{"id":672,"date":"2011-01-19T08:34:32","date_gmt":"2011-01-18T23:34:32","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=672"},"modified":"2015-08-07T10:37:06","modified_gmt":"2015-08-07T01:37:06","slug":"%ef%bd%9e%e5%bd%b1%e9%9f%bf%e5%8a%9b%e3%81%ae%e5%8e%9f%e7%90%86%ef%bd%9e","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=672","title":{"rendered":"\uff5e\u5f71\u97ff\u529b\u306e\u539f\u7406\uff5e"},"content":{"rendered":"

\u3010\u6587\u732e\u540d\u3011
\n\u2028Donald A. Redelmeier, Robert B. Cialdini. Problems for clinical judgement: 5. Principles of influence in medical practice. CMAJ 2002;166(13):1680-1684\u2028
\n\u533b\u7642\u306b\u304a\u3051\u308b\u300c\u5f71\u97ff\u529b\u300d\u306e7\u8981\u7d20-\u4eba\u306f\u306a\u305c\u52d5\u304b\u3055\u308c\u308b\u306e\u304b\uff1f-\u3000\u5e83\u5cf6\u5927\u5b66\u75c5\u9662\u3000\u4f50\u4f2f\u4fca\u6210\u2028\u2028\u2028<\/p>\n

\u3010\u8981\u7d04\u3011
\n\u2028\u5fc3\u7406\u5b66\u306b\u304a\u3051\u308b\u57fa\u790e\u79d1\u5b66\u306f\u7279\u7570\u7684\u306a\u81ea\u52d5\u53cd\u5fdc(ingrained responses=\u3057\u307f\u3064\u3044\u305f\u53cd\u5fdc)\u3092\u540c\u5b9a\u3057\u305f\u3002\u305d\u306e\u53cd\u5fdc\u3068\u3044\u3046\u306e\u306f\u4eba\u306e\u6027\u8cea\u306e\u6839\u672c\u7684\u306a\u8981\u7d20\u3067\u3042\u308a\u3001\u4e00\u822c\u7684\u306a\u5f71\u97ff\u306e\u6226\u7565(influence strategies)\u3092\u88cf\u6253\u3061\u3059\u308b\u3082\u306e\u3067\u3001\u533b\u7642\u306e\u73fe\u5834\u306b\u304a\u3044\u3066\u9069\u5fdc\u3067\u304d\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u30fb\u4eba\u306f\u53d7\u3051\u305f\u6069\u7fa9\u306b\u3053\u305f\u3048\u3088\u3046\u3068\u3059\u308b\u7fa9\u52d9\u611f\u3092\u611f\u3058\u308b\u3002\u30fb\u5c11\u3057\u3070\u304b\u308a\u53d7\u3051\u5165\u308c\u304c\u305f\u3044\u304a\u9858\u3044\u3092\u5148\u306b\u3059\u308b\u3068\u3001(\u305d\u308c\u3088\u308a\u6761\u4ef6\u306e\u826f\u3044)\u8981\u6c42\u306f\u3088\u308a\u9b45\u529b\u7684\u306b\u306a\u308b\u3002\u30fb\u4e00\u8cab\u6027\u306e\u3042\u308b\u6d3b\u52d5\u3078\u306e\u610f\u6b32\u3068\u3044\u3046\u306e\u306f\u305f\u3068\u3048\u8981\u6c42\u304c\u904e\u5270\u306b\u306a\u3063\u3066\u3082\u7d9a\u304f\u3002\u30fb\u4eba\u306f\u4e0d\u78ba\u5b9f\u306a\u72b6\u614b\u306b\u76f4\u9762\u3057\u305f\u6642\u3001\u5468\u56f2\u304b\u3089\u306e\u5727\u529b(Peer Pressure)\u306f\u6975\u3081\u3066\u5f37\u3044\u3082\u306e\u3068\u306a\u308b\u3002\u30fb\u8981\u6c42\u3059\u308b\u4eba\u306e\u30a4\u30e1\u30fc\u30b8\u304c\u8981\u6c42\u305d\u308c\u81ea\u4f53\u306e\u9b45\u529b\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3002\u30fb\u6a29\u5a01\u306f\u5c02\u9580\u5bb6\u3068\u3057\u3066\u306e\u529b\u91cf\u4ee5\u4e0a\u306e\u529b\u3092\u6301\u3063\u3066\u3044\u308b\u3002\u30fb\u6a5f\u4f1a\u306f\u305d\u308c\u3089\u304c\u5f97\u3089\u308c\u306b\u304f\u3088\u3046\u306b\u898b\u3048\u308b\u6642\u307b\u3069\u3001\u3088\u308a\u4fa1\u5024\u3042\u308b\u3088\u3046\u306b\u898b\u3048\u308b\u3002\u3053\u308c\u3089\u306e7\u3064\u306e\u53cd\u5fdc\u306f\u4f55\u5341\u5e74\u3082\u524d\u306b\u5fc3\u7406\u5b66\u306e\u7814\u7a76\u306b\u3088\u308a\u767a\u898b\u3055\u308c\u3001\u30d3\u30b8\u30cd\u30b9\u306e\u4e16\u754c\u3067\u76f4\u89b3\u7684\u306b\u7406\u89e3\u3055\u308c\u3066\u3044\u308b\u3088\u3046\u3067\u3042\u308b\u304c\u3001\u533b\u7642\u306e\u6587\u8108\u3067\u306f\u3081\u3063\u305f\u306b\u8b70\u8ad6\u304c\u3055\u308c\u3066\u3044\u306a\u3044\u3002\u81e8\u5e8a\u5bb6\u306f\u3053\u308c\u3089\u306e\u539f\u7406\u3092\u610f\u8b58\u3059\u308b\u3053\u3068\u3067\u3001\u60a3\u8005\u304c\u81ea\u5206\u306e\u884c\u52d5\u3092\u5909\u3048\u308b\u624b\u52a9\u3051\u3092\u3057\u3001\u793e\u4f1a\u306b\u304a\u3051\u308b\u4ed6\u306e\u4eba\u3005\u304c\u6642\u306b\u60a3\u8005\u306e\u9078\u629e\u3092\u3069\u306e\u69d8\u306b\u5909\u3048\u308b\u306e\u304b\u3068\u3044\u3046\u3053\u3068\u3092\u7406\u89e3\u3059\u308b\u305f\u3081\u306e\u3001\u4e00\u3064\u306e\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\u304c\u51fa\u6765\u308b\u3002<\/p>\n

\u3010Basic theory\uff1a\u57fa\u672c\u7684\u539f\u7406\u3011\u2028
\n\u60a3\u8005\u306f\u5727\u5012\u7684\u306a\u60c5\u5831\u306e\u4e2d\u3067\u751f\u6d3b\u3057\u3066\u3044\u308b\u306e\u3067\u3001\u305f\u3068\u3048\u95a2\u4fc2\u306e\u3042\u308b\u51fa\u6765\u3054\u3068\u3067\u3082\u300c\u601d\u616e\u6df1\u3044\u6c7a\u65ad\u300d\u3092\u4e0b\u3059\u3053\u3068\u306f\u307b\u307c\u4e0d\u53ef\u80fd\u3067\u3042\u308b\u3002\u3053\u308c\u3089\u3092\u3046\u307e\u304f\u51e6\u7406\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u60a3\u8005\u306f\u81ea\u52d5\u53cd\u5fdc(ingrained responses)\u3068\u547c\u3070\u308c\u308b\u7406\u306b\u304b\u306a\u3063\u305f\u8fd1\u9053\u304c\u983c\u308a\u306b\u306a\u308b\u3002\u4eba\u306e\u8ad6\u7406\u7684\u601d\u8003\u904e\u7a0b\u306b\u304a\u3044\u3066\u3001\u81ea\u52d5\u53cd\u5fdc\u3068\u3044\u3046\u306e\u306f\u5927\u534a\u306e\u5f71\u97ff\u306e\u6226\u7565\u306e\u6839\u5e95\u306b\u3042\u308b\u57fa\u672c\u7684\u306a\u7d4c\u8def\u3067\u3042\u308b\u3002\u3053\u308c\u3089\u306e\u7d4c\u8def\u3092\u610f\u8b58\u3059\u308b\u3053\u3068\u304c\u3001\u60a3\u8005\u304c\u7fd2\u6163\u3092\u5909\u3048\u308b\u624b\u52a9\u3051\u3092\u8a66\u307f\u308b\u305f\u3081\u306e\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u3092\u81e8\u5e8a\u5bb6\u306b\u63d0\u4f9b\u3059\u308b\u3002(Table1)<\/p>\n

\u3010Reciprocation\uff1a\u8fd4\u5831\u3011
\n\u2028\u4ed6\u4eba\u304c\u305d\u306e\u4eba\u306b\u63d0\u4f9b\u3057\u305f\u3082\u306e\u3068\u540c\u69d8\u306e\u3084\u308a\u65b9\u3067\u5831\u3044\u3088\u3046\u3068\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u3002\u2028
\n\uff1c\u533b\u7642\u306b\u304a\u3051\u308b\u8fd4\u5831\u6027\uff1e\u2028
\n\u60a3\u8005\u3092\u5fc3\u5730\u3088\u304f\u3055\u305b\u308b\u3053\u3068\u306e\u3067\u304d\u308b\u81e8\u5e8a\u5bb6\u306f\u3001\u30a2\u30c9\u30d0\u30a4\u30b9\u3092\u3057\u305f\u969b\u306b\u3088\u308a\u771f\u646f\u306b\u53d7\u3051\u6b62\u3081\u3089\u308c\u308b\u50be\u5411\u304c\u3042\u308b\u3088\u3046\u3067\u3042\u308b\u3002\u3053\u308c\u306f\u305f\u3060\u5358\u306b\u533b\u8005\u304c\u3088\u308a\u71b1\u5fc3\u306b\u898b\u3048\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u60a3\u8005\u304c\u611f\u8b1d\u3055\u308c\u3066\u3044\u308b\u3088\u3046\u306b\u611f\u3058\u308b\u304b\u3089\u3060\u3068\u8a00\u308f\u308c\u3066\u3044\u308b\u3002\u60a3\u8005\u306e\u90fd\u5408\u306b\u3088\u308b\u7a81\u7136\u306e\u4e88\u7d04\u306e\u30ea\u30af\u30a8\u30b9\u30c8\u306b\u540c\u610f\u3057\u305f\u308a\u3001\u5c0f\u3055\u306a\u753a\u306b\u304a\u3044\u3066\u6709\u540d\u306a\u5730\u57df\u793e\u4f1a\u306e\u6307\u5c0e\u8005\u3092\u30b5\u30dd\u30fc\u30c8\u3057\u305f\u308a\u3059\u308b\u3068\u3044\u3063\u305f\u3088\u3046\u306a\u3001\u3061\u3087\u3063\u3068\u3057\u305f\u983c\u307f\u306b\u4fbf\u5b9c\u3092\u56f3\u308b\u81e8\u5e8a\u5bb6\u306f\u3001\u751f\u6d3b\u7fd2\u6163\u306e\u5909\u5316\u3092\u63d0\u6848\u3059\u308b\u969b\u306b\u4f55\u3089\u304b\u306e\u512a\u4f4d\u6027\u3092\u6709\u3057\u3066\u3044\u308b\u3002\u305f\u3068\u3048\u6551\u6025\u3068\u3044\u3046\u533f\u540d\u306e\u72b6\u6cc1\u306b\u304a\u3044\u3066\u3055\u3048\u3001\u308f\u305a\u304b\u306a\u601d\u3044\u3084\u308a\u3067\u30db\u30fc\u30e0\u30ec\u30b9\u304c\u5c11\u3057\u9055\u3063\u305f(\u597d\u307e\u3057\u3044)\u632f\u308b\u821e\u3044\u3092\u3059\u308b\u539f\u56e0\u3068\u306a\u308a\u5f97\u308b\u3002<\/p>\n

\u3010Concession\uff1a\u8b72\u6b69\u3011
\n\u2028\u8fd4\u5831\u306e\u7279\u6b8a\u306a\u5f62\u3067\u3001\u4ed6\u306e\u8ab0\u304b\u304c\u6b69\u307f\u5bc4\u308a\u3092\u7533\u3057\u51fa\u308b\u3068\u3001\u305d\u306e\u5f8c\u306b\u8b72\u6b69\u3059\u308b\u7fa9\u52d9\u3092\u611f\u3058\u308b\u3068\u3044\u3046\u3082\u306e\u3067\u3042\u308b\u3002\u2028
\n\uff1c\u533b\u7642\u306b\u304a\u3051\u308b\u8b72\u6b69\uff1e
\n\u2028\u8840\u5727\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306b\u4e57\u308a\u6c17\u3067\u306a\u3044\u60a3\u8005\u306b\u5bfe\u3057\u3066\u3001\u307e\u305a\u8ffd\u52a0\u306e\u7269\u4e8b\u3092\u63d0\u6848\u3057\u305f\u5f8c\u306b\u3001\u6700\u521d\u306b\u8840\u5727\u306b\u96c6\u4e2d\u3059\u308b\u3068\u540c\u610f\u304c\u5f97\u3089\u308c\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u5927\u8178\u5185\u8996\u93e1\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3092\u62d2\u5426\u3057\u3066\u3044\u308b\u60a3\u8005\u306f\u30d0\u30ea\u30a6\u30e0\u9020\u5f71\u691c\u67fb\u306b\u3064\u3044\u3066\u306f\u8b70\u8ad6\u3057\u3066\u304f\u308c\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u305f\u3060\u3057\u3001\u60a3\u8005\u306e\u884c\u52d5\u5909\u5bb9\u306e\u6bb5\u968e\u306b\u5fdc\u3058\u3066\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u3092\u3059\u308b\u3053\u3068\u304c\u5fc5\u8981\u4e0d\u53ef\u6b20\u3067\u3042\u308b\u3002<\/p>\n

\u3010Consistency\uff1a\u4e00\u8cab\u6027\u3011
\n\u2028\u4eba\u306f\u3072\u3068\u305f\u3073\u9078\u3073\u53d6\u308b\u3068\u3001\u305d\u306e\u5236\u7d04\u3092\u7dad\u6301\u3057\u7d9a\u3051\u3088\u3046\u3068\u3059\u308b\u5f37\u3044\u50be\u5411\u3092\u6301\u3064\u3002\u2028\u4e00\u8cab\u6027\u3068\u307f\u306a\u3055\u308c\u308b\u6b32\u6c42\u306f\u3068\u3066\u3082\u5f37\u3044\u529b\u3092\u3082\u3063\u3066\u304a\u308a\u3001\u81ea\u5206\u81ea\u8eab\u306e\u8208\u5473\u306b\u53cd\u3057\u3066\u3082\u884c\u52d5\u3057\u7d9a\u3051\u308b\u7d50\u679c\u3068\u306a\u308a\u3046\u308b\u3002
\n\u2028<\u533b\u7642\u306b\u304a\u3051\u308b\u4e00\u8cab\u6027>\u2028
\n\u81e8\u5e8a\u5bb6\u306f\u5065\u5eb7\u306e\u9078\u629e\u3092\u5f37\u5316\u3059\u308b\u305f\u3081\u4e00\u8cab\u6027\u306b\u95a2\u3059\u308b\u60a3\u8005\u306e\u6b32\u6c42\u3092\u30ac\u30a4\u30c9\u3059\u308b\u3053\u3068\u304c\u51fa\u6765\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u5f37\u60c5\u306a\u55ab\u7159\u8005\u306b\u7159\u8349\u306e\u6b20\u70b9\u30922\u3064\u30ea\u30b9\u30c8\u30a2\u30c3\u30d7\u3057\u3066\u3082\u3089\u3046\u3088\u3046\u983c\u3080\u3053\u3068\u304c\u51fa\u6765\u308b\u3002\u3053\u306e\u5c0f\u3055\u306a\u8ab2\u984c\u3067\u3042\u308c\u3070\u53d7\u3051\u5165\u308c\u3066\u304f\u308c\u308b\u3060\u308d\u3046\u3002\u30ea\u30b9\u30c8\u3092\u4f5c\u3063\u3066\u3057\u307e\u3046\u3068\u3001\u60a3\u8005\u306f\u6b21\u306e\u53d7\u8a3a\u307e\u3067\u306e\u3082\u3063\u3068\u305d\u306e\u3053\u3068\u306b\u3064\u3044\u3066\u8a71\u3057\u305f\u304f\u306a\u3063\u3066\u3044\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u305d\u306e\u306e\u3061\u306e\u53d7\u8a3a\u3067\u306f\u3001\u60a3\u8005\u306f(\u55ab\u7159\u3092)\u6b62\u3081\u308b\u8b70\u8ad6\u3092\u3057\u305f\u304f\u306a\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n

\u3010Endorsement\uff1a\u4fdd\u8a3c\u3001\u627f\u8a8d\u3011
\n\u2028\u81ea\u5206\u306b\u95a2\u4fc2\u3057\u3066\u3044\u308b\u4ed6\u4eba\u3092\u771f\u4f3c\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u4f55\u304c\u6b63\u3057\u3044\u304b\u3068\u3044\u3046\u3053\u3068\u3092\u6c7a\u3081\u308b\u3002\u4f55\u304c\u6b63\u5e38\u306a\u7fd2\u6163\u3092\u69cb\u6210\u3057\u3066\u3044\u308b\u304b\u6c7a\u3081\u3088\u3046\u3068\u8a66\u307f\u3066\u3044\u308b\u969b\u306b\u306f\u3001\u9806\u5fdc\u306b\u5bfe\u3059\u308b\u5727\u529b\u3068\u3044\u3046\u306e\u306f\u7279\u306b\u5f37\u304f\u50cd\u304f\u3002
\n\u2028\uff1c\u533b\u7642\u306b\u304a\u3051\u308b\u4fdd\u8a3c\uff1e
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\u3010Liking\uff1a\u597d\u610f\u3011\u2028
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\n\uff1c\u533b\u7642\u306b\u304a\u3051\u308b\u597d\u610f\uff1e\u2028\u3000
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\u3010Authority\uff1a\u6a29\u5a01\u3011
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\n\u2028\uff1c\u533b\u7642\u306b\u304a\u3051\u308b\u6a29\u5a01\uff1e
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\u3010Scarcity\uff1a\u5e0c\u5c11\u6027\u3011
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\n\u2028\uff1c\u533b\u7642\u306b\u304a\u3051\u308b\u5e0c\u5c11\u6027\uff1e
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\u3010\u307e\u3068\u3081\u3011\u2028
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\u3010\u6587\u732e\u540d\u3011 \u2028Donald A. Redelmeier, Robert B. Cialdini. Problems for clinical judgement: 5. Principles of influence i … \u7d9a\u304d\u3092\u8aad\u3080 \uff5e\u5f71\u97ff\u529b\u306e\u539f\u7406\uff5e<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19],"tags":[],"class_list":["post-672","post","type-post","status-publish","format-standard","hentry","category-19"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/672","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=672"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/672\/revisions"}],"predecessor-version":[{"id":673,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/672\/revisions\/673"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=672"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=672"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=672"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}