メンタル・イデア・ラボ、ＡＥのスミです。
今月２０日まで東京では緊急事態宣言が延長され、未だ不自由な生活が続いています。コロナ疲れでは済まない生活危機に直面し、メンタルが弱っている人も多いと思います。
そんな時、某テレビ番組で女性ボーカルグループのメンバーの一人が、活動を休養しているとのことで、このほどご本人が所属する事務所の公式サイトで、『双極性障害』と『ＡＤＨＤ』であることが発表されました。
本コラムでも何度か取り上げている『ＡＤＨＤ』と聞き、関心を抱いているところですが、ここで気になったのがメディアの取り上げ方でした。
『双極性障害』は精神疾患の一つで、これは病気です。治療で完治する可能性がありますし、何らかの処方薬もあるでしょう。所謂、身体的な病気と同様、“心の病気”と言ってもいいと思います。
問題は『ＡＤＨＤ』の取り上げ方です。双極性障害と一緒に“病気”と表現されていることは大いに問題で間違いです。『ＡＤＨＤ』は発達障害で、肉体でいうところの身体障害と同じです。生まれつき視力がない、聴力がない、足がない、腕がないなどの身体障害を“病気”と言うでしょうか？言いませんね。何らかの病気が原因で腕、足を切断した、視力や聴力を失った、などを除けば、生まれつきそのような身体で生まれた人のそれを“病気”とは言いません。
『ＡＤＨＤ』も生まれながらの特性で、決して病気ではないのに、双極性障害と同じように病気として取り上げるのは問題で明らかな誤報です。
これで「発達障害＝精神疾患（病気）」と間違った認識が広がってしまうことを危惧します。発達障害は病気ではないため、完治のための治療法や処方薬はそもそもありません。『ＡＤＨＤ』の特性である多動性、衝動性などを抑制する薬は存在しますが、根本的に『ＡＤＨＤ』を治す薬は存在しません。同じ発達障害である『ＡＳＤ』（アスペルガー）に至っては、対処する薬すら存在しません。メンタルクリニックや病院の精神科にかかったとしても、その医師が発達障害に明るくない場合が多々あります。何故なら発達障害は精神疾患ではないからです。精神科医師の多くが診ているのは、そのような発達障害が原因で誘発される二次障害を診ている場合が多いのが現状でしょう。ここでいう二次障害というのは、うつ病などの精神疾患です。発達障害は二次障害を誘発しやすいのは確かですが、発達障害自体は病気ではないため治療法はありません。つまり精神科医師（心療内科医師も含め）は二次障害であるうつ病などへの治療を施し、薬を処方するに過ぎず、根本原因である発達障害のことに目を向け、対処することはほぼない（あるいはできない）のが現状です。
※精神科医と心療内科医の違い：簡単に言うと、精神科医はうつ病など精神疾患の専門家であり、心療内科医はストレスなどで誘発された身体疾患（胃痛、頭痛、下痢など）の専門家。発達障害の知識はあるかもしれないが決して専門家ではない。そもそも疾患として認められていない発達障害には対応しないことが多い。
発達障害は治療すものではなく緩和・低減するもの、と考えています。そのためには子供であれば早期の療育、大人であれば自身がまず特性を受容し、その上でどう自分自身で対策できるか、周囲の理解と配慮を得ることができるかと言っても過言ではありません。
今回の報道にあるボーカルグループの女性の双極性障害はきちんと治療すれば完治の可能性、あるいは緩和が期待できるものですが、『ＡＤＨＤ』は完治しません。そもそも病気ではないからです。メディアは本来、『双極性障害』と『ＡＤＨＤ』を分けて取り上げるべきでした。『ＡＤＨＤ』は身体障害者と同じように、自分自身の工夫と周囲の配慮を必要とする性格のものです。周囲に理解されず、配慮に恵まれない人の多くが生きづらさを感じ、二次障害であるうつ病などを引き起こしやすいのです。発達障害者は身体障害者のように見た目では全然わからず、そのため発達障害者自らがカミングアウトしなければ周囲にはわかりません。しかし、カミングアウトした後、会社でどういう待遇になるか全く予測ができないだけにカミングアウトしにくいのが現状です。ひょっとしたら担当を外されるかもしれない、部署異動させられるかもしれない、最悪な場合リストラ要員にされるかもしれない、などさまざまな不安要素が、発達障害者のカミングアウトを阻害しています。言わないとわからないけど、言えば不利な扱いを受けるかもしれないから言えない、というジレンマに陥っているのです。
組織にカミングアウトできる土壌がなければ、発達障害者は自分が発達障害であることを言えず、そのため過度なストレスに晒され続け、結果二次障害を誘発し、結局退職に追い込まれてしまう・・・これが日本の企業の多くで起きている現実です。今回のボーカルグループの女性も会社員ではなく芸能人という特殊な職業というだけで、本質的には多くの企業で働く発達障害者と同じく、人の何倍も生きづらさを感じ、過度なストレスに晒されていたのだろうと想像します。
もし今回のボーカルグループの女性が復帰しようとすれば、『ＡＤＨＤ』の点は持って生まれた個性として受け止め、周囲の理解と配慮が必要でしょう。医療でなんとかなる問題ではありません。そうでなければ、この女性は復帰した後、二次障害により再び双極性障害など精神疾患を誘発する可能性があります。それをメディアはまた“病気”として安易に取り上げることがないようにしてほしいと思います。
メディアは時に間違う
今回はこのことを痛感しました。メディア関係者には今回のボーカルグループの女性における『ＡＤＨＤ』の報道は明らかに誤報であることを知っていただきたいと思います。
『ＡＤＨＤ』を含めた発達障害は【精神疾患ではない】【病気ではない】
そのことを改めて強調しておきたいと思います。
◇
＜運営会社：Jiyuuku Inc.＞
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