プリンキピア

第16章療法と治療

Introductionはじめに

浜辺で大勢の人が輪になって座っている写真。

Copyright Rice University, OpenStax, under CC BY 4.0 license. · CC BY 4.0 · Source出典

Figure 16.1図 16.1
Many forms of therapy have been developed to treat a wide array of problems. These marines who served in Iraq and Afghanistan, together with community mental health volunteers, are part of the Ocean Therapy program at Camp Pendleton, a program in which learning to surf is combined with group discussions. The program helps vets recover, especially vets who suffer from post-traumatic stress disorder (PTSD).
幅広い問題を治療するために、多くの種類の療法が開発されてきた。イラクとアフガニスタンで任務に就いたこの海兵隊員たちは、地域のメンタルヘルス・ボランティアとともに、キャンプ・ペンドルトンの「オーシャン・セラピー」プログラムに参加している。これは、サーフィンの習得とグループでの話し合いを組み合わせたプログラムである。このプログラムは、退役軍人、とりわけ心的外傷後ストレス障害(PTSD)に苦しむ退役軍人の回復を助けている。
What comes to mind when you think about therapy for mental health issues? You might picture someone lying on a couch talking about his childhood while the therapist sits and takes notes, à la Sigmund Freud. But can you envision a therapy session in which someone is wearing virtual reality headgear to conquer a fear of snakes?
英語のヒント
メンタルヘルスの問題に対する療法について考えるとき、何が頭に浮かぶだろうか。誰かがカウチに横たわって自分の子ども時代のことを話し、そのあいだセラピストが座ってメモを取っている、というジークムント・フロイト流の光景を思い浮かべるかもしれない。しかし、ヘビへの恐怖を克服するために誰かが仮想現実用のヘッドセットを着けている、そんな療法のセッションを思い描けるだろうか。
In this chapter, you will see that approaches to therapy include both psychological and biological interventions, all with the goal of alleviating distress. Because psychological problems can originate from various sources—biology, genetics, childhood experiences, conditioning, and sociocultural influences—psychologists have developed many different therapeutic techniques and approaches. The Ocean Therapy program shown in Figure 16.1 uses multiple approaches to support the mental health of veterans in the group.
英語のヒント
この章では、療法のアプローチには心理的な介入と生物学的な介入の両方があり、そのいずれもが苦痛を和らげることを目的としていることを見ていく。心理的な問題は、生物学的要因、遺伝、子ども時代の経験、条件づけ、社会文化的な影響という、さまざまな原因から生じうる。そのため心理学者は、多種多様な治療技法やアプローチを開発してきた。図16.1に示した「オーシャン・セラピー」プログラムは、複数のアプローチを用いて、グループに加わっている退役軍人たちのメンタルヘルスを支えている。
There are many misconceptions and assumptions about therapy and treatment. In the same way that mental health and psychological disorders are often misunderstood and may be discounted, seeking help for problems can be a difficult and scary time for people. There is no one method that works for everyone, and those seeking help are displaying strength and courage in their decision to address a highly stigmatized and challenging issue. The goal of treatment is not to change who a person is, but to address symptoms and/or underlying conditions.
英語のヒント
療法や治療については、多くの誤解や思い込みがある。メンタルヘルスや心理的障害がしばしば誤解され、軽視されることもあるのと同じように、問題について助けを求めることは、人にとって困難で恐ろしい経験になりうる。誰にでも効く方法というものは一つもない。そして、助けを求める人は、強いスティグマの対象となっている難しい問題に取り組もうと決断することで、強さと勇気を示している。治療の目的は、その人がどういう人であるかを変えることではなく、症状、その根底にある状態、あるいはその両方に対処することである。

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