Sand Play for Adolscent Patients with Psychosomatic Disease(Art Therapy)

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  • Nakamura Nobue
    Department of Psychosomatic Medicine, Nihon University Itabashi Hospital

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  • 心療内科領域の思春期に対する箱庭療法の利用(芸術療法)(第32回日本心身医学会総会)

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In recent years, patients who call on the department of psychosomatic medicine, are not always suffering from psychosomatic diseases of the narrow sense. Especially, in adolescent patients are found neurosis, depression, school phobia with somatic symptoms, violence to family with hypochondoriases, borderline case with somatization. Sand play, a kind of art therapy, is an image therapy. Inner emotion that is not defended and not intellectualized, is expressed by sand play therapy. The therapist is able to understand psychogical states of the patient who in turn becomes able to grasp self insight and control his impulses. We use sand play to make a psychological diagnosis as a psychological therapy on the basis of the theory of image therapy. In this study, I have presented 5 cases and probed on the cases. Three cases showed improvement and finished their treatment and 2 cases are getting well. In the patients whose psychological states were indicated in the sand play and in the patients whose self images were projected in the sand play, their psychological problems were reflected also in reality life and they actually succeeded in solving them. We should consider the indication of sand play. It is quite proper to use the sand play therapy effectively for the treatment of adolescent patients.

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