New Jersey History (NJH - E-Journal)
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Acceptance and Commitment Therapy is "Haruki Murakami"
In response to Kanazawa's (2015) commentary on my case study of Taro (Muto & Mitamura, 2015), I reflect on the issue of the degree of "Japaneseness" in my approach to the case study. I pursue this by anchoring the perspective of my work in the perspective of the well-known Japanese novelist, Haruki Murakami
Further Consideration of Systems, Stigma, Trauma, and Access to Care
The commentaries by Williams (2016) and Gartenberg and Lang (2016) on the case of Cathy and her mother Ms. Z (Rogers, Bobich, & Heppell, 2016) explore the similarities between children who have been homeless and those in the foster system, and highlight the importance of trauma-focused treatment to address their mental health needs. A further consideration of the challenges to obtaining such treatment due to system barriers, stigma, and the intergenerational transmission of trauma is applied to the case of Cathy. This illustrates the importance of an array of mental health treatment options and the ability to transition from one treatment (an Incredible Years [IY] group) to another (Child-Parent Psychotherapy [CPP]) as opportunities to increase access to needed care for marginalized families
描画による感情表現と正しい言葉による対応がもたらす非連続的変化
本事例研究は,パーソナリティ障害,統合失調性情動障害,非定型の精神病等の診断がつけられるほど重症であったクライエントが,描画を媒介としたセラピストとのやり取りの中で劇的に軽快したプロセスを詳細に検討したものである。私は心療内科医としてこの事例の重篤さに驚くとともに,行動療法家として日頃行っている査定や介入との異同を念頭に読み進めていった。事例報告の方法としては,「臨床家による語りの形式」をとっており,標準化された量的質問紙も効果判定に使われなかったとされているが,実は行動療法における単一事例実験計画と原理的な面で相違点よりも類似点の方が多いと思われる。本事例の介入は,描画とそれを媒介として成立したコミュニケーションによって行われたが,その中核は「描画による感情表現と正しい言葉による対応」と理解できる。介入が進むにつれて,描画とそれを描いたクライエントの中に「意識的努力をしないのに」非連続的な変化が生じたことが明らかになったが,それがどのような機序によってもたらされたのかを次に考察した。そこでは,連続的な変化を前提とし,機能分析というアセスメント法に基づいてひとまとまりの行動に介入をする行動療法とは対照的に,生活や人生の文脈自体が介入の対象とされ,新たな文脈を規定する初期条件と拘束条件を設定することによって介入が進められているものと想定された。そして本事例では,治療者の「目前の課題をよく把握してからそれに適合する方法を適用する」というアセスメントが初期条件となり,描画という自己表現をするための構造と,治療者のどんな場合にも逃げない率直な対応や返答がぶれない拘束条件を作り出したことが,決定的なセラピー促進要因になったと考えられた。最後に,本来治療者個人が「人生の行路に沿って時間をかけて積み上げていくほかない」介入のための技術が,いかに伝承されていくのかという点に注目し,事例研究の持つ機能にふれて,本論文の結びとした
Cover and Table of Contents for Volume 68: Special Issue on Rutgers' 250th Anniversary Part One
The cover image is a portrait of Colonel Henry Rutgers by Henry Inman. Photo by Nick Romanenko
アクセプタンス&コミットメント・セラピーは 「村上春樹」である
筆者による太郎の事例論文(武藤・三田村,2015)に対する金沢(2015)のコメントに対して,筆者自身の事例研究に対するアプローチの「日本的」である度合いの問題について省察した。筆者の仕事のスタンスを著名な日本の小説家である村上春樹のスタンスに根付かせて,これを探究した。また,Hayes(2015)によるコメントの指摘にも回答を与える
On Reading Dr. Kumano's and Dr. McLeod's Commentaries
I would like to express my gratitude for the opportunity to read commentaries by non-Japanese and Japanese commentators and reflect back on both this case and on the basic principles of psychotherapy. Both commentators (McLeod, 2015 and Kumano, 2015) picked up profound themes such as therapis
Examining the ACT Model in the Case Study of Taro
ACT is a functional contextual form of behavioral and cognitive therapy. It shares commonalities with other contextualistic approaches such as constructivist or narrative therapies, but it differs in its scientific goals. Because of these differences, it is oriented toward manipulable processes linked to basic principles. In this commentary I describe these characteristics and link them to the target article (Muto & Mitamura, 2015). I discuss how a major value of case studies of this kind is the exploration in an intensive way of the links between a model and treatment decisions, processes of change, and outcomes. This recasts somewhat the use of case studies and time series designs in the empirical investigations of ACT, and provides special opportunities for the examination of cultural factors in the application of an evidence-based model. Finally, I note how ACT may help bring together some of the wings of clinical work in Japan
De-Centering "The" Survey: The Value of Multiple Introductory Surveys to Art History
This essay stems from our concern that art historians still conceive of "The" Survey in terms that privilege Western artistic traditions. In this article, we offer an alternative that we designate as the multi-survey model (MSM) or approach. "The survey" becomes "the surveys" that introduce students to Western arts and the art forms of often underrepresented regions. Twenty-one percent of the schools surveyed in our peer review employ similar models, and yet the MSM has yet to attract critical scholarly attention. This essay addresses a void in present scholarship and elaborates upon three main goals of the MSM, all of which help to de-center the survey from Western origins and to challenge the discourse that positions Western art as normative. First, the MSM creates opportunities for students to delve into the particularities of a specific region and its narratives of art, which often exist outside Western art historical discourse. Second, the MSM produces a productive dialogue between the Western survey and the regional surveys of Africa, the Americas, Asia, the Middle East, Pacific Cultures, and other regions. Last, students investigate agency of representation, and in particular how the arts of Asia and the Americas are presented in the Western world. The MSM deliberately concedes global coverage in favor of capitalizing upon the strengths of faculty members in small art history departments. The MSM ensures that students engage with a variety of cultural perspectives early in their art history careers and bolsters our efforts to create a more globally aware citizenry at the college level