本文の中にウガンダでの応用の話がでている
文化も違い生活風習も違う人々にうまく合うようにどのように工夫するか
Local context と表現されているが
まさにそのような工夫が必要である
微細に見れば日本に生きていて苦しんでいる人も
かなりいろいろなLocal contxt を生きているように思う
その人達に適合させて微調整していくことが有効だと思う
An abbreviated form of IPT called interpersonal counseling (IPC) has also been developed and tested (Weissman & Klerman,1986).
A new adaptation,IPT-EST (evaluation, support, and triage), developed by Weissman and Verdeli, provides a three-session intervention based on the first phase of the standard IPT (diagnosis,identification of the interpersonal problem area, and management of depression). IPT-EST is designed to be followed by an assessment of the need for ongoing treatment. IPT-EST is currently being refined and tested.
その他に周辺のものとしては
イギリスのNHSに適合する形に整えて
PIT Psychodynamic Interpersonal Therapy とかいろいろなバリエーションがある
Dynamic Interpersonal Therapy (DIT)なんていうのもある
http://www.d-i-t.org/#
a simple short term (16 sessions)
easy to acquire, semi-structured
と説明されている
高級車に乗らなくても、スーパーに買い物にいくだけなら、燃費の良い車で、小さくて車庫入れしやすのいのが
いいじゃないですか、という気持ちだろうと思う
Differences between DIT & IPT なんていう記事もある
Dynamic Interpersonal Therapy (DIT) and Interpersonal Psychotherapy (IPT) have several common features but they are NOT the same therapy and the approaches draw on specific and distinct competencies.
DIT is a brief (16 session) psychodynamic psychotherapy developed for the treatment of mood disorders. It is being rolled out within IAPT services as the brief psychodynamic model for the treatment of depression specifically. IAPT follows NICE guidelines, although DIT itself isn't in the NICE guidelines. DIT is currently undergoing evaluation and its inclusion in the NICE guidelines will be conditional on the outcome of this evaluation. The DIT training is only open to therapists who have completed a psychodynamic psychotherapy or counselling training before undertaking DIT training. The British Psychoanalytic Council is accrediting the course.
IPT is an acute and a maintenance therapy, delivered over as few as eight sessions in IPT-brief and up to three years in IPT- maintenance. It has psychodynamic origins but takes an explicitly biopsychosocial approach to the treatment of depression, and it is NOT a psychodynamic therapy. It is evidence based and is recommended as a first line intervention in the NICE guidance. It will be offered within IAPT for the treatment of depression.
このIPTについての説明もどうかと思うが
NICEはこんな感じのもの http://www.nice.org.uk/
そのなかでうつはこんな感じ
CG90 Depression in adults: NICE guidance
CBTとマインドフルネスの比重が高い
ーーー
IPT is also different from simple interpersonal skills training. と本文で書いてあるが、
interpersonal skills trainingと思う人も多いということだろう。