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マルチファクター(多因子)の足がかりを求めて リハビリテーションにおける物語りの可能性

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EBM Evidence Based Medicine NBM Narrative Based Medicine

Narrative NBM EBM

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1 ―

EBM Evidence Based Medicine

Narrative

EBM

NBM

NBM Narrative Based Medicine EBM EBM NBM NBM EBM NBM EBM EBM EBM EBM

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EBM NBM story NBM― EBM― EBM NBM ●● ▲▲ ●● EBM NBM ○○ Albert Ellis

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NBM 2018 -1 …… NBM NBM 4 8) 8) 9) 9) NBM NBM

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10)

NBM

F One for All 11

E 12 EBM NBM EBM A 18 E 12 NBM 3 3 NBM 1) listening 2) emplotting 3)

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abduction 4)

negotiation and emergence of the new story 5)

assessment NBM (narrative competence) 1) 2) 3) 4) 4 4 NBM ―

(2017) 10(1). Greenhalgh T, Hurwitz B, eds(1998). Narrative based medicine Dialogue and discourse in clinical practice. BMJ Books, London (2001) (2010) - -1(1) pp.29-33. http://healthcommunication.jp/pdf/2010/dr.sa itou_P29-33.pdf ( :2019 1 5 ). (2003) (1989) . (2005) (NBM) (4246) pp.22-27. (2011) (2011) . (2008) − − (35) pp.45-58. 28 ( 27

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―, pp201-216. https://www.mhlw.go.jp/wp/hakusyo/kousei/

16/ ( 2019 2 3 ).

Frans de Waal (2014).One for all,

SCIENTIFIC AMERICAN September 2014. SCIENTIFIC AMERICAN

pp.12-15

Ernst Fehr / Suzann-Viola Renninger (2004). The Samaritan Paradox

SCIENTIFIC AMERICAN MIND December 2004.

SCIENTIFIC AMERICAN pp17-23

Abstract

What is a patient’s factor?

Possibility of multi interaction to a person’s narrative

Makoto Saito. OTR1) Narrative has one of the possibility to see a whole of person and understand one’s circumstances. Evidence-Based-Medicine(EBM) and Narrative-Base-Medicine(NBM) complement each other without biased each single factor of being illness. Professionals of rehabilitation can utilize manual interventions as a tool of dialogue to practice narrative approach. Rehabilitation should be creating to new narrative in such a process. I will explain about narrative which the professionals are needed in 21th century.

Key words: Narrative,NBM,EBM,Narrative competence,Multifactor

150-0013 1-15-9 403

International Association of Integrated Rehabilitation(Head Office Room403 Silk Ebisu,9-15-1 Ebisu Shibuya-Ward Tokyo, 1500013 Japan)

参照

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