Tetsuji Miyazaki    Department   Kawasaki Medical School  Kawasaki Medical School, Department of Psychiatry,    Position   Assistant Professor
Article types	症例報告
Language	Japanese
Peer review	Peer reviewed
Title	Efficacy of In-patient Treatment Using Imaginal Exposure and Kendo Swinging Practice for Obsessive-Compulsive Disorder with the Cardinal Symptom of an Obsession : A Case Study
Journal	Formal name：Japanese Journal of Behavioral and Cognitive Therapies
Domestic / Foregin	Domestic
Volume, Issue, Page	pp.33-45
Author and coauthor	Tetsuji Miyazaki
Authorship	Lead author
Publication date	2021/01
Summary	This article reports a case study in which intensive imaginal exposure was provided to an in-patient in his early 40s having obsessive-compulsive disorder with the cardinal symptom of an obsession. At first, the patient had an image of being attacked by the aura of a bad person. He was overwhelmed by anxiety that he himself might become a bad person and could not go to work. The patient with obsessive-compulsive symptoms (OCS) learned to manage the obsession through Kendo (Japanese fencing) swinging practice and imaginal exposure was conducted during hospitalization, which improved OCS. Kendo swinging practice was used to remind the patient of the state of munenmusou (being free from all distracting thoughts). When a patient has experienced this state in Budo (Japanese martial arts) or sports, a desirable method of dealing with the obsession through practice or training repeating the experience could contribute to improving OCS. The authors’ approaches are introduced in the present paper. This study is expected to be useful for readers conducting behavior therapy, including imaginal exposure, for relieving OCS.