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Abstract

第122巻第7号

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Possible Psychotherapeutic Approach for Persons with Mild Cognitive Impairments and Alzheimer‒type Dementia
Masahiro SHIGETA, Keisuke INAMURA
Department of Psychiatry, The Jikei University School of Medicine
Psychiatria et Neurologia Japonica 122: 499-508, 2020

 We introduced supportive psychotherapy and Morita therapy for persons with mild Alzheimer-type dementia (AD) and mild cognitive impairment (MCI). Persons with AD suffer from anxiety and fear for the progression of dementia, and those with MCI suffer from that they may develop dementia. In addition, it may be accompanied by other psychiatric symptoms such as delusions and depression. These symptoms may secondary and occur on the basis of cognitive decline, are modified by situational and environmental factors, and could be often understandable through empathy. In this reason, self-esteem and self-efficacy can be enhanced by providing supportive psychotherapy. Then, the ability to examine reality and the ability to regulation of affect, and the situation in which you are placed can be recognized more accurately than before. Therefore, it will be possible to demonstrate adaptive skills tailored to the situation. On the other hand, Morita therapy was also performed for anxiety and fear of persons with AD or MCI. Assisted them to regain their previous lifestyle. We supported to resume habits that had been interrupted due to anxiety, or to stop habits that had started because of anxiety. It encouraged them to accept the anxiety that they may have AD or may progress when they have dementia. These psychotherapies alleviated psychiatric symptoms and at least partially allowed the exercise of residual function.
 <Authors' abstract>

Keywords:supportive psychotherapy, Morita therapy, self-esteem, self-efficacy, residual function>
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