スクールカウンセリングにおけるRDIの有用性Examining the effectiveness of RDI in school counselling

本論文では，スクールカウンセラー（以下SC）が登校困難な中学2年生女子に対して学校内の相談室でRDIを実施し教室復帰が可能となった事例について報告する。本事例は，中学2年生の6月頃から頭痛がみられ，夏休み明けには学校に対する漠然とした不安・恐怖感が出現し登校困難となった。その後，SCとの面接の中でEMDRの一技法であるRDIを用いて自我強化と情動の安定化を実施した。RDI実施後に，段階的に現実曝露を実施した結果，徐々に教室へ行ける回数が上昇し，中学3年生の4月以降は，完全に教室復帰が行なえた。RDIは，標準EMDRプロトコルの脱感作の手続きまで進まないため，除反応が生じる可能性が低く，侵襲性も少ないのでスクールカウンセリングにおいて安全に用いることができる介入法であることが示唆された。

In this study we will report on the case of a second grade junior high school student girl who had difficulty going to school but was able to return back to school after receiving RDI in the school consultation room by a school counsellor （SC hereafter）. The subject had symptoms of headache since June in her second year at junior high school and after the summer vacation a vague uncertainty and fear towards school emerged and it became difficult for her to go to school. In the sessions with the SC, one technique of EMDR called RDI was used for ego strengthening and emotional stabilization. After implementing RDI and carrying out graded in vivo exposure, the number of times she was able to go to school gradually increased and after April in her third year she was able to return back to school fully. RDI was found to be an intervention which can be used safely in school counselling with its low occurrence of abreaction and minimal invasiveness since it does not progress to the desensitization phase of the standard EMDR protocol.

Journal

Japanese

Mayuko Koyama
Akiko Kikuchi

Koyama, M., & Kikuchi, A. (2015, May). [Examining the effectiveness of RDI in school counselling].  Japanese Journal of EMDR Research & Practice, 7(1), 37-43. Japanese