ǧջк

ǧջϤεϺǸȤʤ롣ǸϲФˤطϤΥʸǤи10ĽƤߤޤǤξγФˤʤΤǡñʿͤˤȤäƤϤɤȤȤϤʤñ줫⡣

1륳ڥ˥125ǡ

ˤ걿ưƳ®٤㲼ʶڤζ

2ե쥤125ǡ

ˤȤγʱưǽǧεǽˤ㲼ʣʻ¸ʤɤαƶ⤢ꡤ赡ǽ㳲졤Ȥȼи

3ѥ饽˥ʿ̲ȼɡˡ154ǡ

̲̲桤̲ûԲŪ

Υࡦѥ饽˥ȤƤϺá̲ͷԾ, ̲øپɤʤɤꡤ̲ȯܿͤεϤʤ

ࡦѥ饽˥ȤƤϥ̲ư㳲¿ӡηǧξɤؤΰܹԤ)ȿȯ̴̲㳲ʤɤꡤܿͤϵǤ

4ߥˡȯ158ǡ

Τΰ뤤Τ֥ԥư

5166ǡ

äȤƤ줺夫ʤʤ롥ʡγϩɾ

ظǧɬȥƥȡ١ʳظ

6ȥ˥166ǡ

󤬶Ф롤ȿ֤롤ܤޤ̤ʤ (ž)夬Фޤޤˤʤ롤ĤޤʤΤ­ĤäѤʤɤξɾ򤤤ʡγϩɾ

ظǧɬȥƥȡ١ʳظ

7ȯͥ166ǡ

ʤɤĹֻѤƤȽи롤ʬǤϻߤʤޤϻߤƤ⤹˽иư (֤򤹤ܤ롤򺸱ư⤰⤰롤ͤФ򿩤Ф롤ܤĤȤʤʤ󤻤Ƥ롤˼꤬ưƤޤˤʤɤξɾ򤤤ʡγϩɾ

ظǧɬȥƥȡ١ʳظ

7ץ쥳åե塼롡׾λʻ

缺ĴɤĿͤФˡѻԤ˵ֲͭȤʤʴפ֤ߤ˿̤ʤפʤɤɽ뤳Ȥ⤢롣

׾λŰкƥȡͽ꽸١ʥʥĥҡ

8ץ׾λʻ

ưŪ˼餵줿ݤ³ɾ

׾λŰкƥȡͽ꽸١ʥʥĥҡ

9ͥȥѥ׾λʻ

ΰŪ򤹤뤳ȤǤʤ̯ʴФȡΤƤγο˴Ťʤٹ˷֤Τ򤤤㤨СֻӤơΤ򤫤󤹡פʤɤ󤲤롣

׾λŰкƥȡͽ꽸١ʥʥĥҡ

10ΥȥP450163ǡ

¡ˤƤۤȤɤϡΥȥP450 (CYP) Ǥˤ

39

Ļȯã˴ؤ뼡εҤΤΤˡäƤΤˡߤĤ硤aeȤ߹碌椫ǤŬڤʤΤӤʤ

A. żĻȯãˡ, 0С7ФλҤɤоݤȤ, ƤȤܤˤꡤĻưҲʤ4ΰˤĤƤȯã򳵴Ѥ롣

B. ֥饼ȥưɾˡϡʿŪưǤϤʤǹιư (best performance) ˤȤŤƺ롣

C. 뼰ȯãˡθܤϡŬư籿ưٱư3ΰǹƤꡤĻιưѻȯãɾɽ˵Ͽ롣

D. ĻʬŪȯãˡϡưưαưŪпʹطȯ5ΰˤ줾26ܡΰ21ܤη151ܤʤäƤ롣


׾λʻ꽸1١˼ˤ


طʥޥ˿ǽå Ver.2018.9.7


book_law_hou
ʲְ㤤ޤ饳Ȥ᡼ǤϢٶˤʤޤ

92
ƿ̾˾ΤŦݷšֳΥפεҤޤ

93
ʤʤΤŦʡ8ˤWIPPSI-WAIS-ɵޤ
ʤʤΤŦˡȺθפεҤޤ

96
ƿ̾˾ΤŦݷš8ˤξޤ
ƿ̾˾ΤŦʡ4ˤλƸ̽ΰݸɵޤ


ݷš

1ˡ

±

20ʾ

Ž

̵ʤޤ19ʲ

Ͽ

ŵϿݴ

ŵϿʳʸϿʤɡˤݴ

ŷײ

5ʤ󡤵ڹɡǾ´桤Ǣ¡

2ݷڤ㳲ʡ˴ؤˡΧ

ݷ

5ǯʾοǤޤϼŤηи

3ǯʾ㳲οǤޤϼŤηи

ι

ݷ򿳺

5ǹ

2͡塤1͡PSWʤɡ1͡۸Τʤ

Ǥ

ݸǡΰբౡϤޤVS²ౡƤϲ²ౡʤɤ򿳺



ʱƻܸλ˻±δԡ

72˸¤ݷǻ

۵

ƻܸλ̿

72˸¤ݷǻ1̾Ǥġ



ƻܸλ̿

ݷοǻʡ ƻܸοΩ

塤ƻܸοΤΤ餻פܿͤ

Υ

1ʰդʤġˡ12ְʾʻ

12ʰդʤġˡ12Ķʻ

ƿ̾˾ΤŦΤȤǤ

Ĥޤ121äȽǤɬפˤʤȤ

3ĶʤΥˤĤƤݷȽǤפΤǤϤʤξˤäƤ⤽ݤȽǤդˤäԤʤФʤʤΤȤ롣

5˳Υ̡ȹԤ뤳Ȥʤ褦ˡդϸ§ȤƾʤȤǻԤΤȤ롣

http://www.hosp.go.jp/~kamo/pdf/shogukij.pdf

㳲ݷʡĢ

̿ꡦ̾ʾ㳲̾ʤ

Ǥ6ФäȤοǽɬ

ͭ¤ƻܸλ˿

1顤2顤31餬Ťˡݷʡ㥻󥿡Ƚ

3ӼŴѻˡ

Ŵѻˡݷ

ȽȽݷȽʰι

ݷѻ

§ȽεĤˤĹ

ʤݸѻˤϼҲĴ롣

4ݷ

μô

̳齢2

̳齢ظܸ¤ν롡3

¤νʤ70аʾ75̤2

¤νʤ75аʾ塡1

5

HDS-R20ʲǧξɤε

MMSE23ʲǧξɤε

6¡ܿˡ

15̤λҤɤ⤫Ǿ¡󶡤ǽ

7¤δԤФ˴ؤˡΧ

¡Կ͸0.1̤ǤäƵҴŪʿǴΩƤ



14

ǤH30.4.116756¤˳礵ƤȻפޤƿ̾˾

ʡ

1Ƹʡˡ

ƸȤ18̤οͤΤ

2̱ˡ

Ƹߡʿ 師͡ˤĹ2ǯʲȺۤοȽ

3۶Ԥ˽ϤɻߵڤﳲԤݸ˴ؤˡΧ

ݸ2

ܶػ6Ƚݸ̿ˡʿ²ˤŬѡ

15аʾλҤɤˤĤƤܿͤƱդɬ

̿2Ƚݸ̿

4ƸԤɻ˴ؤˡΧ

Ƹ̽궦̥롡189ʥϥ䥯

§48ְܻǻҤɤΰǧ

ݸ22

(2)  ݸδ֤ĶƤϤʤʤƸ̽ĹƻܸλϡɬפǧȤϡ³ݸԤȤǤƸ̽걿ˡ

ۤʤФ褤Τǡ֤ݸȤȤǽȲǤޤƿ̾˾ˡ

5ݷˡ

40аʾι̱ݸħ

ݸǤ͡ݸԡ

2ݸԡ40аʾ65̤

ǤΤϷ˴Ϣ16¡

1ݸԡ65аʾ

6ԤФԤɻߡԤܸԤФٱ˴ؤˡΧ

ԤȤ65аʾοͤΤ

7ǧξɻܺά

12ģޤǺ줿

7ĤλȤ

8Ū㳲ʼԡ˴Ĵ

Ūǽξ㳲ȽǴ

ǽؿ70餤ʼΤˤä

١IQ50ʾ70̤ˡ١IQ35ʾ50̤ˡ١IQ20ʾ35̤
ǽ١IQ20̤ˡICD-10ࡣDSM-5ǤIQǤϤʤŬǽ

žȽ18̤ȻƸ̽ꡤ18аʾŪ㳲Թ̽

ŰĢŪ㳲ʤΤǡȤݷʡĢ2ĤȤǤ
ʤȤοξ㳲ԼĢĤȤȤȻפФǤˡ

ŰĢͭ¤͡͸̵

WPPSI31071
WISC-501611
WAIS-1689

WIPPSI-632ϲ¤Ƭ
WAIS-1690

ʤʤޤ꤬Ȥޤ

ĤΤޤ˭Ȥˡ

18餤ޤǤ˾㳲Ƥ

˻پ㤬ǤƤ

ˡȺ

1ǯˡ

ǯȤ20̤ο

Ծǯʬ

Ⱥᾯǯ14аʾ20̤ǺȤǯ

ʤΤǤȺۤסʲȺۤؤס

ȳⷺĶ뵿ϲȺۤ˸ФƲȺ
ʤʤΤǡֵפȤǰ

󽽾 Ƚϡ෺Ĩ϶λˤĤơĴη̡κڤӾ˾Ȥ餷ʬǧȤϡĤơɳȽб븡ģθפʤФʤʤ

Ԥξǯˡˤϡʾ󽽾򸫤ȡ׷꤬뾯ǯǯˤĤƤεϤʤΤǡǤ䤦ȤǤȹԻ14аʾξǤи׷ʤ롣

ˡǯ14̤ǺȤǯ

Ⱥۤ˻סʻDz礢ȺפǤϤʤ

Ⱥۤפ줿餢ȤȺᾯǯȰʲ1Ʊˤʤ

1ϲȺۤοȽݸʬǾǯפǽʤΤ12

10ȲȺۤοȽݸʬΤǯפǤʤ

ݸʬη
󽽻;ȽϡξơȽ򳫻ϤˤĤĤơ˷Ǥݸʬ򤷤ʤФʤʤλͺФʤǯ˷ˤĤƤϡäɬפǧ˸¤ꡢ軰ݸʬ򤹤뤳ȤǤ롣
ݸѻݸѻդ뤳ȡ
ƸΩٱϻƸܸߤפ뤳ȡ
ǯפ뤳

Ⱦǯ20̤Ǿ衤ȤΤ뾯ǯ

Ѹ֤§23ޤǹġĹ8

ǯ̽ǯ̽ˡˡ̳ľˡ̳

ʤݸʬ1Ĥݸѻˡ̳ˡݸѻݸʤ

1ǯ12аʾ23̤μ

ȡȺ᷹

ܤȤƳФ2ϴܤβ¤夬ꡤ3ϴܤξ¤夬ȳФ롣

2ǯ16аʾ23̤μ

ȡȺ᷹

3ǯ12аʾ26̤μ

ȡ☓Ⱥ᷹ʤ

4ǯǯεܤʤ

ǤϤʤμԤ

ǯǯˡˡ̳

ǯ16аʾǻͤȤϸ§ȤƲȺۤοȽϸפȤʤ

ʸؤס
󽽾 2 εˤ餺ȽϡΰդȺ԰٤ˤﳲԤ˴λǤĤơκȤȤϻаʾξǯ˷ΤˤĤƤϡƱη򤷤ʤФʤʤĴη̡ȹԤưڤ͡ȹԸξ𶷡ǯʡǯ𡢹ԾڤӴĶ¾λθʬʳ֤ǧȤϡθ¤Ǥʤ

2ϡ

Ҥɤ⤬16̤ܤ̤ƻҤɤִԤ̲Ǥ

3ȽȽ910ɲá
ȽȽη9̾鹽롥

ɾϡޤ¿ˤäƹԤ롥

㻺ȡϫƯ

1) ϫƯˡ

50ͰʾλȽϱѰȻȰǤ̳

ȼԤ򹯿ǤԤΤϵ̳ϫƯԤΤ̳

100ĶλֳϫƯԤϫѤǧϫƯԤǡܿͤФ硤ȼԤϰդˤܻƳԤʤФʤʤ

ȥ쥹åϡ50ͰʾϫƯѤȾ1ǯȤ1ǹԤȤ̳50̤ϵ̳)

ϫƯԤΤϵ̳ǤϤʤʷ򹯿ǤΤϵ̳ˡ

ȥ쥹åܻƳˤĤƤήϡޤˡּ»ν֥ȥ쥹å»܎ܻƳֽʬϡפ4ʬ롣

ȥ쥹åѤ븡

ˤ뿴Ūôθ
Ȥμоɾ
¾ϫƯԡʾʡƱνʤɡˤˤٱ

˴ؤܤޤळȡɸŪˤϹ񤬼ֿȥ쥹ʰĴɼפλѤ˾ޤ


2) Ǿɼڤӵ˵ΤˤǧˤĤ

۾ʽ ʶ̳νΤʤɡˤˤŪŪ
û֤βŶ̳
Ĺ֤βŶ̳

äˡĹ֤βŶ̳ȽǤˤĤƤϡȯ1100ޤȯ2֤ʤ6ˤ錄äơ1ꤪ80ĶֳϫƯǧ

3Ū٤ˤ㳲ǧ

оݼ (ICD-10F2F4) ȯ¤Ƥ
оݼ¤ȯ6δˡ̳ˤ붯Ū٤ǧ
̳ʳοŪٵڤӸ¦װˤоݼ¤ȯ¤ȤǧʤȤǤ롣

ʤŪĹϫƯ100ȤʤֳϫƯˤǧ硤Ū٤ȽǤʳ⤯ɾ롣

4ηˤٶȤϫƯԤοٱμ

µٶȳϵڤӵٶΥ
缣ˤ뿦ǽȽ
βݤȽǵڤӿٱץκ
ǽŪʿηʤθ塤)
Υեå

5ĤΥƥåʬ롣߳ʿٱ礹뤿˻ȼԡʻݷ򥹥åաļԤʤɤޤˤˤäƹԤ뤳Ȥ˾ޤ

5㳲ԸΨ㳲Ԥоݡ

ִ̱Ȥ2.2оݡȰ45.5Ͱʾλȼ

2.5

㳲Ը¥ˡ

㳲ԤȼФپȤʤäƤʤɤФŪθ˴ؤ֤ˤĤơȼȾ㳲Ԥä礦ȼϡŤôȽǤϡλݵڤӤͳ㳲Ԥ롣ξǤ⡢ȼϡ㳲ԤΰոʬºŤǡŤôˤʤʤϰϤŪθ֤֤롣

֤ʤͤΤ夲ԥݥȸǧչȻкֺ¡ʡˤ񤭽

ط񤭻Ϥ᤿ϢεȤꤢޤ

Ūˤϡ ǧդο ط 3Ĥ˴ؤƤϼ̣ǤϤ뤬Ǥꡤ˻ž夬äΤǤϤʤȡʤϽꤵ뤫ɤˡ

ȤΤϤޤޥʡʤȤϤ ǾзΤϤäޤȤƤˡ

äȤޤȤ᤿櫓ǤϤʤΤǡäƤǽ롣

ϭ ˡޤȤ᤿ݤŬäƤȻפΤ䤬˶ռʤΤǡ夲ƤʤȤǤʻäΤκۤ뤿˽񤯤ǤϤ뤬ˡ

˻ͤˤ褦ȻפäƤͤʤ顤ޤǤʤȤƻȤΤȡϤͽˡ

Ǥϡ󡤸ǧջĥޤ礦


㥪ޥ
Ȥäʻʻк򤷤Ƥͤư褬ä

Τ礦ͤ⤤뤫ȻפäΤŽäƤ

ξ硤񤭹ߤޤäƤΤϡظǧոǤԹֽƥȡ١ʶǡˤˤʤ롣

ϥ֥롼ץȤФƤΤǡƥȤ濴ˤĤġΥƥȤˤϺܤäƤʤΤΥ֥롼ץȤˤϺܤäƤ֤áפѸ⤪ƤɬפȤϻפΤʤϡ֥롼ץȥ꡼ˤޤȤƤˡ

ڥꥸʥ

1ǧˡ24˴ޤޤ̳ϡ˴ؤƤʤ͡оݤȤơǧդ¦ѶŪƯͽɤΤ˶䷼ȯԤäƤȤǤ򤵤p. 222ˡ

2Caplanˤ켡ͽɤȤϥ꡼˥󥰤ʤɤѤơϥꥹο͡ȯ뤳ȤǤp. 222ˡ

3IOMϥ󥿥إ륹ؤбȤơͽɡš3٥ꤷƤpp. 222-3ˡ

4. IOMͽɤ򤵤ŪͽɡŪͽɡؼŪͽɤ3ƥ꡼ʬषƤp. 223ˡ

5Ūͽɤ㤬ͽȤʤ褦ʷ򼨤ƤΤΡǤϤޤǴƤʤ͡оݤȤpp. 222-3ˡ

6Ū׾ŪͽɤϼʥݡȥƥζʪؤεкŪĴ(긻ؤǶβݶʤɡˤäƼҲŪĶѤ뤳Ȥˤꡤװ򸺤餷ꡤ͡ǽϤμΤε󶡤褦Ȥ륢ץǤ롣Ŀͤ餫Υץ˼黲äƹưѤ뤳Ȥͤ餤ȤΤǤϤʤտŪ˻äʤƤ⼫ͽɤԤʤȤͤ (passive protection) 濴Ǥpp. 223-4ˡ


ظǧոǤԹֽƥȡ١ʶǡˤѤ˲

ʿ29ǯ׾λʻ 29

B. ǽϤαƶ䤹SCTϻƸˤŬѤХƥȤʤŪʥȤѤΤ褤

ؿ׾Τˤʤ뤿 ʿ30ǯǡ١˼ˤ

ʿ29ǯ׾λʻ 31

ˡ˴ؤ뼡εҤΤΥѡʥƥ˵äƤ롤뤤ϴϢĤΤˡǤʤΤˡߤĤ硤aeȤ߹碌椫顤Ӥʤ

A. MMPI

B. YGʷ

C. MPI

D. TEG-II

ؿ׾Τˤʤ뤿 ʿ30ǯǡ١˼ˤ

ʿ26ǯ׾λʻ 7

c. Binet, A. Simon, T. ȶϤƺWISCǤϡǯȤǰƳ줿

׾λʻ꽸4١˼ˤ

ʿ22ǯ׾λʻ 22

K-ABC饢ȥХåƥ꡼˴ؤ뼡εҤΤŬڤʤΤˡŬڤǤʤΤˡߤĤ硤aeȤ߹碌椫ΤӤʤ

A. Ѽ٤Ʊ٤ʤǧν٤ˡҲ٤äΤǹƤ롣

B. ǧν٤ҤɤθߤŪǽϤ¬ΤȤƽ׻뤷Ƥ롣

C. ٤İϾ㳲㳲ʤɤλҤɤǧεǽˤʤʤ褦ɾǤ롣

D. ̸ΥץեʬϤˤꡤҤɤζʼ夤ǽϤȤαƶװˤĤƲΩƤƸƤǤ롣

׾λʻ꽸2١˼ˤ

ʿ22ǯ׾λʻ 11

a. CMIǤϡξ̤ˤ錄뼫оɾ˴ؤ뤳ȤǤ˿оɤνž٤˴ؤȽ̤ǽǤ롣

׾λʻ꽸2١˼ˤ


ĿŪͽۤǤϳƼ٤ɤξ㳲ɾꤷƤΤȽФ٤ʤΤǤϤȡ

ADHD

1ADHD-RS-ADHD Rating Scale-ۡADHDɾˡ

ȯԡDuPaul5С1818ܡա9ܡ¿ưư9ܡˡ4ʳɾ0ۤȤɤʤ3ˤФФˡݸԤ䶵դˤ¾ɾǤȳعǤ롣ɾ5ʬåȥͤĶADHD롣


2CAARSConners' Adult ADHD Rating ScalesۡʡADHDɾˡ

ȯԡConners18аʾʵ66ܡˤѻɾ66ܡˤ2फʤ롣4ʳɾꡣʬǤϵŤƤ뤬ѻԤŤƤʤ䤽εդӤ⤹롣ADHDɸADHDǤʤˡ̷ɸʲ˰뤫ˤ롣

ڥޥ
DSM-5
ա96ġ17ʾ5ġ
¿ưȾư96ġ17ʾ5ġ
12˾ʤȤ6ɾ³
ع졤ʤ2ʾξǤߤ롣
6˵ɾμǰǡ緿ͥ¿ưưͥ
ɾȵǽ㳲٤١١ˤ櫓롣
ȥƥ󥵡Ͽ줿ŵءϿ줿աϿ줿ɡ
ּҲŪضȡŪˤʤ餫κƤ뤳ȡפǤɬ


ASD


Ѱ˹äƤΤǡƥȤˤϽФƤʤظǧդΤȯã㳲١ʹݡˡʶǡˤ夲Ƥߤ롣

1ѡ16򹯿Ǻ

1M-CHATModified Checklist for Autism in ToddlersۡĻľɥåꥹȽ

ȯԡRobins1630ܰԤˤ¾Ե23ܡпͥߥ˥16ܡγȿƱư4ܡ1ܡߡ2ܡʱưˡˡ֤Ϥס֤פ2򡣽׻5ʬ ؤβȭ 122ʳȯãθĿͺθˡ6ܤûǤ롣

2ѡ̡

1PARS-TRParentinterview ASD Rating Scale - Text Revisionܼۡĥڥȥɾ ƥȲ

ȯԡȯã㳲ٱΤɾȤܰԤФȾ¤ܤɾ1ּˡоǯʼƤ3аʾͤޤˡ Ļ57ܡ ʻƸ57ܡ ʾʻ׽մʹ57ܤ33ʳɾ0ʤ 2Ƥʤˡ⡤ߤξɾɾꤷĻԡɾĻξɾǤ⸲äȤɾԤߤξɾĻԡȤ˥åȥꡣǯ12ܤûǤꡣ

ǡɾѡ٤ǿǤ˥֥줬ʤ褦ˡ

1ADI-RAutism Diagnostic Interview-Revisedۡľɿ

ȯԡRutterȤܰԤФȾ¤ܤɾ90ʬ2֡ˡĻȽʤʤΤǤλ褯ΤͤԤȤ˾ޤˡֽȯã׭ ָȰջãǽ׭ ҲŪǽͷ ֶ̣ȹưפ4ΰ衤93ܡ4ʳɾꡣоǯ2аʾASDβǽȾҲ𤵤줿꡼˥󥰸ǥåȥͤĶƤ륱ʤɤоݡƼǭ ߤξɾ ξɾ򥻥åȤˤİƤǴŬ礹ܤ顤 ǥ르ꥺä4ΰ褽줾Ƚꡣ4ΰ褽줾åȥʤ ߾ɥ르ꥺʸ¬ʤɡˤ⤢ŪǻѤϡѸ˻äƻʤ뤳Ȥ̳

2ADOS-2Autism Diagnostic Observation Schedule - Second EditionۡľɿǴѻ 2

ASDԤоݤȤȾ¤ܤ̤ưѻʥ󥿥ȡɽ𡤿Ȥ֤ꡤпͥߥ˥оݤ12Ļǯȸˤä5ĤΥ⥸塼뤢ꡣ⥸塼T̵12ʸ٥롧1230ˡ⥸塼1̵12ʸ٥롧31ʾˡ⥸塼2ưޤ3ʸʾήĪäʤ٥ˡ⥸塼3ήĪäĻǯˡ⥸塼4ήĪäǯ͡ˡƥ⥸塼40ʬ1֡ѻ줿ưˤĤơA.ȰջãסB.ŪпʹطסC.ͷ/C.ϡסD.ƱưȸỤ̄סE.¾ΰ۾ưפ30ɾꡣޤžˤ롣ǥ르ꥺּľɡסASDסASDפοʬबǽʭϡַǰ١פʬˡŪǻѤϡѸ˻äƻʤ뤳Ȥ̳

ڥޥ
DSM-5
A3ܤơB4ܤ2İʾʡDSM-5Ǥϡִлɷؤȿΰ۾פɲá
ľӤ³Ƥ롣
BˤʤҲŪߥ˥ʡDSM-5鿷ߡ
٥1٥3žढʥ٥뢬ž٢ˡʡDSM-5鿷ߡ
AQAutism-Spectrum Quotientˡľɥڥȥؿ
ʻƸ25ʾ塤33ʾǿǤλ͡
Ф˳ȥåȥեݥȤĶʤ
ּҲŪضȡŪˤʤ餫κƤ뤳ȡפǤɬ


Ҹ԰¡


1LSASLiebowitz Social Anxiety Scaleۡ꡼ܥåļҸ԰¼ˡ
ȯԡ꡼ܥåġ24ʹ԰پ12Ҹ12ˡ4ˡʴ붯٤ȡ򤹤Ψ򤽤줾˼žȽͭ30ĶǶˡ


PTSD


1CAPSClinician-Administered PTSD ScaleۡPTSD׾ܼˡ
30ܡ¾ɾꡣ


2IES-RImpact of Event ScaleRevisedۡѥȼˡ
ȯԡۥåġ22ܡ5ʳɾꡣ


3PDIPeritraumatic Distress InventoryۡPDIܸˡ
ȯԡ֥ͥåȡ13ܡ5ˡ

DMATDPATǸϤ˸ѤߤǤ롣


ȥ饦޴ʿŪθδ֤Ȥľλ

ڥޥ
DSM-5
˽Ϫθˡɾ³Ū򡤭ŪѲж
ϤإdzФ롪DSM-5١ʥǥ롦󥹡󥿡ʥʥˡ
魥Ƥ³1ΤΤȥ쥹㳲
Ǥ⤫ǤPTSDˤƤޤäȿʤ5Ǥϭ˽Ϫθꤵ줿
ºݤˤޤϴ̡ʲ餦Ū˽Ԥ
ľθ
¾ͤ˵äľܷ
²Ƥͧͤ˵ä򼪤ˤ˽ŪȯŪˡ
ؤη֤˽Ϫ
1˰Τߵ
2˻ƸԤξܺ٤˽Ϫٴ
Ż˴ϢΤǤʤ¤ꡤԥ塼ƥӡDz衤̿ʤɤǸˤŬѤʤ
6аʲλҤɤοǤϼ㴳ۤʤ롣


ʪϢ㳲


1CAGECut Annoyed Guilty Eye-openerۡCAGEɽˡ
4Ĥμ䡣


2KASTΤͼ륳ɥ꡼˥󥰥ƥۡ
10ܡ8ܡ2ˡžȽͭ


3AUDITAlcohol Use Disorder Identification Testۡ륳Ѿ㳲ƥˡ
10ܤμ˲žȽͭ


ڥޥ
DSM-5
Ū¸ݼߵ᤬ȥ뺤
Ū¸ݼߤΥæɾФ
Żι֤ʤ1Ƿ֤
Ǥ̲ФƤϰ
112Ƿھɡ4١6Ĥǽžɤȿ


ʲϡƥȤ˺ܤäƤΤ֥Ǥϼ夲Ƥʤä


յǽ

1CATClinical Assessment for Attentionۡɸոˡ

Span вꡤ SDMT PASAT 沼 CPT7Ĥβ̸롣


2CASClinical Assessment for Spontaneityۡɸɾˡ

ܤˤɾ롤 ˡˤɾ롤ưΰɾ롤ͳ֤ưѻ׾Ūɾ5Ĥβ̸롣


ɸոˡʣãԡˤɸɾˡʣãӡˤγȯȤηв٤򻲾


Եǽ

1ǿԵǽ㳲ɸưɾBehavioural Assessment of the Dysexecutive Syndrome
ȯԡ륽

2ήĪWord fluency testVerbal fluency test
̣ƥ꡼ήĪ
ƥ꡼ñǤ¿Ҥ٤
ʸήĪ
줾ʸϤޤñǤ¿Ҥ٤

43

ˡȤιͰƼԤ˴ؤ뼡Ȥ߹碌Τ,ΤˡäƤΤˡߤĤ硤aeȤ߹碌椫顤Ӥʤ

A. Хࡦƥȡ    Koch,K.

B. ưŪ²ˡ (KFD)Burns, R. C. & Kaufman, S. H.

C. HTPƥȡ   Buck, J. N.

D. ʪǽ (DAM)      Machover, K.


46

ʸϤζ [ A B C D ] ˳ȤơaeȤ߹碌椫顤Ӥʤ

ȤơޤݽˡȤƤѤʹˡϡ1960ǯˡΡAϤˤäƹͰƤ줿ϡΡBϴԤؤȢˡŬѤƤ뤿ͽƥȤǤäʹˡǤϥڥѤơΡCϤѻȤŤ뤳ȤϤޤꡤ֤줿ΡDϤФޤǤ10ĤΥƥफοʤ򤹤롣





27

ˡ˴ؤ뼡εҤΤΤȤ߹碌򲼤ae椫Ӥʤ

A δ䵤ʬѲ¿Ūİ硤ǤŬƤ뿴BDI-Ǥ롣

B ٤äƤꡤ︡Ԥμ٤ǧǤ뿴MMPIǤ롣

C ԰¤٤Ȥ¦̤ȡ֤Ȥ¦̤İǤ뿴STAIǤ롣

D 12򼨤̼٤ȡȤ߹碌ˤäƤǤ6Ҥ᤬Ǥ뿴POMS2Ǥ롣

׾λʻ꽸4١˼ˤ


94ۡʻ

ʬξ֤ΤꤿȤMδ˾ơޤ٤¬뤿SDS, ߵ̤Ǥнλ򸫤뤿P-Fǥ򡤾ȥѡʥƥİΤ˥ХƥȤ»ܤSDS56ǤꡤּʬۤۤμԤϳڤ餻ȻפפιܤǤϡ֤ФСפ򤷤ƤХƥȤǤϡѻۤɤˡޤȤޤȤޤäΤ褦˻ޤ첼äڤP-FǥǤ, ̤̤ơ㳲-̷ͥȿǤ¿ä̤θΩƤȤθб˴ؤ뼡εҤ椫顤ŬڤǤʤӤʤ

a. SDSϡ٤οоỤ̄롣

b. ХƥȤη̤⡤ޤķ롣

c. P-Fǥη̤礷ƹͤȡޤľ֤طʤˤϼʼĥ㤵ͿƤ뤳Ȥ¬롣

d. ɤٹͤƤ뤫ˤĤ,MľܿҤͤ뤳Ȥ ɬפǤ롣

e. ̤Mܿͤ˥եɥХå󥻥󥰤η³Ȱդοǻ򴫤롣

׾λʻ꽸3١˼ˤ

96ۡʻ

ּʬΤȤΤꤿפȤLδ˾Ƥΰ, P-Fǥ»ܤη̤, GCR = 53%3ǯҤɸ (61%) ӤƤ㤫äȿ E (7) > e (5) > (3.5) νǤäEȿ3Ҥɸ4.5ˤ⤯, E' 0, m 0.5㤫äĶҤEȣɤϤ줾1Ĥġޤ (M-A) +  = 5.5 (23%) 3Ҥɸ36ˤӤ㤫äȿžܤȤƤϡȾ˶ĴƤeȿȾǤϸ, M-A ȿȾޤäʤäȾ4Ĥäʤɶžܤǧ줿ϡƥˤLοŪѲȤ̣Ƥ롣

ʸϤζ [ A B C D ] ˳ȤơaeȤ߹碌椫顤ΤӤʤ

GCRͤΡAϤ㲼ƤȤǧʤΡBϤƱǯɸ⤯¾ȿ̵ոǼȿϾʤȤ顤ľ¾Ԥ˹뷹뤳Ȥ롣ȿžܤʬϤ,ǽϥե饹ȥ졼ΡCϤˤäƲä褦Ȥ뤬, ˡΡDϤˤäƲ褷褦Ȥ뷹ʤ뤳Ȥ롣



85

ݷڤ㳲ʡ˴ؤˡΧݷʡˡˤ˴Ϣ뼡εҤΤΤȤ߹碌򲼤ae椫Ӥʤ

A. Ȥϡݷοǻˤꡤɬפǧ줿ˡ±δԤܿͤƱդɬפȤΤǤ롣

B. ݷʡ㥻󥿡ϡϰݷθ太㳲Ԥʡʤޤ뤿εؤȤƻܸ֤̳ŤƤ롣

C. 㳲ݷʡĢ1ϡդΰݻŪǤбϤŬڤǤ뤬ʤɬפȤ֤Ǥ롣

D. ʿ25ǯˡˤꡤޤǡݸԡפˤ㳲Ԥ˼Ť̳ݤƤݸԤ˴ؤ뵬꤬줿


Ȥ߹碌

a. A    B

b. A    C

c. B    C

d. B    D

e. C    D


ޤϤ˻ѼԡϫƯԤδطǻѼԤΡֲ˽פɤŪϫƯˡ줿

1947ǯϫƯˡ

ϫƯˡ
1947ˤϡϫƯ᤿ˡΧǤꡤ¶⡤ϫƯٷơֳϫƯϫƯǯͭٲˡۤ¤ʤɤˤĤƵꤷƤ롣ֳϫƯϫƯˡǤ϶ؤƤϫסưԡˤȡֻȡסѼԡˤΡֶϫƯˡ36˴ŤȤ36ʤ֤ˡֶפȸƤ֎ӡģϤˤˤꡤֳϫƯ򤵤뤳ȤǤp. 113ˡ

ɵ
ζ̳峰ȽǤˤ,ϫƯפǤϫˡ32ˤ,ѼԤ,ϫƯԤ,ٷƻ֤1֤ˤĤ40ĶơϫƯƤϤʤפޤ1֤γˤĤƤϡϫƯԤ˵ٷƻ֤1ˤĤ8ĶϫƯƤϤʤʤפȵꤵƤ롣ѼԤϡ ȾϫƯԤβȾȿϫƯȹޤϭ ϫƯԤβȾɽϫƯּԡȶӡģϤФ32εˤ餺֤ζȤˤäϫƯ֤ĹϵϫƯ뤳ȤǤס361)ϫˡ36ε˴Ťϫȴ֤ζ¯ˡ36ʥ֥˶פȸƤФˤˤäơֳϫƯ(ĶȤжСˤǽȤʤ롣Ȥäơ36ǻֳϫƯ֤ͳ˷ΤǤϤʤϫˡ362˴ŤϫƯϫƯֱĹθƤ롣㤨С1ñ̤λֳϫƯǤ,45֤٤Ǥ롣,̤λȤϡϫȴ֤³Фٻ֤ĶϫƯ֤αĹǤp. 199ˡشط١ʱ󸫽˼

ȤΤ褦ˡƯۡפˤʤäƤޤäΤǡϫƯԤϤ᤿ǡޤŪϫҤǧưϽлϤ᤿

 1995ǯǾɼڤӵ˵ΤˤǧˤĤ

ĹϫƯŻΥȥ쥹ʤɤβϫƯˤǾ¡ȯɤϫᤵƤˤơϫƯʤϡǾɼڤ˵ΤˤǧˤĤס1995ǯˤȤã򼨤
ǧ׷Ȥʤ̳ˤ餫ʲ٤ˤϡ۾ʽ (̳νΤʤɡˤˤŪŪ١û֤βŶ̳Ĺ֤βŶ̳ȤƤ롣äˡĹ֤βŶ̳ȽǤˤĤƤϡȯ1ˤ100ޤȯ2֤ʤ6ˤ錄äơ1ꤪ80ĶֳϫƯǧϡ̳ȯɤȤδϢɾǤȤƤp. 120ˡ

䤤䤤ΤʤȤȤṲ̄ǤϫҤǧưлϤ᤿

 2011ǯŪ٤ˤ㳲ǧ

̳ˤ뿴Ū٤򸶰Ȥ㳲ȯ¤뤤ϼȤϫ᤬ԤƤǯäƤ뤳ȤƧޤŪ٤ˤ㳲˷̳峰Ƚǻؿˡס1999졤̳ˤȯ¡뤤ϫƯԤФϫԤ褦ˤʤäλؿˤϡ졤ˡŪ٤ˤ㳲ǧס2011ˤ줿Ƚǻؿˤѻ)
ǧ׷ϡоݼ (ICD-10F2F4) ȯ¤Ƥ뤳ȡоݼ¤ȯˡ̳ˤ붯Ū٤ǧ뤳ȡ̳ʳοŪٵڤӸ¦װˤоݼ¤ȯ¤ȤǧʤȤǤ롣ʤŪĹϫƯ100٤ȤֳϫƯˤǧ硤Ū٤ȽǤʳ⤯ɾp. 117ˡ

䤤䤤䡤ΡΥӥ硼ʤ󤸤äƤ뤸ʤɤȤȤǡʤʤ褦ˤưлϤ᤿

 2014ǯϫɻкˡ

ˡΧǤϡ֡1˶̳ˤŤ٤ˤǾɼ¡򸶰Ȥ˴⤷ϡ2˶̳ˤ붯Ū٤ˤ򸶰Ȥˤ˴ϡ3ˤǾɼ㤷Ͽ¡㤷㳲פϫϫɻߤΤкƤ롣ܤϡϫɻߤΤк˴ؤפʤФʤʤȤϫɻߤΤкȤƭĴȯ̱ΤγưФٱꤷƤp. 120ˡ

ӥ硼ȤȤͽɤ褦ʤȤư¸Ϥ᤿

2014ǯ±ˡ

ǯϫƯԤ줫륹ȥ쥹ξդߡ±ˡ2014ǯˤ졤±ˡ66101ˤơȼԤϡϫƯԤФϫƯȤˤꡤŪô٤İ뤿θԤʤФʤʤȤ줿줬ȥ쥹å»ܤε̳ǤʡȼԤϡֹԤפΤϵ̳ϫƯԤּפΤϵ̳ǤϤʤˡ
ȥ쥹å٤ŪϡϫƯԼȤΥȥ쥹ؤεդнλٱˤ󥿥إ륹Ĵ켡ͽ̤ɻߡˤǤ롣ˡǥȥ쥹ι⤤ԤȯˤܻƳˤĤʤ켡ͽɤԤȤŪȤƤ롣ȥ쥹åϡ50ʾϫƯԤѤȾ1ǯȤ1٤ǹԤȤ̳դƤ50̤ϵ̳)»ܼԤݷޤθλǸݷʡΤǤꡤ2017ǯˤǤϸǧդϴޤޤƤʤʡˡȥ쥹åѤ븡ˤϭˤ뿴ŪôȤμɾ¾ϫƯԡʾʡƱνʤɡˤˤٱ˴ؤܤޤळȤȤ졤ɸŪˤϹ񤬼ȥ쥹ʰĴɼλѤ˾ޤȤ롣
ȥ쥹åܻƳˤĤƤή1˼ޤˡ»νȥ쥹å»ܻƳʬפ4ĤʬʡPDCAʸäPʥץDʥɥˡGסʥɡAʥʥꥷˡȥ쥹åǹ⥹ȥ쥹Ԥꤵ줿ϫƯԤ˾ȼԤϰդˤܻƳԤʤФʤʤθ塤ȼԤϰդ齢Ⱦ֤˴ؤոİ褷ɬפ˱ơȾ֡ϫƯ֤ṳ̂ʤɡˤ֤뤳ȤˤʤäƤ롣ȼԤϡϫƯԤ̤̤˴Ťפʼ谷ؤƤ롣
ޤȼԤϡ̤νʬϷ̤顤Υȥ쥹װɾĶβˤĤʤȥ쥹װ㸺ؤ뤳ȤȤƤ롣ʤʬϤϵ̳αޤpp. 118-9ˡ

ʡ2018ǯǧդޤޤ뤳Ȥˤʤä»ܤˤɬפ

ʤȥ쥹åͽɤ򤷤褦Ūή¸ߤƤ

+2006ǯȾˤϫƯԤη򹯤ݻΤλؿ

ֿη򹯤Ťײפ˴ŤեסϫƯԼȤˤ륱)饤ˤ륱סʴļԤˤ륱)Ⱦ⻺ݷ򥹥åˤ륱Ⱦ쳰񸻤ˤ륱
Ȥ4ĤΥ³ŪķײŪ˼»ܤ󥿥إ륹ĴФ켡ͽɡ̤ɻ)ͽɡȯ)ͽɡʿٱ)פ߳˹Ԥ褦ˤ뤳ȤȤ줿ʤλؿѤ֥󥿥إ륹Ĵפϡڤӹưξ㳲ʬव㳲伫Τߤʤ餺ȥ쥹䶯Ǻߡ԰¤ʤɡϫƯԤοȤη򹯡Ҳڤμ˱ƶͿǽΤŪڤӹưޤΤ򤤤p. 117ˡ

HϡοʹȿHˡ 󸽼ŪʹȿʡHˡˡ ʹʬȿHdˡ 󸽼ŪʹʬȿʡHdˡˡϡ ȿRˡ 100ǻФ̾ϡ1335ˡʡˡǤϡRdzʤǡAll HȤƸ褦Ǥ롣All HΡϰʾΤȤϡ¾ԤؤԿΡϤɽAll HΡϰʲΤȤϡ¾Ԥؤδؿ㤯ΡϤ򤱤褦Ȥ롣HHˤƤ뤤ϡ¾Ԥ˹Ū٤򼨤Hˤ¿ȡʳǰθۤ˴ŤƤơ¾ԳǰϲͶΤΤȤʤ롣

Fܡ Fνȿ ֿबץ饹ΤΤȷֿबץ饹ޥʥΤΡϡ Fνȿοϡ 100Ƿ׻롣

Fܡ Fʽȿˡ Mʿʹֱưȿˡ FMưʪưȿˡ Fmʷʪưȿˡ Fcʷֺȿˡ FK̷ʡΩȿˡ FkʷּΩȿˡ FCǡʷ̵̿ȿˡ FCʷֿȿˡֿबץ饹ΤΤȷֿबץ饹ޥʥΤΡϡ FʬҤλɸηֿθʤοˡ 100Ƿ׻롣

⤹FܡʡΡϡʾˡ⤹FܡʡΡϡʾˤϡΡϡ٤ΡΡϡΡŪʤɤȿǡ㤹FܡʡΡϡʲˡ㤹FܡʡΡϡʲˤϡΡϤμ夵Ρ԰극򼨤

F Fνȿʷֿϲ̣ʤˡϡ Rȿϡ 100Ƿ׻롣ΡϡʾΤȤϡΡϤ͡ΡŪǹʿͤǤ뤳Ȥ򼨤ΡϡʲΤȤϡΡŪ˸͡ΡŪ԰ϿͤǤ뤳Ȥ򼨤

F Fʽȿˡ Mʿʹֱưȿˡ FMưʪưȿˡ Fmʷʪưȿˡ Fcʷֺȿˡ FK̷ʡΩȿˡ FkʷּΩȿˡ FCǡʷ̵̿ȿˡ FCʷֿȿˡϡ Rȿˡ 100Ƿ׻롣ʡñȤβ᤬餺õ

׾λʻ̲ᤷͤǤߤʤǤʬ濴ˤޤȤ᤿ǧջкλȤ

֤δط塤ƤޤȤ뤳ȤϤǤʤߤʤȤˤޤȤƤߤʷ³ˡ
study_night_boy
ǧդο

ϡ ǧˡȭ 줫ˤĤ17ǤޤȤ᤿

ط

׾λʻβȡ˽ФƤʤäΤƥȤƥ֥롼ץȤ40ǤޤȤ᤿

ؤޤ

ϡ ICF ¡ƭ ʪˡޤȤ᤿ޥǭ֥롼ץȤΡ21ۤѸƼ夲Ƥߤ¤ȾäƤޤäˡ

ŪȤȻٱ

˳ƿޤȤᡤǸͽɤޤȤ᤿ƿ˴ؤƤϸǧջ˽Ф뤫ɤǤ롣

ÿ

ϡ ǾȿзϤΤȤƭ 졤 ΤȤޤȤ᤿

ˤϥդƤΤạ̇̄ΤʤΤˤϥ򤴳Ѥ


׾λʻβˤʤϡ֥ꥸʥǺܤƤ뤬ơظǧոǤԹֽƥȡ١ʶǡ٤ʸϤѤǡΰ̣ǡ֥ꥸʥפǤϤʤʤϤкˤɤȹͤƤˡ

ؤޤءʥޥˡڥ֥롼ץȡۡʽ 4 21 Τι¤ȵǽڤӼ 1˿ȵǽι¤ڤӤޤޤʼ¤Ⱦ㳲2˿Ūٱ礬ɬפʼʼ

21
ظǧջ ʿ30ǯǡ١ʰ̺ˡ ܿ󥿡ˤ

ϫǤȤ򥪥ޥǽ񤤤ƤߤˤäƻΤޤȤǤϿʤȻפΤǥ֥롼ץȤβͭ̾ɤȸǤԹֽƥȤΥܤǺʾСˡ

1˿ȵǽι¤ڤӤޤޤʼ¤Ⱦ㳲

Τﹽ¤ȵǽ
ȤϡΤƴﴱβ˶ŪȿŪ¤Ӥǽ () ΤȤǤ롥

ȼѲȤơ̤ǤϹѲ (̸ɡޡ׸̤θ̤θ)ɷϤƵ۴ϤѲ (ư̮Ų̤θٳ̤θ)γдﴱϤѲ̻㲼徽Τβ˻Τκİ㲼 (ȿβ㲼) ͤʤɤꡤǽǤǾΰǧεǽ㲼û㲼ήưǽ㲼ӷ뾽ǽθʤɤ󤲤롥

㶶ȡ
뾽ǽϸ夷Ƥ롣

ޤˤ, Ƭ륰äƤ褦˴뎢žޤȡ饰餹륿פ žޤ 뤤 ưޤ 롥

մȤϡ֤ɤ롤ϤʤϤʤ Τ褦ɽǧŪŪŪʼŪФǡͥ륮ʤʤäƤ֤Ǥ롥

ƵۺȤ, ƵۤŤ餤 ©ͤޤ봶 ۤʤ ʤɤξɾ򤤤

۴ĴȤϡ˿¡ɤ˴ؤΤȤǡ (ɡڹ)찵̮ʤɤɽŪʼǤ롥

ʬռȤϡʬ (ۥ) ΰ۾ˤäƵǡǢþǽʾɡ㲼ʤɤ롥

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þǽʾɡ㲼ɤ⡤ȯ롣μȤμ򸲤ˤȤȸꤹʤ餳ǤϤʤ

Ƶ۴ϼȤϡɻ١١ʤɤθƵ۴μǡɻٱꡤٱꡤ٤ĺټʤɤ롥

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ϡѸʸѸΤȤؤѥʤΤǤϤʤȡ

ʤּפʾɸˤΤΤɽΤΤȤ롣ȯǮϫåʤΤΡˡޤƵۺưة벼㳲ΡʤɶɽΤΤǤ줾Ūʤ뤤϶ɽ¡ȿꤵ롣סʸǧոǤԹֽƥ p.129

ظǧչɬܥƥ󥹡١ʳظץ饹p. 90

мȤϡз (ǾԿ) ǡǾɾ㳲ѡ󥽥ԿǾɡ󡦥Х졼ɸʤɤ롥

ڡʷϼȤϡӤʤɱưﴱμǡޡꥦޥʤɤ롥

2˿Ūٱ礬ɬפʼʼ

ϰΤ򼨤 ˦ȯ٤ɤIJ󡤭 ¤狼ȯ¡Ѽ𡤹, ʤɤ˦ȯʤɤ롥

¿ϸ狼餺ޤˡΩƤʤᡤ饤ȡ²԰¤礭ΤῴŪٱ礬פȤ롥

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2014ʿ26ǯ¤δԤФ˴ؤˡΧˡˤäơ줿Ȥϡȯ¤ε餫ǤʤˡΩƤʤʼǤäơĹܤɬפȤΤ򤤤ΤԤ֤ƤߤɼŬڤʰŤγݤޤɬ⤤ǡԿ͸0.1̤ǤäơҴŪʿǴΩƤΤȤưоݤȤƤ2017ʿ29ǯ330)㳲ٱˡˤƤϡȯ¤ε餫ǤʤȡԿ͸0.1̤Ǥ뤳ȤȤƤʤΤǡ2017ʿ29ǯߤ358¤оݼ¤ȤƤ롣סʸǧոǤԹֽƥ p. 137ˤΤ㳲ٱˡǤϻ¤ξ郎ʤȤߥǤʡ

󥻥󥰤Ǥϡȯɤ䤽Υꥹ˴Ϣ󶡤Ԥ²򤷤ջ׷꤬Ǥ褦ٱ礹롥ޤƼž䥵ݡȸ˴ؤ󶡤ԤᡤʬʰؤδŪ׾ŪμɬפȤʤ롥

βʰ󶡻ߤǤüʻٱȤơŷȱɸ (AIDS) ˴ؤΤꡤԤ԰¤ʤɤФ륫󥻥󥰤ˤȥʤɤο򡤸ǧդôȤԤƤ롥

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ֶǯǤϼγȯˤŤȱϤȤȤʤ̾뤳ȤǽǤ롣סʸǧոǤԹֽƥ p. 133ˤΤ

ظǧչɬܥƥ󥹡١ʳظץ饹p. 91

Ǿɼˤ (Ǿ´) Ȥơư㳲㳲⼡Ǿǽ㳲ʤɤꡤ˥ϥӥơ߳˿ʤ뤿οŪٱ礬ɬפȤ롥

۴Ĵˤϡ찵̮ꡤȤδϢ⿼ᡤ餬ɬפʥ⤢롥

ʬˤäơɾ򤭤ˤϿŪٱ礬ɬפȤʤ롥ޤǢοͤǢ¤Ǥʤͤ٤ơޤľɾͭͤ2¿ȤƤ롥¤ˤʤȥ󥹥κѤ夯ʤäꡤǢ¤μŤɬפʹư˻پ㤬ФƤ礬ꡤŪٱ礬ɬפȤ롥

ʪ륳롤֥ʤɤ¸˴ؤƤ̵ذŵؤǤΥ饤ȤӲ²Ф̡ץμʤɤ̤ƿŪٱ礬Ԥ롥

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䥢륳¸
¸ (ʪ, 륳, ֥ʤɡ˻Ѿ㳲ȤФ롥ʪ륳롤֥ʤɤʪưˤä줿ڤ ֤뤦ˡ Ǿλɷ˴Ƥޤ 궯ɷ褦ˤʤ롥 η̡ ʪưȥǤʤʤäƤޤ֤Ǥp. 485

DSM-5Ǥϰ¸ȤդϻѤʤʤꡤ֥륳Ѿ㳲褦ˤʤä

ڤΥæɾǸˡ̲㳲Χоɾ (ȯ̮ʤ)԰Բ郎롥
: ߸5ˡȤѾְռ㳲 (ưʪ), Liepmann (ȤѤνʤɤĴ֤Ǿۤ򤹤ưż뤳ȤǸФ뤳)
륳Υæоİħ

䥢륳
륳ۡˤߤ졤ο
륳Korsakoff¡Ͼ㳲㳲
륳Ǿΰ̤ǧ롥

䥢륳¸ɤμ
롼סǼ륳ۡꥯΥ˥ޥ (AA: AIcoholics Anonymous)
(ʥߥɡե

ظǧɬȥƥȡ١ʳظץ饹pp. 488-9

ޤǼ꤬뤫ɤ

ܿˤ쥷ԥ (¡󶡼) ȥɥʡ (¡󶡼) ξФ뿴Ūٱ礬ɬפˤʤ롥쥷ԥ (¡󶡼) ϰܿ她ƥɤĹѤʤФʤ餺вФ԰¤⤢롥ޤɥʡФƺմ⤢ꡤФŬڤʿŪٱ礬ɬפǤ롥ɥʡ²Ǥϡïɥʡˤʤ뤫ꤹݤˤޤޤʳƣ²Ǥ꤬߲뤳Ȥ⤢롥򹯤ǼȤΤˤפΤʤѤԤȤˤʤ뤿ᡤΤ褦Ф뿴ŪٱԲķȤʤ롥

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2010ʿ22ǯˤ¡ܿˡܹԤ졤Ǿ¡󶡤ܿͤΰջɽȲ²ξǤʤܿͤ˵ݤΰջפ򼨤Ƥʤв²ƱդDzǽȤʤäˤ15̤λҤɤ⤫Ǿ¡󶡤ǽȤʤä¡󶡤ΰջפѤջɽݸԾžȵڤ΢ǼȤǤ롣¡ܿܿ˾ԡʥ쥷ԥȡˤ¡ܿͥåȥϿ롣סʸǧոǤԹֽƥ p. 139ˤΤʤ󶡼ԡʥɥʡˤξ֤ˤäơǾ¡ܿ߸¡ܿ¡ܿ롣סʸǧոǤԹֽƥ p. 139ˤ餷3ĤϳФƤɤ褦ʡ

ظǧչɬܥƥ󥹡١ʳظץ饹p. 92

ϡǽ㳲䵡ǽ˴٤äȿ¡Фơ˦ѶŪѤơεǽκޤŤǤ롥ΰǤ뤿ᡤ̡̡̤꤬롥ǧդϺüΰŤ˴ؤ򿼤Ʊˡ򥯥饤ȤȶͭĤĿŪٱԤȤ롥

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ֺŤȤϡΤι¤ǽκƷޤϼ¤μšͽɤŪȤ˦ùʪѤŤǤäơΤ͢졤¤촴˦ܿŤѤ2014 (ʿ26ǯܹԤˡˤäƤƱˡǤκ˦ùΤΤ顤˦ʤɸ߼»Τ, ES˦iPS˦ҥȤ̤»ܤʤΤΤʤɥꥹ˱󶡳ϤޤǤμ³ (¤ʼδޤˤƤ롣סʸǧոǤԹֽƥ p. 139ˤ餷iPS˦ϹꥹʤäΤ͡

㉑󴵼Ԥ䤽β²ФƿŪ˥ץΰ褬󥳥 () Ǥ롥ο () šȯѶŪŤߡηвȼ԰¤䤽ΤۤοŪб롥

㶶ȡ
󥳥Ȥ顤оݤȻפ䡤󴵼ԡʤȤβ²ˤоݤΤ褦

¥Ȥϡʤɤ̿򶼤ȿǤ줿顤ԤȤβ²ǽʸ¤ι⤤š褬褦ˡŪɾδ¤Ūꡤ̣ (ԥ奢롦ڥ) ʤɤؤαԤȤǤ롥

㶶ȡ
WHO (2002) ϴ¥Ȥ̿򶼤ˤľ̤ƤԤȤβ²ФơˤߡŪꡤҲŪꡤԥ奢˴ؤơȤɾ򤪤ʤ줬㳲Ȥʤʤ褦ͽɡн褹뤳Ȥμ (QOL) 뤿ΥץǤƤ롣ʤ¥ȤµˤȤʤΤˤߤ¤餲뤳ȤǤ롣ޤ¥ܿͤ²ּʬ餷ײᤴ褦˻٤뤳ȤɸˤƤ롣¥ϴ¥ޤϴ¥ˤäƼ뤳ȤǤ뤬ˤƤϴ¥ˬŤˬǸϢȤ¥ޤǡ뤤ϴƤϰβߤǼ뤳ȤǤסʸǧոǤԹֽƥ p. 136ʤƤ⳰Ǵ¥ϼȤȤݥȤ⡣

(꡼ե) ȤϡκǽʳˤšΤȤؤդϤȤŽԤŬڤʾ󶡤ʤ졤˴Ťưšܿͤ¿狼鹽šࡤޤܿͤοꤹ²ȤȤˡ֤ä礦Ǥΰջ׷ܤȤǿʤ뤳ȤǤפʸ§Ȥʤ롥

㶶ȡ
κǽʳ²ϻ̤򴶤³Ƥͽò)͡ʿȿ褹롣ˤȤʤοȿòΤ롣òοȿ¿֡٤³˴ؤǥޥ1944)ե󥯡1967)1989ˤʤ¿ͤòץǥ뤬ФƤ뤬ĿͺξۤȤɤοȿ6˰ꤹ뤬ò϶٤³䤹ʤʣ˻پ򤭤Τ褦òϡʣòȸƤФ롣òʣòФ뿴òΥʥ꡼եȤʸǧոǤԹֽƥ  p.138˻̤òϤꡤ̸塤Ⱦǯǰꤹ뤬ȾǯǤϰꤷʤΤ⤢롤ȤȤݥȤϡʣòǤʤò⥰꡼եоݤˤƤȤ

㉓ظǧչɬܥƥ󥹡١ʳظץ饹p. 93

ϡظǧոǤԹֽƥȡ٤ˤϺܤäƤʤΤΡʤ֥롼ץȤˤϺܤäƤѸޤȤƤߤΤޤȤǤϿѤʤʤȻפΤǡͭ̾ɤΤΤ򤽤ΤޤޡְѡפƤʾСˡοΤȤ֥롼ץȤξѸǤȴäϿɲäƤˡʤط40סʢ󥯡ˡÿء3סʢ󥯡ˡؤޤء3סʢ󥯡ˡؤޤءʥޥˡסʢ󥯡ˤǼ夲ΤϽ

ճʤȤˤεˤä褦Ǥʲ85Ѹ󤲤Ƥޤȥˤ̤ȤϤʤäƤ餺ƥȤѸϤΤ⤢ޤҤƤ褦̤εǼ夲ΤϤˤϽ񤤤ƤޤʴطʳϡεǤϺܤƤȤϻפäƤϤޤƺƷǤȤСִÿء3ˡפ˽ФƤ롤LAD֡LASSٱ祷ƥࡤ餤Ǥ礦ˡ

ֲ㤦󤸤ʤפȤҤޤ顤Ȥʤ᡼ʤǶƤٶˤʤޤ


ɵȽ2018.9.10ˡ

910
86˰ɲ

87˺Ƚ٤ɲ

88˼кɲ

1Ūȯ

ʤФꡤꡤʤɤ귿ŪʹưϡñȿͤȤ϶̤ơ ǽŪưȤФ롥 ⳰ξ˻ɷ㤵ưϢιưŸŪȯȤʪŪᥫ˥뤳Ȥ¿p. 163ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

2륿ߥ

륿ߥΤ褦ʳοãʪǤСʳʥץṲ̋ȯ뤷áߥ (GABA: gamma-amino butyric acid) Τ褦οãʪǤСʥץṲ̋ȯp. 209ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

3ԥ

ԥopioidˤȤϡ䤽δϢʤɤΥ륫ɤҥͳͭޤϹڥץΤǤ롣



4ʸŬ

ʸŬȤϡۤʤʸ褹ݤʸ佬򤷡Ҳ͡Ȥδ֤Ĵ¤ΤȤ줿طݤƤ֤ΤȤǤp. 47ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

5󥿥饤ʥƥ157ǡ

󥿥饤Ȥϡꥹʬϲեʥ Fonagy, P. ˤä󾧤줿ǰǤꡤ¾ι԰٤ĿŪߵᡤ𡤿ǰʤɤοŪ֤˴ŤƤʤȤơۼŪޤŪ˲᤹뿴ŪʥץΤȤ򤵤γǰʤ¾Ԥտޤ䴶ä̤¸ߤȤǧοŪ֤ǤǽȤƤȤ館뤳ȤǤܰԤȤΰꤷȤΤ꤬ŦƤ󥿥饤ʵǽ (renective functioning) ٤ѤƸĿͺ¬ꤹ뤳ȤǤ롥ޤѡʥƥ㳲μˡȤơ󥿥饤˴Ť (mentalization-based therapy) ͭǧƤpp. 66-7ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

6ԥͥƥʥƥ124ǡԥͥƥåѲ

ۻδĶäܴĶǯʹߤˤꥹװǤ뤳Ȥ狼äƤ [ DOHaD (developmental origins of health and disease) Ȥ]. Ȥ᥿ܥåɥʤɤϡȴĶߺѤˤäȯɤȹͤƤ뤬ۻܾϡ˴طҷȯ˱ƶͿȹͤƤ (ԥͥƥ)

DNAѲˤʤȯ桦ã륷ƥपӤγؽʬΤȤ򤤤

ظǧɬȥƥȡ١ʳظץ饹ˤ

7ư

ư (ADL: activities of daily living) ϡᡤơ, ưʤɤ褹뤦ǴŪư򤵤ADL㲼طʤˤϡεǽǧεǽ㲼䡤̡ҲĶαƶp. 56ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

8ˡʥƥ195ǡ

Ҥɤ⤬ΡԻƤʤɤˤơҤɤ⼫ȤͿôǾ¤ˤͶƳ뤳ȤʤΤʾФˡȤˡ롥ˡܤϡ³ǧŪǤꡤŪŪܤȤʬƹԤҤ2ﳲɤᡤᤤˡͳŻ뤷ܤ§Ȥ1ԤӥǥϿ褹줿ΥץȥѤơоݤȤʤҤɤȤΥݡ (ط) ֺۤǽ餫ǸޤäƤס֡ȢΤˤäȤäƤס֡ˤĤƤäȾܤäƤס֤줫ɤޤʤɤץѤƼͳʬ¥塤ïɤȤäWH䥯ɼԤäƤޤλҤɤФƱ褦ܤ򷫤֤ԤȤʤ褦ʣδϢؤƱܤԤȤߤԤƤp. 451)

ظǧɬȥƥȡ١ʳظץ饹ˤ

9ˬٱ

ȥ꡼ʡ֥롼ץȤǤϡˬٱסȤϡܼǥ󥻥󥰤򤹤Ǥʤϰ˽ФƹԤΥ󥻥Ǥ롥ҤΤ褦ˡƼ絡ؤˬϡɥι⤵ˤäơŪб٤줬Ǥ롥ɤˡ1ĤϡȤܼǥ饤ȤԤĎΤǤϤʤ饤Ȥ褷Ƥ륳ߥ˥ƥˎиפȤǤp. 339ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

10

饤Ȥ꤬褹ˡ饤ȤṲ̄ߤ뤳Ȥǡ(drop out) Ȥ֡ɤˤСƤˤ뤤ĤΥ᥿ʬϤˤΨʿѤ4250٤Ǥꡤ饤ȤȾǤƤޤǤؤäѿϡ饤ȤͼҲкŪϰ̡ʤɤǤä˴ɤˤСΤ褦ʿˡǤ伺Ԥώߺю뤤ώ(negative complementarity) ȤФ롤ԥȤȥ饤ȤߤܤŨդƤޤȤˤΤ¿ȤƤʤ饤ȤϤޤǤݤäƤпʹطѥȿȤơԥȤ˱ȿ򵯤Ȥ¿ˤпŪʾʬн褹뤳Ȥ񤷤p. 359ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

11󥻥

ȯɤȯɤΥꥹ˴Ϣ򰷤󥻥HIV (human immunodeficiency virus, ҥȱ륹) ɤδԤؤοŪԤHIV󥻥ǥлβᤰҤؿŪԤ󥻥ʤɤ׾̤ǤνפʻٱǤ롥Τۤˤ⡤¤륯饤ȤŤ륯饤ȡ¸ (ʪ륳롤֥ʤ) 륯饤ȤФơβ²ޤٱԤȤפǤpp. 484-5ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

󥻥󥰤Ǥϡȯɤ䤽Υꥹ˴ϢԤ²򤷤ջ׷꤬Ǥ褦˻ٱ롥ޤƼž䥵ݡȸ˴ؤ󶡤ԤᡤʬʰؤδŪ׾ŪμɬפȤʤp. 72ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

12Ū޽֡PFA롦եȥɡ


ҳκΤʤǤλٱưϡ¿ˤ¿Ū˹ԤΤǤꡤŪٱˤĤƤƱͤǤ롥äơ翦ʳΥåդŪʻٱˤĤƤμɬפбԤȤԤ롥

ǯΤ褦ФƼɥ饤Ƥ롥ȥ쥹ʤɤݤΥɥ饤ȤƤϡϢεش־߰Ѱ(IASC: inter-agency standing committee) ҳʶ۵޻ˤݷ򡦿ҲŪٱ˴ؤIASCɥ饤󎣤롥ޤŪȤŪ޽ (PFA: psychological first aid, 롦եȥ) Ⳬȯ褦ˤʤꡤɽŪʤΤȤݷ򵡴 (WHO) PFAINational Center for PTSDNational Child Traumatic Stress NetworkPFAp. 396ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

ҳʤɤȯŪŪФ޽򡤥뎥եȥ(PFA: psychological frst aid)Ȥݷ򵡴 (WHO) National Child Traumatic Stress Network ŪΥޥ˥奢뤬p. 75ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

͡ȿνɤˤ޽֤ ֳͿʤפΥ롦եȥɤȤ

13ҳɸťDPATǥѥåȡ

øϩ̺ҤηиƧޤơҳɸť (DMAT: disaster medical assistance team,ǥޥå) ȿ졤ϰˤ絬Ϻҳ¿¼ԤȯΤʤɤθǡ (48) ŪФƳưƤ롥

ˡ̺Ҥˤʰťγưʤɤ顤ҳɸť (DPAT: disaster psychiatric assistance team, ǥѥå) Ť줿. DPAT, ʰաǸա̳Ĵ (ƥųưԤθٱ̤Ԥ) ǹ뤬, ϤΥˡ˹碌Ƹʰ, ޻, ݷաݷʡΤ׾ѼʤɤޤȤƤp. 394.

ظǧɬȥƥȡ١ʳظץ饹ˤ

͡ҳɸťDMATסDPATפȤϡηаޤȳư

14Υ

ҳʶʤɤȯݤˡʤα޽֤ҼԤΥԤˡʰ濴Ȥ¿ǹť򿴤ΥȤ֡p. 75ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ҳʶʤɤȯդϤᡤٱôԼȤʥȥ쥹ˤ졤󼡼ξ֤˴٤ǽ⤢롥ҳξٱ祻󥿡WebڡǤΥȤƯٱԸҳ߱ԥ󥿥إ륹ޥ˥奢٤Ƥ롥ǤϡҳٱԤ뿴Ȥȿ䤽нˤĤƤޤȤƤꡤդҳٱ˷ȤݤˤͭפʾȤʤp. 401ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

15μ

ǯǤϡƸܸߤȤäߤǤܰˤμȤơᤴǻҤɤ⤿Фƿ̤μŤԤ㤬ƤƤp. 82ˡ



ظǧչɬܥƥ󥹡١ʳظץ饹ˤ



16ﳲԤλ줿

Ⱥȸ礦ȤǡȤ礭ﳲԤ䤽ΰ²οǧﳲԤ䤽θ²դäбƤȤȤˡƤӺȤʤդǤᤵȤŪȤp. 447ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

17ưŤˡʥƥ156ǡ

ߤʤɤǹԤ뤵ޤޤʻٱץϡ̣̳ȤƼ뎣ˡ̤˻ٱоݼԤưŤ٤Ϥۤɹ⤯ʤȤ¿ǡ¿λߤǎưŤˡפιͤ³ȤƤ롥μ礿άϡоݼԤ󥸥ȡ (Ѳδ˾ѲǤȤιͤѲؤγڴѻ롤Ѳ뤳ȤؤѲʤȤؤ԰¡ǰѲɬפʹưζŪײʤ) ФȤǤꡤκݤ˻ٱԤϡ줿 (openended question), ǧǧ (affirm), ʹ֤ (renective listening), (summarize) ʤɤεˡѤ뤳Ȥ侩 (OARSά)

åǻȲĢưŤܤλۡˡͦŤȤδϢ١ɥ顼ظ˹ԤäƤ

ظǧɬȥƥȡ١ʳظץ饹ˤ

18ꥢ󥵥ƥ

饤ȤǽϡŬİŬŬ°˴ؤ򤹤뤳ȤŬ򤱤뤳ȤˤĤʤ롥ޤȸ٤λ夬ꡤο褢뤤ϼˤĤѶŪ˹ͤƤȤפȤʤäƤp. 456-7).

ظǧɬȥƥȡ١ʳظץ饹ˤ

19Сƥʥƥ35ǡʸŪСƥ

դ򤷤Ƥ٤ǰСƥ (ͺ¿) 롥Сƥ˴ޤޤ°Ȥơ̡ǯ𡤿ͼ̱²Ūظ̤̣ѡʥƥŪǽϤʤɤ롥ޤޤʿͤθǽϤ褫ȿˤ뤳ȤȤĹˤĤʤȹͤp. 458ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

20ʸ

ͥ褷¸ȿΤ򤤤Τθ¿Ͽʹ֤Υߥ (ҥ塼ޥ󥨥顼) Ǥ뤳Ȥ顤˴ؤ붵ԤǸΨŪʼ뤳ȤפǤ롥ȿǼȤɻߺȤ, KY (;) ưꥹȡҥꡦϥåȤʤɤԤƤp. 466ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

21ΤƱ

Τ٤ϡƸ̽ĹҤɤܰΤƤ˰٤ǤʻƸʡˡ271)ܻұȤܻұΤҤɤȻο²ΤƤˤʤ²Τ, ܻұȤȤҤɤܰŪȤܰΤפ3ʬ롣ܰΤƤˤϤˤäƿȤͭʱƶ뤳ȤŪʥбΤפߤƤp. 111ˡ

شط١ʱ󸫽˼ˤ

22Ĺ㳲FTTʴʥƥ198ǡ

ȯ㳲 (ȯ) (NoFTT: nonorganic failure to thrive) , Ū꤬ʤܰĶͥ쥯Ȥʤɤȯã˱ƶڤܤƤ֤Ǥ롥Ū꤬äȯã֤ϡȯ㳲 (ȯ) (FTT: organic failure to thrive)ȤФp. 55ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

23԰١ǹԡ˾㳲ȿĩ㳲ȿҲѡʥƥ㳲

԰ (ǹ) 㳲ȤϡȿҲŪŪ뤤ȿŪʹưѥ󎣤ȿ³㳲򤤤ޤȿҲѡʥƥ㳲ʡˤؤȯŸ뤳Ȥ롥ȿĩ㳲ϡˡ¾ͤθ򿯳뤳ȤϤʤ԰پ㳲Ȱۤʤ롥˸դؤȿŪĩŪʹư³p. 495ˡ

ʡ18ʾǿǤ15ǹԾξɾĤ뤳Ȥɬס

DSM-5ǤϡȿĩɡǹԾɤȤˡ˲Ūư桦ǹԾɷפäƤ롣

ظǧɬȥƥȡ١ʳظץ饹ˤ

24ȯãĴư

ȯãĴưϡĤαư򶨱뤳Ȥʾ褹ΤǤ,ҤɤβϤԴѤϡ꤬ߤƤȹͤ뤳ȤǤp. 275ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

ܡꤲ롤⤯Ȥä籿ưΤߤʤ餺ܥϤȤäȤȤưʤɤٱưޤޤp. 23ˡ

ظǧդΤȯã㳲١ʶǡˤ

25åȾ㳲

ޤǾҲ𤷤ȯã˴ؤΤۤ¿ͤȯã꤬¸ߤ롥ȤС˴ؤǤϡȿåȾ㳲ʤӤæп͸ή㳲ϡҤɤ򤹤뤦ǽפʳǰǤ롥ȿåȾ㳲ϡܰԤФƿʤǰ (åȡˤ뤳ȤʤȤħȤ㳲ǡͥ쥯ȤδϢƤ롥ޤæп͸ή㳲̤ͤʤɤФʸŪŬڤ˲٤ܶᤷήȤȤħΤǤp. 275ˡ

DSM-5ǤȿåȾ㳲æп͸ή㳲ϡŪӥȥ쥹Ϣ㳲פäƤ롣

ظǧɬȥƥȡ١ʳظץ饹ˤ

26ɸ

ɸϡΰĤ, SNRI (Ūȥ˥󡦥Υ륢ɥʥƼ˳ˤNaSSA (Υ륢ɥʥưðŪȥ˥ư) ʤɤǸ, в, ԰¡ʤɤξɾ򤤤p. 99ˡ

ǰθʤɤͶȯǽ롣

ظǧɬȥƥȡ١ʳظץ饹ˤ

27̲ήʥƥ103

̲ήȤϡΥޤ̵ˡҤɤƸܰƤʤƤŪ˻Ҥɤ̲ʤɤԤȤǤp. 86ˡ

28¸о

¸ŪͶȯоͤΰ۾ưѥϡ̤Ф꡼輨뿿ߤˤϱ¤ȼʱߤˤȼʤȤʬŤԤäۤ餫ʿߤʱߤ̤鳫
ʱߤŤû¤Ĺ˶ŤƿߤȤ̤ˤʤ鷱³η̡̤ݤ³̤ϡưȿȺ򼨤褦ˤʤꡤäϤʤƤưפ̤ޤǤ⤬ǤʤʤäѥդϡǾǶʳߤΥХ󥹤졤ܶ-ƣξ֤˴٤äɽ줿ɾǤȹͤp. 85ˡ

ؿؼŵ ǡ١˼ˤ

29ƶؽ

ŤͤΩؽϡǧΤƯ˻٤Ƥ뤳Ȥ⤢롥ҥȤͱǤϡԺФƹưѲΤǤϤʤȤƬΤʤưפĤ (ƶ)ʹߤϤƱưǤ褦ˤʤƶؽߤp. 163ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

30߳ؽ

ûμ¸ǡ˥֤ƶȡϩȴ֤ûʤäƤ֤ʤ򤷤Ф餯֤Ƥ饨֤褦ˤȡȴ֤Ϻǽ餫饨äˤФ䤯ɤĤƤʤˤƬΤʤϩǧϿؽƤȹͤ졤߳ؽȤ֡p. 164ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

ҲŪؽ

Хǥ塼Ϥäǧοؤιͤ顤ҲŪؽ󾧤ΤʤdzؽȤϡݻưưŤ4ĤβʤȤޤʬ줫餷ưŬڤ˹Ԥä̤ˤǤȤǧ修ǰǤʸϴŻ뤷Ƥ롥ҲŪؽޤ׾ؤαѤǽǤ롥ǧιưˡΰȤƤ֤Ť륽륹륺ȥ졼˥ (SST: social skills training) ϡμҲŪޤưǥ뤬餸ΤߤޤͤƤߤϡԤŬڤʤۤʤɤΥեɥХåǶƤΤǡ㳲ԤμҲٱʤɤѤƤp. 166ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

ҲŪǧ

ͤ¾Ԥ伫ʬȡޤҲΤޤޤʴĶ򤷡ɾΤȤҲŪǧΤȤ֡ݷпǧΡ°ʤɤޤޤp. 44ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ҲŪ

ҲŪȤϡ¾ԤȤδطˤ봶ΤȤǤꡤʰռŪȤФ롥ᰭʤߡؤʤɤꡤϡʬλ׹͡տޡưˤĤƤμʤФեɥХåȤʤꡤŪʵǽp. 45ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ҲŪư

餭ȤäŪư˴ŤưȤϰۤʤꡤ¾ԤȤδؤˤƷưҲŪưȤ֡פʤΤȤơãưưp. 45ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

пǧ

пǧΤȤ,¾Ԥ˴ؤ뤵ޤޤʾȤˡʤտޤʤɤȽǤꡤưͽ¬ƯΤȤǤp. 45ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ҲŪ

ʤ¾ԤޤवޤޤҲŪݤ˴ؤƹԤҲŪȤҲŪθǤϡΥ顼, Х, ҥ桼ꥹƥå (и§ˤʤɤ򰷤p. 45ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ʲ

ʤФɾƼʤ¾Ԥؤ輨Ȥäʤ˴Ϣ͡ʸݤϢο򼫸ʲȤ֡ʲϡʤؤİɾɽ4Ĥ˶ʬp. 44ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ʲͤޤǤˡ
ʤˤ¿ͤ¦̤Ư뤬ǤϤ¤Ū¦̡ɾŪ¦̡ڤӼ¹ԡŪ¦̤ʬ롣桹ϼʤ˴ؤμʵǰˤͭƤ뤬¦̤˴ؤƶѼμ櫓ǤϤʤʬˤȤäƽפʻˤĤƤ¿μ礵ƤꡤʥƤ롣ޤʬ˴ؤμϾƤͤ˻ȲǽʤΤǤϤʤΤȤɤ˳ƻȤ䤹μǤưŪʳǰư롣ưŪʳǰˤϤƤ˱äưƳᡤƤ˱ơϰϤǿͤιưư뤳Ȥˤʤ롣ưŪʳǰϡλ˼ʬ֤줿ҲŪʸ̮佾Ƥ뤳Ȥʤɤ˱ư뤬¾Ԥˤɤʬ򸫤ʤɤˤäƤư롣桹μʳǰϡ¾Ԥ輨ƤˡûŪˡƤ뎡㤨,¾ԤǼҸŪ˿񤦤ȼʳǰϼҸŪƤθιư⤳μʳǰ˱äƼҸŪˤʤ롣θݤ򼫸輨߲ȸƤ֡ʤʲǽоݤǤꡤɾоݤǤ롣ʤ뤿ˤʬȤդɬפ뤬դ줿ʳȸƤӡηθĿͺʰռȸƤ֡ͤˤϼʬȤФɾʹ⤯˰ݻ뿴ᥫ˥बäƤꡤɾ͡άˤäưݻ롣ϡʤФɾνפħǤꡤ¿ͤά˴ؤ븦椬롣Фơ¿ͤάˤ꼫ºݻᥫ˥बͤäƤΤϤʤȤ̤ȤǤΤ¸߶ҴȽ°ߵǤ롣¿μɾݻϾĶʤ䡤ХΤä̤ƹԤ롣㤨ХƥȤǰӤȤäˡ꤬äޤٶʤäȤꤵ줿ʤɤȳŪװ˸°뤳ȤǡʬγϤФɾϰݻ뤳Ȥˤʤ롣ˤϡ˸װФաϥǥåԥʤ뤳Ȥ⤢롣ʤФɾΤǤ褯夲ΤºǤ롣ºȤƤФ졤ʬФŪɾ̣Ūʼɾ⤤㤤Ȥ򡤼º⤤,㤤ȸɽʲͿȼǥˤСºŪʼʤФɾǤϤ뤬ʬͤȼƤΰˤɾȼäƾ岼롣ĤޤꡤʬˤȤäƽפǰ̣Τΰˤ뼫ɾΤɾưΤǤ롣ɾϼȤã伺ԤǤʤ¾ԤȤǤҲŪˤäƤ⤿餵롣㤨Сͥ줿¾ԤȤӡʾӡˤϼʬɾ򲼤䤹ä¾ԤȤӡʲӡˤϼɾ夲䤹ҲŪӤβ濴˿ƼɾݻΥᥫ˥ǥ벽ƥåˤɾݻǥ(SEM)Ǥ롣侭μʬȤӤѻŪӤȸƤ֤Ӥ˴ŤɾݻΥᥫ˥बȥ륽ηѻŪɾˤäƼƤ롣ɾݻ뤿ɱŪȿˤϡɾ򲼤򤱤롤βͤ㤯ɾʤɡҤȤʤΤĥѥȤ㸺άͤ롣ƥμʳǧˤСʬβͤǧ뵡񤬤СͤɱŪȿޤƶҤȤʤ뤳ȤǤ롣㤨СʱԤˤȤäƤϵʱγ򼨤ʳŪڵ϶ҤȤʤ뤬ʬפȻפȤƳǧʲͤǧϡʱԤǤäƤ⡤ʱγ˴ؤҴŪ˸뤳ȤǤ褦ˤʤ롣ĤޤꡤҤȤʤȤ̤¦̤ˤơҤй񸻤ݤȤάǽʤΤǤ롣ɾ򲼤褦ʾ󤬵դ˵⤢롣ʬ˴ؤƤɤΤ褦ʾ뤫ȤưˤϡΤɾξʺưޤɾξʹư˲äʬɾ˰פɾʳξưʬ뼫ʲư롣ɾŪǼº㤤ͤϡʾưƯϼɾ򲼤뤳ȤˤʤꡤŪɾ䤹ʤμ¹ԵǽǤɸɵˤƤϡܻؤΤԤ򤱤ΤȤĤά롣άҥ󥺤Ǥϡ˾Ƥ뤳Ȥ¥ʾԤβ˾Ƥ뤳ȤɱҾȸƤӡԤǤϥꥹ򤬹ޤ뤬ǤϵդǤ뤳Ȥʤɤ餫ˤƤ롣ޤΨ褯ɸɵ᤹뤿ϡ̤ɸ̵ط뤤ɹɸɵʤƤϤʤʤΤ褦ʼˤ񸻤ɬפȤʤ롣Хޥϡͭ¤Ǥꡤ͡ʷμ˶̤ƻѤ졤٤˾񤹤ȸϳ餹ȡ񸻤­ʸϳ֤Ǥ̾椵Ƥ͡ʹԤǤʤʤ뤳Ȥ򼨤pp. 255-7ˡ

ؿؼŵ ǡ١˼ˤ

ʸŪʴ

ʸŪʴѤȤϡ͡δ֤ǶͭƤʸŪʹѤˤäƺ줿ֿʹ֤ȤϤΤȤͤǤ롥ͤϲΩ¸ߤǤȹͤΩŪʴȡͤ¾ԤȤδط¸ߤƤȹͤ߶ĴŪʴp. 47ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ



ϡǿ̤ͤοиǹμη (ǰ) ΤȤǤ롥ҤɤƱͤˡޤǤηиˤäƷΤȤݤˤĤƤäƤȤp. 47ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ƤȤƤȯã

ʹˤϿ򥹥Ȥ¿οͤ뺧򤷤ơ²ҤɤƤ롥Ƥ鼫ΩƿۤȤǡ٤ϼʬȤƤȤƤȯãȤƻҤɤȯã뤳Ȥˤʤ롥ޤҲˤƤϡʬȤˤƥꥢѤߤĤġƤƤȤp. 257ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

ǯ

ǯ,ͭŪľ̤Ǥ⤢롥Ȥ碌ϤοꤨŻθ³²Ѳʤɤȼǯ٤䤹ƣʤɤϡǯȤФp. 53ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ʡ餯ؤΤȡ

ƥʡιؤǤϡؤμϰռŪиˤȤơռǤñʬΤ褦ǤϢ礹ˡ§򸫤ꡢǤŪȤӤĤꤹ뤳ȤؤܼŪǤȹͤƥʡϰռŪиŪǤؤȴԸ뤳Ȥ˶̣äΤǡȤΤ褦Фؤ礷ƤηϤФƤȿФƤǤϴФ䴶䥤᡼ʳΤȤϸǤʤǤϤʤȤȽФƤϡϹؤΥơޤǤϤʤΤǴΤʤȤƤp. 25ˡ

ؿظܥɽ ǡ١ʼ̳ǡˤ

奿ȿ

奿ȿؤˤ礭顼ijɤȥ٥ɤȤ2Ĥγɤꡢɤγɤγвˤ뤢ΤޤȤޤ濴˸ʤƤ֥󥿡Ταƶ顢ɷ㤬ɤΤ褦γФ뤫⡢ɷɤΤ褦γФ褦ȤΤȤƯΤۤ˴ؿäΤ奿ȿؼԤȤ롣

ŤۤΥ顼ijɤϥȥꥢΥ顼ؤ濴ȿƤˡ֥奿ȼˤĤơ(1890)Ȥʸǽƥ奿ȤȤѸȤäե륹(Ehrenfels,C.)ե륹ϲڤ夲ǥġβȤǤȡǥȤƤβȤ˰ۤʤͤ򸫤ǥĴȡġβѤäƤޤǥΤƱ褦γФǤ롣θȤơġβ¤˥奿ȼä뤫ȹͤΤǤ롣Фơ¸ŪʥץߤΤϥɥĤΥ٥ɤΥ奿ȿؼԤǤ롥

ȥϥް (Wertheimer, M. ˤ1912ǯȯɽʸǡñʿ޷Ĺ򥹥꡼˺ǽϤΤޤ޿ʿˡϤޤޤʻֳִ֤45٤줿輨ȡŬʻֳִ(100ʬοáˤΤȤˤͳѷ夬褦˸뤳Ȥ򸫤κŬֳִ֤ΤȤˤʪŪ¸ߤʤϤʬä˳餫ʱưγФ뤬輨֤û2Ĥο޷Ʊ¸ߤ褦γФ졢Ĺȸؤо줹褦˸ǤⱿưǧʤäȥϥޡŬֳִ֤輨ȤˤΤ뤳θư̾Ťưϼºߤ뱿ưǤϤʤݤˤʤΤǡ (phenomenon) ȤñκǽΥꥷʸեʤΡˤäơեȤƤФ롣

ΤɤΤ褦ˤޤȤޤäƸΤˤĤơ٥ɤץ쥰ʥĤθȤˡ§Τ褦ʤΤ󾧤θȯΤäȤʤäΤϡȥϥޡΥ˥(MW)Ťͤɽ򸫤ȤˡʸǧʤäθǤ롣ʤʸǤϤʤĤΤҤο޷Τۤݤ˻ĤΤˤĤơȥϥޡϻ褦ʸݤʬϤƤϢ³װܤװĹװƱװʤɡ䤿ΤޤȤγФݤα줿װ奿װˤ򸫤

奿ȿؤ濴Ūʹͤˡﲾؤΰ۵ĤȤΤ롣ؤʪؤ򸦵椷Ƥ19γؼԤ¿ϡĹĹογФȤä褦ˡġʪŪݤȿŪθʴСγСˤȤδ֤11бطꤷƤ줬ﲾǤ뤬奿ȿؼԤϤꤷƤ򤤻ŤǸȡҴŪˤϤʤ곥ΤϤ򤤤ޤޤǸȤäγФιˤĤƤϡΤ褦뤵ιϤȤơ礭ιιʤɤΤƤ롣奿ȿؤǤϡγФιθݤϰꤷγΩ뤿ɬפʤΤǤȹͤγФʪŪɷˤäȤ⡢줿ǾγưγФΤޤäƱǾñ̤Ǥ鹽ʪɷ㡧ˤ輨Ƥ⡢λɷ֤κޤȤޤκȤʤäγФʡȤϤޤȤޤ꤬ۤʤäγФˤȤϡγФǼŪȿΤǤ롣

奿ȿؤιͤϡγаʳ˳ؽؤҲؤΰˤƶͿȤС٥ɤ(Kohler,W.) ϥѥ󥸡ƶ𤷤ơԺؽΤ褦ϢŪʳؽФưۤ򾧤ޤ (Lewin, K.)ʪˤʹ֤ιư˱Ѥơ͡δĶˤ֤ʤɤĿͤιưͿƶϳء롼סʥߥåˤȤΰȯŸpp. 30-1ˡ

ؿظܥɽ ǡ١ʼ̳ǡˤ

СʡἫʼƴС

ФϡǽҤ٤ƤΤۤ¡ޤࡣФȤϡʶڤᤫϤǡ䱿ưγȿ͵ݤp. 207ˡ

ؿظܥɽ ǡ١ʼ̳ǡˤ

СİС̣С̳ʿմаʳδФϡ¡ʬव롣ΤФϡˡΤɽ̤ǴشȡΤοˤʶζ¿秡Ǵʼƴʬp. 173ˡ

ؿؼŵ ǡ١˼ˤ

γФβĵ

Ǿ»ˤꡤеǽ夯ʤäꡤӼ硤ۤδеǽĤɤǾƤεǽ䴰褦ˤʤΤ褦ǾνʵǽƷγФβ (Ǿεǽ)Ȥp. 21ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ŤʡᶲݾŤ

ɷUSȤŵŪŤǡݾŤȤ⤤ȥϥͥߤ򶲤ʤ11ΥС˷ˡͥߤCS礭ʲʥСȤ϶äƵ㤯ˤUSȤƸŵŪŤԤäСȤͥߤݤ褦ˤʤäǤʤ򥦥䥵󥿥Ҥݤ褦ˤʤäʻɷ̲)p. 46ˎ

ؿظܥɽ ǡ١ʼ̳ǡˤ

ҲŪǧ

ҲŪǧȤϡʹ֤ϴĶѶŪƯʤĿŪǰ (󥹥ȥ饯ȡˤäƼҲᤷǧΤƤȤΤǤ롥ޤҲŪǧǤʬȤ᤹뤿ѤĿŪǰѡʥ륳󥹥ȥ饯Ȥפʰ֤ŤȤʤp. 33ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ǥꥺ

ǥꥺ () ϡưФפ˴Ϣ24ּƱĴ븽Ǥ롥ȤСưʪĿ̲å뤬롥Υꥺˤϡ뾲λ򺵾ˡʤ褦ˤؤäƤp. 38ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ҲŪƶ

Ŀͤ佸١ոư¾Ԥ佸ĤαƶˤäѲΤȤҲŪƶȤƱĴ˲ɤαƶҲŪ¥ʤʤɤp. 43ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

TEACCHtreatment and education of autistic and related communication handicapped children

ASDħ˹碌 (ȤФΤȤ¤ʤ) 鹽졤Բ²ˤ錄ٱ礹ȤܻؤץǤ롥ٱԤˤϡդȤΤߤʤ餺ϰҲޤޤƤŪƤȤʤäƤp. 293ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

ˡ

1960ǯ˥ꥫʰСȡХȥ顼᤬󾧤ˡβפˤĤƎäסʹס֥ߥ˥Ȥ뎣Ȥ԰٤Ǿɷ㤵졤 ǧξͽǧξοʹԤ٤餻뤳ȤǤ롥ޤ֤ꤵ̤ԤǤ뤿ᡤ ԤΤͽɤѤ뤳Ȥ⤢p. 419ˡ

׾λʻǤϡס☓ˤȤƤ褯ꤵƤ롣

ظǧɬȥƥȡ١ʳظץ饹ˤ

51ʥƥ֥ץ

ŪץǤϡˡ䡤оݼԤν񤭵ΤʤɤѤơŪˡΎȤ館褦Ȥ롥Τ褦Ū¦ޤƥѡʥƥ򤷤褦Ȥ뤳򎢥ʥƥ֥ץ(narrative approach)Ȥ֡p. 190ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

52ʹֿŪץ

ʹֿŪץȤϡĿͤομŪθŻ뤷ꤹΩǤ롥μˡǤŪץˤƥʥƥ֥ץμˡѤˡоݼԤν񤭵ΤʤɡŪ¦ޤơŪˤΎפª褦Ȥp. 35ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ޤǤΤ٤Ƥ褦ʿʹ֤ҴŪʬŪˤߤФơỤ̄ʼ¸Ŀͤ˾ޤ׾֤ؤȸưʤ򸫤褦ȤΤʹץǤp. 322

ؿؼŵ ǡ١˼ˤ

53ҲŪͥåȥ

ҲŪͥåȥȤϡĿͤпŪʤĤʤΤǤꡤ˭ϡͤοŪŪʷ򹯤˱ƶͿp. 44ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

54ܰ鿮ǰ²ξŪ

ҤɤξŪȯãˤ, ܰ鿮ǰ (ܰԤΤäƤҤɤФ븫ͤ) ܰ١ޤ²ξŪ (شطɹ²ɽΥݥƥ֤ʤ) Ϳƶ礭p. 46ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

55ش˽ϡ²

οŪٱоݤϡҤɤǤʤƤޤࡥȤпƤˤԤθˡϺش˽ (DV, IPV) ʤƼȤ뿴Ū꤬¸ߤ뤳Ȥ¿äˡҤɤ⤿ؤλٱǤϡ褬񤷤ʤ롥Ҥɤ⤿ϲǤ褬Ȥʤ뤿ᡤ嵭Τ褦Ŭڤʡ˶ˤĤʤװǤ餹ˤƤؤλٱ¹ԤƼ»ܤɬפ롥ޤƸܸߤꤹƸβ (²) 䡤Τ٤ӾŪܻұ٤Ѥ˸ٱξˤ⡤ƻҴطĴȥȤɬפȤʤp. 410ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

56

ȤϡμҲޤϽˤդ路ȹͤưɽȤѤɽǤ롥ʪŪȤϻȤʬ롥켫ΤɤβȽǤϴޤޤʤp51

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

57奢ƥ

奢ƥȤϡư˴ؤĿͤ䡤˴Ϣưη򼨤ǰǤp. 51ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

58򹯼̿

ʿѼ̿ꡤ¤ʤŪ˼ҲưǤ򹯼̿κγ礬ҲβȤʤäƤp. 55ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

59ڥȥȥ졼

ڥȡȥ졼˥󥰤ȤϡҤɤιưФơơܰԡˤưγؽ˴Ť٤䵻ˡǴؤ뤳ȤؤΡ롼ץȥ졼˥Ǥ롣ƤҤɤưҴŪ򤷡Ŭڤʴؤ뤳ȤǡҤɤŬưƤΰȥ쥹δ¤ŪʿƻҴط¥ʤ뤳ȤԤǤ롣ڥȡȥ졼˥󥰤ƳˤäƤϡҤɤξ㳲ǯȯãưڤӿƤʬ˹θơ롼׹ץƤƤ뤳ȤפǤp. 430ˡ

ؿؼŵ ǡ١˼ˤ

ADHD
Фƥӥǥ󥹤Ƥ뿴ˡϡưŪڥȡȥ졼˥ưŪ饹ޥͥȡưŪֲưŪȤ߹碌ȥ졼˥ (organization skills training) Ǥ. ȥ졼˥󥰰ʳưˡ١ȤƤꡤưˡѤˡݸԤ˶ҤɤФƼ»ܤƤ餦ΤưŪڥȡȥ졼˥عζդ˶Ҥɤ˼»ܤƤ餦ΤưŪ饹ޥͥȡ饹ͧͤ˶оݤλҤɤ˼»ܤƤ餦ΤưŪֲǤ롥ȥ졼˥󥰤϶ʤɤܡִʪδʤɤˡҤɤ˶ٱˡǤp. 292ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

60

оݼԤդޤ˱ǤŬڤʻٱ򤷡¹Ԥɬפ롥оݼԤ·ˤ䡤ҤɤǤˤϡδطԡ²Ȥä礤ȤȤˡ¹ԡޤ¹Ԥ򷫤֤ƹԤp. 67ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

61Ʊ

ƱȤϡƱȤФ졤ι⤤ˡˤơߤ˰οŪΥݤʤ鿮طǤäȼȤǤطΤȤǤp. 68ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

62Ū

ޤĤĤоݤȤ襱Υ꡼եǤϡŪʤɤȹ碌ŪȤp. 81ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ȯã㳲ʸ̮Υޥ

ŪȤǤȤ礭ʬȰʲˤʤ롣

ȯã㳲ò˵󤲤ʤɢ󥯡

ŪࡦǧŪħΥWISC-Kȯãʤɢ󥯡

ŬưΥVineland-Ŭưʤɢ󥯡

Ф䱿ưΥʴСܸǴХץե롤ưDCDQ-RʴܡˡM-ABC 2ľܡˤʤɡ

ʻ¸ΥM. I. N. Iʤɡ

ҲŪĶŪʲ²ع졦ϰʤɡ

p. 37

ʡϰѼԤ39-42ǤΤΤ

ظǧդΤȯã㳲١ʶǡˤ

63ȿڤʸ

ȿڤȤϡڡȤ⤤졤ۤȿȶ̤褦ȼ򤵤ȿľŪ뤤ϴŪγФιͤưŤ˱ƶͿװǤ롥, ȿʸϴʸȤ⤤ǰ, бĤΤޤޤʥ롼ʤɤʤꡤȿλŻοʤľܱƶװǤpp. 465-6ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

64ˡ

κˡϡ̡ܡڹݤʤɤΤ褦ŪȤؤκˡϤ˥쥯ꥨˡƳʤɤޤp. 97ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

65ƨ򡦲ؽ

ŵåʤɤͭʻɷ򤱤ưƨȤͭʻɷФȿԤȤǡ򤱤뤳ȤǤ褦ˤʤ뤳ؽȤp. 25ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

66

ߥ Mischel, W. ϡưϤɤΤ褦ʾǤΤɤΤ褦ʾǤ¸ߤѡʥƥϤΤȤꤲơ (ʹְ) p. 34ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

67ƻʥƥ269ǡ

ԥ
ԥϡҤɤƻȯã3ʳʬʳ鎢¾ΧŪƻʳءƎ¾ΧŪƻʳΧŪƻʳؤȯãȹͤ
56ФޤǤλҤɤϡ濴ħŤ졤ʤ¾Ԥζ̤ĤʤΤ,ޤˤ뤹٤ƤΤΤʬΤΤȹͤʤɡ§ˤĤƤۤȤ򤷤Ƥʤ56кˤʤȡ§ϡȤξƤΤ褦ʽפ¾ԤˤäƷƤȻפ§ŪʤФʤΤȹͤƤ롥
٤ϡտޤǤϤʤ԰٤ˤäȽǤ롥줬10аʾˤʤȡŬʼ³ȤޤιդС§ѹǧ褦ˤʤʤ,ʹͤǤ褦ˤʤ롥԰٤طʤˤտˡȽǤǤ褦ˤʤpp. 262-3ˡ

㥳С
ԥƻȯãʳ,ƸޤǤˤȤɤޤäƤΤФ,Сϡǯʹޤ᤿ƻȯãͤСϡ̿ˡɿȳȤäŪͤƣ륹ȡ꡼޲ˤѤơƻȯãªΥ޲ϡǤ褯ΤƤ뎢ϥĤΥ޲ꎣǤ롥
СϡȽǤ켫ΤǤϤʤʤȽǤ˻äΎ԰٤ͳŤˤäơƻȯãʲʳʬष.
ŪʿǤϡ鷺̳뤳Ȥˤʤ뤫ǤϤʤפȤ褦ˡȳФ붲䡤뤳Ȥˤäƺʤ֤Ǥ褤פȤ褦ˡ󽷤뤳ˤʤ¾Ԥߵ˲ͤ롥
ŪʿǤϡޤʤä顤꤫򸫼ΤƤ䤿ʹ֤񤵤뤫פȤ褦ˡͤɤ뤫(̾򤱤)뤤ώˡΧʤΤϤʤ顤ǤϤʤΤ褦ˡι԰٤ҲŪʤɤȤ롥
ǸæŪʿϡ̿βͤϼҲ᤿ˡΧĶȤˤꡤºŤ٤Τ⤷ϥĤޤʤä顤ɿդˤʤޤפȤ褦ˡߤ򤷤Ū˽ʤɡʹ֤ºɿˤʤäƤ뤫ɤȤpp. 263-4ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

68ҲŪʥƥ265ǡ

ʤޤġͤŪνṲ̄ȤơŪΤ礹ҲŪ (social dilemma) ȤΤˤϡҲŪޤϡġͤ϶ϤޤϹưΤɤ餫򤹤롤ġͤˤȤäƤ϶ϹưϹưȤ˾ޤ̤롤ʬˤȤäͭϹưȤȡäƶϹưȤä˾ޤʤ̤ȤΤǤ롣ϹưûŪˤϸĿͤ⤿餹顤֤ߤʤΤȤͤ褦פȤⶵǤϤȤϲ褷ʤp. 340ˡ

ؿ ǡ١ͭաˤ

69ݷ

å (Asch,1946) ϡȤФʪ򵭽ҤƾҲ𤹤ݡȤơ췲︳ԤˤϡŪʡݴѤʰ٤ʡݲݷϤΤݼºŪʡѿפȤƻΥꥹȤ򼨤¾ΰ췲︳ԤˤϡŪʡݴѤʡݶ٤ʡ䤿ݷϤΤݼºŪʡѿפȤ̤ΥꥹȤ򼨤2ĤΥꥹȤϡֲפȡ䤿פȤʬ
ۤʤäƤǤ뤬ȤƤʪˤĤƺ夲줿ΰݤϡԤΤۤäȹŪǤäåϡֲס䤿פȤƻ줬гˤȤʤꡤ濴ˤ¾θ줬ޤȤơơ˿ʪŪʰݤȹͤȤꥹȤΡֲפˡ鵷ס䤿פˎ̵ۤʡפȤƻѤˤϡȤʤäʪФƷΰݤˤ礭ʰ㤤ϤʤäΤ褦ˡݷβˤޤƶڤܤʤȤp. 272ˡ

ؿ 5ǡ١ؽDzˤ

70°

伺ԤθɤˤΤͤ뤳򸶰°Ȥ磻ʡ (Weiner, B.,1979)ϡǽ3ĤμǸ°ʬषƤ롣ϡοͤˤΤˤΤȤǤ롣ϡŪʤΤĹˤ錄ΤȤǤ롣ǽϡʬˤȤäȥ뤬ǽɤȤǤꡢɤΤ褦ʸ°ԤˤäơιưФδԤ䴶𤬷ޤꡢιưꤵȹͤ

ãư⤤ͤ㤤ͤȤǤϡθ°ۤʤȤãưι⤤ͤϡǽϤι⤵Ϥ˵°ԤϤηǡ˵°뷹ˤƥȤäȤƤ⡢θ­ˤȹͤͤϡäȴĥäٶСϤ褤ȤԤƤΤǡưŤ㲼ˤãư㤤ͤϡ񤷤䱿ʤɤ˵°ԤǽϤηǡ˵°뷹ƥȤäΤϡʬǽϤ㤤ȹͤƤޤȡ򤷤Ƥ̵̤ȡưŤ㲼ƤޤԤǤ뵤ʤ䤹Ҥɤ⤬ɸФ˼Ȥ褦ˤ뤿ˤϡθ­ؤȵ°褦Ư򤹤뤳ȤפǤp. 104ˡ

ؿظܥ ǡ١ʼ̳ǡˤ

ʤ°פҲؤʸ̮ǤФƤƤ롣

°Ȥ,ʪθͽ¬פȤǤ롥Ȥ, ͤưȤäȤˡʤΤ褦ʹưȤäΤͤ뤳ȤǤ롥ư򤷤ܿͤŪװǤȹͤ뎢Ū°ȡư򤷤ܿͤǤϤʤϤξʤɤװǤȹͤ뎢Ū°롥

°βˤĤƤϡޤޤ롥硼 Jones, E. ȥǥ Davis, K. бǤϡż֤Τʤʤ椺äͤ򸫤ơοͤϿڤʤʎȤȤ館褦ˡ԰ټԤʤʤɤŪװ˵°Ƥ롥԰٤οͤʤˤΤȽǤȤˤϡι԰٤ȤοͤʤȤӤĤ뤳 (б) פǤȤƤꡤбˤϡ԰ټԤΤξǤ䡤԰٤򤹤뤳ȤˤäΤ䡤ι԰٤μҲŪ˾ޤʤɤƶͿ롥ޤ꡼ Kelly, H. ѥǥ (ANOVAǥ)Ǥϡ¾Ԥιư°ݤˡŪ°⤷ϳŪ°ΤˤĤϡ3Ĥװ () Ȥ߹碌ˤäƷꤹȹͤƤ롥ȤС̡ͤͤ򤪤⤷ȻפäƤ뤳Ȥ硤οͤϤɤ̡ͤ򸫤Ƥ⤪⤷ȻפΤ ()ɤʤȤǤɤʾǤ⤽̡ͤ򸫤Ƥ⤷ȻפΤ ()ۤοͤ⤽̡ͤ򸫤Ƥ⤷ȤΤ () Ȥθ,̡ͤΤߤɤʾǸƤ⤪⤷Ϥοͤ⤪⤷ɾƤ (٤ƹ⤤) 硤ο̡ͤͤ򤪤⤷ȻפäƤΤϡ̡֤ͤ⤷Ȥ褦˳Ū°Ԥ.

Ҥ°ιͤΤ褦ˡͤϤĤ⤹٤ƤװİơΤȤθͽ¬Ƥ櫓ǤϤʤष٤ƤװİǤʤᡤʬηиäƤ̴ط˴ؤμ (̥ޡˤѤƵ°ꤹ롥ʪθͽ¬Ǥ°äƤޤȤ°Υ顼ȤɽŪʤΤʲˤ롥ͤϡ¾ԤΤưθͤݤˡϤξʤɤγŪ°⡤ʤʤɤŪ°ȽǤ䤹Ūʵ°θʥ顼)ȤǡʬΤȤˤʤȡϤξʤɤθ䤹ʤꡤʬѻԤξŪ°򤹤ΤФ԰ټԤξϳŪ°򤹤 (԰ټ-ѻԥХʬθ伺θθ°ˤĤƤϡŪ°ԤϳŪ°Ȥ褦˼ʬԹΤ褤°ԤƤޤŪ ()ХȤޤ¾ͤäƤ餦ꡤʬۤȹͤʤɡ뤳ȤǤäƤ⡤ʬ뤳ȤǤȤ (ȥ븸) ⡤°Υ顼Ǥ롥Τ褦ʵ°Υ顼ХϡҲŪ (ʤ¾ԤޤवޤޤʼҲŪݤ˴ؤƹԤΤ) Τ椬ߤȤƹͤ뤳ȤǤpp. 238-40ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

71

ꥨؤǤϡ缣Ťɬȯ˼ŤԤȤˤɾδ¤ౡ¥ʤ뤳ȤŪȤʤ (ꥨϥե󥹸ǎϢỌ̑)ǤϡʰꥨǸա޻աݷʡںˡ, ѿʤɤ¿郎Ϣʤ鼣šٱ礬Ԥʤ¿ϢȤηʥꥨȤФp. 73ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

72ؽ

ȯã㳲äԤҲŬ뤿ˡäŬˡؤӼ뤳ȤؽȤp. 78ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

73ư溤

ȯŪ˼ʬޤ¾ͤФä԰ޤ뤳ȤǤʤ㳲򡤾ư溤Ȥp. 79ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

73

ܿͤˤȤäơȤƤɤ򲿤餫μʤĴᤷ褦ȤƤ⤦ޤ˽˽ϡʤɤ˻پ褹Ȥ򴶾ĴẤȤp. 79ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

74˳

ҤɤĹǡƤϤμȤδؤ꤬ŬڤǤä˳졤θĹȯã˰ƶڤܤp. 78ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

75Ū转̤Ϥ

Ū转̤Ϥʾ֤ȤϡҤɤ⤬̲顤æʤɡ뤦ǴפȤʤ԰٤ҲϤʤɤʬ˳ؤ֤ȤǤʤޤĹ򤤤p. 78ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

76ե˥

θߤγؽο٤׹ͲˤĤơѻ뤤ɾ뤳ѻɾη̤ˤäơؽˡȯŪĴ뤳Ȥä᥿ǧŪάΰǤ롣ؽ̤Τۤ󥻥󥰾̤ˤƤѤ뤳Ȥp. 232ˡ

ؿؼŵ ǡ١˼ˤ

ʬȤιưŪѲŪѲʤɤ˥뤳򥻥ե˥󥰤Ȥ֡ȤСνŷפ˾ꡤνŤ¬ꡦϿʤɤե˥󥰤Ǥp. 574ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

77ʥƥ269ǡ

ʹ֤ϡ¾ԤΡ֤פξ֤ɤ򤷡̤뤳ȤǤޤҤɤϡ¾ԤΡ֤פξ֤򲿺кˤʤä򤷡̤뤳ȤǤ褦ˤʤΤμʰռȴϢҲưʹ֤ιư̤ˤȤäƤפǤ롥Τ褦ϡǽ顤ѥ󥸡ҥȤΡ֤פǤ뤫ɤθȤơץޥå1978ˤˤäƤϤ줿η̡ѥ󥸡μ¸̤ǡҥȤΡ֤פξ֤Ǥ뤳ȤФ줿ҥȤưʪʰۤʤäưʪ֤ޤơ¾ԤΡ֤פξ֡Ū׹͡տޡǰʤɡˤ򤷿̤ƯŪˡֿפȸƤǤ롥ϡ¾ԤΡ֤פ伫ʤΡ֤פˤĤƤ䡤᥿ǧΡʼʤ̾ǧγưƻ뤷ơɸ˱ä椹ǧΤƯˤȤĻǧȯã餫ˤ뤿νפʲǤ롥̾ȥԥå29Τ褦ʡäǰβꡧǰפޤϡ꡼ȥβפȸƤФ¸̤ơҤɤ⤬¾ԡʥ꡼ˤιͤ修ǰ̤Ǥ뤫ݤĴ٤롥֥꡼ʿʪA) ϥӡ̡оʪX) ʾY) ˤȻפäƤ뤫פ򤿤ͤȡ︳4кޤǤ뤳ȤǤ褦ˤʤ롥ϰ켡ŪȸƤФ롥Фơʣˤꤹ뤳ȤǤ롥ʤ֡ؿʪAоʪXYˤȻפäƤ٤ȿʪBϻפäƤ뤫פȤ褦ҾˤŪȤΤ褦ʲǤΤϡǤ47кˤʤäƤǤpp. 42-3ˡ

ؿ 5ǡ١ؽDzˤ

78Űʥƥ148Ǥʤɡ

ŰȤϡդεǽʤȯã٤ΤߤҤɤФơҲŪ˼ΩǤ褦˼Ȥ༣ŤȶΤȤ̣p. 59ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

Ū㳲˴ؤƤϡˡΧŪ㳲ʡˡŪ㳲ɤΤ褦ʤΤƤ餺ˡΧƤʤϫƯʤ»ܤŪ㳲 () ĴǤϡŪǽξ㳲ȯã (18ޤ) ˤ졤˻پ㤬Ƥ뤿ᡤ餫̤αɬפȤ֤ˤΡפŪǽξ㳲ȽǤȤƤǽؿ70ޤǤȤΤ褦ˎŪ㳲򡤭 ǽؿ70餤ޤ, 18Ф餤ޤǤ˾㳲Ƥ롤 ˻پƤ롤Ȥ3ĤǤȤ館ƤȤ狼롥Ƹ̽ (18̤) , Ū㳲Թ̽ (18аʾ) Ū㳲ǤȽꤵŰĢθդ뤳ȤǤ롥Ū㳲ȽϳƻܸƤ뤿ᡤƻܸˤäŰĢդδϰۤʤp. 285ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

79ꥢ˦ʥƥ127ǡˡԤȸƤΤǥޥʡ夲

˥塼ȥꥢ˦ϿзϤ˦Ǥ롥˥塼ϡۤΥ˥塼¡˶ʳ¡ãԤüʺ˦Ǥ롥ꥢ˦ϡ˥˥塼ƱΤδ֤ᡤݸܡŵŪƯ () ǽġp. 36ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

˥塼ٻ˦籺˦ʥꥢ˦ˤȤꥢ˦Ͽк˦10ܤꡤк˦λٻܶͭˤ˥塼ƯƤ롣ꥢ˦ˤ籺˦ȥꥢ)͵籺˦ꥴǥɥꥢ)籺˦ߥꥢˤꡤĹҤܰҤʤɤʬ礹뤳Ȥǿк˦ΰݻ˴ͿƤp. 255ˡ

ظǧǧոǤԹֽƥȡ١ʶǡˤ

ȥη򤷤Ƥꡤк˦ʬ򶡵뤷Ƥ롣

ꥴǥɥк˦μʤʥߥĤ롣

ߥꥢĤк˦ԤȹͤƤ롣

ǾȿΤߡ١ʿǼҡp. 73

80벽æ벽ʥƥ268ǡ

ƱɷϤ򷫤֤ȽȿޤȤ벽ȤʻɷäȿƳȤæ벽Ȥp. 24ˡ

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

81ʪ

Сγ(perception)θˤǤŪˡϡʪŪʻɷ(㤨뤵䲻ˤȿ̤ȤƤγФδطĴ٤뤳ȤǤꡤʪؤȾΤʥեå
ʪؤȤ⤤)Ǥפ¬оݤ硤ĤޤγФꤹǾʪ̤Ǥꡤ٤ϤεտǤ롣γФǤǾɷɷɷ֤ΰ㤤ʬǾȸƤӡʬ硤ʬʬ뤳Ȥ⤢롣򡤻ɷٲκ(JND)뤳Ȥ⤢롣դˡФλɷ㶯ɷȤޤɷ֤ǻɷ㶯٤ȴŪ(PSE)פ¬оݤȤʤ롣ϼ̵Ū˷ޤ櫓ǤϤʤΨŪưʿ¬ؿ)¬ˤϡˡ˸ˡĴˡڤӤѷΡʪŪ¬ˡѤ롣

Сϡ礬ɸɷζ٤㤹롤ʤɸɷRRˤĤƭR/R=C(CϰϤˤΩ뤳Ȥ򼨤Сˡ§)R/RϥСȸƤФ롣ʪؤϻϼԤȤեҥʡϡ򴶳E˳ĥ̤ˤĤ"E=h(dR/R)ΩĤȹͤʬˤäE=hlogR+c(cˤȤطƳE = 0 Ȥʤɷ ꤹE=hlogR/Ȥпطեҥʡˡ§)ˤƴ̤OǤȹͤ뤳ȤǤΤǡʦ=4R),ϹϤʴ̤δȤʤꡤγиˤˤƽפ¬̤Ǥ뤳Ȥʬ롣٥礭ɷؤγ̤Ĵ٤ˤϡɷФγ̤Ū˿Ͳ𤵤ޥ˥塼ɿˡѤ롣ƥ(1957ˤϤˡѤ͡ʴФ¬ꤷ̤ʪ̤Τ٤ؿɽ뤳Ȥ򼨤ƥ󥹤ˡ§)ºݤˤϥեҥʡпˡ§Ȥΰ㤤ϾȤ˶§ȤƻȤʬp. 143ˡ

˸ˡ¸Ԥɷ㶯٤缡ѲγбѲɷ㶯٤(hysteresis)򤱤뤿ᡤ̾Ͼ徺󡤲߷ξԤȯŸȤơѲդǻɷ㶯٤Ϣ³Ū˾徺ߤƼ«볬ˡ(staircase method;岼ˡup-and-down methodȤƤФˤ¿ѤƤ롣ˡǤϡͽ¬ˤ뤿ᡤʣλɷ˿򤼤뤳Ȥ롣ѲŪ˴Ť椷˸ΨޤPEST,QUESTŬŪˡ(adaptivemethod)ƤƤp. 143)


ˡɷζ٤Ѳʤ鷫֤輨γгΨɷ㶯٤δؿȤɽ¬ؿᡤ,JND򻻽Ф롣̾,γФǤ-Ǥʤ礭-ʤɤ趯ȿѤ롣¸üԤͽ¬ǵҴ⤯ΥХ⾯ʤɷ㶯٤ϰϤ¬ͽŪѻŬڤ˷ꤹɬפ롣Ψ뤿¬¿η֤ɬפȤʤ롣Τ¿ʻ֤ȼ¸üԤϫϤפ뤬̤¿p. 144ˡ

ؿؼŵ ǡ١˼ˤ

82뤵ȿγ

Ƥ2λ˦ϡĶˤäƤޤޤ˴٤Ѳ롣ǤŤǤṲ̄ͥʾ֤ȤʤԤλ롢ԤλȸƤ)λλǤϴ٤ΥԡȤʤĹӤۤʤ뤿ᡢ줾ξˤơ뤯γФ뿧ޤѲʥץ륭󥨸)ŰǤޤ뤤ذưȡŪܾ֤Ȥʤ뤬ܤ븽롣θݤϡΤδ㲼ȿΤδپ徺ȤɽƤꡢȸƤ֡ʤȿФβŽȸƤ)p. 72ˡ

ФΥᥫ˥˴ؤ벾ϡȿпȸƤФ2ĤβȤȯŸƤȤϡ֡СĤθŪȿʪ¸ߤ3ȿȹ礻ˤäƤ뿧γФ¸Ȥ벾Ǥ롣ȿпȤϡְСİ첫Ȥɹ뿧Хͥ뤬¸ߤͥ뤴ȤνϤȹ礻ˤäƿФ褦Ȥ벾Ǥ롣Ϻλ¤򡢤ޤȿпϿʤɤοиݤ褯롣
ɤβˤŪǧƤ뤳Ȥ顢ǤξԤۤʤʳˤ礷ʳ⤬ήȤʤäƤp. 73ˡ

ؿظܥ ǡ١ʼ̳ǡˤ

83֡ʱưԤˤγ

㱿ưγС
ưγФϡоݤʪŪ˱ưƤǤʤºݤˤϱưƤʤоݤФƤ롣оݤʪŪ˱ưƤ֤ºݱưȸƤ֡ޤºݤˤϱưƤʤоݤˤĤγФ븫αưưȸƤ֡ºݱưγХᥫ˥ϡؤαưˤΤȿŪ˦¸ߤˤäƤ롣ưФ봶٤ϡưˤäưۤʤꡢҤʽˡľʿԤȤʤp. 76ˡ

ؿظܥ ǡ١ʼ̳ǡˤ

ưʣŻ߱硹󼨤˲ħΰưФƴ뱿ưСưɽѤΰ̸ưϢ³ŪʼºݱưΥŪ˥ץ󥰤ΤǤꡤºݱưƱ͡㼡αưдDZưФȤǤp. 160ˡ

ưĸƱαưʽɷˤ³ŻоݡʥƥȻɷˤ򸫤ȡȿαưγФ롣κפȤƤΤƤ롣ƥȻɷФαưдνϤޤꡤȿνϤŪ礭ʤäȹͤƤ롣Ż߻ɷǤϤʤưޤʥƥȻɷѤƤ⡤ȿαưγФͶƳ롣ޤưΥȥ饹ȸд٤Ū㲼ưŪΥ褦˥ƥȻɷαưѰ̤롣ưʣʳ̤αưݤǤp. 160ˡ

ͶƳưưȿưƸ褦ˡŻߤɷ㤬դαưȿưƸ롣оݴ֤Ūʱư沽褦ȤзϤλȤߤȿǤȹͤp. 161ˡ

ؿؼŵ ǡ١˼ˤ

ԤγС
3γԤγФȸƤ֡2Ū¤ǤΤǡǾϱԤƸ뤿ˤʤ餫μ꤬(Ԥ꤬ˤѤƤȹͤ롣Ԥ꤬ϡΩ˺ξɬפȤξ꤬ñˤƤΩñ꤬̤뤳ȤǤ롣ξ꤬ˤϡξ뺹վʤդˤ롣δϿʿ6cmΥƤꡢоݤ˻碌뤿ˤϡξ¦˲žɬפ롣žưվȸƤ֡ޤդγ١վѡˤ礭ۤɡδƤˤϤ롣Τξ뺹ޤξȸƤ֡Ǿϡդξ뺹Ԥμ꤬ȤƤꡢξԤ礭оݤۤɡ᤯¸ߤƤǧ롣2DZԤ򴶤볨衢ƥ쥪ξ뺹ѤΤǤ롣ñ꤬ˤϡĴᡢŪ꤬ʤɤ¸ߤ롣ĴȤϡˤ徽ΤθߤĴ̣롣ᤤоݤѻۤɡ徽Τϸߤᡢξ֤Ԥ꤬ȤѤƤ롣Ū꤬3αԤ2ʿ̾ˤ3γŪɽȤδطѻԤؽ뤳ȤˤäΩ꤬ǤꡢиŪ꤬ȤƤФ롣ˤϡáʽŤʤ礤ˡˡȩʤˤθۡƤʤɤޤޤp. 75ˡ

84ʪΡγ

̤ˤγФŪ¿ξ硤ʪΤ䥷γФ뤳ȤǤ롣ʪΤ䥷γФ̾äϤɬפʤưŪ˹ԤƤ褦˴뤬ϤоγФ٤ʪΤ䥷бطͤС줬ˤʣʲǤ뤳Ȥʬ롣äˡʪΤϡˤäͿ礭Ѳˤ⤫餺桹ϸΨŪγФǽǤ롣ޤϤʪΤ䤽ִط礭ʼͳ٤ˤ⤫餺ˤû֤ǤΤ˥İǤȤΤƤꡤĶ®ƥȽȸƤФƤ롣

ʪΤγФäƤϡ¸꤬Ƥʪ¸顤ʪΤγФϻ˰¸뤳ȤΤƤ롣Ūˤϡ˴طʤֻγФǤ褦˻פ뤬γФȿ¬ŵŪʻǤٱ䤬롣ޤ¸ȴϢݤȤŪž롣ŪžϡҥȤۤʤ鸫ʪΤΰưȽǤʪΤοŪɽݤ򥢥ʥŪ˲žƤ뤳Ȥ򼨺뤬,äƤϵp. 164ˡ

ؿؼŵ ǡ١˼ˤ

ʲ̤³֤;͵ΤɤǤɤ⡣餯߿ʲФ䤹ΤǤϤʤ

Ūžۤʤ鸫ʪΤΰưȽǤ򤹤ݡʪΤŪ˲žȽǤ뿴Ūѡɤȥåĥ顼ϡΩΤȤ߹碌ʣʻʪΤƱȽǻĤʪΤž㤹뤳Ȥ𤷡ʥŪʿŪɽݤ¸ߤ򼨺ʪΤγ
֤ٱ䤹뤳Ȥ顤γФǤ⿴ŪžԤäƤǽŦ롣ưǡΥʥɽݤȡϢ³ѴξڵȤƤˤϵp. 166ˡ

ؿؼŵ ǡ١˼ˤ

85ϫٱ

㳲Ԥνϫٱξ ϫƯʢ󥯡

ȯã㳲Ԥνϫٱ ϫƯʢ󥯡

ϫܹԻٱϫ³ٱAϫ³ٱB֥ʥ֥׾λʻ˽ФȤդ꤬ݥȤ⡣

----ϸǧջϳ줬äΤ򵭺-------------

86

ˡ˼뤯Ȥ˺׻ٱ(ŵŪˤйͤ)Фȥ꡼(ˬٱ)פȤʤ롥

Ǥϲ򤱤ʤä褦(^_^;)¾ͭ̾ɤǤǤʤäȻפ롣

87Ƚʥƥ103ǡ105ǡ

ȽȽϡ§ȤơȽȽη9̾鹽롥ɾϡޤ¿ˤäƹԤ롥

ο˴ؤƤϽФƤΤ̵ǰʥƥȤˤϿϵܤʤˡܤ٤ޤǤïٶǤƤʤäΤǤϤʤ

88ͽ

кˡ(ʿ28ǯ41ܹ)˴Ťкٱ礹뵡ǽ򶯲뤳ȤŪ
ˡкʥ󥿡֤ʤɡҲˤ뼫ͽɤؤΰռޤäƤ롥ǤȥСʤɤԤƤ롥桤ѿϡ֤ΤÎ伫̤Իٱˤ̶̳ʤɡкľŪĽפôȤ⤢롥

ˡΧɤΤȻפ䥲ȥѡꤵƤä̦꽸ˤϥȥѡ䤦꤬äȵƤ뤬äǤɤǤ롣

86ˡ88ˡظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ޤطľǽå١ʢ󥯡

ÿء3ˡڥ֥롼ץȡۡ8. ؽڤӸ졤2˸νˤ뵡

1ΡϡȤ߹碌̣򰷤

2ΡϡȤ߹碌ʸˡ򰷤

3ΡϡȤͤ䤽ξоݤˤƸդƯ򰷤

4ΡϡǧǽϤɽʸˡȤ館롣

5ΡϡüԤμҲŪ°طܤ롣

ظǧɬȥƥȡ٤

6ΡϡʤۤʤɤˤĤơƻΩƤƸǽ

7Ρϡ쥳ߥ˥ΰĤǡȤгعμȤΤʤǤΤȤ϶ΡϤȤФ롣аäȰۤʤꡤüԤʣʴط䤹

ظǧչɬܥƥ󥹡١ʳظץ饹ˤ

ͭ¤ε§̵¤ʸ򤹤ǽϤΡ8Ϥ򾧤ؼԤΥॹ Chomsk, N.ϡबĸ¿ͤǤΤΡγˤȤʤ褦ʡΡ9ϤŪ¸ߤϤθϤ饹ࡼˡ§ǤΡ10(LAD: language acquisition device) ȹͤp. 169ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

鿴ؼԤΥ֥롼ʡ Bruner, J. ͤҤɤȹԤ쥳ߥ˥ͤɤΤȤϼŪ˰ۤʤꡤưפˤħȤơΤΡ11 (IASS: language acquisition support system) ȤƤȤ館p. 169ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

Ƥޤ᤿¾ԤȤΥߥ˥ϡ᤯и롥ˤƤϡʡꡤΤĤʤطפǤ롥9顤Ȥ̣äΤ䡤Ƥ̣ΤˤĤơƤȻҤȤΤǡؤǴؿͭ褦ȤΡ12ϤΩ褦ˤʤ롥ǿƤоݤΥΤ̾輨뤳Ȥ¿ᡤ첻Ọ̇̄Ȥб뤳Ȥؽ뵡ȤʤΤǤpp. 168-9ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

դȥΤȤбϡŪʡΡ13Ϥ򤪤ȤǼĸΨŪ˳ؽ뤳Ȥ狼äƤ롥ͭμˤʤΤ˴ؤơʬǤϤʤΤؤƤȹͤ (ʪ)Τ̤̾ΥΤȤϤ֤ʤ (¾)ޤˤΤǤϤʤƱͤΥƥ꡼ؤƤ (ƥ) ȤäΤǤ롥

ظǧɬȥƥȡ١ʳظץ饹ˤ

ϵ㤭Фʤ̤ˤ1̣Τȯ줬Ф褦ˤʤ ()ΩäƵΤ褤Ȥ äáס֤ʤƱ첻³Ρ14ϤϤޤäơ˻ҲäꡤʣβȤ߹碌Ƥ褦ʡΡ15Ϥȯãߤ롥ʬȯﴱĴؽƤȹͤƤp. 168ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

Ļȯäϡ֤äס֥󎣤Ȥä1ΤߤѤΡ16Ϥ顤֤٤ס֥ޥޤʤ2¤٤Ρ17ϤФơŪȤ߹碌ƤΡ18ϤؤȯãʤߡʸˡǽϤƤp. 169ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

Ǿ´ʤɤǸ쵡ǽĤɤ»ȡä줿ǽϤ򼺤Ƭˤ뱿ư»ȡʹǤưäȤǤʤΡ19Ϥˤʤ롥ޤ¦Ƭˤ봶»ȡİϤä⤹뤬ʹ򤹤뤳ȤȼʤΡ20Ϥˤʤpp. 170-1ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

դ˴ؤΤʤˤϡ³ŪDzäʾ㳲⤢롥ȯãΡ21ϤϡΤ꤬ʤԼͳʤäǤ뤬񵭸γ䱿Ѥ˺򼨤ؽ㳲ΰȤ졤ˡ˱̻ٱ綵оݤȤʤp. 170ˡ

ظǧɬȥƥȡ١ʳظץ饹ˤ

1˴˴ؤ

˴ؤƤϡŵŪʤΤȤƤϡοʲŪꤹΡΡAϡ͡ʿŪȿǾ˥եɥХåƼŪ𴶤߽ФȤΡBϡǾŪ𴶤߽ФΤǤȤΡCϡδ𤬲ԲŪä2ȹ礻ˤäƵꤵȤΡDϡݤФǧŪŪäȹ礻ˤäȲꤹΡEϤʤɤp. 249ˡ

ظǧոǤԹֽƥȡ١ʶǡˤꡡ

ޤ߼ήȤƤϡɽȯŸƼư򤽤줾ðۤʿʲŪŬȿȤΡFϡݤФ¿Ūɾ (appraisal) Ƽưð߽ФȤΡGϡȯŸŪ𴶤λΥեȤ˸ġͤǧŪ᤬ޤΩȲꤹΡHϡŪ𴶤ʸðۤʴǰ䴶ʤɤ˵ꤵƤ롤뤤ϳƼﴶʸͭμҲ񲽤λʪǤȤΡIϤʤɤp. 249-50ˡ

ظǧոǤԹֽƥȡ١ʶǡˤ

2˴𴭵

𴭵˴ؤƤϡݤȤڤӤФǧŪɾ顤ðۤʼŪ𴶡ŪѲɽȯʤɤɽФ뤤äι԰ٷȯưФơŪ԰٤θеڤӤФ˻ϢΥץꤵƤ롣ޤ٤ǾгŪפ䤦˹ԤƤꡤ٨Ρ뾲硤Ƭʢ¦ʤɤ濴͡ʵβ꤬롣ơǤä绨Ĥƿ®ΡJϲϩȡ⼡ǧνߤʣʾư̤ΡKϲϩȤ2ηϩܤƤ褦Ǥp. 250ˡ

ظǧոǤԹֽƥȡ١ʶǡˤ



ܰڤΤ褦͡ʾưǧΤ˴ͿΤϡ٨ΡϡӾʤΡLϷϤǤꡤäˡΡMϤ϶ưȼθˤͿƤ롣ΡMϤƬϤǾ̩ϢơȤȤˡ뾲䶶ΡΡNϷϤˤ˥塼ݤꡤưȼΤȿp. 258ˡ

ظǧոǤԹֽƥȡ١ʶǡˤ

3ȼҲȯã

εȯã˴ؤƤϡʤŪΩ˰͵򤹤뤫ˤä¿㤬뤬ҤɤϽǾʤȤΡOϡΡPϡΡQϤȤͭƤ褦Ǥ롣θ塤ǧεǽȯãηиѤǡΡRϺޤǤ˴ӡᤷߡܤꡤ졤äȤäܴ򸫤褦ˤʤꡤޤΡS夯餤ˡʬ¾Ԥ鸫ƤȤŤޤἫʬȤ˰ռ褦ˤʤȡȤ졤˾ʤɤμʰռŪ򸽤褦ˤʤȸƤ롣ˡΡTϤĶơҲŪ롼ब狼Ϥȡ˽äƼʤι԰٤ɾǤ褦ˤʤꡤԤˤѤᰭˤϸؤʤɤμɾŪиɽФǤ褦ˤʤȤƤ롣Τ褦ˡΥѡȥ꡼ΡUϤδ֤ͤΤˤʤᤷȤޤȯã롦p. 268

ظǧոǤԹֽƥȡ١ʶǡˤ

ʲȯ뤿ˤɤΤ褦ʻɬפˤĤǤ롣

ǯηǡΡAϤȤǰܤޤäƤ롣ΡAϤȤϡΡΡBפŬڤǸŪʤǶ̳ԤΡCϤ翦ΡΡDϤ˱äǡŬڤȽǡȽŪ׹͡ơΡEϤǤ뤳Ȥ̣롣

  οؤηˤƤϡɤΤ褦ʲܤֲä٤Ȥ褦˥ꥭι˽Ť֤ƤΡAϤ˴ŤǤϡؽԤ̤ȤƤɤΤ褦ʵǽμȤˤĤƤΤȤ褦ˎͿסΡFϤñ̿ؽΡΡGϤؾιͤɽƤ롣衼åѡƤǿηϡΡAϡǥؤȰܹԤĤĤ롣

ΩΥǥ
ΡHϡΡAϤˤϡԲķʻʹѡưϡŪʤɤޤޤ㤨СȿŪʳŪμˡ¿ﶨƯʤɡ

ΡIϡΡAϤϡô̳ˤ뵻ǽȤ㤨СŪȡ󥵥ơ󡤥ɥܥʤɡˡ

ΡJϤϡȼο򼨤㤨СβλΥѡӥ󡤷³ŪʡΡAϤʤɡˡ

ʲ褹ǽϤȤˡˤĤǤ롣

ΡAϤ롣

ΡAϤˤȤʤΤϡΡKϤǤ롣ˤԤϡ˼ʬȤǽϤȵǽᡤɬפ˱ƤγưƤΡKϤ˼Ȥࡣ

ΡKϤνפʰ¦̤ϡΡLϤǤꡤʬϲǤƤΤƲǤƤʤΤؤ֤٤ʤΤɤΤ褦ؿʤ٤ʤΤȤȤƤȤ̣롣

ΡM

ΡKϤ¥ʤ뤿ˤ͡ˡ롣ɽŪʤΤϡΡMϤǤ롣

ΡLϤϡĿͤǤʤĤǹԤȤ⤢롣֤Ǥߤ˻ٻŪˤԥΡMϤŪȤ롣

ΡN

ʤ¥ʤΰĤȤƿĿˡ뤳Ȥ롣ʬϤǤϡΡNϤȸƤӡԥȤ̤Ūƣܥץ˸ˤʤʤ褦ˡޤԥȤʬȤ俴ŪħˤĤƽʬ򤹤뤳Ȥɬפȹͤ

ΡO

ΡAϤˤϡ͡ΰ褬ꡤİ뤿ˤϹפɬפǤ롣ޤʬȤηǯŪѲȯŸóŪ˸뤳ȤפǤ롣ΤˤϡΡPϤ뤳ȤΩĤǤ

ŪĹץˤĤǤ롣

RonnestadSkovholtϡΡQϴ̤Ƥߤ׾ȤȯãοŪơޤ⸫ФƤ롣׾ȤοŪȯãϡ³ŪʤȸĿŪʤ⤤ãץǤ롣ǡʬ¾ԡ׾ȤˤĤʤ³뤳ȤŬʳؽɬפǤꡤؽؤζߥåȥȤŪȯã¥ʤ롣ˡ׾ȤϡѡХ饤ȡ²ͧͤʤɡ¾ԤȤпʹط̤¿ؤ֡Ǥ⡤饤Ȥϡ׾ȤĹ礭ƶ͡ʤȤ򶵤Ƥ붵դȤʤ롣

׾ȤϡʬϤˤäƥ饤ȤѤ褦Ȥ뤬ĹȤȤ˥饤ȤƤôǤ뤳Ȥǧ褦ˤʤ롣׾ȤΰĿͤȤơ˿˱ƶͿ³롣ä׾ȤĿͤȤƷи줷ߡˤߤϡ¾Ԥ򤷡뤳Ȥ򶵤Ƥ롣ΤᡤȤθ͡ʥեɥХåФ륪ץͥʿŪˤ׾ȤĹȥӡ󥰤θ򰮤äƤ롣

׾Ȥܻؤ׾ȤϡȤȤ׾ȤȼʬӤȤϤΤʤ׾ȤȤƤƻΤĹ˰ݤƤޤȤ⾯ʤʤ׾ȤˤʤޤǤ̲Τ뤳Ȥˤäơ긽ŪɸΩƤ뤳ȤǤ롣Ĺ˲ɤޤǿȤˤĤ뤳ȤǤΤɤΤ褦˵ĤΤʤɼʬȤľȤŪǽ뤳ȤˤĤʤ

ؽˤĤǤ롣

Ū˷³ (Continuing education) ȸƤФ롣³鵯³ؽ, 4Ĥʬ롣ΡRϤʷ³ؽϡΤˤäθȤư֤ŤƤꡤȤϼȤƼ֤γؽ̤ϡ­٤ƥȤʤɤηˤäɾ롣ˡΡSϤʷ³ؽϡɤꤹ뤳ȤǤꡤֻդΤȤߤʤޤޤ˹Ԥ졤ñ̤ʤɤ׻ʤĤˡΡTϤ롣ϡζ̳ԤȤŪ˳ؽȤʤäƤؤ㤨СȤ򶵤뤳ȡΤΰѰʤɤ̳뤳ȡåפιֻդ̳뤳ȤʤɤǤ롣γؽ⡤ɾñ̤ʤɤʤǸˡΡUϡʤʡ˳ؽǤ롣ϡμԤΩˤ뤬ñ̤ɾͿʤΤǤ롣㤨Сؤιֱ䥷ݥ俦λ㸡Ƥ˽ʤ뤳ȤǤ롣4Ĥη֤γؽϡؽۤʤǻ٤Ƥ롣


ظǧոǤԹֽƥȡ١ʶǡˤ

̩ݻˤĤǤ롣

ʤǧդϥ饤̩ʤФʤʤΤ̩ʤäȤȡ饤Ȥϰ¿Ƹǧդ˿äȤǤʤޤ̩ʤΤǤСߤΥ饤ȤΤߤʤ餺ǧդˤɬפȤʤ͡⡤ƤޤȤ롣ʤȡٱɬפȤ͡ϹԤ줬ʤʤꡤȤɤͤ줿ˤʤäƤޤ줬롣

饤줿ǧդϳ餵ʤȤȤϡ͡Ū꤬¤졤¿ο͡ʡ뤳ȤǤ褦ˤ뤿ԲķʤΤǤ롣̩뤳ȤϡǧդҲФƻٱ󶡤뤳Ȥǽˤ뤿ˤʤƤϤʤʤԲķ礫ĺ¤ξǤ롣

̩ݻ㳰ˤĤǤ롣

1ΤǺäΡAϤδꡤ⤵꤬ΡBϤƤ

2ΡCʬȤФƿʴä뤪Τ۵޻

3ΡDϤ

4Υ饤ȤΥˡΡEϤäƤΡFƱΤä礦̼Υե

5ΡGϤˤ᤬

6ΡHϤˤʧԤ

7饤ȤʬȤ֤俴Ū˴ϢʤΡIˤä󵯤

8饤ȤˤŪʡΡJɽ

եɡ󥻥ΤζŪƤˤĤǤ롣

1ΡKϤơˡˤĤ

1˱ơˡ֡ڤŪɸϲ
2ˤαˡθ̤ȥꥹڤӤ餬뺬ϲ
3¾˲ǽˡȤ줾θ̤ȥꥹڤӡ¾ˡӤθ̤ʤɤΰ㤤ڤӤ餬뺬ϲ
4˸ǧդαԤʤΥꥹȱפϲ

2ΡLϤˤĤ

1̩ݻλȸ³ˤĤ
2ˤɤΤ褦ʾƤ¾ϳ餵롣Τ
3˵ϿˤïΤ

3ΡMϤˤĤ

1ѤȤλʧˡʥ󥻥뤷áŻҥ᡼Ǥ̤ʤɤξޤơˤϤɤΤ褦ˤФ褤Τ
2˥饤ȤѤʧʤä硤̼ϤɤΤ褦б뤫

4ΡNŪ¦̤ˤĤ

1˱λ֡ꡤ֤ˤĤ
2ͽɬפǤС饤ȤϤɤΤ褦ͽ򤹤Ф褤Τ
3˥饤Ȥͽ򥭥󥻥뤹ѹϤɤΤ褦ˤФ褤Τ
4ͽʳ˥饤Ȥ̼뤤ôθǧդϢ򤹤ɬפˤϤɤΤ褦ˤФ褤Τ

5ǧդΡΡOϤʤɤˤĤ

1˸ǧդηиʡŪΩʤɤˤĤ
2̼ˤεꡦޤꤴȤʤɤˤĤ

6ΡPϤʤɤˤĤ

1˥饤Ȥ𤬤䡤ԤƤ˸̤ʤˤϡ饤ȤϤɤΤ褦ˤɤ
2˥饤Ȥμ䡦ФƤϡ̼׾ȤϤĤǤ⤽Ȥ
3˥󥻥󥰡ʤʤɡˤϤĤǤߤ뤳ȤǤȤ



1̼ϡä䥤󥿡ͥåȡŻҥ᡼ǤοӥԤäƤ뤫ɤ
2ˡʥ饤ȤŪŤƤǤС̼ôդȤɤΤ褦ϢȤȤʤԤΤ

եɡ󥻥ȤνˤĤǤ롣

 饤ȤȤδ֤ǥեɡ󥻥Ȥ뤳Ȥϡ饤ȤθºŤΰˤĤβΤߤʤ餺Ф륯饤Ȥɾ, ŪФ륯饤Ȥ¥ʤȤƤ롣եɡ󥻥ȤϡŪˤ⿴Ūٱμ⡤ԲķǤʤΤǤ롣


ظǧոǤԹֽƥȡ١ʶǡˤ

ǧռȤŪǽϤϰˤƱԤȤΰյǤ롣

ǧդˤϡʬʶ鷱ˤäƽȤŪǽϤϰˤƱԤȤƤꡤϰϳλˤĤƤϡλˤĤŬڤбǤͤˡΡAϤʤФʤʤˡθ̤˴ؤ븦Ǥϡ饤Ȥ510%˾֤ΡΡBϤ뤳ȤƤ뤬ΡBϤ⤿餹װΰĤˡ¦Խʬʥ뤬󤲤Ƥ롣

ȤŪǽϤϰDZԤˤϡŪΤˡΡCϤԤʬȤбǤϰλʤΤ®ȽǤɬפ롣㤨С饤Ȥʬߤ򼨤Ƥ硤ϸǧդǤ뼫ʬбǤʤΤդбѤͤɬפΤΤĿ®ȽǤʤƤϤʤʤ

ΤǶؤбˤĤǤ롣

ΡDϰʸȽϡΡEϤˤȤɤޤ餺˵ԤȤʤͤѶŪˡΡFϤ뤳ȤƤ뤳Ȥ顤ݸ̳פȸƤФ褦ˤʤäƤ롣ޤ̿δȤǤϡΡGϤƱͤǤ뤿ᡤε̳ϸߤǤϡΡGϤˤĤƤŬѤ롣

ݸ̳ȯϡԴ֤̤ΡΡHϤ΢դ줿ط¸ߤˤơԤȤʤͤΡIϤǤ뤳ȡġΤΡJϤ¸ߤ롤ޤδΡKϤǤǤ뎡

ǤΥݥȤϭʤξϤǤꤵƤ뎡ˤȭǤ롣ȽǤϤưפǤϤʤǧդϡ˱ơΡLϤˤĤƤδ뤤ϡΡMϤˤĤƤδοŪȤԤΤƤȽǤϡǽŪ˾Ҥݸ̳Ԥɬפ롣äȤ⡤ݸ̳ϸǧդǤʤȤŬѤ롣ȤԤäΤʡΡNϤǧդˤϵ롣

¾翦طؤؤΥե (Ȳ񡦾Ҳ) ˤĤǤ롣

եϤǤᤤǽʸ¤λǹԤɬפ롣ᤤʳǤΥե˴ؤȽǤǽˤ뤿ˤϡΡOϤλˤŪΤʿŪȤԲķǤ롣Τ褦ˡ饤ȤȤ٤δԤäƤեʤФʤʤ⤢롣

ظǧոǤԹֽƥȡ١ʶǡˤ

ŪǤˤĤƳǤ롣

Ūʵ̳ǤϡΡAŪ̳⹭ϰϤˤ錄롣ޤҤΤ褦ˡΡBȡΡC¦̤뤳ȤƧޤǧդϡŪμäơѶŪ¾Ԥιʡʡ㡦ǫ˴Ϳ¾Ԥ˭뤳ȤǤ褦Ư뤳ȤɬפǤ롣

̩ݻˡŪ̩ݻΰ㤤Ǥ롣

ˡŪʰ̣ǤΡ̩פȤϡܿͤƤȹͤǤϤʤȤˡΡDϤΤˡŪݸоݤȤʤ̩פƤ롣Ūʡ̩ݻפȤϡ꤬ȤФƴʤΡEϤͭƤꡤΡΡEϤˤǤ΢ڤ뤳ȤΤʤ褦ïˤϳ餵ʤȤؤ (, 2006)ˤ̩ΡΡFϤˤĤƤȽǤޤޤʤŪ̩ݻˡŪ̩ݻΡGϤΤǤ롣

ǧդˡŪ̳ȿδطǤ롣

ˡŪ̳ȿŪǤϡ¾̤ˤƤɤʣȽǤ׵ᤵǤꡤñ˳ǰŪμͭƤǤбǤʤǧդϡŬڤȽǤȹưǤ褦鸦̤ơΡHϤȤˤĤʤФʤʤ


ظǧոǤԹֽƥȡ١ʶǡˤ

¿ϢȵڤϰϢȤˤٱΰյǤ롣

ǧդоݼԤο̤򰷤ΤǤϤʤоݼԤΡΡAϤݻʤ뤿ˡطʬȤϢȤɬԲķǤȤ롣

ŤˤĤǤ롣

Ź԰٤ȤʤäƼ缣ΰդȤϡŤδ⡤ʪҲǥδ⡤׿ٱºŤδ⡤缣ΰդμˤǧդΤºŤȤ̣ǡΡΡBϤ뤳Ȥ롣ʤΡBϤȤƤ⡤׿ٱԤοºŤ뤳ȤǤ롣

¿ϢȵڤϰϢȤɬפʶ̸ˤĤǤ롣

ˡƤ¿ϢȵڤϰϢȤŪΤ˹Ԥˤϡ̩ݻ̳ݤĤġϢʬδطԤȤξͭ򤹤ǤʤλǤΡΡCϤͭ뤳ȤפǤ롣Τˤζ̸ˤͭ礫ʤ

ΡCϤζͭˤꡤ缣ΰդμˤǧդζ̳ˤŬڤȿǤ,Ϣʬλٱ礬̤ä׿ٱԤΤˤʤ뤳ȤԤ뤫Ǥ롣


ظǧոǤԹֽƥȡ١ʶǡˤ

5ϡȳ§

ͽγƹΤ줫˳ԤϡΡA߰ʲΡΡBϤ˽褹롣

軰εˤǧդΡΡCϵڤӤ̾ˤ뿴դȤΡDϤλѤΡΡEϤ̿줿Ԥǡߤ̿줿ΡFˡǧդΡΡCϤѤϤ̾˿դȤΡDϤѤ

ͽ;ε˰ȿ

; ̳

ͽǧդϡζ̳ԤäƤϡΡΡAϤԤФݷšʡ㡢̩ܤʡΡBϤβǡΡCϤŬڤ󶡤褦󶡤Ԥ¾ΡΡDȤΡΡBϤݤʤФʤʤ

2ǧդϡζ̳Ԥäƿ˴ؤٱפԤˡΡEϻٱ˷ΡFϤΰդȤϡΡΡGϤʤФʤʤ

ȳ§ͭꡦ̵

ʬͭꡦ̵

軰ϡϿ

ΡAõڤӡΡBäϡǧդγƹΤ줫˳ˤϡϿΡCϡ

ΡDϾƹ͹ˤΤ줫˳˻ä

ΡEϡΡFϤλ¤˴ŤϿ

2ΡAϵڤӡΡBäϡǧդΡGϾΡHϾΡIϾΡJϹε˰ȿȤϡΡΡKϤäϡΡLϤƸǧդ̾εڤӤ̾ˤΡMϤȤʸλѤΡΡNϤ̿뤳ȤǤ롣

ϡ§

γƹΤ줫˳ԤϡǧդȤʤ뤳ȤǤʤ

졡ǯΡAΡB

󡡡ΡCϰʾη˽褻졢μԤ򽪤ꡢϼԤ뤳Ȥʤʤä鵯ơΡDǯвᤷʤ

ˡΧεꤽ¾ݷšʡ϶˴ؤˡΧεǤäΤˤꡢΡEϤη˽褻졢μԤ򽪤ꡢϼԤ뤳Ȥʤʤä鵯ơΡFǯвᤷʤ

͡軰εˤϿΡGϡΡΡHϤ鵯ơΡIǯвᤷʤ

ϡ§

ˡΧˤơָǧաפȤϡȬΡΡAϤǧդ̾ΤѤơݷšʡ㡢餽¾ʬˤơΡBϤ˴ؤŪΡCϵڤӡΡDϤäơ˷Ǥ԰٤ԤȤȤȤԤ򤤤

졡˴ؤٱפԤο֤ΡEϤΡΡFϤʬϤ뤳ȡ

󡡿˴ؤٱפԤФο˴ؤΡGϤ˱ΡHϡΡIϤ¾αԤȡ

˴ؤٱפԤΡΡJϤФΡΡGϤ˱ΡHϡΡIϤ¾αԤȡ

͡ΡKϤη򹯤˴ؤΡLϤڤޤ뤿ΡΡMϵڤӡΡNϤ󶡤Ԥȡ

ΥڡΥȥåץ

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