{"created":"2023-06-19T10:03:37.436541+00:00","id":12144,"links":{},"metadata":{"_buckets":{"deposit":"23be9797-0041-442c-93ee-1cdf58128c11"},"_deposit":{"created_by":17,"id":"12144","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"12144"},"status":"published"},"_oai":{"id":"oai:kwmw.repo.nii.ac.jp:00012144","sets":["7:11:70"]},"author_link":["53277","53278","53276","62125"],"item_1_alternative_title_20":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Language Intervention for Aphasia ; Present Problems"}]},"item_1_alternative_title_5":{"attribute_name":"論文名よみ","attribute_value_mlt":[{"subitem_alternative_title":"ソウセツ シツゴショウ ゲンゴ チリョウ ノ ゲンジョウ ト カダイ"}]},"item_1_biblio_info_14":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1993","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"34","bibliographicPageStart":"23","bibliographicVolumeNumber":"3","bibliographic_titles":[{"bibliographic_title":"川崎医療福祉学会誌"}]}]},"item_1_creator_6":{"attribute_name":"著者名(日)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"森, 寿子"}],"nameIdentifiers":[{"nameIdentifier":"53276","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"藤野, 博"}],"nameIdentifiers":[{"nameIdentifier":"53277","nameIdentifierScheme":"WEKO"}]}]},"item_1_description_1":{"attribute_name":"ページ属性","attribute_value_mlt":[{"subitem_description":"P(論文)","subitem_description_type":"Other"}]},"item_1_full_name_7":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"53278","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Mori, Toshiko"}]},{"nameIdentifiers":[{"nameIdentifier":"62125","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Fujino, Hiroshi"}]}]},"item_1_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15112/00012133","subitem_identifier_reg_type":"JaLC"}]},"item_1_publisher_23":{"attribute_name":"公開者","attribute_value_mlt":[{"subitem_publisher":"川崎医療福祉学会"}]},"item_1_source_id_13":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN10375470","subitem_source_identifier_type":"NCID"}]},"item_1_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0917-4605","subitem_source_identifier_type":"ISSN"}]},"item_1_text_10":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Sensory Science, Faculty of Medical Professions, Kawasaki University of Medical Welfare"},{"subitem_text_language":"en","subitem_text_value":"Department of Sensory Science, Faculty of Medical Professions, Kawasaki University of Medical Welfare"}]},"item_1_text_22":{"attribute_name":"その他(別言語)の雑誌名","attribute_value_mlt":[{"subitem_text_value":"Kawasaki medical welfare journal"}]},"item_1_text_9":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_value":"川崎医療福祉大学医療技術学部感覚矯正学科"},{"subitem_text_value":"川崎医療福祉大学医療技術学部感覚矯正学科"}]},"item_1_textarea_11":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_value":"日本における失語症言語治療はおよそ30年前に開始されたが, Schuellによって確立された刺激法の影響を強く受けたものであった.その後多くの研究によって, 刺激法は若年で意欲があり, 言語機能にのみ問題を有する患者には非常に有効であるが, 高齢・重度で言語機能の異常に加えてその他の障害をもつ患者にはあまり有効でないことが明らかとなった.こうした刺激法の限界を補う形で, アメリカでは1980年代初頭より「言語機能障害に対するアプローチ」から「コミュニケーション能力障害に対するアプローチ」へと治療観が変わり, 日本でも1980年代後半になってこのような変化が生じた.本稿ではこのような失語症治療理論の変遷過程を紹介するとともに, 今後の失語症治療のあり方について論じた.今後の失語症治療のあり方として留意すべきことは, 次の4点であった.1.訓練効果を日常生活へ般化させうるような実用的コミュニケーション能力を獲得させること.2.能力障害の治療にはJacksonの理論やその理論を発展させた著者らの「言語獲得階層性仮説」理論が有効であり, その理論にそった訓練プログラムを確立すること.3.失語症患者の心理的問題に対するチームアプローチが重要であること.4.慢性期の失語症患者や重度・重複障害を有する患者に対する言語訓練プログラムと長期的な援助システムの確立が重要であること."}]},"item_1_textarea_12":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"In Japan, aphasia therapy started about 30 years ago, under the strong influence of the stimulation method theory established by Schuell. Then many researchers found that the stimulation method is effective for young and motivated aphasics who had only language disorders, but not so effective for old and severe aphasics who had other problems added to language disorders. In the early 1980's in the United States, the limitation of the stimulation method changed the concept of speech therapy from \"approach to impairment of speech function\" to \"approach to communicative disability\". Such a change arose also in Japan in the late 1980's. We illustrate the development of aphasia therapy and discuss the problems of aphasia treatment today, stressing the following points: 1 . It is important to aquire pragmatic communicative ability carrying training effects on daily living. 2 . Jackson's theory and our \"hierarchy of language acquisition theory\" developing from it are useful for aphasia treatment, and it is important to establish training programs based on that theory. 3 . Team approach is important for coping with psychological problems of aphasics. 4 . It is important to establish training programs and long-term follow up systems for chronic aphasic patients or severe and multiple handicapped patients."}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2014-01-31"}],"displaytype":"detail","filename":"KJ00000192398.pdf","filesize":[{"value":"863.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","url":"https://kwmw.repo.nii.ac.jp/record/12144/files/KJ00000192398.pdf"},"version_id":"cb8e3e0e-9710-4045-95cf-d7625d5ee5f6"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"aphasia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"speech therapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"PACE","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"alternative augmentative communication","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"long-term follow up system","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"<総説>失語症言語治療の現状と課題","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"<総説>失語症言語治療の現状と課題"}]},"item_type_id":"1","owner":"17","path":["70"],"pubdate":{"attribute_name":"公開日","attribute_value":"1993-01-01"},"publish_date":"1993-01-01","publish_status":"0","recid":"12144","relation_version_is_last":true,"title":["<総説>失語症言語治療の現状と課題"],"weko_creator_id":"17","weko_shared_id":17},"updated":"2023-06-19T11:06:36.267618+00:00"}