⬻ᦆയ㉁ၥ⣬㸧ࡢ᪥ᮏㄒ∧ࡢసᡂ࡜ಙ㢗ᛶ࣭ጇᙜᛶࡢ᳨ウ ᪥ᮏసᴗ⒪ἲᏛ఍ᢒ㘓㞟 2016ሯ㉺ ༓ᑜ࣭ಥ ࠶ࡺࡳ࣭ᯇᒸ ្࣭⏕᪉ ᚿᾆ࣭⣡㇂ ᩔኵ㸦2016㸧㸬♫఍ㄆ▱㞀ᐖࢆ࿊ࡋࡓ㧗ḟ⬻ᶵ⬟㞀ᐖᝈ⪅࡟ᑐࡍࡿ SCIT ࢆ⏝࠸ࡓࢢ࣮ࣝࣉ἞⒪̿ணഛⓗ◊✲̿ 㧗ḟ⬻ᶵ⬟◊✲㸪36㸪450-458㸬ᮾி㒔㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ᐇែㄪᰝ᳨ウጤဨ఍㸦2008㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ᐇែㄪᰝሗ࿌᭩ ᮾி㒔⚟♴ಖ㝤ᒁ㞀ᐖ⪅᪋⟇᥎㐍㒊⢭⚄ಖ೺࣭་⒪ㄢ୰ᑿ ࿴ஂ࣭㧗▼ ㆡ㸦1995㸧᪥ᮏㄒ∧ SCL-90-R ࡢಙ㢗ᛶ࡜ጇᙜᛶ ࣓ࣥࢱࣝ࣊ࣝࢫᒸᮏグᛕ㈈ᅋ◊✲ຓᡂሗ࿌㞟㸪6㸪167-169㸬
୰㔛 ඞ἞࣭Ỉཱྀ බಙ㸦1982㸧㸬᪂ࡋ࠸୙Ᏻᑻᗘ STAI ᪥ᮏ∧ࡢసᡂ㸸ዪᛶࢆᑐ㇟࡜ࡋࡓᡂ⦼ ᚰ㌟་Ꮫ㸪

22㸪107㸫112
୰ᓥ ඵ༑୍㸦2006a㸧㸬㧗ḟ⬻ᶵ⬟㞀ᐖࡢ⌧≧࡜デ᩿ᇶ‽ ୰ᓥ ඵ༑୍࣭ᑎᓥ ᙲ㸦⦅㸧 㧗ḟ⬻ᶵ⬟㞀ᐖࣁࣥࢻࣈࢵࢡ̿デ᩿࣭ホ౯࠿ࡽ⮬❧ᨭ᥼ࡲ࡛̿㸦pp. 1-20㸧 ་Ꮫ᭩㝔୰ᓥ ඵ༑୍㸦2006b㸧㸬デ᩿ᇶ‽ 㧗ḟ⬻ᶵ⬟㞀ᐖᨭ᥼ࢥ࣮ࢹ࢕ࢿ࣮ࢺ◊✲఍㸦⦅㸧 㧗ḟ⬻ᶵ⬟㞀ᐖᨭ᥼ࢥ࣮ࢹ࢕ࢿ࣮ࢺ࣐ࢽࣗ࢔ࣝ㸦pp. 28-39㸧 ୰ኸἲつ85

− 85 −

୰ᓥ ඵ༑୍㸦2009㸧㸬࣮࢜ࣂ࣮ࣅ࣮ࣗ㸸♫఍ⓗ⾜ື㞀ᐖ࡜㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ᨭ᥼ Journal of CLINICALREHABILITATION㸪18㸪1066-1071㸬Ọྜྷ ⨾◁Ꮚ࣭ୖ⏣ ᖾᙪ࣭㧘ᶫ 㞞Ꮚ࣭▼஭ 㔛⾰࣭୰ᓥ ኱㍜࣭Ᏻ㔝 ᩔᏊ࣭ෆ⏣ ᜨ࣭ሷỌ ῟Ꮚ㸦2005㸧㸬⬻ᦆയ⪅࡟ᑐࡍࡿໟᣓⓗ࣭඲యㄽⓗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࡢᐇ㊶ ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙ
ࣥ㸪33㸪73-81㸬ᡂ⏣ ೺୍࣭ୗ௰ 㡰Ꮚ࣭୰㔛 ඞ἞࣭Ἑྜ ༓ᜨᏊ࣭బ⸨ ┾୍࣭㛗⏣ ⏤⣖Ꮚ㸦1995㸧㸬≉ᛶⓗ⮬ᕫຠຊឤࡢ
ᑻᗘࡢ᳨ウ̿⏕ᾭⓎ㐩ⓗ฼⏝ࡢྍ⬟ᛶࢆ᥈ࡿ ᩍ⫱ᚰ⌮Ꮫ◊✲㸪43㸪306-314㸬᪥ᮏ⬻༞୰Ꮫ఍⬻༞୰࢞࢖ࢻࣛ࢖ࣥጤဨ఍㸦2015㸧㸬⬻༞୰἞⒪࢞࢖ࢻࣛ࢖ࣥ 2015 ༠࿴௻⏬
㔝ᮧ ᚰ࣭⏥ᩫ ⚈࿃࣭ྜྷᕝ බṇ࣭୰ᓥ ᜨᏊ㸦2017㸧㸬⬻ᦆയᚋࡢ anger burst ࡟ᑐࡍࡿㄆ▱࣭⾜ືⓗ࢔ࣉ࣮ࣟࢳ̿⮬ࡽࢥ࣮ࣆࣥࢢࡢ᱌ฟ࡟⮳ࡗࡓⱝᖺ⑕౛̿ 㧗ḟ⬻ᶵ⬟◊✲㸪37㸪347-352㸬ᶫᮏ ᆂྖ 㸦2012㸧㸬⢭⚄㞀ᐖ⪅ಖ೺⚟♴ᡭᖒデ᩿᭩㸦㧗ḟ⬻ᶵ⬟㞀ᐖ㸧 ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸪40㸪
193-197㸬⻏㡲㈡ ◊஧࣭ຍ⸨ ᚨ࣭᫂ᒾỌ ຾࣭ᒸᓮ ဴஓ㸦2011㸧㸬᪥ᮏࡢ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢⓎ⑕ᩘ 㧗ḟ⬻ᶵ⬟◊✲㸪31㸪143-149㸬
ඵ⏣ ᏹஅ࣭ᮾ ࠶࠿ࡡ࣭ඵᇛ ༤Ꮚ࣭ᑠ➲ ᫭ኴᮁ࣭ᯘ ᜤᖹ࣭Ύ⏣ ၨ௓㺃㺃㺃ᕝ஭ ၨᕷ㸦1998㸧㸬Hospital Anxiety
and Depression Scale ᪥ᮏㄒ∧ࡢಙ㢗ᛶ࡜ጇᙜᛶࡢ᳨ウ㸸ዪᛶࢆᑐ㇟࡜ࡋࡓᡂ⦼ ᚰ㌟་Ꮫ㸪38㸪
309-315㸬ᯘ ₩㸦1988㸧㸬Beck ࡢㄆ▱⒪ἲࢆᇶ࡜ࡋࡓᏛ⏕ࡢᢚ࠺ࡘ࡟ࡘ࠸࡚ࡢฎ⨨ Ꮫ⏕┦ㄯ◊✲㸪㸷㸪97-107㸬ᯘ ₩࣭℧ᮏ Ꮥ㞝㸦1991㸧㸬Beck Depression Inventory㸦1978 ᖺ∧㸧ࡢ᳨ウ࡜ Depression ࡜ Self-efficacy࡜ࡢ㛵㐃࡟ࡘ࠸࡚ࡢ୍⪃ᐹ ⓑᱵᏛᅬ▷ᮇ኱Ꮫ⣖せ㸪27㸪43-52㸬ཎ⏣ 㝯அ㸦2015㸧㸬ᚰ⌮⫋ࡢࡓࡵࡢ࢚ࣅࢹࣥࢫ࣭࣋࢖ࢫࢺ࣭ࣉࣛࢡࢸ࢕ࢫධ㛛 㔠๛ฟ∧ᮾ ࠶࠿ࡡ࣭ඵᇛ ༤Ꮚ࣭Ύ⏣ ၨ௓࣭஭ཱྀ ⚽ே࣭ඵ⏣ ᏹஅ࣭⸨⏣ ࡁࡳࢅ࣭Ώ㎶ ⬟⾜࣭ᕝ஭ ၨᕷ㸦1996㸧㸬
ᾘ໬ჾෆ⛉እ᮶࡟࠾ࡅࡿ hospital anxiety and depression scale(HAD ᑻᗘ)᪥ᮏㄒ∧ࡢಙ㢗ᛶ࡜ጇᙜᛶࡢ᳨ウ ᪥ᮏᾘ໬ჾ⑓Ꮵ᭳㞯ㄅ㸪93㸪884-892㸬⸨ᕝ ┿⏤࣭Chan Fong࣭Sung Connie࣭ඵ㔜⏣ ῟㸦2011㸧㸬࢚ࣅࢹࣥࢫ࡟ᇶ࡙ࡃ⡿ᅜࡢ⫋ᴗࣜࣁࣅࣜࢸ࣮
ࢩࣙࣥᐇ㊶࡜◊✲ ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸪25㸪27-33㸬ቑ⏣ බ㤶㸦2005㸧㸬CIQ㸦Community Integration Quetionnaire㸧᪥ᮏㄒ∧సᡂࡢ⤒⦋࠾ࡼࡧ౑⏝᪉ἲ స
ᴗ⒪ἲࢪ࣮ࣕࢼࣝ㸪39㸪1022㸫1024㸬୕⏣ ࡋࡎᏊ࣭⸨ཎ ಇஅ࣭ᅬ⏣ ⱱ࣭㏆⸨ ᖾᏊ࣭ᒣᮏ ୕༓௦࣭ᮌᮧ ᙲ⏨㸦2001㸧㸬Functional Assessment
Measure㸦FAM㸧ࡢ౑⏝⤒㦂̿ADL ࠾ࡼࡧ IADL ホ౯ἲ࡜ࡋ࡚ࡢ᭷⏝ᛶ ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸪

29㸪361-364㸬୕᰿ ᾈ࣭὾ ἞ୡ࣭኱ஂಖ ⣧୍㑻㸦1997㸧㸬ᛣࡾ⾜ືᑻᗘ᪥ᮏㄒ∧ࡢᶆ‽໬࡬ࡢヨࡳ ឤ᝟ᚰ⌮Ꮫ◊✲㸪㸲㸪
14-21㸬୕ᮧ ᑘ㸦2011㸧㸬
ࠕㄆ▱⑕ࠖࡣ㧗ḟ⬻ᶵ⬟㞀ᐖ࡟ྵࡲࢀࡿࡢ࡛ࡋࡻ࠺࠿ Ἑᮧ‶㸦⦅㸧 㧗ḟ⬻ᶵ⬟㞀ᐖ Q&Aᇶ♏⦅㸦pp. 10-12㸧 ᪂⯆་Ꮫฟ∧♫ᮧ஭ ಇဢ࣭⏕᪉ ᚿᾆ㸦2016㸧㸬♫఍ⓗ⾜ື㞀ᐖ 㧗ḟ⬻ᶵ⬟㞀ᐖࡢ⪃࠼᪉࡜⏬ീデ᩿ Ṋ⏣ ඞᙪ࣭ᮧ஭ ಇဢ㸦⦅ⴭ㸧㸦pp. 255-268㸧 ୰እ་Ꮫ♫ඵ㔜⏣ ῟࣭⸨ᕝ ┿⏤࣭ⱝᯘ ຌ࣭ᑠ⃝ ᫛ᙪ࣭▼ཎ ࡲ࡯ࢁ࣭すᮧ ࿘἞࣭ᒾỌ ྍዉᏊ㸦2011㸧㸬⫋ᴗࣜࣁࣅ
ࣜࢸ࣮ࢩࣙࣥࡢ࢚ࣅࢹࣥࢫ࡜ࡣఱ࠿㸽 ⫋ᴗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸪25㸪24-26㸬ᒣ㔛 㐨ᙪ㸦2016㸧㸬୰➼ᗘ㹼㔜ᗘ㞀ᐖࡢእയᛶ⬻ᦆയ࡟ᑐࡍࡿㄆ▱ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ ࣜࣁࣅࣜࢸ࣮ࢩࣙ
86− 86 −

ࣥ་Ꮫ㸪53㸪292-297㸬ᒣᮏ ┿⌮Ꮚ࣭ᯇ஭ ㇏࣭ᒣᡂ ⏤⣖Ꮚ㸦1982㸧㸬ㄆ▱ࡉࢀࡓ⮬ᕫࡢㅖഃ㠃ࡢᵓ㐀 ᩍ⫱ᚰ⌮Ꮫ◊✲㸪30㸪64-68㸬
ᶓᒣ ࿴ோ࣭Ⲩグ ಇ୍㸦1994㸧㸬᪥ᮏㄒ∧ POMS ᡭᘬࡁ 㔠Ꮚ᭩ᡣᶓᒣ ࿴ோ㸦2015㸧㸬POMS㸰᪥ᮏㄒ∧ࡢ㛤Ⓨ࠾ࡼࡧಙ㢗ᛶ࣭ጇᙜᛶ࡟ࡘ࠸࡚ Heuchert, J. P. & McNair, D.
M.㸦ཎⴭ㸧࣭ᶓᒣ ࿴ோ㸦┘ヂ㸧࣭Ώ㑔 ୍ஂ㸦༠ຊ㸧ྜྷఫ ⨾ಖ࣭ୖ⏣ ᩗኴ࣭኱ᮾ ⚈Ꮥ࣭ᮧ஭ ಇဢ㸦2007㸧㸬๓㢌ⴥᶵ⬟࡟㛵ࡍࡿ⾜ືホ౯ᑻᗘ Frontal Systems
Behavior Scale ᪥ᮏㄒ∧ࡢᶆ‽໬࡜ಙ㢗ᛶ㸪ጇᙜᛶࡢ᳨ウ ⢭⚄་Ꮫ㸪49㸪137-142㸬Ώ㑓 ಟ㸦2013㸧㸬ㄆ▱ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢ࢚ࣅࢹࣥࢫ ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ་Ꮫ㸪50㸪530-535㸬Ώ㑓 ಟ㸦2015㸧㸬ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ ⥲ྜࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ㸪43㸪215-220㸬Ώ㑓 ಟ࣭ᒣཱྀ Ṋව࣭ᶫᮏ ᆂྖ࣭⊦ཱྀ 㞝஧࣭Ⳣཎ ㄔ㸦2009㸧㸬ᮾி㒔࡟࠾ࡅࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅⥲ᩘࡢ᥎ィ ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ་Ꮫ㸪46㸪118-125㸬

87− 87 −

㸦ⱥㄒᩥ⊩ ⴭ⪅ྡ࢔ࣝࣇ࢓࣋ࢵࢺ㡰㸧
Aboulafia-Brakha, T., & Ptak, R. (2016). Effects of group psychotherapy on anger management following
acquired brain injury. Brain Injury, 30, 1121-1130.
Aboulafia-Brakha, T., Buschbeck, C. G., Rochat, L., & Annoni, J. -M. (2013). Feasibility and initial
efficacy of a cognitive-bahavioural group programme for managing anger and aggressivenessafter traumatic brain injury. Neuropsychological Rehabilitation, 23, 216-233.
Alderman, N., Knight, C., & Brooks, J. (2013). Rehabilitation approaches to the management of
aggressive behaviour disorders after acquired brain injury. Brain Impairment, 14, 5-20.
American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition, Text Revision; DSM-IV-TR, Washington D. C.: American Psychiatric Association
Publishing.㸦㧘ᶫ ୕㑻࣭኱㔝 ⿱࣭ᰁ㇂ ಇᖾ㸦ヂ㸧㸦2004㸧㸬DSM-IV-TR ⢭⚄⑌ᝈࡢデ᩿࣭⤫ィ࣐ࢽࣗ࢔ࣝ᪂ゞ∧ ་Ꮫ᭩㝔㸧
Anson, K., & Ponsford, J. (2006a). Evaluation of a coping skills group following traumatic brain injury.

Brain Injury, 20, 167-178.
Anson, K., & Ponsford, J. (2006b). Who benefits? Outcome following a coping skills group intervention
for traumatically brain injured individuals. Brain Injury, 20, 1-13.
Ashman, T., Cantor, J. B., Tsaousides, T., Spielman, L., & Gordon, W. (2014). Comparison of cognitive
behavioral therapy and supportive psychotherapy for the treatment of depression following
traumatic brain injury: A randomized controlled trial. Journal of Head Trauma Rehabilitation,

29, 467-478.
Ayerbe, L., Ayis, S. A., Crichton, S., Wolfe, C. D., & Rudd, A. G. (2014). Natural history, predictors andassociated outcomes of anxiety up to 10 years after stroke: The South London Stroke Register.

Age and Ageing, 43, 542-547.
Baguley, I. J., Cooper, J., & Felmingham, K. (2006). Aggressive bahavior following traumatic brain
injury: How common is common? Journal of Head Trauma Rehabilitation, 21, 45-56.
Behn, N., Togher, L., Power, E., & Heard, R. (2012). Evaluating communication training for paid carersof people with traumatic brain injury. Brain Injury, 26, 1702-1715.
Benedictus, M. R., Spikman, J. M., & van der Naalt, J. (2010). Cognitive and behavioral impairment intraumatic brain injury related to outcome and return to work. Archives of Physical Medicine andRehabilitation, 91, 1436-1441.
Ben-Yishay, Y., & Gold, J. (1990). Therapeutic milieu approach to neuropsychological rehabilitation. In R.
L. Wood (Ed.), Neurobehavioural sequelae of traumatic brain injury (pp. 194-215). London:
Taylor & Francis.
Blake, M. L., Frymark, T., & Venedictov, R. (2013). An evidence-based systematic review oncommunication treatments for individuals with right hemisphere brain damage. American

Journal of Speech-Language Pathology, 22, 146-160.
Bornhofen, C., & McDonald, S. (2008a). Emotion perception deficits following traumatic brain injury: A
review of the evidence and rationale for intervention. Journal of the International

Neuropsychological Society, 14, 511-525.
Bornhofen, C., & McDonald, S. (2008b). Treating deficits in emotion perception following traumatic88− 88 −

brain injury. Neuropsychological Rehabilitation, 18, 22-44.
Bornhofen, C., & McDonald, S. (2008c). Comparing strategies for treating emotion perception deficits intraumatic brain injury. Journal of Head Trauma Rehabilitation, 23, 103-115.
Brooks, N., McKinlay, W., Symington, C., Beattie, A., & Campsie, L. (1987). Return to work within thefirst seven years of severe head injury. Brain Injury, 1, 5-19.
Burke, W. H., Zencius, A. H., Wesolowski, M. D., & Doubleday, F. (1991). Improving executive function
disorders in brain-injured clients. Brain Injury, 5, 241-252.
Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status ofcognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26, 17-31.
Byom, L. J., & Turkstra, L. (2011). Effects of social cognitive demand on Theory of Mind in conversationsof adults with traumatic brain injury. International Journal of Language and Communication

Disorders, 47, 310-321.
Byrne, C., & Coetzer, R. (2016). The effectiveness of psychological interventions for aggressive behavior
following acquired brain injury: A meta-analysis and systematic review. NeuroRehabilitation, 39,
205-221.
Cassel, A., McDonald, S., Kelly, M., & Togher, L. (2016). Learning from the minds of others: A review ofsocial cognition treatments and their relevance to traumatic brain injury. Neuropsychological

Rehabilitation. doi:10.1080/09602011.2016.1257435
Cattelani, R., Zettin, M., & Zoccolotti, P. (2010). Rehabilitation treatments for adults with behavioral
andpsychosocial

disordersfollowingacquiredbrain

injury:A

systematic

review.

Neuropsychology Review, 20, 52-85.
Cicerone, K. D., Langenbahn, D. M., Braden, C., Malec, J. F., Kalmar, K., Fraas, M., Felicetti, T.,
Laatsch, L., Harley, J. P., Bergquist, T., Azulay, J., & Cantor, J. (2011). Evidence-based cognitive
rehabilitation: Updated review of the literature from 2003 through 2008. Archives of Physical

Medicine and Rehabilitation, 92, 519-530.
Cicerone, K. D., Mott, T., Azulay, J., Sharlow, M. A., Ellmo, W. J., Paradise, S., & Friel, J. C. (2008). A
randomized controlled trial of holistic neuropsychologic rehabilitation after traumatic brain
injury. Archives of Physical Medicine and Rehabilitation, 89, 2239-2249.
Côté, H., Payer, M., Giroux, F., & Yves, J. (2007). Towards a description of clinical communication
impairment profiles following right-hemisphere damage. Aphasiology, 21, 739-749.
Dahlberg, C. A., Cusick, C. P., Hawley, L. A., Newman, J. K., Morey, C. K., Harrrison-Felix, C. L., &Whiteneck, G. G. (2007). Treatment efficacy of social communication skills training after
traumatic brain injury: A randomized treatment and deferred treatment controlled trial.

Archives of Physical Medicine and Rehabilitation, 88, 1561-1573.
Dahlberg, C., Hawley, L., Morey, C., Newman, J., Cusick, C. P., & Harrison-Felix, C. (2006). Social
communication skills in persons with post-acute traumatic brain injury: Three perspectives.

Brain Injury, 20, 425-435.
Dawson, D., Schwartz, M., Winocur, G., & Stuss, D. (2007). Return to productivity following traumaticbrain injury: Cognitive, psychological, physical, spiritual, and environmental correlates.

Disability and Rehabilitation, 29, 301-313.
89− 89 −


Douglas, J. M., Bracy, C. A., & Snow, P. C. (2016). Return to work and social communication ability
following severe traumatic brain injury. Journal of Speech, Language, and Hearing Research, 59,
511-520.
Finch, E., Copley, A., Cornwell, P., & Kelly, C. (2016). Systematic review of behavioral interventions
targeting social communication difficulties after traumatic brain injury. Archives of Physical

Medicine and Rehabilitation, 97, 1352-1365.
Franulic, A., Carbonell, C. G., Pinto, P., & Sepulveda, I. (2004). Psychosocial adjustment andemployment outcome 2, 5 and 10 years after TBI. Brain Injury, 18, 119-129.
Fujita, H., Shimodera, S., Izumoto, Y., Tamaka, S., Kii, M., Mino, Y., Inoue, S. (2002). Family attitude
scale: measurement of criticism in the relatives of patients with schizophrenia in Japan,

Psychiatry Research, 110, 273-280.
Gallagher, M., McLeod, H., & McMillan, T. M. (2016). A systematic review of recommended
modifications of CBT for people with cognitive impairments following brain injury.

Neuropsychological Rehabilitation. doi: 10.1080/09602011.2016.1258367
Gomez-Hernandez, R., Max, J. R., Kosier, T., Paradiso, S., & Robinson, R. G. (1997). Social impairment
and depression after traumatic brain injury. Archives of Physical Medicine and Rehabilitation,

78, 1321-1326.
Hackett, M. L., & Pickles, K. (2014). Frequency of depression after stroke: An updated systematic review
and meta-analysis of observational studies. International Journal of Stroke, 9, 1017-1025.
Hamilton, J., Radlak, B., Morris, P. G., & Phillips, L. H. (2017). Theory of Mind and executivefunctioning following stroke. Archives of Clinical Neuropsychology, 32, 507-518.
Hart, T., Brockway, J. A., Maiuro, R. D., Vaccaro, M., Fann, J. R., Mellick, D., Harrison-Felix, C., Barber,J., & Temkin, N. (2017). Anger self-management training for chronic moderate to severe
traumatic brain injury: Results of a randomized controlled trial. Journal of Head Trauma

Rehabilitation, 32, 319-331.
Hart, T., Vaccaro, M. J., Hays, C., & Maiuro, R. D. (2012). Anger self-management training for people
with traumatic brain injury: A preliminary investigation. Journal of Head Trauma

Rehabilitation, 27, 113-122.
Heweston, R., Cornwell, P., & Shum, D. (2018). Social participation following right hemisphere stroke:
Influence of a cognitive-communication disorder. Aphasiology, 32, 164-182.
Hibbard, M. R., Uysal, S., Kepler, K., Bogdany, J., & Silver, J. (1998). Axis I psychopathology inindividuals with traumatic brain injury. Journal of Head Trauma Rehabilitation, 13, 24-39.
Hsieh, M.-Y., Ponsford, J., Wong, D., & McKay, A. (2012). Exploring variables associated with change incognitive behaviour therapy (CBT) for anxiety following traumatic brain injury. Disability andRehabilitation, 34, 408-415.
Johnson, R., & Balleny, H. (1996). Behaviour problems after brain injury: Incidence and need fortreatment. Clinical Rehabilitation, 10, 173-181.
Kelly, G., Brown, S., Todd, J., & Kremer, P. (2008). Challenging behaviour profiles of people withacquired brain injury living in community settings. Brain Injury, 22, 457-470
Kelly, M., McDonald, S., & Frith, M. (2017). A survey of clinicians working in brain injury rehabilitation:90− 90 −

Are social cognition impairments on the radar? Journal of Head Trauma Rehabilitation, 32,
E55-E65. doi: 10.1097/HTR.0000000000000269
Knox, L., & Douglas, J. (2009). Long-term ability to interpret facial expression after traumatic brain
injury and its relation to social integration. Brain and Cognition, 69, 442-449.
Lane-Brown, A. T., & Tate, R. (2009). Apathy after acquired brain impairment: A systematic review of
non-pharmacological interventions. Neuropsychological Rehabilitation, 19, 481-516.
Lane-Brown, A., & Tate, R. (2010). Evaluation of an intervention for apathy after traumatic brain
injury: A multiple-baseline, single-case experimental design. Journal of Head Trauma

Rehabilitation, 25, 459-469.
Larkins, B. (2007). The application of the ICF in cognitive-communication disorders following traumaticbrain injury. Seminars in Speech and Language, 28, 335-342.
Lincoln, N. B., & Flannaghan, T. (2003). Cognitive behavioral psychotherapy for depression following
stroke: A randomized controlled trial. Stroke, 34, 111-115.
MacDonald, S., & Wiseman-Hakes, C. (2010). Knowledge translation in ABI rehabilitation: A model for
consolidating and applying the evidence for cognitive-communication interventions. Brain Injury,

24, 486-508.
Malec, J. F. (2014). Comprehensive brain injury rehabilitation in post-hospital treatment settings. In

Handbook on the neuropsychology of traumatic brain injury (pp. 283-307). New York: Springer.
Marin, R. S. (1990). Differential diagnosis and classification of apathy. American Journal of Psychiatry,

147, 22-30.
May, M., Milders, M., Downey, B., Whyte, M., Higgins, V., Wojcik, Z., Amin, S., & O'Rourke, S. (2017).
Social behavior and impairments in social cognition following traumatic brain injury. Journal of

the International Neuropsychological Society, 23, 400-411.
Mazaux, J.-M., Masson, F., Levin, H. S., Alaoui, P., Maurette, P., & Barat, M. (1997). Long-term
neuropsychological outcome and loss of social autonomy after traumatic brain injury. Archives ofPhysical Medicine and Rehabilitation, 78, 1316-1320.
McDonald, S. (2013). Impairments in social cognition following severe traumatic brain injury. Journal of

the International Neuropsychological Society, 19, 231-246.
McDonald, S. (2017). What's new in the clinical management of disorders of social cognition? Brain

Impairment, 18, 2-10.
McDonald, S., Tate, R., Togher, L., Bornhofen, C., Long, E., Gertler, P., & Bowen, R. (2008). Social skills
treatment for people with severe, chronic acquired brain injuries: A multicenter trial. Archives ofPhysical Medicine and Rehabilitation, 89, 1648-1659.
Medd, J., & Tate, R. L. (2000). Evaluation of an anger management therapy programme following
acquired brain injury: A preliminary study. Neuropsychological Rehabilitation, 10, 185-201.
Meulenbroek, P., & Turkstra, L. S. (2016). Job stability in skilled work and communication ability after
moderate-severe traumatic brain injury. Disability and Rehabilitation, 38, 452-461.
Neumann, D., Malec, J. F., & Hammond, F. M. (2017). The relations of self-reported aggression toalexithymia, depression, and anxiety after traumatic brain injury. Journal of Head Trauma

Rehabilitation, 32, 205-213.
91− 91 −


Novaco, R. W. (1976). Treatment of chronic anger through cognitive and relaxation controls. Journal ofConsulting and Clinical Psychology, 44, 681.
Novaco, R. W. (1977). Stress inoculation: A cognitive therapy for anger and its application to a case ofdepression. Journal of Consulting and Clinical Psychology, 45, 600-608.
O'Leary, C. A. (2000). Reducing aggression in adults with brain injuries. Behavioral Interventions, 15,
205-216.
Pearce, B., Cartwright, J., Cocks, N., & Whitworth, A. (2016). Inhibitory control and traumatic brain
injury: The association between executive control processes and social communication deficits.

Brain Injury, 30, 1708-1717.
Pinhasi-Vittorio, L. (2007). The role of written language in the rehabilitation process of brain injury andaphasia: The memory of the movement in the reacquisition of language. Topics in Stroke

Rehabilitation, 14, 115-122.
Ponsford, J., Lee, N. K., McKay, A., Haines, K., Alway, Y., Downing, M., Furtado, C., & O'Donnell, M L.
(2016). Efficacy of motivational interviewing and cognitive behavioral therapy for anxiety anddepression symptoms following traumatic brain injury. Psychological Medicine, 46, 1079-1090.
Prigatano, G. P. (1992). Personality disturbances associated with traumatic brain injury. Journal ofConsulting and Clinical Psychology, 60, 360-368.
Radice-Neumann, D., Zupan, B., Babbage, D. R., & Willer, B. (2007). Overview of impaired facial affectrecognition in persons with traumatic brain injury. Brain Injury, 21, 807-816.
Radice-Neumann, D., Zupan, B., Tomita, M., & Willer, B. (2009). Training emotional processing inpersons with brain injury. Journal of Head Trauma Rehabilitation, 24, 313-323.
Rao, V., Rosenberg, P., Bertrand, M., Salehinia, S., Spiro, J., Vaishnavi, S., Rastogi, P., Noll, K.,
Schretlen, D., Brandt, J., Cornwell, E., Makley, M., & Miles, Q. (2009). Aggression after
traumatic brain injury: Prevalence and correlates. Journal of Neuropsychiatry and Clinical

Neurosciences, 21, 420-429.
Rietdijk, R., Simpson, G., Togher, L., Power, E., & Gillett, L. (2013). An exploratory prospective study of
the association between communication skills and employment outcomes after severe traumaticbrain injury. Brain Injury, 27, 812-818.
Roberts, D. L., Penn, D. L., & Combs, D. R. (2009). Social Cognition and Interaction Training (SCIT):

Treatment manual. New York: Oxford University Press.㸦୰㎸ ࿴ᖾ࣭වᏊ ᖾ୍࣭᭱ୖ ከ⨾Ꮚ㸦┘ヂ㸧㸦2011㸧. ♫఍ㄆ▱࡞ࡽࡧ࡟ᑐே㛵ಀࡢࢺ࣮ࣞࢽࣥࢢࠑSCITࠒ἞⒪࣐ࢽࣗ࢔ࣝ ᫍ࿴᭩ᗑ㸧
Roelofs, R., Wingbermühle, E., Egger, J. I., & Kessels, R. P. (2016). Social cognitive interventions inneuropsychiatric patients: A meta-analysis. Brain Impairment, 18, 138-173.
Roy, D., Vaishnavi, S., Han, D., & Rao, V. (2017). Correlates and prevalence of aggression at six months
and one year after first-time traumatic brain injury. Journal of Neuropsychiatry and Clinical

Neurosciences, 29, 334-342.
Sabaz, M. (2014). Prevalence, comorbidities, and correlates of challenging behavior amongcommunity-dwelling adults with severe traumatic brain injury: A multicenter study. Journal of

Head Trauma Rehabilitation, 29, 19-30.
Saeki, S., Okazaki, T., & Hachisuka, K., (2006). Concurrent validity of the Community Integration
92− 92 −

Questionnaire in patients with traumatic brain injury. Journal of Rehabilitation Medicine, 38,
333-335.
Sale, P., West, M., Sherron, P., & Wehman, P. (1991). Exploratory analysis of job separations fromsupported employment for persons with traumatic brain injury. Journal of Head Trauma

Rehabilitation, 6, 1-11.
Sander, A. M., Kreutzer, J. S., & Fernandez, C. C. (1997). Neurobehavioral functioning, substance abuse,and employment after brain injury: Implications for vocational rehabilitation. Journal of Head

Trauma Rehabilitation, 12, 28-41.
Sarajuuri, J. M., Kaipio, M.-L., Koskinen, S. K., Niemelä, M. R., Servo, A. R., & Vilkki, J. S. (2005).
Outcome of a comprehensive neurorehabilitation program for patients with traumatic brain
injury. Archives of Physical Medicine and Rehabilitation, 86, 2296-2302.
Stalder-Lüthy, F., Messerli-Bürgy, N., Hofer, H., Frischknecht, E., Znoj, H., & Barth, J. (2013). Effects ofpsychological interventions on depressive symptoms in long-term rehabilitation after anacquired brain injury: A systematic review and meta-analysis. Archives of Physical Medicine

and Rehabilitation, 94, 1386-1397.
Struchen, M. A., Clark, A. N., Sander, A. M., Mills, M. R., Evans, G., & Kurtz, D. (2008). Relation of
executive functioning and social communication measures to functional outcomes following
traumatic brain injury. NeuroRehabilitation, 23, 185-198.
Struchen, M. A., Pappadis, M. R., Sander, A. M., Burrows, C. S., & Myszka, K. A. (2011). Examining thecontribution of social communication abilities and affective/ behavioral functioning to social
integration outcomes for adults with traumatic brain injury. Journal of Head Trauma

Rehabilitation, 26, 30-42.
Tate, R. L., Aird, V., & Taylor, C. (2014a). Using single-case methodology to treat social-pragmaticcommunication disorders. In S. McDonald, L. Togher, & C. Code (Eds.), Social andcommunication disorders following traumatic brain injury (2nd ed., pp. 361-388). New York:
Psychology Press.
Tate, R., Kennedy, M., Ponsford, J., Douglas, J., Velikonja, D., Bayley, M., & Stergiou-Kita, M. (2014b).
INCOG recommendations for management of cognition following traumatic brain injury, part
III: Executive function and self-awareness. Journal of Head Trauma Rehabilitation, 29, 338-352.
Tateno, A., Jorge, R. E., & Robinson, R. G. (2003). Clinical correlates of aggressive behavior after
traumatic brain injury. Journal of Neuropsychiatry and Clinical Neuroscience, 15, 155-160.
Tiersky, L. A., Anselmi, V., Johnston, M. V., Kurtyka, J., Roosen, E., Schwartz, T., & DeLuca, J. (2005). A
trial of neuropsychologic rehabilitation in mild-spectrum traumatic brain injury. Archives ofPhysical Medicine and Rehabilitation, 86, 1565-1574.
Togher, L., McDonald, S., Code, C., & Grant, S. (2004). Training communication partner of people withtraumatic brain injury: A randomized controlled trial. Aphasiology, 18, 313-335.
Togher, L., McDonald, S., Coelho, C. A., & Byom, L. (2014a). Cognitive communication disability
following TBI. In S. McDonald, L. Togher, & C. Code (Eds.), Social and communication disorders

following traumatic brain injury (2nd ed., pp. 89-118). New York: Psychology Press.
Togher, L., Wiseman-Hakes, C., Douglas, J., Stergiou-Kita, M., Ponsford, J., Teasell, R., Bayley, M., &93− 93 −


Turkstra, L. S. (2014b). INCOG recommendations for management of cognition following
traumatic brain injury, part IV: Cognitive communication. Journal of Head Trauma

Rehabilitation, 29, 353-368.
Tolin, D. F. (2010). Is cognitive-behavioral therapy more effective than other therapies? A meta-analytic
review. Clinical Psychology Review, 30, 710-720.
Tomioka, M., Shimamura, M., Hidaka, M., & Kubo, C. (2008). The reliability and validity of a JapaneseversionofSymptom

Checklist

90

Revised.

BioPsychoSocial

Medicine,2,

doi:10.1186/1751-0759-2-19
Uomoto, J. M., & Brockway, J. A. (1992). Anger management training for brain injured patients andtheir family members. Archives of Physical Medicine and Rehabilitation, 73, 674-679.
van Reekum, R. (2005). Apathy: Why care? Journal of Neuropsychiatry and Clinical Neuroscience, 17,
7-19.
Vandenbos, G. R. (Ed.). (2015). APA Dictionary of Psychology (2nd ed.). Washington, DC: American
psychological association.
Waldron, B., Casserly, L., & O'Sullivan, C. (2013). Cognitive behavioural therapy for depression andanxiety in adults with acquired brain injury. What works for whom? Neuropsychological

Rehabilitation, 23, 64-101.
Walker, A., Nott, M. T., Doyle, M., Onus, M., McCarthy, K., & Baguley, I. J. (2010). Effectiveness of agroup anger management programme after severe traumatic brain injury. Brain Injury, 24,
517-524.
Watts, A. J., & Douglas, J. M. (2006). Interpreting facial expression and communication competence
following severe traumatic brain injury. Aphasiology, 20, 707-722.
Wood, R. L., & Liossi, C. (2006). Neuropsychological and neurobehavioral correlates of aggression
following traumatic brain injury. Journal of Neuropsychiatry and Clinical Neuroscience, 18,
333-341.
Yeates, G., Rowberry, M., Dunne, S., Goshawk, M., Mahadevan, M., Tyerman, R., Salter, M., Hiller, M.,
Berry, A., & Tyerman, A. (2016). Social cognition and executive functioning predictors ofsupervisors' appraisal of interpersonal behaviour in the workplace following acquired brain
injury. NeuroRehabilitation, 38, 299-310.
Ylvisaker, M. (2003). Context-sensitive cognitive rehabilitation after brain injury: Theory and practice.

Brain Impairment, 4, 1-16.
Ylvisaker, M., Turkstra, L. S., & Coelho, C. (2005). Behavioral and social interventions for individuals
with traumatic brain injury: A summary of the research with clinical implications. Seminars in

Speech and Language, 26, 256-267.
Ylvisaker, M., Turkstra, L., Coehlo, C., Yorkston, K., Kennedy, M., Sohlberg, M. M., & Avery, J. (2007).
Behavioural interventions for children and adults with behaviour disorders after TBI: A
systematic review of the evidence. Brain Injury, 21, 769-805.
Zigmond, A. S, & Snaith, R. P. ໭ᮧ㸦ヂ㸧㸦1993㸧㸬Hospital Anxiety and Depression Scale㸦HAD ᑻᗘ㸧⢭⚄⛉デ᩿Ꮫ㸪㸲㸪371-372.
94− 94 −

㻌
㻌

㻌
㻌


࣮࣒࣮࣍࣌ࢪ࡟ࡘ࠸࡚  ᮏ෉Ꮚࡢ࡯࠿ࠊ㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮ࡢ◊✲ᡂᯝ≀࡟ࡘ࠸࡚ࡣࠊ୍㒊ࢆ㝖࠸࡚ࠊୗグࡢ࣮࣒࣮࣍࣌ࢪ࠿ࡽ 3') ࣇ࢓࢖ࣝ࡟ࡼࡾࢲ࣮࢘ࣥࣟࢻ࡛ࡁࡲࡍࠋ
࠙㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮◊✲㒊㛛࣮࣒࣮࣍࣌ࢪࠚ
KWWSZZZQLYUMHHGRUMSⴭసᶒ➼࡟ࡘ࠸࡚

ᙜ◊✲ᡂᯝ≀࡟ࡘ࠸࡚ࡣࠊබṇ࡞័⾜࡟ྜ⮴ࡍࡿࡶࡢ࡛࠶ࡾࠊ࠿ࡘࠊሗ㐨ࠊᢈホࠊ◊✲ࡑࡢ௚ࡢᘬ⏝ࡢ┠ⓗୖṇᙜ࡞⠊ᅖෆ࡛࠶ࢀࡤࠊ⮬⏤࡟ᘬ⏝ࡍࡿࡇ࡜ࡀ࡛ࡁࡲࡍࠋ
㸦ⴭసᶒἲ➨㸱㸰᮲㸯㡯㸧ࡲࡓࠊㄝ᫂ࡢᮦᩱ࡜ࡋ࡚᪂⪺⣬ࠊ㞧ㄅࡑࡢ௚ࡢห⾜≀࡟㌿㍕ࡍࡿࡇ࡜ࡀྍ⬟࡛ࡍࠋ㸦ⴭసᶒἲ➨㸱㸰᮲㸰㡯㸧ࡑࡢ㝿࡟ࡣฟᡤࢆ᫂♧ࡍࡿ࡞࡝ࡋ࡚ࠊᚲࡎᘬ⏝ཬࡧ㌿㍕ඖࢆ᫂♧ࡍࡿ࡜࡜ࡶ࡟ࠊୗグࡲ࡛ࡈ㐃⤡ࡃࡔࡉ࠸ࠋ
ࡲࡓࠊどぬ㞀ᐖࡑࡢ௚ࡢ⌮⏤࡛άᏐࡢࡲࡲ࡛ࡇࡢᮏࢆ฼⏝࡛ࡁ࡞࠸᪉ࡢࡓࡵ࡟ࠊႠ฼ࢆ
┠ⓗ࡜ࡍࡿሙྜࢆ㝖ࡁࠊࠕ㘓㡢ᅗ᭩ࠖ
ࠕⅬᏐᅗ᭩ࠖ
ࠕᣑ኱෗ᮏࠖ➼ࢆసᡂࡍࡿࡇ࡜ࡶㄆࡵ࡚࠾ࡾࡲࡍࠋ
࡞࠾ࠊどぬ㞀ᐖ⪅ࡢ᪉➼࡛ᮏ෉Ꮚࡢࢸ࢟ࢫࢺࣇ࢓࢖ࣝ㸦ᩥ❶ࡢࡳ㸧ࢆᕼᮃࡉࢀࡿ࡜ࡁࡶ
ࡈ㐃⤡ࡃࡔࡉ࠸ࠋ
࠙㐃⤡ඛࠚ
㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮◊✲௻⏬㒊௻⏬ㄪᩚᐊ㟁ヰ 㸮㸲㸱㸫㸰㸷㸵㸫㸷㸮㸴㸵)$; 㸮㸲㸱㸫㸰㸷㸵㸫㸷㸮㸳㸵㻌ㄪᰝ◊✲ሗ࿌᭩ 1R
♫఍ⓗ⾜ື㞀ᐖࡢ࠶ࡿ㧗ḟ⬻ᶵ⬟㞀ᐖ⪅ࡢᑵປᨭ᥼࡟㛵ࡍࡿ◊✲㹼་⒪ᶵ㛵࡛ࡢྲྀ⤌࡟ࡘ࠸࡚ࡢㄪᰝ㹼








⦅㞟࣭Ⓨ⾜  ⊂❧⾜ᨻἲே㧗㱋࣭㞀ᐖ࣭ồ⫋⪅㞠⏝ᨭ᥼ᶵᵓ
㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮
ࠛ
༓ⴥᕷ⨾὾༊ⱝⴥ 
㟁ヰ)$; Ⓨ ⾜ ᪥   ᖺ  ᭶༳ๅ࣭〇ᮏ  ୸஭ᕤᩥ♫㹁  㞀ᐖ⪅⫋ᴗ⥲ྜࢭࣥࢱ࣮
‫ۑ‬

NATIONAL INSTITUTE OF VOCATIONAL REHABILITATIONISSN 1340-5527

この印刷物は、印刷用の紙へリサイクルできます。