韓國人 成人 精神科 患者에 對한 모래 상자놀이 療法의 試驗的 適用

A Trial of Sandplay Therapy for the Korean Adult Psychiatric Patients

Sandplay which has been developed by Dora Kalff was introduced to the Day Care Clinic of Seoul National University Hospital in Dec. 1983.0ne of the authors and 3 psychiatric residents have applied this technique for 5 adult schizophrenic patients who were between 20’s and 30’s of their age consisting of one male and four female patients. The authors analized the pictures created by the patients from the viewpoint of analytical psychology and observed some aspects of the therapeutic pro cess. The contents of pictures seemed to be largely derived from the personal unconscious or the subconscious,and even the conscious spheres.Though abstract expression was rarely found, the motifs of the psychic opposites and of the discrimination were frequently seen and a certain patterns of stepwise psychic development as well. One male patient began to use the toys of the sandply as the object of his delusionjal projections and it was so disturbing that the therapist had to discontinue the therapy. It was suggested that for the reconstruction of the delusional world of the patient the active intervention of the therapist in the play may be more helpful than the passive accepting attitude. The equipments of sandplay show various cultural characteristics, however, the patients used the objects according to their own imagination regar diess of the cultural characteristics of them. For our experience of this therapy is still insufficient, no definite conclusion for the effectiveness of the therapy can be made, but some patients were quite enthusiastic witfi this imaginative work.