コヒーレンス療法とは？わかりやすく解説

コヒーレンス療法（コヒーレンスりょうほう、Coherence therapy）は、気分、思考、行動の症状は、その人が現在持っているメンタルモデルに応じて首尾一貫して生み出されるという理論に基づいた心理療法^[1]。

1990年代に、ブルース・エッカーとローレル・ハリーによって設立された^[2]。最も評価の高いポストモダン/構成主義療法の一つ^[3]。

概要

コヒーレンス療法の基本は症状の一貫性という原理である。これは、心身システムのあらゆる反応が個人の構成概念（スキーマ）の表現であるという見方である。

症状の一貫性の原理によれば、個人の一見非合理的で制御不能な症状は、実際には障害や病理ではなく、その人の自己と世界に対する既存の構成概念の合理的で秩序ある表現である ^[4]。

コヒーレンス療法は心理的構成主義の一種である。体験的なアプローチを取り、ゲシュタルト療法、フォーカシング療法、ハコミ療法に似ている。目的は、望まない症状を生み出す無意識の個人的構成概念（複合体や自我状態に類似）を直接的、感情的に体験し、それらを自然に修正または解消することで症状を除去することである。

脚注

^ Aside from the publications of Bruce Ecker and Laurel Hulley, who created coherence therapy (e.g., Ecker & Hulley 1996), applications, trials, and summaries of coherence therapy can be found in: Neimeyer & Bridges 2003; Neimeyer 2009; Neimeyer 2010, pp. 52–61; Leitner & Lonoff 2010; Rice, Neimeyer & Taylor 2011; Raskin 2012, p. 122; Welling 2012; Voss 2014; Christopher, Gable & Goodman 2015, pp. 426–427; Bridges 2016
^ Ecker & Hulley 1996
^ Neimeyer & Bridges 2003, p. 290; Neimeyer 2009, p. 89
^ Ecker & Hulley 1996; Ecker & Hulley 2000

出典

心理療法の文献

Bridges, Sara K (2016). “Coherence therapy: the roots of problems and the transformation of old solutions”. In Tinsley, Howard E A; Lease, Suzanne H; Wiersma, Noelle S. Contemporary theory and practice in counseling and psychotherapy. Los Angeles: SAGE Publications. pp. 353–380. ISBN 9781452286518. OCLC 894301742
Christopher, John Chambers; Gable, Samuel C; Goodman, David M (2015). “Theoretical bases of psychotherapeutic practices”. In Martin, Jack; Sugarman, Jeff; Slaney, Kathleen L. The Wiley handbook of theoretical and philosophical psychology: methods, approaches, and new directions for social sciences. Hoboken, NJ: Wiley-Blackwell. pp. 424–440. doi:10.1002/9781118748213.ch27. ISBN 9781118748336. OCLC 891126188
Ecker, Bruce (2000). “Depth oriented brief therapy: accelerated accessing of the coherent unconscious”. In Carlson, Jon; Sperry, Len. Brief therapy with individuals and couples. Phoenix, Ariz.: Zeig Tucker & Theisen. pp. 161–190. ISBN 9781891944437. OCLC 43599225
Ecker, Bruce (January 2015). “Memory reconsolidation understood and misunderstood”. International Journal of Neuropsychotherapy 3 (1): 2–46. doi:10.12744/ijnpt.2015.0002-0046.
Ecker, Bruce; Hulley, Laurel (1996). Depth-oriented brief therapy: how to be brief when you were trained to be deep—and vice versa. San Francisco: Jossey-Bass. ISBN 9780787901523. OCLC 32465258
Ecker, Bruce; Hulley, Laurel (2000). “The order in clinical 'disorder': symptom coherence in depth-oriented brief therapy”. In Neimeyer, Robert A; Raskin, Jonathan D. Constructions of disorder: meaning-making frameworks for psychotherapy. Washington, DC: American Psychological Association. pp. 63–89. ISBN 9781557986290. OCLC 42009389
Ecker, Bruce; Ticic, Robin; Hulley, Laurel (2012). Unlocking the emotional brain: eliminating symptoms at their roots using memory reconsolidation. New York; London: Routledge. ISBN 9780203804377. OCLC 772112300
Ecker, Bruce; Toomey, Brian (February 2008). “Depotentiation of symptom-producing implicit memory in coherence therapy”. Journal of Constructivist Psychology 21 (2): 87–150. doi:10.1080/10720530701853685.
Frankel, Ze'ev; Levitt, Heidi M (September 2006). “Postmodern strategies for working with resistance: problem resolution or self-revolution?”. Journal of Constructivist Psychology 19 (3): 219–250. doi:10.1080/13854040600689141.
Lane, Richard D.; Ryan, Lee; Nadel, Lynn; Greenberg, Leslie S (2015). “Memory reconsolidation, emotional arousal and the process of change in psychotherapy: new insights from brain science”. Behavioral and Brain Sciences 38: e1. doi:10.1017/S0140525X14000041. PMID 24827452.
Leitner, Larry M; Lonoff, Julie R (2010). “Constructivist psychotherapy”. In Weiner, Irving B; Craighead, W Edward. The Corsini encyclopedia of psychology (4th ed.). Hoboken, NJ: John Wiley & Sons. doi:10.1002/9780470479216.corpsy0222. ISBN 9780470170243. OCLC 429227903
Neimeyer, Robert A (2009). Constructivist psychotherapy: distinctive features. The CBT distinctive features series. London; New York: Routledge. ISBN 9780415442343. OCLC 237402656
Neimeyer, Robert A (January 2010). “Symptoms and significance: constructivist contributions to the treatment of performance anxiety”. Journal of Constructivist Psychology 23 (1): 42–64. doi:10.1080/10720530903400988.
Neimeyer, Robert A; Bridges, Sara K (2003). “Postmodern approaches to psychotherapy”. In Gurman, Alan S; Messer, Stanley B. Essential psychotherapies: theory and practice (2nd ed.). New York: Guilford Press. pp. 272–316. ISBN 9781572307667. OCLC 51728692
Raskin, Jonathan D (May 2012). “Evolutionary constructivism and humanistic psychology”. Journal of Theoretical and Philosophical Psychology 32 (2): 119–133. doi:10.1037/a0025158.
Rice, Kenneth G; Neimeyer, Greg J; Taylor, Jennifer M (December 2011). “Efficacy of coherence therapy in the treatment of procrastination and perfectionism”. Counseling Outcome Research and Evaluation 2 (2): 126–136. doi:10.1177/2150137811417975.
Toomey, Brian; Ecker, Bruce (July 2007). “Of neurons and knowings: constructivism, coherence psychology, and their neurodynamic substrates”. Journal of Constructivist Psychology 20 (3): 201–245. doi:10.1080/10720530701347860.
Toomey, Brian; Ecker, Bruce (March 2009). “Competing visions of the implications of neuroscience for psychotherapy”. Journal of Constructivist Psychology 22 (2): 95–140. doi:10.1080/10720530802675748.
Voss, Jami C (July 2014). “Connecting constructivism and brain science: a review of 'Unlocking the emotional brain: eliminating symptoms at their roots using memory reconsolidation' by Bruce Ecker, Robin Ticic, and Laurel Hulley”. Journal of Constructivist Psychology 27 (3): 236–240. doi:10.1080/10720537.2013.792756.
Welling, Hans (June 2012). “Transformative emotional sequence: towards a common principle of change”. Journal of Psychotherapy Integration 22 (2): 109–136. doi:10.1037/a0027786. http://www.integra.pt/textos/tes.pdf.

神経科学の文献

Duvarci, Sevil; Nader, Karim (2004). “Characterization of fear memory reconsolidation”. Journal of Neuroscience 24 (42): 9269–9275. doi:10.1523/JNEUROSCI.2971-04.2004. PMC 6730081. PMID 15496662.
Forcato, Cecilia; Argibay, Pablo F; Pedreira, María E; Maldonado, Héctor (January 2009). “Human reconsolidation does not always occur when a memory is retrieved: the relevance of the reminder structure”. Neurobiology of Learning and Memory 91 (1): 50–57. doi:10.1016/j.nlm.2008.09.011. PMID 18854218.
Forcato, Cecilia; Burgos, Valeria L; Argibay, Pablo F; Molina, Victor A; Pedreira, María E; Maldonado, Héctor (2007). “Reconsolidation of declarative memory in humans”. Learning & Memory 14 (4): 295–303. doi:10.1101/lm.486107. PMC 2216535. PMID 17522018.
Forcato, Cecilia; Rodríguez, María LC; Pedreira, María E; Maldonado, Héctor (January 2010). “Reconsolidation in humans opens up declarative memory to the entrance of new information”. Neurobiology of Learning and Memory 93 (1): 77–84. doi:10.1016/j.nlm.2009.08.006. PMID 19703575.
Hupbach, Almut; Gomez, Rebecca; Hardt, Oliver; Nadel, Lynn (2007). “Reconsolidation of episodic memories: a subtle reminder triggers integration of new information”. Learning & Memory 14 (1–2): 47–53. doi:10.1101/lm.365707. PMC 1838545. PMID 17202429.
Hupbach, Almut; Gomez, Rebecca; Nadel, Lynn (2009). “Episodic memory reconsolidation: updating or source confusion?”. Memory 17 (5): 502–510. doi:10.1080/09658210902882399. PMID 19468955.
Myers, Karyn M; Davis, Michael (14 November 2002). “Behavioral and neural analysis of extinction”. Neuron 36 (4): 567–584. doi:10.1016/S0896-6273(02)01064-4. PMID 12441048.
Nader, Karim; Schafe, Glenn E; Le Doux, Joseph E (17 August 2000). “Fear memories require protein synthesis in the amygdala for reconsolidation after retrieval”. Nature 406 (6797): 722–726. Bibcode: 2000Natur.406..722N. doi:10.1038/35021052. PMID 10963596.
Sevenster, Dieuwke; Beckers, Tom; Kindt, Merel (2012). “Retrieval per se is not sufficient to trigger reconsolidation of human fear memory”. Neurobiology of Learning and Memory 97 (3): 338–345. doi:10.1016/j.nlm.2012.01.009. PMID 22406658.
Walker, Matthew P; Brakefield, Tiffany; Hobson, J Allan; Stickgold, Robert (9 October 2003). “Dissociable stages of human memory consolidation and reconsolidation”. Nature 425 (6958): 616–620. Bibcode: 2003Natur.425..616W. doi:10.1038/nature01930. PMID 14534587.
Winters, Boyer D; Tucci, Mark C; DaCosta-Furtado, Melynda (2009). “Older and stronger object memories are selectively destabilized by reactivation in the presence of new information”. Learning & Memory 16 (9): 545–553. doi:10.1101/lm.1509909. PMID 19713353.

外部リンク

CoherenceTherapy.org — Coherence Therapy (Depth Oriented Brief Therapy)

[1] Aside from the publications of Bruce Ecker and Laurel Hulley, who created coherence therapy (e.g., Ecker & Hulley 1996), applications, trials, and summaries of coherence therapy can be found in: Neimeyer & Bridges 2003; Neimeyer 2009; Neimeyer 2010, pp. 52–61; Leitner & Lonoff 2010; Rice, Neimeyer & Taylor 2011; Raskin 2012, p. 122; Welling 2012; Voss 2014; Christopher, Gable & Goodman 2015, pp. 426–427; Bridges 2016

[2] Ecker & Hulley 1996

[3] Neimeyer & Bridges 2003, p. 290; Neimeyer 2009, p. 89

[Ecker-Hulley-4] Ecker & Hulley 1996; Ecker & Hulley 2000

[1]

[2]

[3]

[4]

コヒーレンス療法とは？わかりやすく解説

コヒーレンス療法

概要

関連項目

脚注

出典

心理療法の文献

神経科学の文献

外部リンク

「コヒーレンス療法」の関連用語

コヒーレンス療法とは？ わかりやすく解説

コヒーレンス療法

概要

関連項目

脚注

出典

心理療法の文献

神経科学の文献

外部リンク

急上昇のことば

「コヒーレンス療法」の関連用語

コヒーレンス療法とは？わかりやすく解説