小児科におけるEMDR介入の有効性と課題 : 3事例を通してEffectiveness and challenges of EMDR intervention in pediatrics: Our experience through three case studies
Description
眼球運動による脱感作と再処理（EMDR）は、心的外傷後ストレス障害（PTSD）に対するエビデンスに基づく治療介入としてすでに認識されているが、小児領域におけるEMDRの臨床的有効性については未だ十分に明らかにされていない。本論文では、小児に対するEMDRを用いた学校トラウマの顕著な3症例への対応経験を紹介する。 3症例の児童はいずれも、教師からの叱責や厳しい対応を受けたことがトラウマとなり、身体症状が現れた。これらのトラウマ体験により教室に留まることが困難となり、社会的支援から孤立し、問題が長期化した。EMDRを「t-トラウマ」および情動的スタックポイント（ESP）に焦点を当てて適用した結果、児童の教師に対する恐怖や怒りが軽減され、安全感と適切な責任感が再構築され、身体症状も消失した。 これらの治療結果は、教師からの指導がトラウマにつながる可能性があること、そして社会的支援の重要性を示唆している。我々は小児領域におけるEMDRの意義と活用の考え方を検討し、小児クライアントに対してEMDRが強く推奨される可能性があると提案した。 本研究結果を裏付けるためには、小児領域におけるEMDRのさらなる研究が求められる。
Eye Movement Desensitization and Reprocessing (EMDR) has already been considered as evidence-based treatment intervention in the realm of post-traumatic stress disorder (PTSD); however, clinical efficacy of EMDR in pediatrics remains an underdetermined issue. Our paper demonstrates our experience in dealing with three conspicuous cases of school trauma utilizing EMDR in pediatrics.
School children in all three caes received scolding or harsh treatment from teachers which became trauma, and somatic symptoms appeared. Their traumatic experience made it difficult for them to stay in class. As a result, they were isolated from social supports, which prolonger their problems. Application of EMDR utilizing "t-trauma" and emotional stuck points (ESPs) seemed effective in removing the children's fear and anger toward tachers, the sense of safety and proper responsibility were re-estaoished and their somatic symptoms vanished.
Successful outcomes of treatment in our cases rather imply that instructions from teaches can lead to trauma, and social supports as necessary. We considered the significance and ideas when utilizing EMDR in pediatrics, and suggested that EMDR can be highly recommended for pediatric clients.
To confirm our findings, further studies of EMDR in pediatrics are needed.
Eye Movement Desensitization and Reprocessing (EMDR) has already been considered as evidence-based treatment intervention in the realm of post-traumatic stress disorder (PTSD); however, clinical efficacy of EMDR in pediatrics remains an underdetermined issue. Our paper demonstrates our experience in dealing with three conspicuous cases of school trauma utilizing EMDR in pediatrics.
School children in all three caes received scolding or harsh treatment from teachers which became trauma, and somatic symptoms appeared. Their traumatic experience made it difficult for them to stay in class. As a result, they were isolated from social supports, which prolonger their problems. Application of EMDR utilizing "t-trauma" and emotional stuck points (ESPs) seemed effective in removing the children's fear and anger toward tachers, the sense of safety and proper responsibility were re-estaoished and their somatic symptoms vanished.
Successful outcomes of treatment in our cases rather imply that instructions from teaches can lead to trauma, and social supports as necessary. We considered the significance and ideas when utilizing EMDR in pediatrics, and suggested that EMDR can be highly recommended for pediatric clients.
To confirm our findings, further studies of EMDR in pediatrics are needed.
Format
Journal
Language
Japanese
Original Work Citation
Ogawa, K. (May, 2016). [Effectiveness and challenges of EMDR intervention in pediatrics: Our experience through three case studies]. Japanese Journal of EMDR Research and Practice, 8 (1), 54-64
Collection
Citation
“小児科におけるEMDR介入の有効性と課題 : 3事例を通してEffectiveness and challenges of EMDR intervention in pediatrics: Our experience through three case studies,” Francine Shapiro Legacy Library, accessed November 9, 2025, https://francineshapirolibrary.omeka.net/items/show/24495.