Activities and Responsibilities of a Clinical Psychologist in the Psychosomatic Medical Work for Women : Based on the Experiences in the Field of Obstetrics & Gynecology and the Field of Surgery(Symposium/Activities and Responsibilities of Psychologistsin Psychosomatic Medicine)

  • Tsuji Yumiko
    Division of Rehabilitation, Kohonodai Hospital, National International Medical Center:Obstetrics & Gynecology, Showa University Hospital:Counseling room "NAGISA"

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Other Title
  • 女性心身医療における心理士の活動と責務 : 産婦人科および外科での経験から(合同シンポジウム:心身医療における心理士の活動と責務,2009年,第1回日本心身医学5学会合同集会(東京))
  • 女性心身医療における心理士の活動と責務--産婦人科および外科での経験から
  • ジョセイ シンシン イリョウ ニ オケル シンリシ ノ カツドウ ト セキム サンフジンカ オヨビ ゲカ デ ノ ケイケン カラ

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I report the psychosomatic medical work as a clinical psychologist based on the experiences in the field of obstetrics & gynecology and the field of surgery. I first started seeing menopausal women for individual psychotherapy, and then gradually got referrals for other cases. I added a group therapy for menopausal women. This group therapy was also applied to women with breast cancer. In the field of surgery, I also provided individual psychotherapy, including patients in their terminal stages. I present cases of individual psychotherapy, according to the so-called "four typical sufferings" in women's life cycle The work as a clinical psychologist has been carried out as a member of a medical team, and has expanded according to the needs of patients. It is very important to establish a relationship with team members, in which trust and mutual respect for the autonomy to practice the psychosomatic medical work is indispensable. There are still many issues which need to be solved, such as taking care of terminally ill in the general hospitals, and instable position of the psychologist in hospitals. I hope that more clinical psychologists will get the chance of autonomous activities to make use of their specialty.

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