Annals of the Japanese Association for Philosophical and Ethical Researches in Medicine
Online ISSN : 2433-1821
Print ISSN : 0289-6427
How Did a Long-stay Patient Leave the Psychiatric Hospital? : Preliminary Study using Vocabulary Analysis
Mitsuko MURAKAMI
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2008 Volume 26 Pages 73-78

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Abstract
We selected case A as the subject of our research: this schizophrenic individual had been hospitalized for about 12 years in a private psychiatric hospital. In order to determine factors crucial to his discharge, we used the method of vocabulary analysis to examine his medical and nursing records over 1,450 days. In this case, we focused in particular on eleven words concerning recovery and discharge. Our findings suggest the following: (1) the need for adequate assessment of his improvement, (2) the need for empowerment enabling improvement of his interpersonal relationships, and (3) the importance of resolving large gaps in intention regarding discharge between the patient and health professionals.
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© 2008 Japanese Association for Philosophical and Ethical Reseaerches in Medicine
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