外来治療を通じてみた精神分裂病患者の再適応について

抄録

The present status of the out-patients of the schizophrenia for the rehabilitation in September, 1962 was considered, also the status of the treatment at the main hospital throughout the nation, the status of my patients leaving the hospital, above all, the corelation between the treatment of the out-patients of schizophrenia and the rehabilitation have been reported. Since then, the life of the same group of patients have been investigated until July, 1965 continuously, and the results have been examined. As the result of the previous investigation it was found that the guidance for the out-patient is one of the important factors to reduce the ratio of re-hospitalization, but some of the rehabilitated outpatients coming to hospital for a long period rehabilitate well with abatement, or some patients rehabilitate successfully with having abnormal experience, and the rehabilitation of the schizophrenic patients should be done consibering the type of the rehabilitation for the psychiatrically abnormal patients, or relying on the possibility of change of character. However, later investigation showed that the ratio of re-hospitalization should be considered by a longer time of observation, but continuous coming to hospital prolonged the period to the re-hospitalization. Thus, until the second year of leaving the hospital, the ratio of re-hospitalization for the group of the long term out-patients is low, but it becomes rather higher after the second year, However, when such long term out-patients are rehospitalized again, the attitude of the patients and their family become positively, that is different from the rehospitalization of worse patients. Therefore, the results should not be evaluated on the same base. From these results, it may be understood that the guidance for the outpatients is surely supporting the, rehabilitation, and such guidance should be performed for a long term, which the author really felt.