SANDPLAY THERAPY WITH A CHILD WITH END-STAGE RENAL DISEASE
AND KIDNEY TRANSPLANT
Journal of Sandplay Therapy, Volume 6, Number 1, 1997
Michiko Akimoto, Masataka Honda, Isao Fukinishi and Hiroko Kudo
Tokyo, Japan
KEYWORDS: Sandplay therapy, organ transplant, CAPD (continuous ambulatory peritoneal dialysis), end-stage renal disease, child, adolescence.
ABSTRACT: In children receiving special medical care such as organ transplantation, separation anxiety manifests more often than with medically healthy children, which affects mother-child relationship. In this article the authors describe the treatment of an adolescent with end-stage renal disease who had been maintained on CAPD (continuous ambulatory peritoneal dialysis) until a kidney was available for transplant. Sandplay therapy began five years after the transplant when the patient was hospitalized for psychogenic pain, and five sandtrays were made. The authors suggest that sandplay therapy may benefit children/adolescents who have had an organ transplant and recommend further study of sandplay therapy with this population.
IN JAPANESE
SANDPLAY THERAPY WITH A CHILD WITH END-STAGE RENAL DISEASE
AND KIDNEY TRANSPLANT
Journal of Sandplay Therapy, Volume 6, Number 1, 1997
Michiko Akimoto, Masataka Honda, Isao Fukinishi and Hiroko Kudo
Tokyo, Japan
キーワード：箱庭療法、臓器移植、持続携行式腹膜透析、末期腎疾患、子ども、思春期
抄録: 臓器移植のような特殊な医療を受けている子どもでは、医学的に健康な小児よりも分離不安が現れやすく、母子関係が影響を受ける。本論文で著者らは、腎移植が可能になるまでCAPD（持続的外来腹膜透析）が維持されていた末期腎疾患の思春期の子どもの治療について述べる。箱庭療法は、移植から5年後、患児が心因性疼痛のために入院したときに開始され、5個の箱庭が作成された。箱庭療法が臓器移植を受けた小児/青年に有益である可能性を示唆され、この集団に対する箱庭療法についてさらなる研究が行われることが勧められる。