{"id":1791,"date":"2018-03-17T07:31:06","date_gmt":"2018-03-16T22:31:06","guid":{"rendered":"http:\/\/chienowa.org\/?p=1791"},"modified":"2018-03-18T09:43:05","modified_gmt":"2018-03-18T00:43:05","slug":"%e6%96%87%e5%8c%96%e3%80%81%e6%ad%b4%e5%8f%b2%e3%80%81%e3%82%b8%e3%82%a7%e3%83%b3%e3%83%80%e3%83%bc%e3%81%ae%e5%95%8f%e9%a1%8c%ef%bc%88%e7%ac%ac6%e3%81%ae%e5%9f%ba%e6%9c%ac%e5%8e%9f%e7%90%86%ef%bc%89","status":"publish","type":"post","link":"https:\/\/chienowa.org\/?p=1791","title":{"rendered":"\u6587\u5316\u3001\u6b74\u53f2\u3001\u30b8\u30a7\u30f3\u30c0\u30fc\u306e\u554f\u984c\uff08\u7b2c6\u306e\u57fa\u672c\u539f\u7406\uff09\u30fc\u30c8\u30e9\u30a6\u30de\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30a2\u30d7\u30ed\u30fc\u30c1\u5165\u95805\u22125"},"content":{"rendered":"<div style=\"border: 2px solid #cccccc; padding: 10px;\">\n<ol>\n<li><a href=\"http:\/\/chienowa.org\/?p=1361\">\u5b89\u5168<\/a><\/li>\n<li><a href=\"http:\/\/chienowa.org\/?p=1369\">\u4fe1\u983c\u6027\u3068\u900f\u660e\u6027<\/a><\/li>\n<li><a href=\"http:\/\/chienowa.org\/?p=1573\">\u30d4\u30a2\u30b5\u30dd\u30fc\u30c8<\/a><\/li>\n<li><a href=\"http:\/\/chienowa.org\/?p=1573\">\u5354\u50cd\u3068\u76f8\u4e92\u6027<\/a><\/li>\n<li><a href=\"http:\/\/chienowa.org\/?p=1699\">\u30a8\u30f3\u30d1\u30ef\u30e1\u30f3\u30c8\u3001\u4e3b\u5f35\u3001\u9078\u629e<\/a><\/li>\n<li><strong>\u6587\u5316\u3001\u6b74\u53f2\u3001\u30b8\u30a7\u30f3\u30c0\u30fc\u306e\u554f\u984c<\/strong><\/li>\n<\/ol>\n<\/div>\n<p>\u3053\u306e\u793e\u4f1a\u306b\u306f\u3001\u3044\u308d\u3044\u308d\u306a\u5dee\u5225\u30fb\u504f\u898b\u304c\u3042\u308a\u307e\u3059\u3002SAMHSA\u306e\u30ac\u30a4\u30c0\u30f3\u30b9( <a href=\"https:\/\/www.health.ny.gov\/health_care\/medicaid\/program\/medicaid_health_homes\/docs\/samhsa_trauma_concept_paper.pdf\">PDF<\/a> )\u306b\u306f<\/p>\n<ul>\n<li>\u5916\u56fd\u4eba\u3084\u5148\u4f4f\u6c11\u3001\u5c11\u6570\u6c11\u65cf\u306b\u5bfe\u3059\u308b\u5dee\u5225<\/li>\n<li>\u5973\u6027\u3084LGBT\u306b\u5bfe\u3059\u308b\u5dee\u5225<\/li>\n<li>\u9ad8\u9f62\u8005\u3078\u306e\u5dee\u5225\uff08\u30a8\u30a4\u30b8\u30ba\u30e0\uff09<\/li>\n<li>\u5b97\u6559\u3078\u306e\u504f\u898b<\/li>\n<li>\u5730\u57df\u306b\u5bfe\u3059\u308b\u504f\u898b\u3068\u5dee\u5225<\/li>\n<\/ul>\n<p>\u304c\u6319\u3052\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u4ed6\u306b\u3082\u3042\u308b\u3067\u3057\u3087\u3046\u3002\u79c1\u305f\u3061\u3068\u3057\u3066\u306f\u3001\u5dee\u5225\u3055\u308c\u308b\u30de\u30a4\u30ce\u30ea\u30c6\u30a3\u306e\u30ea\u30b9\u30c8\u306b\u5c11\u306a\u304f\u3068\u3082\u969c\u5bb3\u8005\u3001\u5b50\u3069\u3082( <a href=\"#note2\">\u6ce81<\/a> )\u3092\u4ed8\u3051\u52a0\u3048\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<p>\u30c8\u30e9\u30a6\u30de\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30a2\u30d7\u30ed\u30fc\u30c1(TIA)\u306f\u305d\u306e\u3088\u3046\u306a\u5dee\u5225\u504f\u898b\u3068\u624b\u3092\u5207\u308a\u3001\u5dee\u5225\u3055\u308c\u308b\u30de\u30a4\u30ce\u30ea\u30c6\u30a3\u306e\u5074\u306b\u7acb\u3061\u3001\u305d\u306e\u6587\u5316\u3092\u5c0a\u91cd\u3057\u307e\u3059\u3002<\/p>\n<h2>\u30c8\u30e9\u30a6\u30de\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30a2\u30d7\u30ed\u30fc\u30c1\u3068\u30c8\u30e9\u30a6\u30de\u306e\u793e\u4f1a\u30e2\u30c7\u30eb<\/h2>\n<p>\u30de\u30a4\u30ce\u30ea\u30c6\u30a3\u306e\u5074\u306b\u7acb\u3061\u3001\u6587\u5316\u3001\u6b74\u53f2\u3001\u30b8\u30a7\u30f3\u30c0\u30fc\u306e\u554f\u984c\u306b\u53d6\u308a\u7d44\u3080\u3053\u3068\u304c\u3001TIA\u306b\u3068\u3063\u3066\u306a\u305c\u91cd\u8981\u306a\u306e\u3067\u3057\u3087\u3046\u304b\u3002<\/p>\n<p>\u30de\u30a4\u30ce\u30ea\u30c6\u30a3\u306b\u5c5e\u3059\u308b\u500b\u4eba\u306f\u5bfe\u4eba\u66b4\u529b\u306b\u906d\u3044\u3084\u3059\u3044\u3001\u3068\u3044\u3046\u3060\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u305d\u306e\u7406\u7531\u3092\u77e5\u308b\u306b\u306f\u6539\u3081\u3066\u30c8\u30e9\u30a6\u30de\u306b\u3064\u3044\u3066\u8003\u3048\u308b\u3053\u3068\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n<p>TIA\u3067\u306f\u30c8\u30e9\u30a6\u30de\u306e\u539f\u56e0\u3068\u306a\u308b\u51fa\u6765\u4e8b\u306b\u95a2\u9023\u3059\u308b<strong>\u529b\uff08power\uff09<\/strong>\u3092\u91cd\u8996\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<blockquote><p><span style=\"font-size: 12pt;\">Event(\u51fa\u6765\u4e8b)\u306b\u3064\u3044\u3066\u3001\u305f\u3068\u3048\u3070DSM5\u3067\u306f\u3001<strong>\u6b7b\u50b7\u4e8b\u6545\u3084\u6027\u66b4\u529b\u3092\u76f4\u63a5\u4f53\u9a13\u3059\u308b\u304b\u76ee\u6483\u3059\u308b<\/strong>\u3001\u3068\u51fa\u6765\u4e8b\u306e\u6027\u8cea\u3092\u8a18\u8ff0\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u3053\u3053\u3067\u306f\u305d\u308c\u3088\u308a\u3080\u3057\u308d\u51fa\u6765\u4e8b\u306b\u542b\u307e\u308c\u308b<strong>\u529b\u306e\u5dee(power differential)<\/strong>\u3092\u91cd\u8996\u3057\u3066\u3044\u307e\u3059\u3002\u5b50\u3069\u3082\u8650\u5f85\u306f\u8a00\u3046\u307e\u3067\u3082\u306a\u304f\u5927\u4eba\u3068\u5b50\u3069\u3082\u306e\u5727\u5012\u7684\u306a\u529b\u306e\u5dee\u304c\u80cc\u666f\u306b\u3042\u308a\u307e\u3059\u3002\u305d\u308c\u306f\u4ed6\u306e\u5bfe\u4eba\u66b4\u529b\u3001\u6027\u66b4\u529b\u3084\u30d1\u30ef\u30cf\u30e9\u306b\u3082\u8a00\u3048\u307e\u3059\u3002\u81ea\u7136\u707d\u5bb3\u306e\u5834\u5408\u306b\u306f\u3001\u81ea\u7136vs\u4eba\u9593\u3068\u3044\u3046\u529b\u306e\u5dee\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\n<p><span style=\"font-size: 12pt;\">\u51fa\u6765\u4e8b\u3092\u4f53\u9a13\u3057\u305f\u8005\u304c<strong>\u7121\u529b\u611f<\/strong>\u3092\u899a\u3048\u308b\u306e\u306f\u3053\u306e\u305f\u3081\u3067\u3059\u3002\u305d\u3057\u3066<strong>\u7406\u4e0d\u5c3d\u3055\u3084\u6065\u8fb1\u3001\u4fe1\u983c\u3092\u88cf\u5207\u3089\u308c\u305f\u6c17\u6301\u3061\u3001\u300c\u81ea\u5206\u304c\u60aa\u3044\u300d\u3068\u3044\u3046\u7f6a\u60aa\u611f<\/strong>\u3092\u6301\u3061\u307e\u3059\u3002\u3053\u306e\u3053\u3068\u304c\u5f8c\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3059\u3053\u3068\u306f\u8a00\u3046\u307e\u3067\u3082\u3042\u308a\u307e\u305b\u3093\u3002\u3053\u306e\u3088\u3046\u306b<strong>\u529b(power)\u306b\u6ce8\u76ee\u3059\u308b\u3053\u3068\u304c\u30c8\u30e9\u30a6\u30de\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30a2\u30d7\u30ed\u30fc\u30c1\u306e\u57fa\u672c<\/strong>\u3067\u3059\u3002<\/span><\/p>\n<p style=\"text-align: right;\"><a href=\"http:\/\/chienowa.org\/?p=985\"><span style=\"font-size: 12pt;\">3\u3064\u306eE(\u30c8\u30e9\u30a6\u30de\u3068\u306f\u4f55\u304b?)<\/span><\/a><\/p>\n<\/blockquote>\n<p>\u3053\u306e<strong>\u529b<\/strong>\u306f\u3001\u88ab\u5bb3\u8005\u3001\u30b5\u30d0\u30a4\u30d0\u30fc\u3068\u3044\u3046\u500b\u4eba\u3092\u8972\u3044\u3001\u30c8\u30e9\u30a6\u30de\u3068\u3044\u3046\u523b\u5370\u3092\u6b8b\u3057\u307e\u3059\u304c\u3001\u672c\u6765\u306f\u793e\u4f1a\u7684\u306a\u3082\u306e\u3067\u3059\u3002<\/p>\n<p>\u30d1\u30ef\u30cf\u30e9\u306e\u5834\u5408\u306e\u3088\u3046\u306b\u7d44\u7e54\u5185\u306e\u529b\u95a2\u4fc2\u304b\u3089\u3001\u5973\u6027\u3084LGBT\u306b\u5bfe\u3059\u308b\u6027\u66b4\u529b\u306e\u3088\u3046\u306b\u6b74\u53f2\u3084\u6587\u5316\u306b\u6839\u3056\u3057\u305f\u529b\u95a2\u4fc2\u307e\u3067\u3001\u591a\u69d8\u3067\u306f\u3042\u308b\u3082\u306e\u306e\u3001\u529b\u95a2\u4fc2\u306f\u793e\u4f1a\u7684\u306b\u751f\u3058\u305f\u3082\u306e\u3067\u3059\u3002<\/p>\n<p>\u305d\u308c\u3086\u3048\u3001\u30c8\u30e9\u30a6\u30de\u3092\u793e\u4f1a\u7684\u306b\u7406\u89e3\u3059\u308b\u3053\u3068\u304c\u5fc5\u8981\u3067\u3059\u3002\u3053\u308c\u3092\u300c<b>\u30c8\u30e9\u30a6\u30de\u306e\u793e\u4f1a\u30e2\u30c7\u30eb<\/b>\u300d\u30fc\u300c\u969c\u5bb3\u306e\u793e\u4f1a\u30e2\u30c7\u30eb\u300d\u306b\u547c\u5fdc\u3057\u3066\uff08 <a href=\"#note1\">\u6ce82<\/a> \uff09\u30fc\u3068\u547c\u3073\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<p>\u3053\u306e\u3068\u304d\u306b\u91cd\u8981\u306a\u306e\u304c<strong>\u6b74\u53f2\u7684\u30c8\u30e9\u30a6\u30de<\/strong>\uff08historical trauma\uff09\u3068\u3044\u3046\u8003\u3048\u65b9\u3067\u3059\u3002<strong>\u96c6\u56e3\u7684\u30c8\u30e9\u30a6\u30de<\/strong>\uff08collective trauma\uff09\u3001<strong>\u7d99\u4ee3\u7684<\/strong><strong>\u30c8\u30e9\u30a6\u30de<\/strong>(\u4e16\u4ee3\u3092\u8d85\u3048\u3066\u4f1d\u308f\u3063\u3066\u3044\u304f\u30c8\u30e9\u30a6\u30de =\u00a0 transgenerational trauma)\u3068\u3044\u3046\u8a00\u8449\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<h2>\u6b74\u53f2\u7684\u30c8\u30e9\u30a6\u30de<\/h2>\n<p><strong>\u30de\u30a4\u30ce\u30ea\u30c6\u30a3\u3078\u306e\u652f\u914d\u30fb\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u30fb\u66b4\u529b\u3001\u3053\u308c\u304c\u69d8\u3005\u306a\u56de\u8def\u3067\u4e16\u4ee3\u3092\u8d85\u3048\u3066\u4f1d\u308f\u3063\u3066\u884c\u304f\u3053\u3068\u3092\u6b74\u53f2\u7684\u30c8\u30e9\u30a6\u30de\u3068\u8a00\u3044\u307e\u3059\u3002<\/strong><\/p>\n<p>\u4f8b\u3092\u6319\u3052\u308b\u3068\u3001\u5916\u56fd\u4eba\uff08\u65e5\u672c\u306b\u304a\u3044\u3066\u306f\u7279\u306b\u5728\u65e5\u30b3\u30ea\u30a2\u30f3\uff09\u3001LGBT\u3001\u969c\u5bb3\u8005\u3001\u5b50\u3069\u3082\u3001\u3053\u308c\u3089\u306e\u4eba\u3005\u306f\u30c8\u30e9\u30a6\u30de\u4f53\u9a13\u3092\u6301\u3061\u3084\u3059\u3044\u3053\u3068\u306f\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u30de\u30a4\u30ce\u30ea\u30c6\u30a3\u7279\u6027\u3092\u8907\u6570\u6301\u3064\u4eba\u305f\u3061\u3001\u305f\u3068\u3048\u3070\u5916\u56fd\u4eba\u5973\u6027\u969c\u5bb3\u8005\u306f\u3055\u3089\u306b\u8907\u96d1\u3067\u5927\u304d\u306a\u30d1\u30ef\u30fc\u306e\u4e0b\u306b\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u56f3\u3067\u8868\u3057\u3066\u307f\u307e\u3059\u3002<\/p>\n<p>\u6b21\u56de\u306f\u3053\u306e\u56f3\u3001\u7279\u306b\u30c8\u30e9\u30a6\u30de\u306e\u4e16\u4ee3\u9593\u4f1d\u9054\u306b\u3064\u3044\u3066\u304a\u8a71\u3057\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2018\/02\/01e20b05948409296d32314122ce234d.jpg\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"1798\" data-permalink=\"https:\/\/chienowa.org\/?attachment_id=1798\" data-orig-file=\"https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2018\/02\/01e20b05948409296d32314122ce234d.jpg?fit=720%2C540&amp;ssl=1\" data-orig-size=\"720,540\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"\u30b9\u30e9\u30a4\u30c8\u30993\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2018\/02\/01e20b05948409296d32314122ce234d.jpg?fit=300%2C225&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2018\/02\/01e20b05948409296d32314122ce234d.jpg?fit=720%2C540&amp;ssl=1\" class=\"aligncenter size-full wp-image-1798\" src=\"https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2018\/02\/01e20b05948409296d32314122ce234d.jpg?resize=720%2C540\" alt=\"\" width=\"720\" height=\"540\" srcset=\"https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2018\/02\/01e20b05948409296d32314122ce234d.jpg?w=720&amp;ssl=1 720w, https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2018\/02\/01e20b05948409296d32314122ce234d.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/chienowa.org\/wp-content\/uploads\/2018\/02\/01e20b05948409296d32314122ce234d.jpg?resize=400%2C300&amp;ssl=1 400w\" sizes=\"auto, (max-width: 720px) 100vw, 720px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><a id=\"note2\"><\/a>\u6ce81<\/p>\n<p>\u5b50\u3069\u3082\u5dee\u5225\u306f\u805e\u304d\u6163\u308c\u306a\u3044\u8a00\u8449\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u969c\u5bb3\u8005\u5dee\u5225\u3092\u6307\u3059disablism\u3068\u3044\u3046\u8a9e\u304c\u3042\u308b\u3088\u3046\u306b\u3001\u5b50\u3069\u3082\u5dee\u5225\u3092\u6307\u3059childism\u3068\u3044\u3046\u8a9e\u304c\u3042\u308a\u307e\u3059\u3002\u6a29\u5229\u3092\u4fb5\u5bb3\u3055\u308c\u3084\u3059\u3044\u30de\u30a4\u30ce\u30ea\u30c6\u30a3\u3068\u3057\u3066\u5b50\u3069\u3082\u3092\u898b\u308b\u8996\u70b9\u304c\u5fc5\u8981\u3067\u3059\u3002\u305d\u306e\u610f\u5473\u3067\u3001\u5b50\u3069\u3082\u6a29\u5229\u6761\u7d04\u306f\u969c\u5bb3\u8005\u6a29\u5229\u6761\u7d04\u306b\u52dd\u308b\u3068\u3082\u52a3\u3089\u305a\u91cd\u8981\u3067\u3059\u3002<\/p>\n<p><a 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