Analysis and Management of Psychological Game in Psychosomatic Medical Care(<Special Issue>Transactional Analysis in Medical Care)

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  • 医療における心理ゲームの分析と対応(<特集>医療における交流分析)
  • 医療における心理ゲームの分析と対応
  • イリョウ ニ オケル シンリ ゲーム ノ ブンセキ ト タイオウ

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Abstract

We may repeat the same failures in daily life. On those occasions, we always experience the same kind of unpleasant feelings and outcome. This process is called a "game" in Transactional Analysis. The dynamics of games are as follows: 1) Games have an ulterior motive leading to the final pay off. 2) Games are noted by their repetitive occurrence. 3) A game is played without Adult awareness. 4) A game is played as an exchange for negative strokes. It is a sequence of ulterior transactions. 5) A game is accompanied by the moment of confusion due to the switch of ego states. 6) The person plays games to reinforce and prove his life positions (I am not OK). 7) The game always ends in bad and uncomfortable feelings. The game theory can be applied to clinical situations. Two cases are presented to discuss psychosomatic internal medicine from the standpoint of games. We should not forget that the task of the therapist is to stop game-playing. It is important not to accept the invitation of the client as a game player. In conclusion, the game is inevitable in our daily life. As soon as we become aware that a game is going on, it is important to stop it immediately.

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