「安全な場所」において安全感が構築されないクライエントの特徴Characteristics of clients unable to construct a feeling of safety in their "safe place"

「安全な場所」はEMDRにおいて最もよく使われる安定化アプローチの１つである。本研究では「安全な場所」において安全感が構築されない者の特徴を検討することを目的とした。11名の心的外傷性症状を有する患者を対象とした。「安全な場所」により安全感が構築された群（7名）と安全感が構築されなかった群（4名）の「安全な場所」の内容を比較した結果，後者の「安全な場所」は視覚イメージがシンプルかつ静的であり，聴覚，触覚などのイメージも伴わず，身体感覚も賦活されにくいことが示された。また，安全感が構築されにくい群には2つのタイプがあり，イメージ全般が抑制的で安全感が獲得されないタイプと，不快情動が混入するが故に安全感が得られないタイプに分けられた。両者の心理検査の結果を比較したところ，前者は情動や思考が抑制的で自分の状態に気がつきにくく，後者は思考や情動が活性化されやすいが肯定的情動に否定的情動が混在しやすいことが示された。

The “safe place” is one of the most common stabilization approaches used in EMDR. The objective of this study is to consider the characteristics of clients who are unable to achieve a sense of safety in their safe places. Eleven persons with symptoms of psychic trauma were the subjects. The “safe places” of the group able to achieve a feeling of safety （7s） were compared with those of the group unable to achieve it （4s）. Results show that the latter had “safe places” that were simple and static. There were no sounds or tactile images, and thus no actively physical sensations. Further, this group lacking a feeling of safety consisted of two types. The first had overall suppressed images that failed to evoke a feeling of safety, and the second had unpleasant emotions mixed into their images that prevented a sense of safety. When the psychological tests of these two types were compared, the first had suppressed emotions and thinking, making it difficult for them to realize their conditions. The second type had more active emotions and thoughts, but they tended to get negative emotions mixed in with positive ones.

Journal

Japanese

Sanae Aoki

Aoki, S. (2015, May). [Characteristics of clients unable to construct a feeling of safety in their "safe place"]. Japanese Journal of EMDR Research and Practice, 7(1), 16-25. Japanese